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(a) The department will pay for a physician, an advanced practice registered nurse, or a physician assistant acting as a surgical assistant. A second surgical assistant will be paid at the same rate as the first surgical assistant if the primary surgeon submits a written explanation acceptable to the department that justifies the need for the second surgical assistant. (b) The department will not pay a licensed practical nurse, a registered nurse, or an intern acting as a surgical assistant apart from the payment made to the surgeon. (Eff. 2/1/2010, Register 193; am 3/19/2014, Register 209; am 4/24/2020, Register 234) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 7 AAC 110.455. Physician assistant enrollment and services. (a) For the department to provide payment under 7 AAC 145.200, a physician assistant who furnishes services directly to a recipient in the state must separately enroll with the department as a rendering provider under 7 AAC 105.210 and

(1) unless the physician assistant is a federal employee described in 7 AAC 105.200(c), must

(A) have an active license to practice in the state as a physician assistant under 12 AAC 40.400 — 12 AAC 40.405;

(B) submit a copy of the collaborative plan with the supervising physician required under 12 AAC 40.410; and

(C) notify the department of any changes to the collaborative plan by submitting a copy of the new plan;

(2) if the physician assistant is a federal employee described in 7 AAC 105.200(c), must

(A) submit a copy of the collaborative plan with the supervising physician, if a collaborative plan is required by the physician assistant’s licensing jurisdiction; and

(B) notify the department of any changes to the collaborative plan by submitting a copy of the new plan. (b) For the department to provide payment under 7 AAC 145.200, a physician assistant who furnishes services directly to a recipient out of state must separately enroll with the department