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“... laims Report - Updated
Institutional Review Board (IRB) Annual Report
NEW - Physician Profile Update Request Form
”
“... ervices Commission Medicaid/CHIP Drug Utilization Review
Poison Control Center Information and Services 1-800-222-1222
State Office of Rural Health (Texas Dept. of Agriculture)
Texas Department of State Health Services , (512) 458-7111
Texas Department of State Health Services, Licens ... ”
“... cutive Committee
Duties consist of the following: review Board meeting agendas; ensure records are maintained of all committee actions; delegate tasks to other committees; take action on urgent matters that may arise between Board meetings; review contract negotiations; review staff reports regardin ... ”
“... During licensure, a licensure analyst will review and verify all the information contained in the application and the supporting documentation. More information will be requested by a licensure analyst if the previously submitted documentation is not complete and/or contains errors.&nbs ... ”
“... l physicists, perfusionists, and respiratory care practitioners. The relevant chapters are listed below.
The complete code is available here: Full Texas Occupations Code.
Code Highlights:
Physicians
Medical Practice Act
Chapter 151 -
General Provisions: HTML | PDF |& ... ”
“... Important! The content of the items is not reviewed for acceptability until all the supporting documentation is received and the application is assigned to a Licensure Analyst. Screening staff is merely informing you that expected items are lacking and requested item(s) have been received.
... ”
“... ted on page 3 of the Form L Evaluation.
National Practitioner Data Bank/Health Integrity Data Bank Self-Query Response. Contact the National Practitioner Data Bank (NPDB)/Healthcare Integrity and Protection Databank (HIPDB) at http://www.npdb-hipdb.hrsa.gov and perform a self-query. Send eith ... ”
“... urgeon assistants accredited by the Accreditation Review Commission on Education for the Physician Assistant, or by that committee's predecessor or successor entities
Passage of PANCE within 6 attempts
NCCPA Certification
Any health care licenses held not subject to any type of disciplinary action
G ... ”
“Disciplinary and Ethics Committee
Drafts and reviews proposed rules regarding the discipline of physician assistants and enforcement of the Physician Assistant Licensing Act, section 18 and section 19; oversees the disciplinary process and gives guidance to the board and staff regarding methods to i ... ”
“... p;
These fees are explained in more detail in the chart below.
Initial Registration
Length of Permit
Agency Fee
Ofc Pt Prot Fee
PMP
Total
6 months
$133.75
$5.00
$13.48
$152.23
9 months
$200.63
$5.00
$13.48
&nb ... ”
“... p;
These fees are explained in more detail in the chart below.
Subsequent Registration
Agency Fee
Ofc Pt Prot Fee
*PHP
PMP
Total
$ 535.00
$ 2.00
$ 15.00
$ 13.48
$ 565.48
*Fees are not refundable.
... ”
“... soon as possible so that your application will be reviewed. Some applicants wait until the end of the year to begin submitting documents. If your application period expires you will have to pay a new application fee!
Step Two
Licensure
Your application has been assigned to a licensu ... ”
“... T permit should use the links to the left to review the Eligibility Checklist, Sample Application and Supplemental Forms before submitting their application. In addition, an applicant must obtain a TMB personal ID# and 3rd party payor ID#, if applicable, from their GME office or residency ... ”
“... During licensing, a licensure analyst will review and verify all the information contained in the application and the supporting documentation. More information will be requested by a licensure analyst if the previously submitted documentation is not complete and/or contains errors.
App ... ”
“... no longer accepted (except as required).
Review the eligibility requirements for system usage then click on the link above to use the system.
Supervision/delegation approval or termination changes should be updated in our system within 30 days. Please note that for any current ... ”
Description: Press Release April 21, 2010 (PDF File)
Document: ... revised informed consent form and special medical chart tracking system with patients undergoing a non-commercial, non-FDA approved desensitization therapy for chemical sensitivity. In addition, Dr. Johnson is required to complete 10 hours of CME in allergy/immunology and 8 hours of CME in medical r ...
Description: Press Release April 28, 2011 (PDF File)
Document: ... 9730 Southwest Freeway Suite 208, once a month to review charts. The Temporary Suspension Hearing Without Notice took place under the Board's authority granted by the Medical Practice Act. The physician has the opportunity to have a Temporary Suspension Hearing With Notice at least 10 days after not ...
