Code of Massachusetts Regulations
244 CMR - BOARD OF REGISTRATION IN NURSING
Title 244 CMR 4.00 - Advanced Practice Registered Nursing
Section 4.05 - Eligibility Requirements for Advanced Practice Registered Nurse (APRN) Authorization
Universal Citation: 244 MA Code of Regs 244.4
Current through Register 1518, March 29, 2024
(1) Certified Registered Nurse Anesthetist (CRNA).
(a) To be eligible for initial Board
authorization to practice as a CRNA, an applicant must provide proof
satisfactory to the Board of the following:
1.
Valid Massachusetts RN licensure in good standing;
2. Good moral character as required by M.G.L.
c. 112, § 74, and as established by Board policy;
3. Compliance with the following academic
requirements:
a. Graduation from a graduate
degree program that:
i. is designed to prepare
the RN for practice as a CRNA; and
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
and
b. Successful
completion of, at minimum, core content at the graduate level in advanced
assessment, advanced pathophysiology and advanced
pharmaco-therapeutics.
4. Current CRNA certification granted by a
Board Recognized APRN Certifying Organization;
5. Payment of the required fees as
established by the Executive Office of Administration and Finance, unless
waived pursuant to M.G.L. c. 112, § 1B;
6. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth; and
7. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(b)
To be eligible for renewal of the Board's authorization to practice as a CRNA,
the CRNA must provide proof satisfactory to the Board of the following:
1. Valid Massachusetts RN licensure in good
standing;
2. Good moral character
as required at MGL c. 112, § 74, and as established by Board
policy;
3. Current CRNA
certification granted by a Board Recognized APRN Certifying
Organization;
4. Payment of the
required fees as established by the Executive Office of Administration and
Finance; and
5. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(c)
Nurses who obtained initial Board authorization to practice as a CRNA prior to
August 1, 2014 may renew their authorization in accordance with the provisions
of 244 CMR
4.05(1)(b), even if they do
not meet requirements for initial authorization to practice as a CRNA set forth
in 244 CMR 4.05(1)(a) or
4.05(1)(d).
(d)
Initial Authorization of CRNA
by Reciprocity. To be eligible for reciprocal Board authorization
to practice as a CRNA from another jurisdiction, an applicant must provide
proof satisfactory to the Board of the following:
1. Valid Massachusetts RN licensure in good
standing;
2. Good moral character
as required by M.G.L. c. 112, § 74, and as established by Board
policy;
3. Compliance with the
following academic requirements:
a. Graduation
from a graduate degree program that:
i. is
designed to prepare the RN for practice as a CRNA; and
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
or
b. Satisfactory
completion of a formal education program in addition to academic nursing
preparation which meets the standards of a Board recognized national
accrediting organization for academic programs and which has as its objective
the preparation of nurses to perform as a CRNA; and
c. Successful completion of, at minimum, core
content at the graduate level in advanced assessment, advanced pathophysiology
and advanced pharmaco-therapeutics.
4. Current license or authorization as a CRNA
in another state, the District of Columbia, or a U.S. Territory in good
standing;
5. Current CRNA
certification granted by a Board Recognized APRN Certifying
Organization;
6. Payment of the
required fees as established by the Executive Office of Administration and
Finance, unless waived pursuant to M.G.L. c. 112, § 1B.;
7. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth; and
8. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(e)
The Board may revoke, suspend, or refuse to renew its authorization permitting
an RN to practice as a CRNA or otherwise discipline the authorization and/or
the RN license if it determines, after an adjudicatory hearing conducted in
accordance with M.G.L. c. 30A, that the person fails to meet any regulation
requirement. In addition, the Board may impose discipline for any of the
reasons set forth in M.G.L. c. 112, §§ 61 and 74.
(2) Certified Nurse Midwife (CNM).
(a) To be eligible
for initial Board authorization to practice as a CNM, an applicant must provide
proof satisfactory to the Board of the following:
1. Valid Massachusetts RN licensure in good
standing;
2. Good moral character
as required by M.G.L. c. 112, § 74, and as established by Board
policy;
3. Compliance with the
following academic requirements:
a. Graduation
from a graduate degree program that:
i. is
designed to prepare the RN for practice as a CNM;
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
and
b. Successful
completion of, at minimum, core content at the graduate level in advanced
assessment, advanced pathophysiology and advanced
pharmaco-therapeutics.
