| (a) Subject to the specifications, conditions, requirements,
and limitations established by the Health and Human Services Commission
or its designee (HHSC), services performed by an anesthesiologist
assistant are considered for reimbursement if the services:
(1) are performed under the personal or direct supervision
of a licensed anesthesiologist in accordance with state law;
(2) are consistent with rules for physician delegation
and supervision promulgated by the Texas Medical Board; and
(3) would be covered by the Texas Medicaid Program
if provided by a licensed anesthesiologist.
(b) Services must be reasonable and medically necessary
as determined by HHSC to be considered for reimbursement.
(c) Covered services provided by an anesthesiologist
assistant may be billed under the anesthesiologist assistant's Texas
Medicaid Program provider number. Reimbursement for covered services
provided by an anesthesiologist assistant may be made to the anesthesiologist
assistant actually performing the services or, provided that federal
requirements related to reassignment of claims are met, to a hospital,
physician, group practice, or other provider with which the anesthesiologist
assistant has an employment or contractual relationship.
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