Attn: Hospitals and Critical Access Hospitals
CMS issues QSO-23-22-Hospital - Reinforcement of Interpretive Guidance for Nurse Midwives
CMS issues QSO-23-22-Hospital to Hospitals and Critical Access Hospitals (CAH) regarding the services provided by nurse midwives and requirements for physician review and signature of records of patients of a CAH.
Memorandum Summary
- CMS is committed to improving access and quality care for pregnant and postpartum individuals and their infants.
- Hospital governing body requirements at §482.12(c)(1), (2), and (4) apply exclusively to Medicare patients/beneficiaries.
- For non-Medicare beneficiaries, including patients receiving Medicaid, hospitals may develop policies to permit nurse midwives to be credentialed and privileged to admit and care for hospital inpatients in accordance with State licensure laws.
- Critical Access Hospital (CAH) requirements for physician review and signature of records of patients cared for by nurse practitioners, clinical nurse specialists, certified nurse midwives, or physician assistants apply to all patients of the CAH.
Questions
For questions or concerns relating to this memorandum, please contact QSOG_Hospital@cms.hhs.gov.
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