OHCA Policies and Rules

Search Entire Policy
OHCA Policies and Rules Main Page

Part 2      PHYSICIAN ASSISTANTS

317:30-5-30.Eligible providers
[Revised 7-1-04]
The Oklahoma Health Care Authority (OHCA) recognizes medical services rendered by a Physician Assistant in accordance with the rules and regulations covering the Authority's medical care program.
(1) The application for a Medicaid Provider agreement must be accompanied by copies of the physician assistant's current written authorization to practice from the Oklahoma State Board of Medical Licensure and Supervision. The Application to Practice must be jointly filed by the supervising physician and physician assistant and include a description of the physician's practice, methods of supervision and utilization of the physician assistant, and the name of alternate supervising physician(s) who will supervise the physician assistant in the absence of the primary supervising physician. At any time that the supervising physician(s) change, an updated copy of the certification must be submitted to OHCA, Provider Enrollment.
(2) All services provided by a Physician Assistant must be within the current practice guidelines for the State of Oklahoma.

317:30-5-31.General coverage by category
[Revised 7-1-04]
Physician Assistant services are subject to all rules and guidelines which apply to Physician services as specified at OAC 317:30-5, Part 1, Physicians.

317:30-5-32.Utilization
[Issued 1-24-97]
Physician Assistant services are included in the Medicaid program in the same way as Physician services and are included in all utilization parameters (refer to OAC 317:30-5, Part 1). An office, nursing home, or hospital visit is considered as one of the allowed visits for a given period. Payment is not made to the Physician Assistant and supervising physician for the same service on the same day.

317:30-5-33.Post payment utilization review
[Issued 1-24-97]
All inpatient services are subject to post payment utilization review by the OHCA or its designated agent. Post payment utilization reviews are subject to all rules and guidelines which apply to Physician services as specified at OAC 317:30-5, Part 1, Physicians.

317:30-5-34.Payment rates [REVOKED]
[Revoked 7-01-04]

Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.