PA/NP for F2F

Hello everyone. As much as I can remember, NP or PA can do the F2F encounter per se and communicate to the MD the clinical findings/encounter and MD signs the F2F documents and not the AP or NP. Is this still accurate or has it change?

If the agency sent an additional note from the nurses assessment about home bound status as an addendum to be attached to the other F2F documents, can AP or NP signs it with MD co signing? or for any F2F documents?

I appreciate all your input. Thank you!
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