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“... provided by the physician (e.g. primary practice address, hospital privileges, specialty board certification, delegation information, etc.) and can be updated at any time. Many updates are provided by the physician at a time of licensure renewal/registration. An update may be provided b ... ”
“... he Board within 30 days after the event:
(1) Any change of mailing or practice address;
(2) Incarceration in a state or federal penitentiary;
(3) A description of any conviction for a felony, a Class A or Class B misdemeanor, or a Class C misdemeanor involving moral turpitude;
(4) A description of ... ”
“... rth. You will need to enter and confirm the email address you provided with your online application, which will be your username. After you create your account, you will be required to create a password and establish security questions. Please be aware that your account contains confidential inform ... ”
“... number is in an automated email sent to the email address registered with the application the next business day. Please check your spam or junk folders for this email. You may call Consumer Services at (512) 305-7030 to request this number if you do not have a copy of this notice with your provided ... ”
“... B account).
Login ID defaults to the given e-mail address, but may be changed, if desired.
You can go immediately to the exam by logging into the newly created account. However, if you prefer to take the exam at another time, you may go back to the JP Exam Catalogue page at any time and login ... ”
“... state.tx.us. We recommend that you add this email address to your contacts list so they will not be lost. Please check your junk and spam mail for these notices if you are not receiving them. If you have any questions about the fingerprint requirements or the renewal process, please cont ... ”
“... ician, PA or APRN who does not have a TX practice address and needs to register prescriptive delegation, please contact the Registration Department at Registrations@tmb.state.tx.us . ”
“DIRECT DEPOSIT FORM 74-176
PAYEE CHANGE FORM 74-157 ”
Description: Press Release October 10, 2006 A (PDF File)
Document: ... date and time of any amendment, supplementation, change or correction, and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Moliver made amendments, supplements, changes or corrections in one patient's medical record that were not made contemporaneously wi ...
Description: Press Release October 16, 2008 A (PDF File)
Document: ... wishes it to be published; year of birth; mailing address. Chapter 185, Physician Assistants: §185.2 Physician Assistant Definitions. Amendment regarding definition of supervising physician.
Proposed Rule Changes
Rule Review and proposed changes to the following chapters in Title 22 of the Texas Ad ...
Description: Press Release October 21, 2003 (PDF File)
Document: ... is patients and failed to inform the Board of his change of practice address. CUNADO, CARLOS DOMINGO, M.D., BEAUMONT, TX, Lic. #K6556 On 10-10-03, the Board and Dr. Cunado entered into a three-year Agreed Order that included monitoring of practice, CME in record keeping, and an
administrative pena ...
Description: Press Release October 29, 1999 (PDF File)
Document: ... xas Register and comment: Chapter 163.1, proposed change regarding examinations accepted by the Board. Chapter 164, Advertising, proposed change to clarify definition of false and deceptive advertising. Chapter 165.1, Medical Records, proposed change regarding charges for executing affidavits that c ...
Description: Press Release November 05, 2010 (PDF File)
Document: ... mation issued by the Board; failure to update her address; and failure to supply the Board with requested records. Taylor, Michael Byron, M.D., Lic. No. F2055, Nacogdoches On October 29, 2010, the Board and Michael Byron Taylor, M.D., entered into a Mediated Agreed Order requiring Dr. Taylor to comp ...
Description: Press Release November 13, 2002 (PDF File)
Document: ... Coordinating Council was the first Texas body to address the issue in the Texas State Health Plan: 1999-2004 Ensuring a Quality Health Care Workforce for Texas. The Texas report echoed recommendations of a report published in 1995 by the Pew Health Professions Commission's Taskforce on Health Care ...
Description: Press Release November 13, 2009 (PDF File)
Document: ... or the board when he moved and left no forwarding address and on his failure to provide requested records to a patient. Romack, Anthoni R., M.D., Lic. #G5553, Grand Saline TX On November 6, 2009, the Board and Dr. Romack entered into an agreed order in which he voluntarily surrendered his Texas medi ...
Description: Press Release November 17, 2011 (PDF File)
Document: ... hes that licensees shall be provided the name and address of complainants who are insurance or pharmaceutical companies. The amendment to §178.5, relating to Preliminary Investigation of a Complaint, extends the preliminary investigation timeline from 30 to 45 days. New §178.9, relating to Statute o ...
Description: Press Release December 19, 2002 (PDF File)
Document: ... Chapter 193, Standing Delegation Orders, proposed change to §193.6(i)(2)(C) to include Physician Assistants in the language regarding supervision waiver requests. Proposed amendments to Chapter 174, Telemedicine, were sent back to staff for changes. Proposed amendment to Chapter 175, Fees, Penalties ...
Description: Press Release December 20, 2000 (PDF File)
Document: ... ls will update new cites to the Occupations Code, address administrative procedures regarding late filing of biennial applications and insufficient reports, and clarify fees. For copies of rule changes or proposed rules, write the Board at MC 901, P.O. Box 2018, Austin, TX 78768-2018, or e-mail pat. ...
Description: Press Release December 21, 1999 (PDF File)
Document: ... xas Register and comment: Chapter 183.4, proposed change that acknowledges 213 as the passing score of the
computer-based version of the Test of English as a Foreign Language; an d Chapter 163.5 regarding translation of documents into the English language. The following new rules were proposed for ...
Description: Press Release December 28, 1998 (PDF File)
Document: ... er: Chapter 162, Supervision of Medical Students, change certain registration requirements; Chapter 163, Licensure, amend 163.1(8)(H) to include certain exam combinations; Chapter 166, Physician Registration, rule review and changes regarding CME requirements. For copies of these rules, write to the ...
