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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 ... ”
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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: Press Release September 27, 2010 (PDF File)
Document: Texas Physician Health Program Press Release FOR IMMEDIATE RELEASE Monday, September 27, 2010
Contact: TXPHP, 512-305-7462 333 Guadalupe, Tower 2, Suite 520, Austin, 78701 www.txphp.state.tx.us
New program assists health professionals with impairment issues
A new, statewide program aims to protect ...
Description: Press Release September 28, 2006 A (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. The suspension is effective immediately.
The action was based on evidence of Dr. Shadman's abu ...
Description: Press Release September 28, 1997 (PDF File)
Document: ... are practitioners contained in the records of the physician to whom a request for release of records has been made. The Board proposed to amend Chapter 174, Telemedicine, to require physicians licensed under this Chapter to comply with registration requirements of Chapter 166 of the Board's rules. T ...
Description: Press Release October 08, 2002 (PDF File)
Document: ... Board of Medical Examiners increased the rate of physician disciplinary actions in FY 2002 to 187, up from 105 in FY 2001. The state fiscal year runs from September 1-August 31. The actions include 19 temporary suspensions; 37 revocations/surrenders; 20 suspensions; 61 restrictions; 13 public repri ...
Description: Press Release October 09, 2006 A (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. The suspension was effective immediately.
The action was based on the following: Dr. Byrnes wa ...
Description: Press Release October 10, 2006 A (PDF File)
Document: ... e action based on inappropriate conduct involving physician-patient relationships; four actions based on inadequate medical records; one action based on impairment due to physical or mental condition; one action based on impairment due to alcohol or drugs; one action based on violations of probation ...
Description: Press Release October 11, 2004 (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. The suspension is effective immediately. The action was based on Dr. Mailman's failure to compl ...
Description: Press Release October 12, 2005 (PDF File)
Document: ... of geriatric health care issues, to complete The Physician-Patient Communication Course offered by the University of California at San Diego Physician Assessment and Clinical Education (PACE) Program or an equivalent course and to teach a two-hour course on the issue of informed consent by patients ...
Description: Press Release October 12, 2007 A (PDF File)
Document: ... bruary 28, 2008. He has also kept his DEA and DPS controlled substance registrations up to date. The panel found that Dr. Fontenot's return to practice without complying with the 2001 order, coupled with his absence from active practice for 10 years, constitutes a threat to the public welfare. On Au ...
Description: Press Release October 13, 2004 (PDF File)
Document: ... of §§171.1171.7 concerning Purpose, Construction, Physician-in-Training Permits, Board-Approved Postgraduate Fellowship Training Programs, Institutional Permits, Duties of Program Directors to Report Certain Types of Conduct, and Inactive Status. Chapter 172, Temporary Licenses. Creation of new chap ...
Description: Press Release October 15, 2004 A (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. The suspension is effective immediately. The action was based on Dr. Hall-Herpin's indictment f ...
Description: Press Release October 16, 2008 A (PDF File)
Document: ... dical Board Disciplines 34 Doctors and Issues 276 Physician Licenses
At its October 9-10 meeting, the Texas Medical Board took disciplinary action against 34 licensed physicians. The actions included three violations based on quality of care; two actions based on unprofessional conduct; one action b ...
Description: Press Release October 21, 2003 (PDF File)
Document: ... te Bill 558 of the 78th Legislature. Chapter 166, Physician Registration. Amendments to §§166.1-166.6 regarding biennial registration as mandated by Senate Bill 104. Chapter 168, Persons with Criminal Backgrounds: Rule review and repeal of §168.1. The text of the repeal will be incorporated into the ...
Description: Press Release October 21, 2005 (PDF File)
Document: ... Penalties, and Forms Increased penalty fees for physician assistants and increased renewal and/or penalty fees for acupuncturists, surgical assistants, acudetox specialists, non-certified radiological technicians, and non-profit health organizations. Mandated Texas Online fee increase for physicia ...
Description: Press Release October 22, 2008 A (PDF File)
Document: ... w requires that, if the agency executive is a non-physician, a medical director be hired. -30-
“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.”