4. Current CNM certification granted by a
Board Recognized APRN Certifying Organization;
5. Payment of the required fees as
established by the Executive Office of Administration and Finance, unless
waived pursuant to M.G.L. c. 112, § 1B;
6. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth; and
7. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(b)
To be eligible for renewal of the Board's authorization to practice as a CNM,
an applicant must provide proof satisfactory to the Board of the following:
1. Valid Massachusetts RN licensure in good
standing;
2. Good moral character
as required at MGL c. 112, § 74, and as established by Board
policy;
3. Current CNM
certification granted by a Board Recognized APRN Certifying
Organization;
4. Payment of the
required fees as established by the Executive Office of Administration and
Finance; and
5. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(c)
Nurses who obtained initial Board authorized practice as a CNM prior to August
1, 2014 may renew their authorization in accordance with the provisions of
244
CMR 4.05(2)(b), even if they
do not meet the requirements for initial authorization to practice as a CNM set
fourth in
244
CMR 4.05(2)(a) or
4.05(2)(d).
(d)
Initial Authorization of CNM
by Reciprocity. To be eligible for reciprocal Board authorization
to practice as a CNM from another jurisdiction, an applicant must provide proof
satisfactory to the Board of the following:
1.
Valid Massachusetts RN licensure in good standing;
2. Good moral character as required by M.G.L.
c. 112, § 74, and as established by Board policy;
3. Compliance with the following academic
requirements:
a. Graduation from a graduate
degree program that:
i. is designed to prepare
the RN for practice as a CNM; and
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
or
b. Satisfactory
completion of a formal educational program in addition to academic nursing
preparation which meets the standards of a Board recognized national
accrediting organization for academic programs and which has as its objective
the preparation of nurses to practice as a CNM; and
c. Successful completion of, at minimum, core
content at the graduate level in advanced assessment, advanced pathophysiology
and advanced pharmaco-therapeutics.
4. Current license or authorization as a CNM
in another state, the District of Columbia, or a U.S. Territory in good
standing;
5. Current CNM
certification granted by a Board Recognized APRN Certifying
Organization;
6. Payment of the
required fees as established by the Executive Office of Administration and
Finance, unless waived pursuant to M.G.L. c. 112, § 1B;
7. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth; and
8. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(e)
The Board may revoke, suspend, or refuse to renew its authorization permitting
an RN to practice as a CNM or otherwise discipline the authorization and/or the
RN license if it determines, after an adjudicatory hearing conducted in
accordance with M.G.L. c. 30A, that the person fails to meet any regulation
requirement. In addition, the Board may impose discipline for any of the
reasons set forth in M.G.L. c. 112, §§ 61 and 74.
(3) Certified Nurse Practitioner (CNP).
(a) To be
eligible for initial Board authorization to practice as a CNP, an applicant
must provide proof satisfactory to the Board of the following:
1. Valid Massachusetts RN licensure in good
standing;
2. Good moral character
as required by M.G.L. c. 112, § 74, and as established by Board
policy;
3. Compliance with the
following academic requirements:
a. Graduation
from a graduate degree program that:
i. is
designed to prepare the RN for practice as a CNP; and
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
and
b. Successful
completion of, at minimum, core content at the graduate level in advanced
assessment, advanced pathophysiology and advanced
pharmacotherapeutics.
4.
Current CNP certification granted by a Board Recognized APRN Certifying
Organization;
5. Payment of the
required fees as established by the Executive Office of Administration and
Finance, unless waived pursuant to M.G.L. c. 112, § 1B;
6. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth; and
7. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(b)
To be eligible for renewal of the Board's authorization to practice as a CNP,
the CNP must provide proof satisfactory to the Board of the following:
1. Valid Massachusetts RN licensure in good
standing;
2. Good moral character
as required at M.G.L. c. 112, § 74, and as established by Board
policy;
3. Current CNP
certification granted by a Board Recognized APRN Certifying
Organization;
4. Payment of the
required fees as established by the Executive Office of Administration and
Finance; and
5. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(c)
Nurses who obtained initial Board authorized practice as a CNP prior to August
1, 2014 may renew their authorization in accordance with the provisions of
244
CMR 4.05(3)(b), even if they
do not meet requirements for initial authorization to practice as a CNP set
forth in
244
CMR 4.05(3)(a) or
4.05(3)(d).
