Medicaid Benefits: Other Medical or Remedial Care – Physician Assistants

2018

Location	Benefit Covered	Copayment Required?	Limits on Services
United States	Yes - 36 No - 8 NR - 7	Yes - 17	Yes - 11
Alabama	Yes	$1.30 - $3.90 each visit	Limit of 14 office visits and 16 inpatient hospital visits
Alaska	Yes	Yes - Not Specified	No
Arizona	Yes	No	No
Arkansas	No
California	Yes	No	No
Colorado	Yes	$2 per visit	No
Connecticut	Yes	No	No
Delaware	Yes	No	No
District of Columbia	No
Florida	Yes	No	By service-specific policy
Georgia	No
Hawaii	Yes	No	No
Idaho	Yes	No	No
Illinois	NR	NR	NR
Indiana	NR	NR	NR
Iowa	NR	NR	NR
Kansas	Yes	$2.00 per visit	No
Kentucky	Yes	$3	Psychiatry services limited to 4 visits per year; one E&M service per physician per member per year
Louisiana	Yes	No	NR
Maine	Yes	No	No
Maryland	Yes	No	No
Massachusetts	No
Michigan	Yes	$2/visit	No
Minnesota	Yes	$3 copay for non-preventive office visits	No
Mississippi	Yes	$3 per visit	Applies to the 12 physician office visit limit per state fiscal year
Missouri	Yes	No	There are daily quantity limits on services.
Montana	Yes	Income at or below 100% FPL - $4 per visit; above FPL - 10% of payment amount	No
Nebraska	Yes	$2 per visit, excluding primary care physicians, family practice, general practice, pediatricians, internists and physician extenders who provide primary care services	No
Nevada	NR	NR	NR
New Hampshire	NR	NR	NR
New Jersey	No
New Mexico	Yes	$7 for WDI recipients	No
New York	NR	NR	NR
North Carolina	Yes	$1 - $3 depending on the service	NR
North Dakota	Yes	$2 per visit	No
Ohio	Yes	No	No
Oklahoma	Yes	$4 per visit	Services are subject to the existing visit limitation of 4 visits per month.
Oregon	Yes	No	Coverage is based upon Oregon's 1115 waiver and Health Evidence Review Commission's prioritized list of health services
Pennsylvania	No
Rhode Island	Yes	No	No
South Carolina	NR	NR	NR
South Dakota	Yes	$3/visit	NR
Tennessee	Yes	No	No
Texas	Yes	No	No
Utah	No
Vermont	Yes	No	5 office visits per month; 1 acute care hospital visit per day; 1 nursing facility visit per week; prior authorization required for certain services and to exceed stated visit limits
Virginia	No
Washington	Yes	No	Some services require PA
West Virginia	Yes	No	NR
Wisconsin	Yes	$0.50 - $3, depending on the service. Capped at $30 per physician or clinic, per calendar year.	A small number of services require prior approval.
Wyoming	Yes	$2.45 for non - emergent physician office/ clinic visits	Prior authorization is required after the first 12 visits to confirm ongoing medical necessity

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Medicaid Benefits: Other Medical or Remedial Care – Physician Assistants

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Medicaid Benefits: Other Medical or Remedial Care – Physician Assistants

2018

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