Centers for Medicare & Medicaid Services (CMS) Proposes Rule Changes Affecting PAs.


Dear PAs,

You may have seen in recent days that there is a proposed CMS (Centers for Medicare & Medicaid Services) rule change that will very much benefit PAs nationwide. While the actual document is huge (1700 pages), the areas pertinent to PAs I have linked below. It is a summary written by the AAPA outlining the important changes. As the nation, and Connecticut, continue to move towards less restrictive PA practice, these updates will ensure parity with how CMS looks at PAs. It is important to keep in mind that a number of private insurers ultimately follow CMS rules as well. There are several other pro-PA sections addressed.

Also included is a template for a letter. Please complete the relevant areas of adaptation. It can be electronically sent and those instructions are included. Please send it ASAP, the deadline is September 27. It is important that CMS hears from PAs to support these rule changes, and also to amend the area of concern that is mentioned in the letter. To keep a strong focus on this measure, it is asked by AAPA that we please not alter the template so as to not draw attention away from the goal.

There are other matters that the AAPA continues to work on including seclusion and restraints, home care orders and diabetic shoes. Here in Connecticut, we are continuing to grow upon efforts over the last several years to alleviate administrative burden and ensure that PAs have equal footing in the employment marketplace, ultimately to provide more accessible and cost-effective care for the patients of Connecticut. Updates on efforts to follow in the next couple of weeks.

Intro CMS Proposal to Change Supervision Requirements
Template letter to CMS
If you have any questions, please do not hesitate to reach out.

All my best,

Jason P. Prevelige, MHS, PA-C
Chair, Legislative Affairs Committee
Connecticut Academy of PAs

Director at Large
American Academy of PAs