---
kind: "section"
citation: "42 C.F.R. § 405.2414"
title: "42"
number: "405.2414"
heading: "Nurse practitioner, physician assistant, and certified nurse midwife services."
url: "https://uscodex.org/cfr/42/405.2414"
---

# §405.2414. Nurse practitioner, physician assistant, and certified nurse midwife services.

- (a) **Professional services are payable under this subpart if the services meet all of the following—**
  - (1) Furnished by a nurse practitioner, physician assistant, or certified nurse midwife who is employed by, or receives compensation from, the RHC or FQHC.
  - (2) **Furnished under the medical supervision of a physician.**
  - (3) Furnished in accordance with any medical orders for the care and treatment of a patient prepared by a physician.
  - (4) Are of a type which the nurse practitioner, physician assistant or certified nurse midwife who furnished the service is legally permitted to perform by the State in which the service is rendered.
  - (5) **The services would be covered if furnished by a physician.**
- (b) The physician supervision requirement is met if the conditions specified in [§ 491.8(b)](/cfr/42/491.8.md?p=b) of this chapter and any pertinent requirements of State law are satisfied.
- (c) The services of nurse practitioners, physician assistants or certified nurse midwives are not covered if State law or regulations require that the services be performed under a physician's order and no such order was prepared.

## Notes

### Amendments

[43 FR 8261, Mar. 1, 1978, as amended at 79 FR 25475, May 2, 2014]

### Authority

Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).

### Source

Source: 43 FR 8261, Mar. 1, 1978, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 263a, 405(a), 1302, 1320b-12, 1395x, 1395y(a), 1395ff, 1395hh, 1395kk, 1395rr, and 1395ww(k).

### Amendments

[43 FR 8261, Mar. 1, 1978, as amended at 79 FR 25475, May 2, 2014]