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Understanding How to Navigate the Two Step Licensure Process
Step One
Pre-Licensure
We will check to see if the documents you were initially required to submit have arrived. No analysis is done of the document content.
This is important: Although you have a one year application p ... ”
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A physician may request cancellation of his or her Texas medical license at any time.
Once a license is cancelled, the physician will no longer be able to practice medicine in the state of Texas in any capacity. In order to practice medicine again in Texas following cancellation, a phys ... ”
“Physician-in-Training (PIT) Permit allows a qualified person to participate in a post graduate medical training or fellowship program. A PIT permit is restricted to the supervised practice of medicine that is part of the training or fellowship program.
Please note that a medical school or ... ”
“Each physician who provides anesthesia services or performs a procedure for which anesthesia services are provided in an outpatient setting, including the use of analgesics and anxiolytics, must register and pay a fee to the Texas Medical Board. The current fee for office-based anesthesia is a total ... ”
“... icense limited solely and exclusively to practice in a medically underserved or health professional shortage area.
The holder of a Medical License Limited to Underserved Area is subject to the Medical Practice Act and the same Rules of the board as a person holding a full Texas medical license, ... ”
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If I work in a clinic owned by the hospital, is this considered a facility-based practice?
Is a prescriptive authority agreement required in a hospital or long term care facility-based practice?
At how many facilities can one physician delegate prescriptive authority through protocols?
Who m ... ”
“... thesia; the delivery of tumescent anesthesia in conjunction with the delivery of narcotic analgesics or anxiolytics by mouth in dosages as defined under Level I, as prescribed for the patient on order of a physician; or except for the performance of Mohs micrographic surgery, the administration ... ”
“... ypnotics to achieve moderate sedation, as defined in Board rule. Level III services do not include deep sedation or general anesthesia.
A physician and at least one other personnel must be present during the procedure and recovery until ready for discharge. The physician must be currently certified ... ”
“... sion. Physicians who practice medicine in Texas and who administer anesthesia or perform a procedure for which anesthesia services are provided in outpatient settings at Level IV shall follow current, applicable standards and guidelines as put forth by the American Society of Anesthesiolo ... ”
“... ation reminders will be sent out at least 60 days in advance of the expiration date.
Physician Assistant Online Registration/Renewal
There are five simple steps to submit your online license renewal:
Please note that if you are not able to complete your online license renewal, your da ... ”
“... go to Look up a License (This includes Physician Profiles and provides links to view Board Orders, where applicable).
Non-Profit Health Organizations
Chief Medical Officer Designation
Electronic Death Certificate
Jointly Owned Physician / PA
Institutional Review Board (IRB) Ann ... ”
“All physicians, physician assistants, acupuncturists and others licensed by the TMB to practice in Texas are currently required to register regularly with the board, and pay a fee. Registration fees and renewal periods vary according to license type. A licensee may obtain a registration ... ”
“... ysicians (Full/Administrative/Conceded Eminence),
Physician Assistants,
Acupuncturists,
Faculty Temporary Licenses (FTLs),
Medical Radiologic Technologists - General Certificate (MRTs) AND Temporary General Certificate (TMRT),
Medical Radiologic Technologists - Limited Certificate (LMRTs) AND Tempor ... ”
“The registration fee includes a $1 per year Office of Patient Protection fee. These fees are required by statute. The remaining fee is required by the TMB.
These fees are explained in more detail in the chart below.
Subsequent Registration
Length of Permit
Agency Fee
OPP
Total c ... ”
“... re the TMB to maintain a profile on each licensed physician. This profile information is gathered in conjunction with the license registration and is available to the public through our online verification database located here:
Look up a License
... ”
Description: PA Board 2002 January, Long Range Plan Min
Document: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS LONG RANGE PLANNING COMMITTEE MEETING MINUTES JANUARY 25, 2002
The meeting was called to order at 12:16 p.m. by the Chairman, G. Al Bendeck, PA-C. Committee members present were G. Al Bendeck, PA-C; Stephen D. Benold, M.D.; and Timothy Webb, J.D. T ...
Description: PA Board 2009 July, Action Item Apllicant 771
Document: ... full Board that the applicant be granted a Texas Physician Assistant license under a non-public, non-disciplinary rehabilitation order that includes the requirements specified in the Rehabilitation Checklist that has been distributed to the members of the committee. Mr. Rahr seconded the motion. Al ...
Description: PA Board 2009 July, Action Item Apllicant 808
Document: ... full Board that the applicant be granted a Texas Physician Assistant license under a non-public, non-disciplinary rehabilitation order that includes the requirements specified in the Rehabilitation Checklist that has been distributed to the members of the committee. Dr. Mitchell seconded the motion ...
Description: PA Board 2009 July, Action Item Apllicant 844
Document: ... recommends that the applicant be granted a Texas Physician Assistant license under the terms and conditions listed below. The applicant has agreed to and signed this proposed order. TERMS AND CONDITIONS LENGTH OF ORDER: PSYCHIATRIC #844 5 years
8. [PSYCHIATRIC TREATMENT No IPE] Submit up to Quarte ...
