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“Based on change in law in 2017, a Full medical license is required to practice Telemedicine in Texas. Therefore, the issuance of telemedicine licenses has been suspended. Until further notice, there are no changes to the existing Telemedicine licenses registration procedures. Options to transitionin ... ”
“Professional Name Presentation
All licensed physicians in the state of Texas are required to professionally use the name under which they are licensed with the Texas Medical Board. Using any other name may confuse or mislead the public and may be considered by the Board to be unprofessional conduct ... ”
“... management clinics are not able to use the online Change of Address option. To submit a change of address for a registered clinic location, please use the form below.
Pain Management Clinic - Change of Address Form
Please mail or fax completed forms to the following address:
Texa ... ”
“... number of questions in each section is subject to change.
At this time the passing score for all categories is 75%.
If you have not been issued a full limited certificate by the time your temporary limited certificate expires, you must cease performing radiologic procedures ... ”
“... nd have a license in good standing.
To request a change to the Inactive status for a Texas physician assistant license, complete and return the inactive request form (link below) to the Board for approval before the expiration date of the current license. Refunds of registration/renewal fees ... ”
“... nd have a license in good standing.
To request a change to the Inactive status for a Texas Acupuncture license, complete and return the inactive request form (link below) to the Board for approval before the expiration date of the current license. Refunds of registration/renewal fees already ... ”
“... il includes an attachment with the requested change and a signature of the licensee.
Written changes can be sent to:
Email: registrations@tmb.state.tx.us
OR
Fax: (888) 512-2581
... ”
“... 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 ... ”
“DIRECT DEPOSIT FORM 74-176
PAYEE CHANGE FORM 74-157 ”
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: 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 ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES APRIL 26, 2002
Document: ... stated that the committee was recommending a rule change to increase the fee for physician assistant annual registration to $155 to fund on-line registration. Mr. Belgard moved, Ms. Baker seconded, and the motion passed to approve the report and proposed rule change. Agenda item #19, regarding a rep ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES AUGUST 1, 2002
Document: ... r agenda item #14. Agenda item #15, proposed rule change, was next. Ms. Shackelford explained the proposed amendment to board rule 185.15 regarding the eligibility of a physician to supervise a physician assistant. Following discussion, Dr. Benold moved, Ms. Clark seconded, and the motion passed to ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES AUGUST 1, 2003
Document: ... r agenda item #14. Agenda item #15, proposed rule change, was next. Ms. Shackelford explained the proposed amendment to board rule 185.15 regarding the eligibility of a physician to supervise a physician assistant. Following discussion, Dr. Benold moved, Ms. Clark seconded, and the motion passed to ...
Description: Press Release December 05, 1997 (PDF File)
Document: ... Review and Recognition of the ACCME." A proposed change to Board Rule 171.9 concerning the Faculty Temporary License would prevent the issuance of this temporary license to an applicant who has not passed a board recognized licensing examination within three attempts.
Disciplinary Actions The foll ...
Description: Press Release December 06, 2007 A
Document: ... for DWI), and failure to notify the Board of his change in practice address. GRAHM, THOMAS W., M.D., Tyler, TX, Lic. #H8659 On November 30, 2007, the Board and Dr. Grahm entered into an Agreed Order requiring that he pay an administrative penalty of $1,000. The action was based on Dr. Grahm behavin ...
Description: Press Release December 13, 2006 A (PDF File)
Document: ... ommended by the evaluating psychiatrist, that any change of his employment that would include the treatment of females must be approved in advance by the executive director of the Board and requiring that he prepare a report regarding what he learned from attending the professional boundaries course ...
Description: Press Release December 17, 2003 (PDF File)
Document: ... apter 193.6, Standing Delegation Orders: proposed change concerning delegation of prescriptive authority related to obstetrical services.
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 jill.wiggins@t mb.state.tx.us
ANDERSON ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES FEBRUARY 28, 2003
Document: ... save money and asked the board to approve a rule change that would allow the board to meet fewer than four times per year. Following discussion, Dr. Hedges moved, Ms. Clark seconded, and the motion passed to approve an amendment to Chapter 185, Physician Assistants, needed as a cost-saving measure. ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES February 27, 2004
Document: ... and 4.) 185.20 complaint procedure notification, change of references of chapters from 188 to 178 and adoption of procedures for processing complaints. Mr. Benold moved, Ms. Bentley seconded, and the motion passed for approval of rule changes after final corrections have been emailed to board membe ...
