Page 9

UNOFFICIAL 1737-9 (i) Hawaii Medicaid will reimburse physician assistant services if services are provided at the supervising physician’s place of business. All claims for physician assistant services must be submitted by the employing physician.

(1) If the degree of supervision is not met

pursuant to section 16-85-49, Hawaii

Administrative Rules, the services provided

by the physician assistant will not be

covered by Medicaid; (2) Payment for physician assistant services cannot be made directly to the physician assistant. They must be made to the actual qualified physician employer; (3) Physician assistant claims are not payable when the service is not covered by Medicaid; (4) Physician assistant claims are not payable if the service requires prior authorization and no authorization was obtained; and (5) If none of the above requirements are met, then the service is not reimbursable under the State Medicaid program. [Eff 06/26/09; ] [Auth: HRS §§346-14, 453-5.3, 453-5.4) (Imp: 42 C.F.R. §§440.50, 441.13; HRS §§346-14, 453-5.3, 453.5-4)

§17-1737-6 Outpatient hospital services. Out- patient hospital services means preventive, diagnostic, therapeutic, rehabilitative, or palliative services provided to an outpatient by or under the direction of a physician or dentist and which are furnished by an institution meeting the following requirements: (1) Is licensed or formally approved as a hospital by the State; and (2) Meets the requirements for medicare participation. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §440.20)

§§17-1737-7 to 17-1737-10 (Reserved).

SUBCHAPTER 3

PSYCHIATRIC CARE

§17-1737-11 REPEALED. [R 09/30/13]