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December 2016 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 5 THSteps Medical : 5.2 Enrollment : 5.2.1 THSteps Medical Provider Enrollment : Requirements for Registered Nurses Who Provide Medical Checkups
RNs without a CNS, NP, or CNM recognition as an APRN by the Texas BON may provide medical checkups only under direct physician supervision, meaning the physician is either on site during the checkup or immediately available to furnish assistance and direction to the RN during the checkup.
Required online education modules developed by THSteps must be completed prior to providing checkup services. All modules are approved for continuing education units (CEUs) for RN’s as well as other medical disciplines. Required THSteps online education modules are available on the RN Information page of the THSteps website. The RN or the RN’s employer must maintain documentation that the required modules were completed.
Online modules are updated regularly to include new content. RNs that have completed the required modules previously are encouraged, but not required to retake online modules.
Before a physician delegates a THSteps checkup to an RN, the physician must establish the RN’s competency to perform the service as required by the physician’s scope of practice. The delegating physician is responsible for supervising the RN who performs the services. The delegating physician remains responsible for any service provided to a client.
Refer to:
Subsection 5.2.1, “THSteps Medical Provider Enrollment” in this handbook for more information about enrollment procedures.

Texas Medicaid & Healthcare Partnership
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