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​​​​COVID-19 (Coronavirus): CRNP and PA direct supervision requirements

October 29, 2021

This article was revised on October 29, 2021, to update the effective timeline.

Independence’s definition of “direct supervision” of a Certified Registered Nurse Practitioner (CRNP) or Physician Assistant (PA) has been modified to include direct supervision by a physician’s virtual presence. Virtual presence includes audio/video real-time communications technology when used to reduce exposure risks for the member or health care provider.

The change is effective:

  • Commercial members: March 6, 2020, through Decem​ber 31, 2021, and is subject to re-evaluation during the public health emergency;
  • Medicare Advantage members: March 6, 2020, and for the duration of the public health emergency.

Independence is committed to providing our members with access to the care they need during the COVID-19 pandemic. We encourage all Independence members and providers to visit our dedicated COVID-19 webpage regularly for the latest news and updates. We will continue to evaluate member needs as the situation changes.

Learn more

Read about coding, “Incident to” criteria, and more in the Medical and Claim Payment Policy News Articles:


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