Physician-Employed Physician Assistants (PA) and Certified Registered Nurse Practitioners (CRNP)

Payment will be made only for physician drugs referenced in Appendix H, Alabama Medicaid Physician Administered Drugs, CPT codes identified in Appendix O, CRNP and PA Services, and laboratory services, which are CLIA certified. EPSDT screenings will be covered only if the provider is enrolled in that program. Refer to Appendix A, EPSDT, for EPSDT program requirements.

The Physician’s Assistant or CRNP can make physician required inpatient visits to nursing facilities. However, physician required inpatient visits to hospitals or other institutional settings cannot be made by a PA or CRNP. CRNP and PA services have been expanded. Please refer to Appendix O
for additional information