Description: Press Release April 28, 1998 (PDF File)
Document: ... 162, Supervision of Medical School Students, rule review and amendment to section 162.3 relating to registration requirements; Chapter 163, Licensure, amendment to section 163.10 regarding distinguished professors temporary license; Chapter 166, Physician Registration, rule review and amendments to ...
Description: Press Release April 30, 2008 A (PDF File)
Document: ... nts without Dr. Zayas ever seeing the patients or reviewing their charts. In addition, the panel found that patients are receiving injections of Adenosine Monophosphate for weight loss, and this drug is not indicated or approved for weight loss. The panel also found that medical records were inadequ ...
Description: Press Release May 01, 2002 (PDF File)
Document: ... license is granted only after adequate background review indicates the physician is competent to practice in Texas. The new system identifies uncomplicated applications for routing to a fast track to expedite approval. Applications with questionable history or nonstandard documents will be routed to ...
Description: Press Release May 13, 2008 A (PDF File)
Document: ... est the violation in writing and the case will be reviewed by a board committee, or a physician may opt out of fast-track entirely and contest the charges through TMB's traditional investigation and litigation process. "This will benefit both the medical community and medical consumers in Texas," sa ...
Description: Press Release May 14, 2004 (PDF File)
Document: ... atients. The panel's determination was made after review of written statements from victims and their family members, police reports, hospital reports, and documentation and reports made to various Texas regulatory agencies. The temporary suspension hearing took place Thursday under the Board's auth ...
Description: Press Release May 17, 2007 B (PDF File)
Document: ... ion, and resumed his practice in Orange without a chart monitor, in violation of a previous order.
The length of a temporary suspension is indefinite and it remains in effect until the board takes further action.
-30-
The Texas Medical Board, the state agency that regulates physicians, physician ...
Description: Press Release May 24, 2010 (PDF File)
Document: ... In January 2010, a colleague of Dr. O'Neal's was reviewing patient charts and discovered that 38 of Dr. O'Neal's 78 patients had controlled drug orders counter- signed using the colleague's signature stamp. The colleague had never authorized O'Neal to use the signature stamp. On April 13, 2010, Dr. ...
Description: Press Release May 24, 1999 (PDF File)
Document: ... ed six physician assistants. Board Continues Rule Review In accordance with House Bill No. 1, 75th Legislature, Regular Ses sion, 1998-1999, Article IX, Section 167, the Texas State Board of Medical Examiners proposed the following rule reviews to be published in the Texas Register: Chapter 164, Adv ...
Description: Press Release June 02, 2008 A (PDF File)
Document: ... tion was based on the following findings: A pee r review of Dr. Louis' performance called into question the 71-year- old physician's current level of cognitive functioning. A TMB panel reviewed five patient records and a transcript of a proceeding during which Dr. Louis was unable to demonstrate a b ...
Description: Press Release June 03, 2009 (PDF File)
Document: ... supervise or delegate; two actions based on peer review actions; two actions based on violation of probation or prior order; one agreed order modifying a prior order; and five voluntary surrenders. Twenty-one physicians entered into administrative orders for minor statutory violations. At its May 2 ...
Description: Press Release June 08, 2000 (PDF File)
Document: ... rograms in Canada. Chapter 183, Acupuncture, rule review and proposed revisions to the chapter. Proposed amendment to 187.33 regarding oral argument during proposals for decision. Chapter 185, Physician Assistants, rule review and proposed revisions to entire chapter. Previously published proposed r ...
Description: Press Release June 08, 2006 (PDF File)
Document: ... a criminal conviction; one action based on a peer review action; and two minimal statutory violations. Administrative penalties totaling $76,000 were assessed. At its May 19 board meeting, the Texas Physician Assistant Board took disciplinary action against one physician assistant. New Licenses Issu ...
Description: Press Release June 09, 2005 (PDF File)
Document: ... ity to a physician assistant or advanced practice nurse; he may not prescribe controlled substances and must surrender his controlled substances certificates; he must enroll in the "CPEP" program (now the Center for Personalized Education for Physicians) and implement recommendations of that program ...
