§ 27-20-35.1 Third party reimbursement forservices of registered nurse first assistants. – (a) Every individual or group health insurance contract, plan or policydelivered, issued or renewed by an insurer or nonprofit or for profit healthservice corporation which provides benefits to individual subscribers andmembers within the state, or to all group members having a principal place ofemployment within the state, shall provide benefits for services rendered by aregistered nurse first assistant, provided, that the following conditions aremet:
(1) The registered nurse first assistant provides certainhealth care services under the supervision of a licensed physician; iscurrently licensed as a registered nurse in Rhode Island; has successfullycompleted a course in preparing the registered nurse as a first assistant inaccordance with the Association of Operating Room Nurses core curriculum guidefor the registered nurse first assistant and includes a minimum of one academicyear in a college or university with didactic instruction and clinicalinternship programs; and is certified in perioperative nursing by theCertification Board of Perioperative Nursing (minimum of two yearsperioperative experience);
(2) The policy or contract currently provides benefits foridentical services rendered by a provider of health care licensed by the state;and
(3) The registered nurse first assistant is not a salariedemployee of the licensed hospital or facility for which the nonprofit hospitalservice corporation has an alternative contractual relationship to fund theservices of a registered nurse first assistant.
(b) It remains within the sole discretion of the nonprofitmedical service corporation as to which registered nurse first assistant insurgery it contracts with. Reimbursement is provided according to therespective principles and policies of the nonprofit medical servicecorporation: provided, that no nonprofit medical service corporation isrequired to provide direct reimbursement, or pay for duplicative servicesactually rendered by a registered nurse first assistant and any other healthcare provider. Nothing contained in this section precludes the nonprofitmedical service corporations from conducting managed care, medical necessity orutilization review.
§ 27-20-35.1 Third party reimbursement forservices of registered nurse first assistants. – (a) Every individual or group health insurance contract, plan or policydelivered, issued or renewed by an insurer or nonprofit or for profit healthservice corporation which provides benefits to individual subscribers andmembers within the state, or to all group members having a principal place ofemployment within the state, shall provide benefits for services rendered by aregistered nurse first assistant, provided, that the following conditions aremet:
(1) The registered nurse first assistant provides certainhealth care services under the supervision of a licensed physician; iscurrently licensed as a registered nurse in Rhode Island; has successfullycompleted a course in preparing the registered nurse as a first assistant inaccordance with the Association of Operating Room Nurses core curriculum guidefor the registered nurse first assistant and includes a minimum of one academicyear in a college or university with didactic instruction and clinicalinternship programs; and is certified in perioperative nursing by theCertification Board of Perioperative Nursing (minimum of two yearsperioperative experience);
(2) The policy or contract currently provides benefits foridentical services rendered by a provider of health care licensed by the state;and
(3) The registered nurse first assistant is not a salariedemployee of the licensed hospital or facility for which the nonprofit hospitalservice corporation has an alternative contractual relationship to fund theservices of a registered nurse first assistant.
(b) It remains within the sole discretion of the nonprofitmedical service corporation as to which registered nurse first assistant insurgery it contracts with. Reimbursement is provided according to therespective principles and policies of the nonprofit medical servicecorporation: provided, that no nonprofit medical service corporation isrequired to provide direct reimbursement, or pay for duplicative servicesactually rendered by a registered nurse first assistant and any other healthcare provider. Nothing contained in this section precludes the nonprofitmedical service corporations from conducting managed care, medical necessity orutilization review.
§ 27-20-35.1 Third party reimbursement forservices of registered nurse first assistants. – (a) Every individual or group health insurance contract, plan or policydelivered, issued or renewed by an insurer or nonprofit or for profit healthservice corporation which provides benefits to individual subscribers andmembers within the state, or to all group members having a principal place ofemployment within the state, shall provide benefits for services rendered by aregistered nurse first assistant, provided, that the following conditions aremet:
(1) The registered nurse first assistant provides certainhealth care services under the supervision of a licensed physician; iscurrently licensed as a registered nurse in Rhode Island; has successfullycompleted a course in preparing the registered nurse as a first assistant inaccordance with the Association of Operating Room Nurses core curriculum guidefor the registered nurse first assistant and includes a minimum of one academicyear in a college or university with didactic instruction and clinicalinternship programs; and is certified in perioperative nursing by theCertification Board of Perioperative Nursing (minimum of two yearsperioperative experience);
(2) The policy or contract currently provides benefits foridentical services rendered by a provider of health care licensed by the state;and
(3) The registered nurse first assistant is not a salariedemployee of the licensed hospital or facility for which the nonprofit hospitalservice corporation has an alternative contractual relationship to fund theservices of a registered nurse first assistant.
(b) It remains within the sole discretion of the nonprofitmedical service corporation as to which registered nurse first assistant insurgery it contracts with. Reimbursement is provided according to therespective principles and policies of the nonprofit medical servicecorporation: provided, that no nonprofit medical service corporation isrequired to provide direct reimbursement, or pay for duplicative servicesactually rendered by a registered nurse first assistant and any other healthcare provider. Nothing contained in this section precludes the nonprofitmedical service corporations from conducting managed care, medical necessity orutilization review.