Description: PA Board 2009 July, Action Item Apllicant 845
Document: ... recommends that the applicant be granted a Texas Physician Assistant license and imposes an administrative penalty for violation of Texas Occupations Code 164.052(a)(1), based on the submission of a false or misleading statement in an application for a license, as authorized by Section 165.001, Tex ...
Description: PA Board 2009 July, Full Board
Document: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING July 17, 2009 The meeting was called to order at 11:36 a.m. by Presiding Officer, Margaret K. Bentley. Board members present were Anna Chapman; Teralea Jones, PA-C; Felix Koo, M.D.; Michael A. Mitchell, D.O.; Richard R. Rahr, Ed.D, PA-C; Abelino Abel Rey ...
Description: PA Board 2009 July, Licensure Committee
Document: TEXAS PHYSICIAN ASSISTANT BOARD LICENSURE COMMITTEE MEETING MINUTES July 17, 2009
The meeting was called to order at 8:41 a.m. by Chair, Teralea Jones, PA-C. Committee members present were Abelino Abel Reyna, J.D., and Richard R. Rahr, Ed.D., PA-C. Ms. Jones temporarily appointed Anna Arredondo Cha ...
Description: PA Board 2010 July, Full Board
Document: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING July 9, 2010 The meeting was called to order at 11:59 a.m. by Presiding Officer, Margaret K. Bentley. Board members present were Anna Chapman; Teralea Jones, PA-C; Felix Koo, M.D.; Michael Mitchell, D.O., PA-C; and Richard R. Rahr, Ed.D, PA-C. Staff memb ...
Description: PA Board 2010 July, Licensure Committee
Document: TEXAS PHYSICIAN ASSISTANT BOARD LICENSURE COMMITTEE MEETING MINUTES July 9, 2010
The meeting was called to order at 8:33 a.m. by Chair, Teralea Jones, PA-C. Committee members present were Michael A. Mitchell, D.O.; Richard Rahr, Ed.D, PA-C; and Edward Zwanziger, PA-C.
Agenda Item 2 Discussion, rec ...
Description: PA Board 2004 July, Discipline and Ethics
Document: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS DISCIPLINARY AND ETHICS COMMITTEE MEETING MINUTES July 30, 2004
The meeting was called to order at 9:35 a.m. by Chairman, Stephen D. Benold, M.D. Other committee members present were Dwight M. Deter, PA-C, Timothy Webb, J.D. and Ms. Margaret K. Ben ...
Description: PA Board 2004 July, Full Board
Document: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES July 30, 2004 The meeting was called to order at 12:06 p.m. by the Chairman of the Board, Timothy Webb, J.D. Board members present were Michael H. Belgard, PA-C; G. Al Bendeck, PA-C; Stephen D. Benold, M.D.; Margaret Bentley; P ...
Description: PA Board 2004 July, Licensure
Document: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS LICENSURE COMMITTEE MEETING MINUTES JULY 30, 2004
The meeting was called to order at 10:06 a.m. by Chairman, Tony Hedges, D.O. Committee members present were Michael Belgard, PA-C; G. Al Bendeck, PA-C; and Pamela W. Clark. Jerry Walker, Deputy Exec ...
Description: PA Board 2005 July, Discipline and Ethics
Document: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS DISCIPLINARY AND ETHICS COMMITTEE MEETING MINUTES July 29, 2005
The meeting was called to order at 9:33 a.m. by Timothy Webb, J.D. Other committee members present were Dwight M. Deter, PA-C and Margaret K. Bentley. Stephen D. Benold, M.D., was not ...
Description: PA Board 2005 July, Full Board
Document: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES JULY 29, 2005
The meeting was called to order on July 29, 2005 at 11:20 a.m. by the Chairman, Timothy Webb, J.D. Board members present were Margaret K. Bentley; Pamela W. Clark; Dwight M. Deter, PA-C; and Tony G. Hedges, D.O. ...
Description: PA Board 2005 July, Licensure
Document: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS LICENSURE COMMITTEE MEETING MINUTES JULY 29, 2005 The meeting was called to order at 9:31 a.m. by Chairman, Tony Hedges, D.O. The only Committee member present was Pamela W. Clark. Margaret K. Bentley attended the meeting to ensure a quorum. Agenda ...
“... 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 ... ”
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.
“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 th ... ”
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.
“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.
“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 ... ”
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.
“At this time, all you must do is fill out the waiver application. No additional information is currently required. ”
What do I need to submit to TMB in order to qualify for a waiver?
At this time, all you must do is fill out the waiver application. No additional information is currently required.
“... 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.”
“... erprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”. ... ”
What if my Board issued ID number is only 5 digits long?
A Board issued 6-digit ID number is required for submitting your fingerprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”.
“... ; While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.st ... ”
I submitted my fingerprints. Why am I still not able to enter the online registration?
Please note that the fingerprint background check results will be required prior to a license being able to access the online registration system. While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.state.tx.us.
“Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Fede ... ”
Can I get my fingerprints done anywhere?
Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.