CMS Limitation on NPs ordering Home Health Care for Medicaid Patients New rules by CMS restrict NP practice. We can no longer authorize Home Health Care for our Medicaid patients. Please let our US Senators and Congressional Representatives know this creates an additional barrier to care for our patients and unnecessary expenses to our practices. Use the AANP Advocacy Center to send a letter to your representatives asking them to support S. 578 and H. R. 1342 permitting ARNPs to authorize Home Health Care for our Medicaid AND Medicare patients.