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“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 ... ”
“... , and report continuing education coursework.
All PHYSICIAN, RESPIRATORY CARE PRACTITIONERS, ACUPUNCTURE, MEDICAL RADIOLOGIC TECHNOLOGISTS, ACUDETOX SPECIALISTS, MEDICAL PHYSICISTS AND SURGICAL ASSISTANTS licensees have access to establish a free, basic account with CE Broker. Beginning Ju ... ”
Description: Medical Board 2020 - March - Full Board Minutes
Document: ... art 9, Texas Medical Board.
•
Chapter 166, Physician Registration
§166.2
-
Continuing Medical Education
•
Chapter 170, Pain Management
Subchapter A, Pain Management
§170.2
-
Definitions
Subchapter B, Utilization of Opioid Antagonists
§170.
5
–
Definitio ...
Description: Texas Board of Respiratory Care suspends Mission respiratory care practitioner (Boncales)
Document: ... g
related off
enses
,
including possession of
controlled substances
and driving while intoxicated.
A temporary suspension hearing with notice will be held as soon as practicable with 10 days'
notice to Mr. Boncales, unless the hearin
g is specifically waived by Mr.
Boncales.
The tem ...
Description: Medical Board 2019 - December - Full Board Minutes
Document: ... rt Reviewer Qualifications
§182.8
–
Expert Physician Reviewers
The repealed 182 rules are as follows:
Texas
Medical
Board
December 6
, 2019
2
§182.2
–
Board's Role.
§182.4
–
Use
of Consultants.
§182.6
–
Use of expert witnesses.
§182.7
–
Interim ...
Description: Medical Board 2020 - March - Licensure - Committee Minutes
Document: ... the motion passed.
Agenda Item
3
c
–
Physician licensure applicants to be licensed.
Ms. Unterborn
reported that there were
225
applicants who met all requirements to be considered
for permanent licensure by the full Board.
Dr. De Loach
moved to recommend to the full
Board ...
Description: TMB Responding to Gov. Abbott’s State Disaster Declaration
Document: ... in requirements to help the state’s physicians, physician assistants and other health care
professionals respond to COVID
-
19.
“During this critical time, medical providers will need to focus their attention and
energy on the
health and well
-
being of our fellow Texans. The Texas Medic ...
Description: RETIRED PHYSICIAN APPLICATION TO RETURN TO ACTIVE STATUS - EMERGENCY PROCESSING
Document:
7
(;$6
0
(',&$/ %2$5'
ȱ˜ŒŠ’˜—ȱ ›ŽœœÇ±È±Š’•’—ȱ ›ŽœœÇ±È±˜— ...
Description: Physician Emergency Visiting Practitioner Temporary Permit
Document: ... TITIONER TEMPORARY PERMIT
Texas
Sponsoring
Physician Information
Name:
_______________________________________________
(As imprinted on Texas medical license)
Email Address: ____________________________________________________________
Telephone Number: ________________ ...
Description: Mid-Levels - Emergency Visiting Practitioner Temporary Permit
Document: ...
that applies to the
Visiting
P
ractitioner:
Physician Assistant
___
Perfusionist
___
Medical Radiological Technician
___
Medical Physicist
___
Respiratory Care Practitioner
___
Surgical Assistant
___
Visiting
Practitioner’s
Information
Name: ___ ...
Description: Medical Board 2020 - March 23 - Emergency Executive Committee Minutes
Document: ... tifying
examinations. Allow temporary license to physician assistants who have
not yet taken the final
exam. The license will expire at the end of the disaster and licensees will have to take the final
exam.
After discussion
, the committee directed staff
to add in the FAQs that medical
stud ...
Description: TMB Waiver for Chronic Pain Patients Granted by Governor Abbott
Document: ... in requirements to help the state’s physicians, physician assistants and other health care
professionals respond to COVID
-
19.
Governor Abbott approved TMB’s request to
temporarily suspend
Title 22,
Chapter 174.5 (e)
(2)(A)
of
the T
exas Administrative Code.
The Texas Medical Boar ...
Description: TMB COVID-19 Telemedicine FAQs
Document: ... is a health care service:
•
Delivered by a physician licensed in Texas, or a health professional acting
under the delegation and
supervision of a physician licensed in Texas, acting
within the scope of the physician's or health professional's license.
•
Provided to a patient at a dif ...
Description: TMB Waiver for Chronic Pain Patients Extended by Governor Abbott
Document: ... prescription for
treatment of chronic pain by a physician with an established chronic pain patient
.
The
physician(s) remains responsible
for meeting the standard of care and
all other
laws and rules
relat
ed to the practice o
f medicine.
T
he
standard of care
must still be maintained ...
Description: TMB Adopts Emergency Rule Related to Gov. Abbott's Executive Order GA-19
Document: ...
(I) a mask must be worn by both the patient and physician or the physician’s delegate
when in
proximity of the patient (meaning less than a 6
-
foot distance between the patient
and the physician or the physician’s delegate);
(II)
follow policies the physician, medical and healthcare pr ...
Description: Texas Board of Respiratory Care suspends Pantego respiratory care practitioner (McCoy)
Document: ... testing program,
tested positive for prohibited substances
and missed several drug testing check
-
ins
in violation
of her February 2020 Agreed O
r
de
r.
A temporary suspension hearing with notice will be held as soon as practicable with 10 days'
notice to Ms.
McCoy
, unless the hearin ...
Description: Emergency Rule 178.4
Document: ... e, the name and birth date of the patient who the physician has allegedly harmed.
(b) The board may file a complaint on its own initiative.
(c) The identity of a complainant, as well as the complaint itself, is part of the investigative
information gathered by board employees and shall r ...
“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.”