Being a CPSO Registrant
Registration with CPSO is open. Beginning April 1, 2025, PAs who wish to use the protected title of "Physician Assistant" or "PA" in Ontario must be registered with CPSO. PA applicants can begin the registration process by visiting our New Applicant Account Creation page, where they can learn more and begin submitting the required documentation.
Beginning in 2026, PAs will be asked to renew their registration in accordance with CPSO’s regular annual renewal process.
Do PAs need to carry professional liability insurance?
Yes. All regulated health care professionals, including PAs, must have professional liability protection. PAs are required to hold at least $10 million in professional liability insurance issued by a company licensed to carry on business in the province. Please note that standard HIROC policy may not include coverage for regulatory matters such as CPSO complaints. PAs will need to ensure that their professional liability insurance includes this coverage, as well as coverage for civil proceedings, and should contact their insurance provider to confirm.
For PAs seeking insurance coverage, members of the Canadian Association of Physician Assistants (CAPA) have access to a group insurance policy offered by BMS Canada Risk Service Ltd. For more information, please contact CAPA or BMS.
Do PAs need to fulfil any Continuing Professional Development (CPD) requirements?
Yes. The regulations require that PAs participate in a program of CPD and that PAs shall, each year, provide to CPSO proof of their participation that is satisfactory to CPSO.
PAs are required to complete the CPD requirements set by their certifying body, which is either the Physician Assistant Certification Council of Canada (PACCC) or National Commission on Certification of Physician Assistants (NCCPA).
For more information, please refer to the CPD section of CAPA’s website or the Maintain Certification page on NCCPA’s website.
Are PAs expected to comply with CPSO’s policies for physicians?
Yes. As a regulated profession, PAs are required to meet their legal obligations under the Regulated Health Professions Act, 1991, and the Medicine Act, 1991, as well as the professional obligations set out by CPSO. PAs should make themselves familiar with CPSO policies and comply with them, where applicable. Over time, PA specific guidance will also be developed.
Can a physician bill OHIP for services provided by a PA?
There are specific rules around billing the Ontario Health Insurance Plan (OHIP) for delegated procedures, which can only be done in limited circumstances. Further details can be found in the “Delegated Procedure” section of the General Preamble to the Schedule of Benefits. Questions about OHIP billing can be directed to the Ministry of Health.
More Information
If you have additional questions, please contact [email protected].
