To be a provider of Medicaid covered services, a physician assistant must:(1) be licensed as a physician assistant by the Texas Physician Assistant Board as described in the Occupations Code §204.101(2) and (3);(2) comply with all applicable federal and state laws and regulations governing the service provided;(3) be enrolled and approved for participation in the Texas Medical Assistance Program;(4) sign a written provider agreement with the Health and Human Services Commission (HHSC) or its designee;(5) comply with the terms of the provider agreement and all requirements of the Texas Medical Assistance Program, including federal and state regulations, rules, manuals, standards, and guidelines published by HHSC or its designee; and bill for services covered by the Texas Medical Assistance Program in the manner and format prescribed by HHSC or its designee.