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“This section of the physician profile contains the physician reported primary and secondary areas of practice. ”
“... accept delegation locations outside of Texas.
Any physician, 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 . ”
“... were multiple bills passed requiring physicians, physician assistants and other licensees to complete certain specific opioid related continuing medical education. These new CME requirements outlined above apply to the renewal of a license on or after September 1, 2020.
New ... ”
“This section of the physician profile contains the physician reported name, location and graduation date of all medical schools attended by the physician.
Also displayed is the physician reported graduate medical education taken in the US or Canada, including the following: Program name, Loca ... ”
“... icensure.
Physicians are responsible for making a self-determination of eligibility prior to applying to participate in the Compact, and they must confirm that they understand the Compact rules.
IMLC Qualifications
There are two types of eligibility requirements: State of Principle Lice ... ”
“Controlled Substance Electronic Prescribing Requirement
Effective January 1, 2021, Texas Health and Safety Code, §§481.0755 requires that prescriptions for controlled substances to be issued electronically, except in limited circumstances, or unless a waiver has been granted by the appropr ... ”
“This section of the physician profile contains any physician reported specialty certifications issued by a board that is a member of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists. ”
“... andum of understanding with the patient's primary physician for treating and managing the patient
OR
If a clinic is currently certified by TMB as a Pain Management Clinic, the clinic must
be operated by physicians who currently hol ... ”
“
Are the Physicians being singled out?
How much is it going to cost?
Does the fingerprinting fee benefit the TMB?
When do we have to do it?
Can I complete the fingerprint requirement early?
Can I get my fingerprints done anywhere?
What is my Board issued 6-digit ID number?
What if my ... ”
Description: Medical Board 2020 - October - Full Board Minutes
Document: ... e no items for agenda itemAgenda Item #17, Report Physician Assistant LiaisonJanith Mills, PAC gave a brief report on behalf of the Physician Assistant Board. No action was taken on this agenda item.Agenda tem #1at 8a.m., Consideration and approval of Proposal for Decisions
��Texas Med ...
Description: Medical Board 2020 - October - Disciplinary Process Review Committee Minutes: Agenda Item 02: TX PHP Report; Agenda Item 04: Enforcement Report; Agenda Item 07: List of Potential Expert Panelist; Agenda Item 11: Legal Dismissals; Agenda Item 11: Case List ...
Document: ... nder S. Bhatia, M.D., Robert G
Chapter 180: Texas Physician Health ProgramOperation of ProgramChapter 183: AcupunctureContinuing Acupuncture EducationChapter 184: Surgical AssistantsQualifications for LicensureContinuing EducationChapter 185: Physician AssistantsBiennial Renewal of License Chapter 1 ...
Description: Medical Board 2020 - December - Licensure - Committee Minutes
Document: ... conditions:
•
Public referral to the Texas Physician’s Health Program
•
Applicant shall limit their medical practice, including any
office and inpatient practice,
to a group or an institutional setting approved in advance by the Executive Director of
the Board. Applicant shall pro ...
Description: Medical Board 2020 - December - Disciplinary Process Review Committee Minutes: Agenda Item 02: TX PHP Report; Agenda Item 04: Enforcement Report; Agenda Item 07: List of Potential Expert Panelist; Agenda Item 11: Legal Dismissals; Agenda Item 11: Case List ...
Document: ... nsideration and approval ofmbership of the Expert Physician Panel.Ms. Barnesmovedand Ms. Morgan secondedto approvethe sixteen appointments of the Expert Panel membersone expert panlist application be deniedas noted in the attachment. Motion carriedAgenda Item #Reports and discussion regarding cases ...
Description: PA Board 2020 July - Full Board Minutes
Document: exas Physician Assistant BoardBOARD MEETINGJuly 10The meeting was called to order on FridayJuly 10at a.m. by Karrie L Crosby,C, Presiding Officer. Other board members present were:
Agenda item #6, Public Information Update. Ms. Randermann reported there is a dedicated page on the TMB website relate ...
Description: Medical Radiologic Technology Board Full Board Minutes (June 26, 2020)
Document: ... Applicant #2401 with a private referral to Texas Physician Health Program.Agenda Item #8, Discussion, recommendation and possible action regarding approval, rescinding or denial of program or instructor. Unterborn, Licensure Manager, gave a report concerningNCT program.After discussion, Dr. Khanmov ...
Description: Respiratory Care Board Full Board Minutes (June 25, 2020)
Document: ... no items for Agenda Item #7.Agenda Item #8, Texas Physician Health Program (TXPHP)Discussion, recommendation, and possible action regarding referralsMs. Patrickmoved, Mr. Marshallseconded,and the motion passed that Case No. 1 remain with TXPHPDr. Chappell moved, Mr. Marshallseconded,and the motion p ...
Description: TMB suspends Texas license of Florida physician (Niedermeyer)
Document: ... 062
TMB suspends
Texas license of Florida
physician
On December 15
,
2020
, a disciplin
ary panel of the Texas Medical Board temporarily
suspended, without notice, the Texas medical license
of
Valery Ann Niedermeyer
,
M.D.
(Lic.
No.
K3930
)
,
after determining
her
continuat ...
