Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 130.3
Payment to Physician Assistants
130.3 - Payment to Physician Assistants
(Rev. 239, Issued: 01-09-18, Effective: 1-22-18, Implementation: 1-22-18)
Section 1842(b)(6)(C) of the Act prohibits PAs from enrolling in and being paid directly
for Part B services. The only exception to this is found in Section 4205(d)(3)(B) of the
Balanced Budget Act (BBA), which amended Section 1842(b)(6)(C) of the Act to allow
Medicare to directly pay a PA when the PA was the owner of an RHC for a continuous
period beginning before the date of the enactment of the BBA, and ending on the date the
Secretary determines the RHC no longer meets the requirements of Section 1861(aa)(2)
of the Act.