US · guidance
CMS Pub. 100-16, ch. mc86c17f, § 10.12
Non-Contracting Physician Assistant
(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)
A service provided to a cost plan or CMP enrollee who properly requested this service
from a contracted physician who employs a non-contracted physician assistant is
classified as a plan provided service. Therefore the physician assistant cannot look to the
member for direct reimbursement. The cost-plan member must be held-harmless from
incurring costs that exceed the copay that is otherwise applicable to the service in
question.
History
(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
a6652474c418b14d3ecc6a116f796ad4f93ec5a6e060ee01ff033297807947bf
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