This letter outlines the requirements for physicians to delegate tasks to non-physician practitioners (NPPs) in nursing homes and other healthcare facilities. It specifies that the physician must supervise the NPP, and that the NPP must meet the requirements set forth in §491.2 of this chapter. It also outlines the conditions for NPPs to perform physician tasks in NFs, such as performing examinations, evaluations, required visits, and writing orders. Nursing homes and other healthcare facilities must ensure that the physician delegates tasks to NPPs in accordance with the regulations, and that the NPPs are working within the scope of practice allowed by State law. They must also ensure that the NPP is employed by the facility and is working in collaboration with a physician when performing required physician tasks in NFs.

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