Description: PA Board 2005 February, Full Board
Document: ... useman, P.A., with the following modifications a) change monthly physician visits to quarterly visits; (b) change to a five year order; and (c) insert his order supersedes all previous orders.
Ms. Clark moved, Mr. Deter seconded, and the motion passed to approve the Agreed Order on Salvatore A. Man ...
Description: PA Board 2006 February, Full Board
Document: ... ributed with the following changes: 1.) 185.2(14) change "presiding officer" to "chairman"; 2.) 185.4(10) change "three attempts" to "six attempts"; 3.) 185.6(i)(4) remove the grace period; 4.) 185.7(a) remove "but meets guidelines set by the physician assistant board including, but not limited to, ...
Description: PA Board 2002 January, Full Board Min
Document: ... ceived following publication of the proposed rule change relating to delegation of prescriptive authority at alternate sites and stated that the comments had been reviewed by the Long Range Planning Committee. Based on the comments, staff recommended incorporating additional amendments to the rule. ...
“... he Form Y to expedite an application. Should this change, notification will be posted. ”
Can I expedite my physician assistant application?
At this time, only physician applicants can use the Form Y to expedite an application. Should this change, notification will be posted.
“... xas requires physicians to professionally use the name under which they are licensed by the Texas Medical Board. Using any other name may confuse or mislead the public and could be considered by the Board to be unprofessional conduct. A physician who wishes to change his or her professional name mus ... ”
As a physician, is it okay to go by a nickname or shortened version of my given name in my practice?
Texas requires physicians to professionally use the name under which they are licensed by the Texas Medical Board. Using any other name may confuse or mislead the public and could be considered by the Board to be unprofessional conduct. A physician who wishes to change his or her professional name must use the Application for Name Change.
“... gives an explanation of your request, a completed Name Change Application form and a notarized copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc. ”
What do I need to do to change the name I use professionally?
You must provide us with a statement that gives an explanation of your request, a completed Name Change Application form and a notarized copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc.
“... icense types that cannot use the online system, a Change of Address form is available, but not required. Information on the new Change of Address system is available at: http://www.tmb.state.tx.us/page/change-address ”
Can I give my change of address over the phone?
No. However, changes in mailing or practice addresses can now be updated online in most situations. For those license types that cannot use the online system, a Change of Address form is available, but not required. Information on the new Change of Address system is available at: http://www.tmb.state.tx.us/page/change-address
“Within 30 days of the change or addition. This can be done through the Online Supervisions and Prescriptive Delegation Registration System. ”
How soon does a PA need to update the Board about a change in supervising physicians? What about an addition?
Within 30 days of the change or addition. This can be done through the Online Supervisions and Prescriptive Delegation Registration System.
“A name change or change of address for a registered pain management clinic must be submitted in writing (by mail or fax). Please use the PMC change of address form located here. ”
How do I submit a name change or change of address for my pain management clinic?
A name change or change of address for a registered pain management clinic must be submitted in writing (by mail or fax). Please use the PMC change of address form located here.
“Yes, the physician’s name, address and telephone number are required to be included on the prescription drug order. If the prescription is for a controlled substance, the physician’s DEA number is also required to be included on the prescription. SB 406 did not change the req ... ”
Does the physician's name need to be included on the prescription?
Yes, the physician’s name, address and telephone number are required to be included on the prescription drug order. If the prescription is for a controlled substance, the physician’s DEA number is also required to be included on the prescription. SB 406 did not change the requirements for what needs to be included on a prescription drug order.
“... e of the APRN or PA. 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 distance between a physician’s primary practice and the practice site at which the physician’s delegates provide medic ... ”
How many miles from my delegating physician can my practice site be?
SB 406 eliminated site based prescriptive authority. The law is silent regarding the practice location of the physician and its proximity to the practice site of the APRN or PA. 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 distance between a physician’s primary practice and the practice site at which the physician’s delegates provide medical services may be an important factor in determining the quality of the physician’s supervision.
“... 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
“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 ... ”
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.
“... 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.