Being a CPSO Registrant
Registration with CPSO is now open. All PAs in Ontario must be registered with CPSO by April 1, 2025 to continue practising with the title of “physician assistant” or "PA" in the province. 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.
Please note: PAs are encouraged to apply early and begin arranging for any supporting documentation to allow sufficient time for their application to be processed before April 1.
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 (PLP). 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 PLP is distinct from medical malpractice coverage and is typically not covered by standard HIROC policy. PAs will need to ensure that they have coverage for PLP.
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.
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 prescribed by regulations under 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 Program (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].
