Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 554 - NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION
Subchapter M - PHYSICIAN SERVICES
Section 554.1205 - Physician Delegation of Tasks

(a) In a Medicare skilled nursing facility (SNF), except as specified in subsection (b) of this section, a physician may delegate tasks to a physician assistant, or an advanced practice registered nurse who:

(b) In a Medicare SNF, a physician may not delegate a task when the regulations specify that the physician must perform it personally, or when the delegation is prohibited under state law or by the facility's own policies.

(c) In a Medicaid nursing facility, any required physician task may also be satisfied when performed by an advanced practice registered nurse or physician assistant who is not an employee of the facility but who is working in collaboration with a physician. Services must be provided in the context of applicable state laws, rules, and regulations governing the practice of an advanced practice registered nurse and physician assistants.

(d) A physician may delegate the task of writing dietary orders to a qualified dietitian who:

(e) A physician may delegate the task of writing therapy orders to a qualified therapist who:

(f) The physician assistant or advanced practice registered nurse providing care to a pediatric resident must have training and expertise in the care of children with complex medical needs.