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“A pain management clinic is defined in statute and rule as a publicly or privately-owned facility for which a majority of patients are issued, on a monthly basis, a prescription for opioids, benzodiazepines, barbiturates, or carisoprodol, but not including suboxone.
A pain management clinic m ... ”
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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 ... ”
“... ady have a CE Broker account for a license I hold in another state. Do I need to set up a new account for my Texas license?
No. You may simply add your Texas license to your existing CE Broker account. There is no additional fee (one-time or annual) to add your Texas license to an existing CE Broke ... ”
Description: Medical Board 2006 - February - Finance Committee February 2, 2006
Document: ... annual maintenance contracts, the Rural Grant for Physician Assistants and annual contract agreements paid during the first quarter of each fiscal year. Agenda item #3 regarding discussion, recommendation, and possible action regarding proposed amendment to Chapter 175, Fees, Penalties, and Applicat ...
Description: Medical Board 2006 - February - Full board Committee Meeting Minutes February 2, 2006
Document: ... hing and maintaining standards of excellence used in regulating the practice of medicine and ensuring quality health care for the citizens of Texas through licensure, discipline, and education./i>
Agenda item #3, Executive Session. Dr. Price moved, Dr. Garza seconded, and the motion passed to go in ...
Description: Medical Board 2006 - February - Licensure Committee Meeting Minutes February 2, 2006
Document: ... administrative procedure for such determinations in the interim. Staff will research and gather more information for the Committee to review. Agenda Item 12 Discussion and recommendation regarding additional eligibility criteria for applicants who are not graduates of either an acceptable approved ...
Description: Medical Board 2006 - June - Executive Committee June 1, 2006
Document: ... tfall. The agency is experiencing an 88% increase in the number of license applicants. Aggressive litigation at the State Office of Administrative Hearings is resulting in expenses for expert witnesses that are higher than before. Options for finishing this year were discussed. Dr. Patrick gave a re ...
Description: Medical Board 2006 - June - Full board Committee Meeting Minutes June 1, 2006
Document: ... hing and maintaining standards of excellence used in regulating the practice of medicine and ensuring quality health care for the citizens of Texas through licensure, discipline, and education." Dr. Kalafut presented Dr. Garza a Board Resolution signed by board members and a plaque in honor of his d ...
Description: Medical Board 2006 - June - Licensure Committee Meeting Minutes June 1, 2006
Document: ... ncerning eligibility. The hearings were conducted in Executive Session for deliberations concerning licensure applications and consideration of possible rehabilitation orders under the authority of the Open Meetings Act, GOVERNMENT CODE, 551.071; and the Medical Practice Act, TEXAS
OCCUPATIONS CODE ...
Description: Medical Board 2006 - October - Minutes of the Diciplinary Process Review Committee October 5, 2006
Document: ... er the meeting started. Paulette Southard was not in attendance. Staff members present were Mari Robinson, Director of Enforcement, Nancy Leshikar, Manager of the Litigation Department, and various other staff. Agenda Item #2, Review, Discussion and possible action regarding appeals of dismissed com ...
Description: Medical Board 2006 - October - Executive Committee October 5, 2006
Document: ... f his meetings with the Texas Medical Association Physician Health and Rehabilitation Committee and the Physician Advocacy Committee. Dr. Patrick gave a brief report of the Peer Review hearing with the Legislature in which concerns of the Medical Board were presented. Dr. Patrick presented a new rep ...
Description: Medical Board 2006 - October - Full board Committee Meeting Minutes October 5, 2006
Document: ... hing and maintaining standards of excellence used in regulating the practice of medicine and ensuring quality health care for the citizens of Texas through licensure, discipline, and education."
Agenda item #2, Executive Session. Mr. Miles moved, Dr. Miller seconded, and the motion passed to go int ...
Description: Medical Board 2006 - October - Licensure Committee Action Item Agenda Item 2 Applicant #498 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order October 5, 2006
Document: ... to the full board that the applicant be granted a Physician in Training Permit under a non-public, non-disciplinary rehabilitation order for the duration of the PIT that includes the following requirements: o Continue treatment with current treating psychiatrist as recommended by treating psychiatri ...
Description: Medical Board 2006 - October - Licensure Committee Action Item Agenda Item 2 Applicant #499 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order October 5, 2006
Document: ... oard that applicant be the applicant be granted a Physician in Training Permit under a non-public, non-disciplinary rehabilitation order for the duration of the PIT that includes the following requirements: o Abstain from alcohol and drugs, except as prescribed; comply with TSBME screening program; ...
Description: Medical Board 2006 - October - Licensure Committee Action Item Agenda Item 2 Applicant #507 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order October 5, 2006
Document: ... to the full board that the applicant be granted a Physician in Training permit under a non-public non-disciplinary rehabilitation order for the duration of the permit under the following requirements: o Continue treatment with current treating psychiatrist as recommended by the treating psychiatrist ...
Description: Medical Board 2006 - October - Licensure Committee Action Item Agenda Item 2 Applicant #509 Licensure Committee Proposed Public Non-Disciplinary Agreed Order October 5, 2006
Document: ... recommend to the full board that the Respondents Physician in Training permit be subject to a public agreed order under the following requirements: o Respondent is to pay an administrative penalty of $1,000.00 o Respondent is to complete 24 hours of formal category 1 CME within 12 months of the eff ...
Description: Medical Board 2006 - October - Licensure Committee Agenda Item 10b: Applications for Biennial Recertification as Nonprofit Health Organizations October 2006
Document: ... Health Alliance, Lake Jackson, TX C.H. Wilkinson Physician Network, Houston, TX Cedar Crest Clinic, Belton, TX Centro de Salud Familiar La Fe, Inc., El Paso, TX Childrens Hospital Intensive Care Associates, San Antonio, TX Community Action Corporation of South Texas, Inc., Alice, TX Driscoll Valley ...
Description: Medical Board 2006 - October - Licensure Committee Meeting Minutes October 5, 2006
Document: ... t. Ms. Garanflo reported that applicants for full physician licensure are required to comply with Rule 163.11 regarding active practice of medicine or an alternative as listed in the rule. She stated that the mini-residency alternative has become the most frequently used, however, some applicants un ...
“... 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.