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07/01/2011

PAs Now Recognized by Medicaid

PAs Now Recognized by Medicaid

OAPA is extremely happy to announce that our efforts were successful in getting language in the Budget Bill that requires Medicaid to recognize PAs.   ODJFS has been given one year to implement the law. 

The language states:

Sec. 5111.053. (A) As used in this section, "group practice"

has the same meaning as in section 4731.65 of the Revised Code.

(B) The department of job and family services shall establish

a process by which a physician assistant may enter into a Medicaid

provider agreement.

(C) Subject to division (D) of this section, a claim for

reimbursement for a service provided by a physician assistant to a

Medicaid recipient may be submitted by either of the following:

(1) The physician assistant who provided the service or

another person the physician assistant designates to submit the

claim on the physician assistant's behalf;

(2) The physician, group practice, clinic, or other health

care facility that employs or contracts with the physician

assistant.

(D) A claim for reimbursement may be submitted as described

in division (C)(1) of this section only if the physician assistant

has a valid Medicaid provider agreement. When submitting the

claim, the physician assistant or designated person shall use only

the Medicaid provider number the department has assigned to the

physician assistant.


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