Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 203 - Physician Services
Chapter 8 - Physician Assistant
Rule 23-203-8.1 - Physician Assistant Enrollment Requirements
Universal Citation: MS Code of Rules 23-203-8.1
Current through September 24, 2024
A. Physician assistants (PAs), who are licensed by the Mississippi State Board of Medical Licensure, and are practicing with physician supervision under regulations adopted by the board, may participate in the Mississippi Medicaid Program upon compliance with provider enrollment requirements outlined in Part 200, Chapter 4, Rule 4.8 in addition to providing the following:
1. National Provider Identifier
(NPI), verification from National Plan and Provider Enumeration System (NPPES),
2. Copy of current licensure card,
3. Verification of social security
number using a social security card or driver's license if it notes the social
security number, military ID or a notarized statement signed by the provider
noting the social security number. The name noted on verification must match
the name noted on the W-9,
4. Copy
of approved protocol and practice setting,
5. The name and Mississippi Medicaid provider
number of the PA's supervising physician, and
6. Copy of specialty certificate(s), if
applicable.
B. The PA's supervising/collaborating physician must be enrolled with Mississippi Medicaid as:
1. A Medicaid provider, or
2. An Ordering, Referring or Prescribing
(ORP) physician.
42 C.F.R. Part 455, Subpart E; Miss. Code Ann. §§ 43-13-117, 43-13-121.
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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