Pennsylvania Society of Physician Assistants

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Pennsylvania Society of Physician Assistants

Member Login Join or Renew
  • Home
  • About
    • Our Purpose
    • Officer Directory
    • Officer’s Responsibilities
      • President
      • President Elect
      • Immediate Past President
      • Treasurer
      • Secretary
      • Directors at Large
      • Student Directors at Large
  • News
    • Blog
    • Newsletters
    • PSPA News Brief
  • Contact
  • Why PSPA
    • Overview
    • For Practicing PAs
    • For Students
    • For Employers
  • Membership
    • Reasons to Join PSPA
    • Join PSPA
    • Membership Levels
    • Benefits of Membership
      • Insurance Benefits
    • Member Directory
    • Renew Membership
    • Keystone Cash
    • Gift Memberships
  • Career Center
    • Overview
    • Job Seekers
      • Find a Job
      • Interviewing Tips
      • Pre-Employment Checklist
      • Anatomy of a Contract
      • New Graduate Info Sheet
      • Obtaining State License
      • Employment Exit Checklist
    • Employers/Recruiters
      • Employer Career Center
      • How to Find a PA
      • Benefits of Hiring a PA
      • Reimbursement for Services
      • Advertising and Fees
    • Resources
      • Salary and Demographics
      • Physician PA Team
      • Summary of PA Regulations
      • Amending Hospital Bylaws
      • Research Grant
  • Student Affairs
    • Overview
    • Potential Students
    • Active Students
    • Graduating Students
    • Pennsylvania PA Programs
    • Challenge Bowl
      • General Info/Rules
      • Challenge Bowl FAQs
    • Student Leader Philanthropic Endowment
    • Student Awards/Scholarships
      • Nathaniel Alston Student Achievement Scholarship Award
      • Thomas J. Lemley Award for Health Disparities Competition
    • Links
  • Advocacy
    • Overview
    • Governmental Affairs
      • Action Center
      • State Boards of Medicine and Osteopathic Medicine
      • Online Written Agreement Information
      • Regulatory Activity
      • Legislative Activity
      • Political Action Committee
      • About PSPA PAC
      • Tools
      • SBM Regulations**
      • SBOM Regulations**
      • Archives
    • Workplace
      • Leadership
      • PSPA Annual Awards
        • How it Works
        • Fellow Awards
        • PSPA Award Winners
    • Community
      • Health Disparities
      • Annual Charity
      • 10 Ways to Make a Difference
    • Committees
      • Committee Information
      • Committee Annual Reports
      • AAPA House Delegates
      • Awards Committee
      • Conference Planning Committee
      • Election Committee
      • Finance Committee
      • Governmental Affairs Committee
      • Health Disparities Committee
      • Historian
      • Leadership & Mentoring Committee
      • Membership Committee
      • Newsletter Committee
      • PSPA Liaison
      • Public Relations & Education Committee
      • Regional Affairs Committee
      • Reimbursement Committee
      • Social Media
      • Standing Rules & Policy Committee
      • Student & Faculty Affairs Committee
      • Technology Committee
      • Website Committee
    • Public Relations
      • Spread the Word
      • Addressing Specific Audiences
      • Concepts to Convey
      • Publications & Products
      • Resources
  • Events & CME
    • Calendar
    • Annual Conference
      • 2023 CME Conference Rates & Registration
      • General Information
      • Schedule
      • Thank you to our 2022 speakers!
      • Hotel Information
      • CME Workshops
      • Professional Sessions
      • Current Exhibitors
      • Special Events
      • Conference Faculty
      • Committee Interest Form
      • Exhibitor and Sponsor Information
      • Speaker Application
      • Future Conference Locations
      • Posting of Conference Lectures
    • CME Miniseries
    • CME Announcements
    • Deadlines
    • Regional Affairs
      • Map of Regions
      • Get Involved
      • Regional Representatives
      • Meeting Information
    • Courses
  • Resources
    • Professional Organizations / Liaisons
    • AAPA Links
    • Helpful Links
    • Reimbursement
      • Reimbursement
      • Medicaid
      • Workers Compensation
      • Private Payers
    • Form Library
    • Prescription Drug Card
    • Surveys
Resources

Medicaid

Enrollment of Physician Assistants in the Pennsylvania Medical Assistance Program

Physician Assistants (PAs) who order, refer, or prescribe items or services to Pennsylvania Medical Assistance (MA) beneficiaries need to enroll as participating providers in the MA program. Historically PAs have not enrolled as MA program providers. However as required by the Affordable Care Act (ACA) and implementing regulation all providers including those who order, refer, or prescribe items or services for MA beneficiaries must enroll in the MA program. Beginning September 25, 2016, claims will deny if the ordering, referring or prescribing provider is not enrolled in the MA program. PAs who order, refer, or prescribe items or services to MA should access the Department of Human Service Enrollment Information website at the following link.

PAs should complete and submit a provider type 10 – Mid Level Practitioner. Please review the “Requirements/Additional Information” instructions on what to include when submitting the application. PAs are not currently able to use the online application and must submit a paper application.

Medicaid is a program whereby federal and state governments share the cost of providing approximately 58 million needy Americans with health care coverage. To qualify for the program, states must include hospital services, prevention services, skilled nursing and home health care coverage for adults, and prevention and treatment services for children. Unlike Medicare, Medicaid has a state funding component, and allows each state to write its own rules for medical coverage. Therefore, every state may define PA scope of practice and reimbursement rules.

Click here for state specific information

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