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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: Rule Changes Effective September 16, 2018
Document: ... a fee while on inactive status.
CHAPTER 185. PHYSICIAN ASSISTANTS
The amendment to
185.7
, concerning
Temporary License
,
deletes obsolete language referring to
"surgeon assistants".
CHAPTER 194. MEDICAL RADIOLOGIC
TECHNOLOGY
The amendments to
194.7
, concerning
Biennial Renew ...
Description: Medical Board 2018 - October - Full Board Minutes
Document: ... gave an
update on the
process
to assist
the Physician Health
Program (PHP)
and
the
request
for an opinion from
the Office of the Attorney General to
determine if PHP
Advisory Committee
member
s
may assist
processing applications.
Mr. Carlton reported
t
he Memo
randum
o ...
Description: Texas Physician Assistant Board suspends Corpus Christi physician assistant (Swenson)
Document: ... 512
-
305
-
7030 or 800
-
248
-
4062
Texas Physician Assistant Board
suspends
Corpus Christi physician assistant
On
October 2
, 2018
, a disciplinary panel of the Texas
Physician Assistant Board
temporarily
suspended, without notice, the Texas
physician assistant license
of
Cr ...
Description: TMB suspends College Station physician (Cannon)
Document: ...
248
-
4062
TMB suspends
College Station
physician
On
O
ctober 4
, 2018
, a disciplinary panel of the Texas Medical Board temporarily suspended,
without notice, the Texas medical license of
Carrie Sue Cannon
, M.D.
(Lic. No.
H7277
)
, after
determining
her
continuation in the ...
Description: TMB suspends Stamford physician (Kruckner)
Document: ... r 800
-
248
-
4062
TMB suspends
Stamford
physician
On
December 14
, 2018
, a disciplinary panel of the Texas Medical Board temporarily
suspended, without notice, the Texas medical license of
Douglas Kruckner, M.D.
(Lic. No.
M1189
)
, after determining
his
continuation in the pr ...
Description: TMB FY 18 Internal Audit Plan
Document: ... ed boards, as follows:
Acupuncture
Examiners
, Physician
Assistant
,
Medical
Radiologic Technology
,
Respiratory Care,
and
the
Texas Physician Health
Program; and
,
staff
, as documented below.
The f
ollowing documents were reviewed
and considered in our risk assessment process ...
Description: TMB FY 18 Annual Internal Audit Report
Document: ... ........
4
-
5
V.
Executive Summary
Texas Physician Health Program
Background.
................................
................................
................................
...........
6
-
16
Audit Objective, Scope, and Methodology.
................................
........... ...
Description: Medical Board 2018 - June - Full Board Minutes
Document: ... nguished Service Award for his lifelong work as a physician dedicated to the service of his
patients.
b.
Committee Member Appointments
. The two new board members appointed by the Governor
on June 14, 2018
,
Robert David Martinez, M.D. and Linda Molina, J.D.,
will be placed on the
Licens ...
Description: Respiratory Care Board Licensure Committee Minutes (September 27, 2018)
Document: ... r
the supervision of a
-
licensed supervising
physician
/practitioner
or Texas
-
licensed supervising Respiratory Care
Practitioner.
Mr. Pellizzari seconded the motion.
All voted in favor. The motion passed.
Applicant #
2233
appeared before the Committee with counsel, Franklin Hopk ...
Description: Medical Board 2018 - August - Full Board Minutes
Document: ... TMB
President Bulletin
:
“
Additionally, any physician or peer review committee is required to report to the Board
if, in their opinion, a physician poses a continuing threat to the public welfare t
hrough the
practice of medicine. (Sec. 160.003, Report by Certain Practitioners).
”
Dr. Za ...
Description: Medical Board 2018 - October - Licensure Committee Minutes
Document: ... th
e motion
passed.
Agenda Item 3
c
–
Physician licensure applicants to be licensed.
Ms. Johnston
reported that t
here were
140
applicants who met all requirements to be considered
for permanent licensure by the full Board.
Dr. Farmer
moved to recommend to the full Board
that ...
Description: TMB suspends El Paso physician (Turner)
Document: ... or 800
-
248
-
4062
TMB suspends
El Paso
physician
On
October 22
, 2018
, a disciplinary panel of the Texas Medical Board temporarily suspended,
without notice, the Texas medical license of
Kelly J. Turner
, M.D.
(Lic. No.
L4152
)
, after
determining
his
continuation in the pr ...
Description: TMB suspends Lubbock physician (Williams)
Document: ... or 800
-
248
-
4062
TMB suspends
Lubbock
physician
On
October 26
, 2018
, a disciplinary panel of the Texas Medical Board temporarily suspended,
without notice, the Texas medical license of
Brianne Nicole Williams
, M.D.
(Lic. No.
M8428
)
,
after determining
her
continuation i ...
Description: TMB suspends Fort Sam Houston physician (Barnhardt)
Document: ... 248
-
4062
TMB suspends
Fort Sam Houston
physician
On
October 26
, 2018
, a disciplinary panel of the Texas Medical Board temporarily suspended,
without notice, the Texas medical license of
Mark Alan Barnhardt
, D.O
.
(Lic. No.
L2127
)
, after
determining
his
continuation in t ...
Description: For Acupuncture applicants who report solo practice work history
Document: ... (c) been denied or surrendered a federal or state controlled substance permit?
Yes
No (
d) been arrested, fined, charged with or convicted of a crime, indicted, imprisoned
or placed on probation?
Yes
No
(e) been a defendant in a
legal action involv ...
“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.”