Final answer:
When billing Medicaid, the NP gets the authority to bill from the state licensing board and the Centers for Medicare and Medicaid Services (CMS). NPs may need a collaborative agreement with a physician to bill Medicaid. Understanding state regulations and CMS rules is crucial for accurate billing.
Step-by-step explanation:
When billing Medicaid, the Nurse Practitioner (NP) gets the authority to bill from the state licensing board and the Centers for Medicare and Medicaid Services (CMS). The state licensing board is responsible for granting NPs the authority to practice and bill for services, while CMS sets the rules and regulations for billing Medicaid.
For example, in many states, NPs are required to have a collaborative agreement with a physician in order to bill Medicaid. This agreement outlines the scope of practice and the physician's supervision of the NP. Without such an agreement, NPs may not be able to bill Medicaid directly.
It is important for NPs to understand the specific requirements and regulations set by their state's licensing board and CMS in order to bill Medicaid accurately and successfully.