Physician Assistant Clinic Ownership: What To Report & Why
At PPS, we routinely start PA owned clinics and ownership requirements often catch physician assistants by surprise. As a result of this important detail being overlooked, clinic openings are often stalled or tabled completely. It is confusing as some states allow PAs to operate independently which contradicts in some ways Medicare’s requirement for PAs to have at least one other owner. Unfortunately, there is conflicting information out there regarding PA ownership requirements due to state specific legislation regarding what types of providers/non-providers can own a medical clinic. There are also state specific laws that govern what kind of organization can employ a physician. Due to the conflicting and often confusing information out there regarding PA clinics, it’s critical that you consult with a healthcare attorney in your state to ensure your corporate entity is formed correctly to comply with state and federal law.
From CMS: “Due to existing direction from CMS for the completion of the CMS-855B application(in PECOS or on paper), you are only required to disclose individuals who have 5% or greater direct/indirect ownership. In addition, physician assistants (PAs) may not have total (100 percent) ownership of an organization/group. As a result, applications received to enroll a group that is reported to be solely owned by a PA are denied for PA ownership since the group cannot report individuals who have less than 5% ownership.