23 Miss. Code. R. 203-8.2 - Physician Assistant Services and Reimbursement

A. Physician assistants (PAs) may bill the Division of Medicaid for the covered services within the scope of practice allowed by their protocol.

B. PAs must bill the appropriate Current Procedure Terminology (CPT) code for services rendered and follow the same rules and guidelines as physician services.

C. The Division of Medicaid reimburses PAs at ninety percent (90%) of the physician fee for the service.

D. The Division of Medicaid does not reimburse for:

1. A PA as an assistant surgeon,

2. Multiple providers when a service(s) is (are) performed simultaneously with another provider, or

3. PA services if the supervising physician is not a Mississippi Medicaid enrolled provider or an Ordering, Referring or Prescribing (ORP) physician.

Notes

23 Miss. Code. R. 203-8.2

Miss. Code Ann. §§ 43-13-117, 43-13-121.

Amended 12/1/2019