WAPA Spring Conference 2020

Save the date and join us April 25-28, 2020
Seattle Airport Marriott Hotel
Seattle, Washington
Online registration will be open in late December 2019.
Questions? Please email WAPA at: [email protected] 

Exhibitor Registration
2020 Spring Prospectus


Message from the WAPA President

UPDATE: 10/23/19


I have received multiple emails in the past few weeks regarding continued delays with the delegation agreements (DA). I spoke to Kimberly at the the Medical Commission about the delays. She assures me that they are working diligently to clear the backlog, despite unexpected staff shortages due to illnesses. Compounding the delays are incomplete information on the delegation agreements and failure to apply for licensure at the same time the DA is sent to the commission. Please make sure this is done simultaneously.

I understand this is frustrating and may delay your hiring date as you wait for credentialing to finalize your application to practice in your facility. 

Kimberly assures me they will be up to date in November. Please continue to email WAPA ([email protected]) regarding your concerns so we can advocate on your behalf. 

The current legislation we hope to pass next session will place the delegation agreement at the practice site and allow for flexibility if your supervising physician changes or you change jobs. This will eliminate the burden of DA approval from the commission with the exception of licensure. The commission is in full support of this change. 

Please consider joining us to pass this crucial legislative change by joining us on February 5th for WAPA Lobby Day at the capital or consider writing to your representative in support of HB 5411. If you are not a member please join. We cannot do your work without your membership dues. 

Eileen Ravella


We were contacted by several PAs in the state regarding delays in the approval of delegation agreements (DA) filed with the medical commission regarding the failure of some employers to file the agreement at all! I spoke to Micah Mathews deputy director of the commission who informed me they are short staffed resulting in the delays which will be remedied by October 1, 2019. He assured me he can fast track some of the DAs if it delays your employment.

This will greatly impact your hire ability since the DA may take 30+ days to complete. Please be aware and diligent when filing your DA upon hiring. It is your responsibility to ensure your organization understands it is part of their job to ensure this is accomplished when assigning your supervision physician. This will affect new graduates with the influx of agreements to be filed with the commission as they start the hiring process.

This is the primary reason we need to update our law with HB5411. It places the supervision and delegation agreement at the practice where it belongs, otherwise it's easier to hire an ARNP.

Remember, talk to your legislators and join us on WAPA’s 2nd PA Lobby Day February 5, 2020 in Olympia. And if you are not a member, please JOIN. This will affect PAs in all specialties. Register today for PA lobby day.

Please let us know if you are directly impacted so we can help. Email us at: [email protected]

Thank you,

Eileen Ravella PA-C

PA Lobby Day Registration


Deadline for submission for the Spring 2020 student scholarships is April 10, 2020.

Veteran Student Scholarship  Veteran Scholarship Application

WAPA Student Scholarship WAPA Scholarship Application

Faculty Reference: 2020 Faculty Reference

2020 WAPA Lobby Day | February 5, 2020

Senate Bill 5411
*The major changes are listed on the first 9 pages of this pdf. WAPA worked with WSMA to bring this bill to legislation
PA Talking Points

WAPA Legislative Work Plan 2020

WAPAs 2020 PA Lobby Day is Wednesday, February 5, 2020. We will meet up at the Governor hotel in Olympia.
An agenda for our lobby day will be available in January 2020.
WAPA will set your legislative appointments for you.

 RSVP Today!
More Information



AAPA: HR 1052 | Physician Assistant Direct Payment Act

ALEXANDRIA, Va. (Feb. 7, 2019)-Today, the American Academy of PAs (AAPA), the professional organization representing more than 131,000 PAs (physician assistants) across the country, applauds members of the U.S. House of Representatives, Terri Sewell (D-AL) and Adrian Smith (R-NE), for introducing H.R. 1052, the Physician Assistant Direct Payment Act, to authorize PAs to receive direct payment under Medicare.