(d)
Initial Authorization of CNP
by Reciprocity. To be eligible for reciprocal Board authorization
to practice as a CNP from another jurisdiction, an applicant must provide proof
satisfactory to the Board of the following:
1.
Valid Massachusetts RN licensure in good standing;
2. Good moral character as required by M.G.L.
c. 112, § 74, and as established by Board policy;
3. Compliance with the following academic
requirements:
a. Graduation from a graduate
degree program that:
i. is designed to prepare
the RN for practice as a CNP; and
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
or
b. Satisfactory
completion of a formal educational program in addition to academic nursing
preparation which meets the standards of a Board recognized national
accrediting organization for academic programs and which has as its objective
the preparation of professional nurses to practice as a CNP; and
c. Successful completion of, at minimum, core
content at the graduate level in advanced assessment, advanced pathophysiology
and advanced pharmacotherapeutics.
4. Current license or authorization as a CNP
in another state, the District of Columbia, or a U.S. Territory in good
standing;
5. Current CNP
certification granted by a Board Recognized APRN Certifying
Organization;
6. Payment of the
required fees as established by the Executive Office of Administration and
Finance, unless waived pursuant to M.G.L. c. 112, § 1B;
7. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth; and
8. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(e)
The Board may revoke, suspend, or refuse to renew its authorization permitting
a RN to practice as a CNP or otherwise discipline the authorization and/or the
RN license if it determines, after an adjudicatory hearing conducted in
accordance with M.G.L. c. 30A, that the person fails to meet any regulation
requirement. In addition, the Board may impose discipline for any of the
reasons set forth in M.G.L. c. 112, §§ 61 and 74.
(4) Psychiatric Nurse Mental Health Clinical Specialist (PNMHCS).
(a) To be eligible for initial Board
authorization to practice as a PNMHCS, an applicant must provide proof
satisfactory to the Board of the following:
1.
Valid Massachusetts RN licensure in good standing;
2. Good moral character as required by M.G.L.
c. 112, § 74, and as established by Board policy;
3. Compliance with the following academic
requirements:
a. Graduation from a graduate
degree program that:
i. is designed to prepare
the RN for practice as a PNMHCS; and
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
and
b. Successful
completion of, at minimum, core content at the graduate level in advanced
assessment, advanced pathophysiology and advanced
pharmacotherapeutics.
4.
Current PNMHCS certification granted by a Board Recognized APRN Certifying
Organization;
5. Payment of the
required fees as established by the Executive Office of Administration and
Finance, unless waived pursuant to M.G.L. c. 112, § 1B;
6. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth; and
7. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(b)
To be eligible for renewal of the Board's authorization to practice as a
PNMHCS, an applicant must provide proof satisfactory to the Board of the
following:
1. Valid Massachusetts RN licensure
in good standing;
2. Good moral
character as required at M.G.L. c. 112, § 74, and as established by Board
policy;
3. Current PNMHCS
certification granted by a Board Recognized APRN Certifying
Organization;
4. Payment of the
required fees as established by the Executive Office of Administration and
Finance; and
5. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(c)
Nurses who obtained initial Board authorized practice as a PNMHCS prior to
August 1, 2014 may renew their authorization in accordance with the provisions
of 244 CMR
4.05(4)(b), even if they do
not meet requirements for initial authorization to practice as a PCNS set forth
in 244 CMR 4.05(4)(a) or
4.05(4)(d).
(d)
Initial Authorization of
PNMHCS by Reciprocity. To be eligible for reciprocal Board
authorization to practice as a PNMHCS from another jurisdiction, an applicant
must provide proof satisfactory to the Board of the following:
1. Valid Massachusetts RN licensure in good
standing;
2. Good moral character
as required by M.G.L. c. 112, § 74, and as established by Board
policy;
3. Compliance with the
following academic requirements:
a. Graduation
from a graduate degree program that:
i. is
designed to prepare the RN for practice as a PNMHCS; and
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
or
b. Satisfactory
completion of a formal educational program in addition to academic nursing
preparation which meets the standards of a Board recognized national
accrediting organization for academic programs and which has as its objective
the preparation of nurses to practice as PNMHCS; and
c. Successful completion of, at minimum, core
content at the graduate level in advanced assessment, advanced pathophysiology
and advanced pharmacotherapeutics.
