Good point Angela. I was providing a state/regs perspective. For us, we haven't had any other payers, with the exception of WC as you have noted, provide any specific requirements outside the NYS guidelines.
Hi Kim and Dan,
You may need to consider the payers in this as well.
Some of them may have their own requirement. Specifically, NYS Workers Compensation. I have attached an email response when I reached out in 2017 along with the referenced page from the NYS WCB Medical Fee Schedule. We opted to go ahead and let our NP's see WC patients because we meet the HPSA designation. However, we have PA's that work in a walk-in clinic independently that do not see WC.
We recently had the same question come up for our practices. I referenced the Office of Professions website to get some clarity:
While PAs need to be supervised, NYS regs do not require onsite, direct supervision. NYS OP is mute regarding how often a supervising physician is required (or not) to actually practice onsite with the PA. Therefore, it was my conclusion that there is no rule for this.
We are researching whether there is a requirement in New York that a physician supervising a Physician Assistant has to visit the location where the P. A. is working. In Pennsylvania, there is an older rule that physicians had to physically visit the P.A. office at least once every 10 working days.
If you have any information about this, it would be very helpful. Thank you!
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