Medicare Managed Care Manual (Pub. 100-16), Ch. 17f § 10.12
Non-Contracting Physician Assistant
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.