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Work group weighs how to count nurse practitioners and physician assistants

Financial Regulation Division - DCBS work group · April 21, 2026
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Summary

Carriers and the division discussed whether NPs and PAs should be listed by their primary specialty, assigned a separate row, or folded into existing specialties; QHP conventions (advanced practice registered nurse categories) were mentioned as a model.

Brooke said NPs and PAs practice across specialties and the division needs direction on how to include them without undercounting or overstating gaps. Kylie (Providence) and others noted QHP templates include APRN categories for primary care and behavioral health, and suggested carriers could list NPs/PAs under the specialty they practice in, based on license/title.

Brooke said she will consult colleagues not present and take the feedback back to the division for an internal decision.