---
kind: "section"
citation: "42 C.F.R. § 440.166"
title: "42"
number: "440.166"
heading: "Nurse practitioner services."
url: "https://uscodex.org/cfr/42/440.166"
---

# §440.166. Nurse practitioner services.

- (a) **Definition of nurse practitioner services.** Nurse practitioner services means services that are furnished by a registered professional nurse who meets a State's advanced educational and clinical practice requirements, if any, beyond the 2 to 4 years of basic nursing education required of all registered nurses.
- (b) **Requirements for certified pediatric nurse practitioner.** The practitioner must be a registered professional nurse who meets the requirements specified in either paragraphs [(b)(1)](#b-1) or [(b)(2)](#b-2) of this section.
  - (1) If the State specifies qualifications for pediatric nurse practitioners, the practitioner must—
    - (i) Be currently licensed to practice in the State as a registered professional nurse; and
    - (ii) Meet the State requirements for qualification of pediatric nurse practitioners in the State in which he or she furnishes the services.
  - (2) If the State does not specify, by specialty, qualifications for pediatric nurse practitioners, but the State does define qualifications for nurses in advanced practice or general nurse practitioners, the practitioner must—
    - (i) Meet qualifications for nurses in advanced practice or general nurse practitioners as defined by the State; and
    - (ii) Have a pediatric nurse practice limited to providing primary health care to persons less than 21 years of age.
- (c) **Requirements for certified family nurse practitioner.** The practitioner must be a registered professional nurse who meets the requirements specified in either paragraph [(c)(1)](#c-1) or [(c)(2)](#c-2) of this section.
  - (1) If the State specifies qualifications for family nurse practitioners, the practitioner must—
    - (i) Be currently licensed to practice in the State as a registered professional nurse; and
    - (ii) Meet the State requirements for qualification of family nurse practitioners in the State in which he or she furnishes the services.
  - (2) If the State does not specify, by specialty, qualifications for family nurse practitioners, but the State does define qualifications for nurses in advanced practice or general nurse practitioners, the practitioner must—
    - (i) Meet qualifications for nurses in advanced practice or general nurse practitioners as defined by the State; and
    - (ii) **Have a family nurse practice limited to providing primary health care to individuals and families.**
- (d) **Payment for nurse practitioner services.** The Medicaid agency must reimburse nurse practitioners for their services in accordance with [§ 441.22(c)](/cfr/42/441.22.md?p=c) of this subchapter.

## Notes

### Amendments

[60 FR 19861, Apr. 21, 1995]

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45224, Sept. 29, 1978, unless otherwise noted.

### Amendments

[60 FR 19861, Apr. 21, 1995]