CMS Final Rule – Physician Services (§483.30)

Post 28 of 108

Implementation Date: Phase 1 – November 28, 2016

§483.30 was modified to specify that, in addition to a physician’s recommendation that the individual be admitted to a facility, a physician, a physician assistant, a nurse practitioner, or a clinical nurse specialist must provide orders for the resident’s immediate care and needs. This provision will help ensure that the resident receives care for his or her specific needs until a comprehensive assessment and care planning can be completed. In addition, the text at §483.30(e)(2) and §483.30(e)(3) has been modified to specify that it is the attending physician who has the authority to delegate to a qualified dietitian or other clinically qualified nutrition professional the task of writing dietary orders, and to delegate to a qualified therapist the task of writing therapy orders, to the extent that these professionals are permitted to perform these tasks under state law.

By Cassie Lewandowski

Cassie Lewandowski 2

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