Sec. 10.09.55.02. License and Certification Requirements

A. The provider shall meet all license requirements as set forth in COMAR 10.09.36.02.

B. A physician assistant applying for provider status shall:

(1) Be licensed to practice as a physician assistant in Maryland or in the state or jurisdiction in which the service is provided;

(2) Be in compliance with requirements set forth in COMAR 10.32.03;

(3) If practicing in Maryland, have a delegation agreement with a supervising physician that outlines the physician assistant’s duties within the medical practice or facility which has been filed with and approved by the Board of Physicians; and

(4) If practicing in Maryland, have a delegation agreement with a supervising physician that documents the specialized training, education, and experience of the physician assistant for performing advanced duties.

C. A physician having a written agreement to supervise a physician assistant shall:

(1) Be licensed to practice medicine in the state in which the physician assistant is providing services;

(2) Delegate only medical acts that are within the scope of the practice of the physician and are suitable to be performed by the physician assistant, taking into account the physician assistant’s education, training, and level of competence;

(3) Accept Program reimbursement as payment in full for services provided;

(4) Establish and review drug and other medical guidelines with the physician assistant;

(5) Participate with the physician assistant in reviewing and discussing medical diagnoses and the therapeutic and corrective measures employed in the practice setting;

(6) Be available for consultation in person, by telephone, electronic means, or by some other form of telecommunication; and

(7) Designate an alternate supervising physician if the physician identified in the delegation agreement temporarily becomes unavailable.

D. For hospitals, correctional facilities, detention centers, or public health facilities, the primary supervising physician shall keep an ongoing list of all approved alternate supervising physicians within the alternate supervising physicians’ scopes of practice, with each alternate supervising physician’s signature and date.