Vermont Statutes Title 26 Sec. 1743a
Terms Used In Vermont Statutes Title 26 Sec. 1743a
- Collaboration: means a physician assistant's consultation with or referral to an appropriate physician or other health care professional as indicated based on the patient's condition; the physician assistant's education, training, and experience; and the applicable standards of care. See
- Physician: means an individual licensed to practice medicine pursuant to chapter 23 or 33 of this title. See
§ 1743a. Payment for medical services
(a) As used in this section:
(1) “Health insurer” has the same meaning as in 18 V.S.A. § 9402.
(2) “Participating provider” has the same meaning as in 18 V.S.A. § 9418 and includes providers participating in the Vermont Medicaid program.
(b) Health insurers and, to the extent permitted under federal law, Medicaid shall reimburse a participating provider who is a physician assistant for any medical service delivered by the physician assistant if the same service would be covered if delivered by a physician. Physician assistants are authorized to bill for and receive direct payment for the medically necessary services they deliver.
(c) To provide accountability and transparency for patients, payers, and the health care system, the physician assistant shall be identified as the treating provider in the billing and claims processes when the physician assistant delivered the medical services to the patient.
(d) A health insurer shall not impose any practice, education, or collaboration requirement for a physician assistant that is inconsistent with or more restrictive than the provisions of this chapter. (Added 2019, No. 123 (Adj. Sess.), § 1.)