New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter E - Medical Care
Article 3 - Policies and Standards Governing Provision of Medical and Dental Care
Part 505 - Charges For Professional Health Services
Section 505.19 - Standards for services rendered by physicians' assistants and specialists' assistants
Universal Citation: 18 NY Comp Codes Rules and Regs ยง 505.19
Current through Register Vol. 46, No. 39, September 25, 2024
(a) Services rendered by a registered physician's assistant or registered specialist's assistant shall conform to requirements in articles 131B and 37, respectively, of the State Education and Public Health Laws and to applicable provisions in regulations of the New York State Department of Health.
(b) Services so provided shall be eligible for payment from medical assistance funds as follows:
(1) To the physician employing the registered
physician's assistant or registered specialist's assistant. Such payments shall
be reimbursable at fees established for physicians in Part 533 of this Title.
(i) Maximum reimbursable fee allowances
contained in Part 533 of this Title shall apply whether the service is provided
directly by the physician alone, by his employed physician's assistant or
specialist's assistant, or by the combined service of both the physician and
his employed physician's assistant or specialist's assistant.
(ii) No duplication or increase in charges
shall be made by the physician for a listed service or procedure because of the
use of or assistance provided by a physician's assistant or specialist's
assistant in his employ.
(iii) A
physician's claim for payment shall include identification of those services or
procedures for which fees have been established which have been rendered by his
employed physician's assistant or specialist's assistant and also the name of
the physician's assistant or specialist's assistant who rendered the
care.
(2) To an
employing hospital, as defined in article 28 of the Public Health Law, by
inclusion of the cost of provision of those services in the inpatient and/or
outpatient rate developed for the facility.
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