Primary Care Physician Assistants in West Virginia Eligible for Enhanced Payments if Supervising Physician Qualifies and Self-Attests

originally posted by Nick Vance on July 23, 2013

The West Virginia Bureau for Medical Services (BMS) has received approval from the Centers for Medicare & Medicaid Services to make enhanced payments to eligible primary care providers at parity with Medicare rates in 2013 and 2014 for certain evaluation and management (E&M) and vaccination codes beginning with January 1, 2013 dates of service. Prior to receiving the enhanced rate, eligible physicians and advanced practice registered nurses (APRNs) must self-attest that they have a specialty designation of family medicine, general internal medicine, pediatric medicine, or a subspecialty. Physician assistants (PAs) automatically qualify if their supervising physician qualifies and self-attests.

Providers have until December 31, 2013, to complete the self-attestation in order to get the 2013 enhanced rate. Providers who submit the self-attestation form will received retroactive payment back to January 1, 2013. Further information on the enhanced primary care payment to primary care providers can be found on the BMS website at http://www.dhhr.wv.gov/bms/news/Pages/epc.aspx.


West Virginia Association of Physician Assistants

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