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Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC Medicare program because our educational standard for NPs and CNSs is a master’s degree. Additionally, we do not intend to eliminate the master’s degree in nursing requirement and replace it with solely the DNP degree. We also have no plans to require a MSN degree in lieu of a master’s degree in nursing. Comment: Two commenters stated that they have not yet taken a position on the DNP degree and on the various DNP programs that graduate APNs. However, the commenters noted that many schools offering the DNP degree have programs that focus on areas other than clinical practice such as administration, leadership, business, and nursing policy. The commenters also stated that DNP graduates seeking to enroll in Medicare as new suppliers should hold a clinically-based DNP degree and also, ideally, attain advanced practice certification. The commenters believe that NPs and CNSs who graduate from DNP programs should not be allowed to bypass the master’s degree in nursing before achieving the DNP degree because they believe that the master’s education provides the appropriate foundation for CNS practice. One commenter is opposed to Medicare’s recognition of the DNP degree in Medicare regulations at this time because of the varying routes of entry into a DNP program have not been resolved, there is a lack of 714
CMS-1403-FC standardization of DNP programs’ multiple accreditation processes. The commenters also stated that, and Federal recognition of an unproven nursing doctoral program seems premature given that no State licensing agency or State board of nursing has developed statutes or regulations authorizing the utilization of the DNP as a substitute for the master’s education requirement and NP or CNS certification. Response: We believe that as any new educational program develops, there are likely to be some uncertainty and inconsistency inherent in the process. However, the APN community has a stated goal of moving toward a national standard of graduating APNs from DNP programs. We do not believe that it is sensible to deny Medicare enrollment to a registered professional nurse with a DNP degree who meets all of the other qualification requirements when we enroll nurses with a master’s degree. We have relied on our contractors to enroll only those NPs and CNSs who have graduated with a master’s degree in nursing in addition to meeting other qualification standards that require State licensure and certification by a recognized national certifying body. We believe that these collective qualifications ensure that only qualified nurses with proper clinical training furnish services to Medicare 715
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<strong>CMS</strong>-1403-FC<br />
Medicare program because our educational standard for NPs<br />
and CNSs is a master’s degree. Additionally, we do not<br />
intend to eliminate the master’s degree in nursing<br />
requirement and replace it with solely the DNP degree. We<br />
also have no plans to require a MSN degree in lieu of a<br />
master’s degree in nursing.<br />
Comment: Two commenters stated that they have not yet<br />
taken a position on the DNP degree and on the various DNP<br />
programs that graduate APNs. However, the commenters noted<br />
that many schools offering the DNP degree have programs<br />
that focus on areas other than clinical practice such as<br />
administration, leadership, business, and nursing policy.<br />
The commenters also stated that DNP graduates seeking to<br />
enroll in Medicare as new suppliers should hold a<br />
clinically-based DNP degree and also, ideally, attain<br />
advanced practice certification. The commenters believe<br />
that NPs and CNSs who graduate from DNP programs should not<br />
be allowed to bypass the master’s degree in nursing before<br />
achieving the DNP degree because they believe that the<br />
master’s education provides the appropriate foundation for<br />
CNS practice. One commenter is opposed to Medicare’s<br />
recognition of the DNP degree in Medicare regulations at<br />
this time because of the varying routes of entry into a DNP<br />
program have not <strong>been</strong> resolved, there is a lack of<br />
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