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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 2011 - April - Minutes of the Disciplinary Process Review Committee
Document: ... on regarding referrals and reports from the Texas Physician Health Program. Dr. John Jackson presented the status of the PHP's current caseload to the DPRC. It was announced that Dr. Lloyd Garland has stepped down as the Executive Director of the Texas Physician Health Program. Former Presiding Offi ...
Description: Medical Board 2011 - April - Finance Committee Meeting Minutes
Document: ... clusive of the 2.5% legislative budget cut forced in December 2010. Ms. Robinson stated that the agency has been in a hiring freeze since that time and other spending reductions have been put in place to conserve funds. Agenda Item #4-Conservtion of state funds- Ms. Drabek described the methods in w ...
Description: Medical Board 2011 - April - Full Board Committee Meeting Minutes
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, Board Member Report. Committee assignment requests. Dr. Zeitler requested that members no ...
Description: Medical Board 2011 - April - Licensure Committee Meeting Minutes
Document: ... n regarding applicants found to have participated in postgraduate training programs without Physician in Training permit. Following discussion, the Committee directed staff to issue a license or permit in cases where there is no proof an applicant purposefully practiced without a permit. Further, th ...
Description: Medical Board 2011 - April - Licensure Committee - Agenda Item 3d1: Proposed Orders
Document: Agenda Item 03d1 - ED Offered Orders 03d1 Physician Licensure applicants Applicant # Applicant Applicant Applicant Applicant Applicant Applicant Applicant #1088 #1112 #1114 #1115 #1116 #1120 #1121 Type of Application Physician Physician Physician Physician Physician Physician Physician Licensure Lic ...
Description: Medical Board 2011 - April - Public Information/Profile Committee Meeting Minutes
Document: ... r briefed the board on changes to language on the physician biennial registration form that enables licensees to let their contact information be used for nonemergency communication from TMB, in particular, news releases and newsletters. Agenda item #3, Update relating to website changes. Ms. Hopper ...
Description: Medical Board 2011 - April - Standing Orders Committee Meeting Minutes
Document: ... statute, the number of PAs that may be supervised in MUA/P locations, and the possibility of distance limits between supervising physicians and mid-levels in MUA/P clinics at which prescriptive authority is delegated. After the stakeholder input is gathered, staff will draft rules to present to the ...
Description: Medical Board 2011 - August - Licensure Committee - Agenda Item 8a: Applications for Initial Certification as Nonprofit Health Organization
Document: ... ative Physicians LHP Texas MD Services, Inc. LRMC Physician Services Physicians ACO Medical Management, Inc. Primaria Health Resolute Health Physicians Network RPO Physician Partners St. Joseph Regional Health Partners TexomaCare Specialty Physicians TopCare Medical Group, Inc.
...
Description: Medical Board 2011 - August - Minutes of the Disciplinary Process Review Committee
Document: ... on regarding referrals and reports from the Texas Physician Health Program. The Executive Director, Dr. Bill Nemeth discussed nine cases that the Texas Physician Health Program is currently working and requested additional guidance on. Dr. Wang moved, and Ms. Blackwell seconded that TX PHP cases #11 ...
Description: Medical Board 2011 - August - Finance Committee Meeting Minutes
Document: ... en expended and this is on target for the current time of the year. Ms. Smith also mentioned that the budget is being closely monitored and evaluated daily. Agenda Item #3, Discussion, recommendation, and possible action regarding rule review and proposed amendments to board rules 22 TAC 175 Fees, P ...
Description: Medical Board 2011 - August - Full Board Committee Meeting Minutes
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, Board Member Report was deferred to later in the meeting. Agenda item #2, Executive Direct ...
Description: Medical Board 2011 - August - Licensure Committee Meeting Minutes
Document: ... ttee close the meeting to the public and continue in Executive Session for deliberations concerning Agenda item 3. The motion passed. Dr. Arambula announced that the meeting would be closed for deliberations at 11:02 a.m. concerning licensure applications and the character and fitness of applicants ...
Description: ... e - Agenda Item 3d2: Proposed Orders - Physicians in Training
Document: ... sed orders offered by the Executive Director 03d2 Physician In Training Applicants Applicant # Type of Application Type of Order Applicant #1143 Physician In Training Administrative Penalty Order Applicant #1149 Physician In Training Administrative Penalty Order
...
Description: Medical Board 2011 - August - Licensure Committee - Agenda Item 3d1: Proposed Orders - Physicians
Document: ... sed orders offered by the Executive Director 03d1 Physician Licensure applicants Applicant # Type of Application Type of Order Applicant Applicant Applicant Applicant Applicant Applicant Applicant Applicant Applicant Applicant Applicant #1157 Physician #1152 Physician #1114 Physician #1154 Physician ...
Description: Medical Board 2011 - August - Public Information/Profile Committee Meeting Minutes
Document: ... Texas Administrative Code, Title 22, Chapter 173, Physician Profiles. Ms. Robinson and Ms. Kaufman briefed the committee on changes to the rule chapter including changes specifying the type of information that must be listed on a physicians profile pertaining to the provision of utilization review s ...
“... 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.