In hospice and home care, Physician Assistants and Nurse Practitioners play different roles. Each industry’s Conditions of Participation limit functions that each role can perform. These Conditions often conflict with other Federal acts and State laws. For this reason, hospice and home care clinicians need to be knowledgeable of specific regulations that govern the role of Physician Assistants and Nurse Practitioners in managing patients in hospice and home care.

To assist agencies in better understanding the roles of physician assistants and nurse practitioners, we’ve prepared a job aid and short course below that reviews what these disciplines can and cannot perform.

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Role of Physician and Nurse Practitioner


  • NAHC (Feb 6, 2019). The Role of the Physician Assistant and Nurse Practitioner in Home Health and Hospice. NAHC Report. Accessed at:

  • CMS (2018). Medicare Benefit Policy Manual, Chapter 9 – Coverage of Hospice Services Under Hospital Insurance. Section 40.1.3. Accessed at:

  • 42 CFR § 418.64 – Condition of participation Hospice: Core services. Accessed at:

  • Bipartison Budget Act of 2018. Sec. 51006. Recognition of attending physician assistants as attending physicians to serve hospice patients (2018). Accessed at: