Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Update to the Manual to Clarify Supervision Requirements for Diagnostic Tests

The purpose of this Change Request (CR) is to clarify existing manual language. We are revising the manual to clarify that Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), Certified Nurse-Midwives (CNMs), Certified Registered Nurse Anesthetists (CRNAs) and Physician Assistants (PAs) may supervise the performance of diagnostic tests.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 16, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.