Individual Eligible Professionals

20.1 – Individual Eligible Professionals (Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12) For purposes of the eRx Incentive Program, the definition of “eligible professional” is identical to that for the Physician Quality Reporting System. An eligible professional is any one of the following: • Physician o Doctor of Medicine o Doctor of Osteopathy o Doctor of Podiatric Medicine 4 o Doctor of Optometry o Doctor of Dental Surgery o Doctor of Dental Medicine o Doctor of Chiropractic • Practitioner o Physician assistant o Nurse Practitioner o Clinical nurse specialist o Certified registered nurse anesthetist (and Anesthesiologist Assistant) o Certified nurse midwife o Clinical social worker o Clinical psychologist o Registered dietitian o Nutrition professional o Audiologists (as of January 1, 2009) • Therapist o Physical therapist o Occupational therapist o Qualified speech-language therapist (began billing Medicare directly as of July 1, 2009) All Medicare-enrolled professionals in these categories are eligible to participate in the eRx Incentive Program regardless of whether the professional has signed a Medicare participation agreement to accept assignment on all claims. However, eligibility is further restricted by scope of practice to those professionals who have prescribing authority under their respective state practice laws.