1 Tex. Admin. Code § 354.1065 - Anesthesiologist Assistant Benefits and Limitations

(a) Subject to the specifications, conditions, requirements, and limitations established by the Health and Human Services Commission or its designee (HHSC), services performed by an anesthesiologist assistant are considered for reimbursement if the services:

(1) are performed under the personal or direct supervision of a licensed anesthesiologist in accordance with state law;

(2) are consistent with rules for physician delegation and supervision promulgated by the Texas Medical Board; and

(3) would be covered by the Texas Medicaid Program if provided by a licensed anesthesiologist.

(b) Services must be reasonable and medically necessary as determined by HHSC to be considered for reimbursement.

(c) Covered services provided by an anesthesiologist assistant may be billed under the anesthesiologist assistant's Texas Medicaid Program provider number. Reimbursement for covered services provided by an anesthesiologist assistant may be made to the anesthesiologist assistant actually performing the services or, provided that federal requirements related to reassignment of claims are met, to a hospital, physician, group practice, or other provider with which the anesthesiologist assistant has an employment or contractual relationship.

Notes

1 Tex. Admin. Code § 354.1065

The provisions of this §354.1065 adopted to be effective July 27, 2014, 39 TexReg 5571