Currently, PAs are the only health professionals who are authorized to bill Medicare for their services but are not able to receive direct payment. Medicare permits all health professionals-physicians, advanced practice registered nurses (APRNs), physical therapists, psychologists, podiatrists, social workers, and others-to receive direct payment under their own name and National Provider Identifier number.

When PAs cannot be paid directly by Medicare, they are unable to reassign their payments in a manner similar to physicians and APRNs. The inability to be paid directly further hinders PAs from fully participating in the increasing number of innovative value-based payment arrangements and emerging models of healthcare delivery. For example, the restriction means PAs are often unable to work for healthcare staffing companies or group practices, which are increasingly used by hospitals to deliver care, because they cannot reassign their Medicare payments to their employer.

"When enacted, this legislation will improve access to care for patients. By removing unnecessary administrative burdens and restrictions, it will enhance the ability of PAs to bring their proven clinical competence and skill sets to patients in need," said Jonathan E. Sobel, DMSc, MBA, PA-C, DFAAPA, FAPACVS, president and chair of the AAPA Board of Directors. "We look forward to continue working with Congresswoman Sewell and Congressman Smith to improve access to healthcare."

"Our country is facing a significant shortage of healthcare providers, and this needed legislation will help ensure that PAs are a part of the solution" Sobel continued. According to the U.S. Bureau of Labor Statistics, the number of PAs is expected to increase by 37 percent from 2016 to 2026.

Enactment of this legislation will not change how PAs currently practice and it will not change PA scope of practice.

HCA Update: WSMA seeks delay in potentially burdensome HCA change to home health and DME orders

The WSMA is seeking to delay the Jan. 1 effective date of a new state Health Care Authority Apple Health (Medicaid) policy regarding home health services and durable medical equipment that threatens to increase the administrative burden on physicians.

As reported in the Nov. 28 Membership Memo, the HCA has amended its rules for home health services and medical equipment to align with federal law. Under the new policy, starting Jan. 1, only physicians will be authorized to order home health services and medical equipment for Apple Health patients—advance registered nurse practitioners and physician assistants wishing to place a home health or DME order will be required to have a physician's signature.

WSMA's concerns over these changes are essentially twofold:

  • A requirement to have physicians review home health and DME orders by ARNPs and PAs to confirm medical necessity is administratively burdensome, adding more tasks for busy physicians to absorb, even if there is a mechanism whereby physicians can bill for that activity. This requirement impedes the delivery of care and appears contrary to the spirit of the current administration's "Patients Over Paperwork" initiative.
  • The requirement does not appear to address the reality that here in Washington, ARNPs have independent practice authority, and in many practice settings, ARNPs in independent practice have little or no oversight by a physician and therefore are not positioned to comply with this requirement.

The WSMA is seeking an opportunity with HCA leadership to, at least, forestall temporarily the Jan. 1 implementation of these policy changes. This would allow time to explore with both the Centers for Medicare & Medicaid Services and the HCA the feasibility of addressing these two concerns in a more reasoned manner and timeframe, particularly in view of the holiday period when communications among parties will be impeded by vacation schedules.

We will keep you apprised of further developments. 

NEW: January 29, 2019 | State of Washington Health Care Authority  Clarification on Home Health Services

Health Care Authority  Clarification on Home Health Services

WAPA Membership

We are dedicated to the promotion of our profession and need your support for its continued growth. Each Physician Assistant in this state is important to our organization. There is strength in numbers, and we need to watch issues such as reimbursement, practice laws and work on continuing to publicize our great profession.

WAPA Membership Categories

Fellow: A PA who is a member of AAPA (For WAPA elections, votes for WAPA & AAPA positions) $150.00 /year

Colleague: A PA who is not a member of AAPA (For WAPA elections, votes for WAPA officers only) $150.00/year

Sustaining: A retired PA, Active duty PA or a PA employed by a federal agency (i.e. the VA or Madigan) $95.00/year

Out of State: A PA who is not residing or working in Washington state. $95.00/year

Student: A student in a PA training program. Student memberships are $60.00 for 2 years.

Affiliate: A non-physician assistant (MD, DO, ND). $95.00/year

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