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Provider Enrollment > Physician Assistant (Registered)

Provider Enrollment



Option 1

Physician Assistant - Individual Billing Medicaid

If you do/will provide medical services for which your supervising physician will seek Medicaid payment, Click here for the Enrollment Form and Instructions.


Please Note: If you only will Order/Prescribe/Refer/Attend see Option 2 Below
Option 2

Physician Assistant - Order/Prescribe/Refer/Attend ONLY

If you ONLY will Order/Prescribe/Refer/Attend and you will NOT be Billing Medicaid, Click here for the Enrollment Form and Instructions.


If you Do/Will Provide Medical Services and Bill Medicaid, see Option 1 above
Option 3

Physician Assistant - Change From OPRA To Billing Provider

If you are already enrolled as an Order/Prescribe/Refer/Attend (OPRA) Provider and wish to provide Medicaid Services and Bill Medicaid, Click here for the Enrollment Form and Instructions.


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