I found the following information on the cms website:
The 2010 OPPS Final Rule
After almost a year of lobbying efforts, CMS retreated from its 2009 OPPS Final Rule supervision standards. Specifically, on July 20, 2009 CMS published the 2010 OPPS Proposed Rule, which proposed relaxed direct supervision standards that were even less stringent than the supervision requirements published in the 2000 OPPS Final Rule. On October 30, 2009, CMS released the 2010 OPPS Final Rule, which generally adopted the same relaxed supervision standards announced in the 2010 OPPS Proposed Rule. The provisions of the 2010 OPPS Final Rule are detailed below:
1. Non-Physician Practitioners May Provide the Required Direct Supervision. Beginning January 1, 2010, CMS will permit specified nonphysician practitioners to provide supervision over outpatient therapeutic services that they may themselves perform. This rule represents a significant policy change for CMS, which previously required that a “physician” (generally an M.D. or D.O.) provide supervision of outpatient therapeutic services. Under the 2010 Final Rule, CMS will permit Nurse Practitioners (NPs), Physician Assistants (PAs), Clinical Nurse Specialists, Certified Nurse Midwi v e s, C l i n i c a l Psychologists, and Licensed Clinical Social Workers (LCSWs)1 to supervise all hospital outpatient therapeutic services they may themselves perform under applicable State law and Medicare requirements. These non-physician practitioners must also be specifically privileged by the hospital to perform the services they are supervising and must abide by any applicable physician collaboration or supervision requirements.
Just to be safe, I would call Medicare Provider Enrollment for your carrier and ask.
Michele