The laws of all American jurisdictions permit
unlicensed allied health professionals, such as medical assistants, to «perform or assist in the performance of specified professional services» as directed to do so by a physician or other qualified health care professional.5 Consequently, medical assistants meet the CPT definition of clinical staff.
In such situations, the operative law for determining what APNs are permitted to delegate to
unlicensed allied health professionals, such as medical assistants, is the state nurse practice act and the rules, policies, and opinions of the state board of nursing.
Thus, if state law permits providers to delegate to knowledgeable and competent
unlicensed allied health professionals — such as medical assistants working under their direct / on - site supervision in outpatient settings — the administration of intramuscular (IM), intradermal (ID), and subcutaneous (subq) injections, the CAMH does not interfere with the provider's right to delegate, and the medical assistant's right to perform, an IM, ID, or subq injection.