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that for the initial ordering of home health services (nursing services and home health aide services), the physician must document that a face-to-face encounter that is related to the primary reason the beneficiary requires home health services occurred no more than 90 days before or 30 days after the start of services. For the initial ordering of medical supplies,
NPs, and other non-physician health professionals to certify and make changes to home health care. plans. RATIONALE: PAs, NPs, CMNs and CNSs are increasingly providing necessary medical services to. Medicare beneficiaries, especially in rural and underserved areas.