Ohio Code 5164.301 – Medicaid provider agreements for physician assistants
(A) As used in this section, “group practice” has the same meaning as in section 4731.65 of the Revised Code.
Terms Used In Ohio Code 5164.301
- Physician assistant: means an individual who is licensed under Chapter 4730 of the Revised Code to provide services as a physician assistant to patients under the supervision, control, and direction of one or more physicians. See Ohio Code 1.64
- Provider agreement: means an agreement to which all of the following apply:
(1) It is between a medicaid provider and the department of medicaid;
(2) It provides for the medicaid provider to provide medicaid services to medicaid recipients;
(3) It complies with 42 C. See Ohio Code 5164.01
(B) The department of medicaid shall establish a process by which a physician assistant may enter into a provider agreement.
(C)(1) Subject to division (C)(2) of this section, a claim for medicaid payment for a medicaid service provided by a physician assistant to a medicaid recipient may be submitted by the physician assistant who provided the service or the physician, group practice, clinic, or other health care facility that employs the physician assistant.
(2) A claim for medicaid payment may be submitted by the physician assistant who provided the service only if the physician assistant has a valid provider agreement. When submitting the claim, the physician assistant shall use only the medicaid provider number the department has assigned to the physician assistant.