4. Current license or authorization as a
PNMHCS in another state, the District of Columbia, or a U.S. Territory in good
standing;
5. Current PNMHCS
certification granted by a Board Recognized APRN Certifying
Organization;
6. Payment of the
required fees as established by the Executive Office of Administration and
Finance, unless waived pursuant to M.G.L. c. 112, § 1B;
7. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth; and
8. If engaging in
prescriptive practice, completion of training required pursuant to M.G.L. c.
94C, § 18(e).
(e)
The Board may revoke, suspend, or refuse to renew its authorization permitting
a RN to practice as a PNMHCS or otherwise discipline the authorization and/or
the RN license if it determines, after an adjudicatory hearing conducted in
accordance with M.G.L. c. 30A, that the person fails to meet any regulation
requirement. In addition, the Board may impose discipline for any of the
reasons set forth in M.G.L. c. 112, §§ 61 and 74.
(5) Clinical Nurse Specialist (CNS).
(a) To be
eligible for initial Board authorization to practice as a CNS, an applicant
must provide proof satisfactory to the Board of the following:
1. Valid Massachusetts RN licensure in good
standing;
2. Good moral character
as required by M.G.L. c. 112, § 74, and as established by Board
policy;
3. Compliance with the
following academic requirements:
a. Graduation
from a graduate degree program that:
i. is
designed to prepare the RN for practice as a CNS; and
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
b. Successful completion of, at
minimum, core content at the graduate level in advanced assessment, advanced
pathophysiology and advanced pharmacotherapeutics; and
c. Current CNS certification granted by a
Board Recognized APRN Certifying Organization;
4. Payment of the required fees as
established by the Executive Office of Administration and Finance, unless
waived pursuant to M.G.L. c. 112, § 1B;
5. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth; and
6. Effective until
December 31, 2016, the Board will accept current CNS certification granted by a
Board-recognized certifying organization as equivalent to
244
CMR 4.05(5)(a)3 b. The CNS
who is authorized by the Board on the basis of this equivalent competency will
be eligible to renew his or her authorization under
244
CMR 4.05(5)(b).
(b) To be eligible for renewal of
the Board's authorization to practice as a CNS, an applicant must provide proof
satisfactory to the Board of the following:
1.
Valid Massachusetts RN licensure in good standing;
2. Good moral character as required at M.G.L.
c. 112, § 74, and as established by Board policy;
3. Current CNS certification granted by a
Board Recognized APRN Certifying Organization; and
4. Payment of the required fees as
established by the Executive Office of Administration and Finance, unless
waived pursuant to M.G.L. c. 112, § 1B.
(c)
Initial Authorization of CNS
by Reciprocity. To be eligible for reciprocal Board authorization
to practice as a CNS from another jurisdiction, an applicant must provide proof
satisfactory to the Board of the following:
1.
Valid Massachusetts RN licensure in good standing;
2. Good moral character as required by M.G.L.
c. 112, § 74, and as established by Board policy;
3. Compliance with the following academic
requirements:
a. Graduation from a graduate
degree program that:
i. is designed to prepare
the RN for practice as a CNS; and
ii. holds accreditation from a Board
recognized national accrediting organization for academic programs;
and
b. Successful
completion of, at minimum, core content at the graduate level in advanced
assessment, advanced pathophysiology and advanced
pharmacotherapeutics;
4.
Current license or authorization as a CNS in another state, the District of
Columbia, or a U.S. Territory in good standing;
5. Current CNS certification granted by a
Board Recognized APRN Certifying Organization;
6. Payment of the required fees as
established by the Executive Office of Administration and Finance, unless
waived pursuant to M.G.L. c. 112, § 1B; and
7. An attestation, signed under the pains and
penalties of perjury, that the applicant participates in, or has applied to
participate in, MassHealth as either a provider of services or as a non-billing
provider for the purpose of ordering and referring services covered under
MassHealth.
8. Effective until
December 31, 2016, the Board will accept current CNS certification granted by a
Board-recognized certifying organization as equivalent to
244
CMR 4.05(5)(c)3 b. The CNS
who is authorized by the Board on the basis of this equivalent competency will
be eligible to renew his or her authorization under
244
CMR 4.05(5)(b).
(d) The Board may revoke, suspend,
or refuse to renew its authorization permitting a RN to practice as a CNS or
otherwise discipline the authorization and/or the RN license if it determines,
after an adjudicatory hearing conducted in accordance with M.G.L. c. 30A, that
the person fails to meet any regulation requirement. In addition, the Board may
impose discipline for any of the reasons set forth in M.G.L. c. 112,
§§ 61 and 74.
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