Description: TMB suspends San Antonio physician (Fernandez)
Document: ... 00
-
248
-
4062
TMB suspends
San Antonio
physician
On December 15
,
2020
, a disciplinary panel of
the Texas Medical Board temporarily
suspended, without notice, the Texas medical license
of
Joel Fernandez
,
M.D.
(Lic. No.
R4387
)
,
after determining
his
continuation in t ...
Description: TMB suspends San Antonio physician (Fuentes)
Document: ... 00
-
248
-
4062
TMB suspends
San Antonio
physician
On December 18
,
2020
, a disciplinary panel of
the Texas Medical Board temporarily
suspended,
with
notice, the Texas medical license
of
Rosa A. Fuentes
,
M.D.
(Lic. No.
K1817
)
,
after determining
her
continuation in ...
Description: TMB suspends Beaumont physician (Ali)
Document: ... r 800
-
248
-
4062
TMB suspends
Beaumont
physician
On December 18
,
2020
, a disciplinary panel of
the Texas Medical Board temporarily
suspended, without notice, the Texas medical license
of
Sadiq Ali
,
M.D.
(Lic. No.
Q7128
)
,
after
determining
his
continuation in the p ...
Description: TMB disciplines 26 physicians at December meeting, adopts rule changes
Document: ... al activity,
one order related to nontherapeutic prescribing, two
order
s
related to peer review action,
two orders related to
violation of Board rules, one order related t
o violation of prior order, four
order
s
re
lated to other state
s
’
action
s
,
two
order
s
related to Tex ...
Description: Rules Changes Effective July 12, 2020
Document: ... &pt=9
RULE CHANGES ADOPTED
CHAPTER 166. PHYSICIAN REGISTRATION
The amendments to
§166.2
, concerning
Continuing Medical Education
, require
s
at least two hours of
continuing medical
education (CME) training in topics related to the prescription of opioids and other
controlled su ...
Description: Rules Changes Effective December 31, 2020
Document: ... ing between
Texas Medical Board (TMB) and
Texas Physician Health Program (TXPHP)
,
adopt
s
the Memorandum of Understanding entered into by
the TMB
and the TXPHP, pursuant to H.B. 1504 (86th Legislature TMB Sunset Bill (2019)). H.B. 1504
added
a
provision
to
Texas Occupa
tions Code §16 ...
Description: TMB suspends Corpus Christi physician (Lewis)
Document: ... -
248
-
4062
TMB suspends
Corpus Christi
physician
On
February 3, 2021
, a disciplinary panel
of the Texas Medical Board temporarily suspended,
without notice, the Texas medical license
of
Robert Quarles Lewis
,
M.D.
(Lic. No.
F1746
)
,
after
determining
his
continuation ...
“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 c ... ”
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.
“To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure. ”
Are there any additional requirements that I need to complete before I request to return my retired physician license to an active status?
To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure.
“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 r ... ”
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.
“... formation they gain to make educated and informed prescribing decisions. ”
If I discover a patient is receiving scheduled medication from other physicians, what action must I take? For example, must I immediately terminate the patient or cease prescribing the scheduled medication?
The TMB cannot tell providers how to use the information they obtain through the PMP check. Providers should follow the standard of care and utilize the information they gain to make educated and informed prescribing decisions.
“Yes. For patients with the following documented conditions, a PMP check is not required: a documented cancer diagnosis, sickle cell disease, patients receiving care through a licensed hospice provider, or if the prescriber makes and documents a good faith attempt to comply but is unable to acc ... ”
Are there any exemptions to the requirement that I must check the PMP prior to prescribing opioids, benzodiazepines, barbiturates, or carisoprodol?
Yes. For patients with the following documented conditions, a PMP check is not required: a documented cancer diagnosis, sickle cell disease, patients receiving care through a licensed hospice provider, or if the prescriber makes and documents a good faith attempt to comply but is unable to access the PMP because of circumstances outside the control of the prescriber.
In addition, a PMP check is not required:
1. Before or during an inpatient stay, such as a hospital admission, or
2. During an outpatient encounter in settings such as an emergency department or ambulatory surgical center visit.
“... ossible in order to make informed decisions about prescribing certain controlled substances. If the PMP check is completed too far ahead of time, then there may be new information in the PMP that the prescriber is not considering.The PMP is updated on a 24-hour basis and therefore contains inf ... ”
How far ahead of time can I check the PMP?
There is nothing that discusses how far ahead of time the PMP check can be undertaken, however the reason for the requirement is to ensure that prescribers have as much information as possible in order to make informed decisions about prescribing certain controlled substances. If the PMP check is completed too far ahead of time, then there may be new information in the PMP that the prescriber is not considering.
The PMP is updated on a 24-hour basis and therefore contains information accurate up to 24 hours prior to completion of the check.
“... you or your practice being unable to set up an e-prescribing process. On the waiver form, you will have to specify any of the above categories you are experiencing. ”
How do I qualify for the waiver?
There are three different ways you can qualify for a waiver. If you or your practice is experiencing any of the following, you may qualify for a waiver:
On the waiver form, you will have to specify any of the above categories you are experiencing.
“... ted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also c ... ”
How will I be notified if I am granted a waiver?
If you are granted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile.
“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. ”
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.
“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.&nbs ... ”
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.
“ 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 ... ”
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.”