“... iod for the expiration date of a Respiratory Care Practitioner permit. Once the expiration date has occurred, a penalty fee equal to one half of the registration fee will be added. After 90 days, the penalty fee will increase to equal a full registration fee. If a license has been expired for one ye ... ”
What is the penalty for renewing past the expiration date?
There is no grace period for the expiration date of a Respiratory Care Practitioner permit. Once the expiration date has occurred, a penalty fee equal to one half of the registration fee will be added. After 90 days, the penalty fee will increase to equal a full registration fee. If a license has been expired for one year or longer it is automatically cancelled.
“Applications are submitted online. Please review the NCT page in our Licensure section for additional requirements and instructions. ”
How do I apply for the NCT registry?
Applications are submitted online. Please review the NCT page in our Licensure section for additional requirements and instructions.
“... n No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this ac ... ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.
“... atus for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact the Registration department for information on the approval procedure. ”
My physician license is currently in a retired status. How to I return it to an active status so I can practice?
To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact the Registration department for information on the approval procedure.
“... dical Board does not have licensing authority for nurses. ”
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.
“... omplete information would include the date of the review and the identity of the provider who reviewed the information. ”
What amount of detail must be in the documentation of the PMP check?
As with all medical records documentation, the notation must be contemporaneous, legible and provide complete information. In this case, complete information would include the date of the review and the identity of the provider who reviewed the information.
“... that the PMP has been checked and that they have reviewed and taken into account any relevant information prior to issuing a prescription. ”
Is only the prescriber allowed to check the PMP, or can someone else check on behalf of the physician?
A physician, their delegated midlevel provider, or any other qualified and licensed individual delegated authority to check the PMP may do so on behalf of the prescriber. Ultimately though, it is the prescriber’s responsibility to ensure that the PMP has been checked and that they have reviewed and taken into account any relevant information prior to issuing a prescription.
“... re information on how to submit a request, please review the Pharmacy Board’s Patient Access Program page, found here: https://www.pharmacy.texas.gov/patient-access/ ”
May patients or patient guardians request a copy of their PMP history, including who has accessed that history?
Yes. A patient, the patient’s parent or legal guardian if the patient is a minor, or the patient’s legal guardian if the patient is an incapacitated person, may receive a copy of the patient’s PMP record, including a list of who has accessed that record.
For more information on how to submit a request, please review the Pharmacy Board’s Patient Access Program page, found here: https://www.pharmacy.texas.gov/patient-access/
“... rofile page will list the waiver status. For nurse practitioners: APRN waivers are determined by the Texas Board of Nursing. Information on the waiver process for the APRNs is available on the Texas Board of Nursing Website. ”
Do delegates who have prescribing authority have to apply for their own waiver or are they covered by the supervising physician’s waiver?
If the supervising physician has a waiver, then the prescribing delegate is also covered under that waiver. So long as the prescribing delegate is prescribing under the authority of a physician who has been granted a waiver, then the prescribing delegate may use non-electronic prescribing means. If a prescribing delegate is issuing a prescription under the authority of a physician who does not have a waiver, then the prescribing delegate must issue the prescription via e-prescribing.
If an individual wants to look up whether a prescribing delegate has a waver they can do so as listed below:
For physician assistants: A PA’s waiver status will not be viewable on their TMB public profile. Each PA’s public profile has a link to their supervising physician’s profile page. The physician’s profile page will list the waiver status.
For nurse practitioners: APRN waivers are determined by the Texas Board of Nursing. Information on the waiver process for the APRNs is available on the Texas Board of Nursing Website.
“... o; If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s public profile. You can look up a prescriber’s public profile here: Look up a LicenseNOTE: Per the Texas State Board of Pharmacy, a “pharmaci ... ”
How can someone determine if a practitioner has a waiver?
If a physician has a waiver from e-prescribing, it is viewable on their public profile page, under the section entitled “Verified Information.” If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s public profile. You can look up a prescriber’s public profile here: Look up a License
NOTE: Per the Texas State Board of Pharmacy, a “pharmacist is not responsible for ensuring there is a waiver. In addition, there is no requirement of the pharmacist to ensure an appropriate waiver is granted.”