Delegating Prescriptive Authority — to How Many?

Q. What is the ratio for the number of advanced practice registered nurses or physician assistants to whom a physician may delegate prescriptive authority?

A. Under the new rules that took effect in 2013, the answer depends on the practice setting. In facility-based hospital practices and in practices that serve medically underserved populations, there are no limitations. In all other practice settings, one physician may delegate to no more than seven full-time equivalent advanced practice registered nurses or physician assistants. This is a firm number; the waiver process for delegating more than the rule allows no longer exists.

To find out more:

  • See TMA's Delegation of Duties webpage, where you will find links to the Texas Medical Board's FAQs about the new rules on prescriptive delegation and more.
  • Read TMA's newly revised publication, Nonphysician Practitioners: Hiring, Billing, and Delegation of Duties for Nonphysician Practitioners,  second edition, now available through the TMA Education Center.
  • Attend TMA's new live seminar, New NPP Regulations: Rules You Need to Know, held through June 19 in cities around the state. Or, if you can't attend in person, tune in to the live webcast on May 15.

Have NPP-related billing questions? See:

Published May 14, 2014

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