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
(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
(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