Description: Press Release February 23, 2012 (PDF File)
Document: ... o the Board within 30 days after the event of any change of mailing or practice address. CHAPTER 177. BUSINESS ORGANIZATIONS: The amendment to §177.16, relating to Physician Assistants, provides that if a grandfathered entity under this section contracts with a new supervising physician to provide s ...
Description: Press Release March 14, 2012 (PDF File)
Document: ... Conference (ISC) scheduled for March 13, 2012, to address allegations of nontherapeutic prescribing practices and "pill mill" activities, and that his various actions constitute an imminent peril to the public health, safety, or welfare. In the course of the past several months, investigators with t ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS LONG RANGE PLANNING COMMITTEE MEETING MINUTES APRIL 26, 2002
Document: ... ed. Ms. Garanflo explained that the proposed rule change would increase the physician assistant annual registration fee by $5. This fee would be used to fund on-line registration as required by SB187 of the 77th legislature. Following discussion, Mr. Webb moved, Mr. Bendeck seconded, and the motion ...
“... this determination. That said, there has been no change in the law that requires that a physician must provide adequate supervision of delegates. In any given case, the number or percentage of charts reviewed may be an important factor in determining the quality of the physician’s supervision ... ”
How many charts must be reviewed?
The law does not provide a specific number or percentage of charts that must be reviewed. Rather, the law provides that the number of charts to be reviewed is determined by the parties to the prescriptive authority agreement. The number may vary from one practice setting to another. Factors such as the length of time the APRN or PA has been in practice, the length of time the physician and APRN or PA have practiced together, whether the parties to the prescriptive authority agreement practice together in the same practice setting, and the complexity of patient care needs should be given consideration when making this determination. That said, there has been no change in the law that requires that a physician must provide adequate supervision of delegates. In any given case, the number or percentage of charts reviewed may be an important factor in determining the quality of the physician’s supervision.
“... ical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from the previous encounter non-biographical information such as symptoms, diagnosis, vitals, lab levels, history, previous treatments etc... However, because symptoms often reso ... ”
What is "non-biographical" information as it pertains to an Electronic Medical Record (EMR)?
165.1(a) (10) now requires the following:
"All non-biographical populated fields, contained in a patient's electronic medical record, must contain accurate data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."
Non-biographical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from the previous encounter non-biographical information such as symptoms, diagnosis, vitals, lab levels, history, previous treatments etc... However, because symptoms often resolve between encounters (as result of treatment), diagnoses may no longer be active or present (because of previous treatments), and vitals fluctuate, such data fields should not contain inaccurate, non-current, or irrelevant data that is not pertinent to the present illness/issue. Such information may be part of the patient’s history, but should not be reflected as current/present unless such symptoms/diagnoses are ongoing. Such information may become part of the patient’s historical data/information contained in the electronic medical record. Non-biographical information/data contained in a medical record for each encounter should be based on actual assessment, evaluations or other diagnostics that are documented by the physician.
Also see: EMR Position Statement
“... Because not all applicants reside at the mailing address of record when they submit their online applications, it is the responsibility of the applicant to verify whether or not they can be live-scanned. If that is not an option, they must request a fingerprint card by contacting the Texas Medical ... ”
Will I automatically be sent fingerprint cards if I enter an out-of-state address when I apply?
No, fingerprint cards are not automatically sent out to applicants. Because not all applicants reside at the mailing address of record when they submit their online applications, it is the responsibility of the applicant to verify whether or not they can be live-scanned. If that is not an option, they must request a fingerprint card by contacting the Texas Medical Board at Screen-CIC@tmb.state.tx.us if they are an applicant, or at Registrations@tmb.state.tx.us if they are a licensee. When emailing the request, please include a current mailing address.
“... icensees. To update your mailing or practice address online click the “My TMB” link in the upper right hand corner of our website (near the “search” box), and create an account if you do not have one already. ”
How do I change my address with the Texas Medical Board?
As part of the “My TMB” system, we are now able to offer the ability to update mailing and practice addresses online for the majority of our licensees.
To update your mailing or practice address online click the “My TMB” link in the upper right hand corner of our website (near the “search” box), and create an account if you do not have one already.
“Renewal notices are sent out to the mailing address of record 60-90 days prior to the expiration date of a permit. Currently, extensions are not granted on the basis of not receiving a renewal reminder in the mail. ”
I didn’t receive a renewal notice from the TMB and now I am going to have to register late. Will the TMB offer an extension of my license?
Renewal notices are sent out to the mailing address of record 60-90 days prior to the expiration date of a permit. Currently, extensions are not granted on the basis of not receiving a renewal reminder in the mail.
“... s beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptiv ... ”
Do I have to let the Medical Board know about my delegates/supervising physicians?
Yes, if you are a physician or a physician assistant.
Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.
PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement. They are also required to notify the Board within 30 days of any change to the scope of the delegation.
APRNs should look to guidance provided by the Texas Board of Nursing for how to register their delegating physicians, as the Medical Board does not have licensing authority for nurses.
“... or their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group. ”
Does everyone at my practice have to apply for a waiver or just the medical director?
Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group.
“... cribers when their waiver expires. This may change in the future. ”
Will I be notified before my waiver expires?
No, TMB is not currently notifying prescribers when their waiver expires. This may change in the future.
“... .tx.us. We recommend that you add this email address to your contacts list so they will not be lost. Please check your junk and spam mail for these notices if you are not receiving them. If you have any questions about the fingerprint requirements or the renewal process, please cont ... ”
I didn’t receive my email renewal reminder. How can I find that?
Email renewal reminders are sent 60-90 days before the expiration date, from no.reply@tmb.state.tx.us. We recommend that you add this email address to your contacts list so they will not be lost. Please check your junk and spam mail for these notices if you are not receiving them. If you have any questions about the fingerprint requirements or the renewal process, please contact us at Registrations@tmb.state.tx.us.