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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 - November - Standing Orders Committee Meeting Minutes
Document: ... quirements from Stephen Burns, M.D., for practice in a medically underserved area (MUA) in Paris, Texas. Dr. Burns requests an increase in the number of clinics a physician is allowed to supervise in a medically underserved area from three to four. Following discussion, Dr. Willeford moved that the ...
Description: Medical Board 2012 - April - 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 presented six cases that the Texas Physician Health Program is currently working and requested additional guidance on. Dr. Willeford moved, and Dr. Holliday seconded that PHP case #11- ...
Description: Medical Board 2012 - April - Disciplinary Process Review Committee - Agenda Item 02 - DPRC TX PHP Report
Document: ... COMMITTEE (DPRC) & DECISIONS April 12, 2012 Texas Physician Health Program (Probationer/Licensee Violated PHP Agreement & Cases of concern)
REMAIN PHP TMB ACCEPTED CONTINUE NOTES
Refer back to TMB
1. 10-0369
Background Referral Type: TMB staff Agrmt Term: 10/11/2010 - 10/11/2015 Issue 1. Multiple ...
Description: Medical Board 2012 - April - Finance Committee Meeting Minutes
Document: ... stated that the budget remains on target for the time of the year, and that it continues to be monitored and evaluated routinely. Agenda Item #3, the meeting adjourned at 8:44 a.m.
Description: Medical Board 2012 - 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. FSMB Annual Meeting Update. Dr. Zeitler gave an update of the Federa ...
Description: Medical Board 2012 - April - Licensure Committee Meeting Minutes
Document: ... ttee close the meeting to the public and continue in Executive Session for deliberations concerning Agenda item 2a. The motion passed. Dr. Arambula announced that the meeting would be closed for deliberations at 10:57 a.m. concerning licensure applications and the character and fitness of applicants ...
Description: Medical Board 2012 - April - Licensure Committee - Agenda Item 5b: Nonprofit Health Organizations – Biennial Recertification
Document: ... ON MEDICAL GROUP 6) SHANNON CLINIC 7) South Texas Physician Alliance 8) South Texas PM&R Group, Inc. 9) Southwestern Diabetic Physicians Association 10) St. Joseph Physician Associates 11) Stephens County Medical Clinic 12) Trinity Behavioral Rehabilitation
...
Description: Medical Board 2012 - April - Licensure Committee - Agenda Item 5a: Nonprofit Health Organizations – Initial Certification
Document: ... Inc 2) El Paso Childrens Group 3) Liberty County Physician Services Group 4) LRMC Cardiology 5) LRMC Cardiovascular, Inc. 6) LRMC Neurology
Description: ... 2 - April - Licensure Committee - Agenda Item 2c: Physician Applicants for Licensure
Document: Texas Medical Board
Licensure Division
Mailing Address: P.O. Box 2029 Austin, Tx 78768-2029 Phone (512) 305-7130 Fax(512) 305-7009
BOARD MEETING OF APRIL 13, 2012
TOTAL APPLICANTS FOR CONSIDERATION FOR PERMANENT LICENSURE M.D.'S D.O.'S UK TOTAL
GRADUATES OF: TEXAS MEDICAL SCHOOLS CANADIAN MEDICAL ...
Description: Medical Board 2012 - April - Licensure Committee - Agenda Item 6: Proposed changes to Board Rule 163
Document: ... Medical License. (a) Graduates of medical schools in the United States or Canada. To be eligible for full licensure, an applicant who is a graduate from a school in the United States or Canada must: (1) be 21 years of age; (2) be of good professional character as defined under 163.1(8) of this title ...
Description: ... nsure Committee - Agenda Item 2b: Proposed Orders Physician Licensure Applicants
Document: ... Proposed orders offered by the Executive Director Physician Licensure applicants Applicant # Type of Application Type of Order Applicant #1239 Physician Licensure Administrative Penalty Order Applicant #1244 Physician Licensure Remedial Plan Applicant #1101 Physician Licensure Administrative Penalty ...
Description: Medical Board 2012 - April - Standing Orders Committee Meeting Minutes
Document: ... r applications upon review by staff that they are in compliance with current prescriptive delegation requirements and do not need waivers at this time.
The committee reviewed a request for waiver of prescriptive delegation requirements from Michael Boyars, MD for practice at a clinic where he provi ...
Description: Medical Board 2012 - August -Ad Hoc Retail Clinics Committee
Document: ... into account the shortage of family practitioners in Texas, and increased difficulties for patients in obtaining timely access to care. Dr. Smythe pointed out that retail clinics have the potential to increase access to an ever-growing population of 18-40 year olds and raise Texas standing as it rel ...
Description: Medical Board 2012 - August - Minutes of the Disciplinary Process Review Committee
Document: ... on regarding referrals and reports from the Texas Physician Health Program. Dr. Nemeth discussed the different circumstances of eleven cases the Texas Physician Health Program is currently working and requested additional guidance on. Dr. McNeese moved, and Dr. Wang seconded that PHP Case #11-0250 r ...
Description: Medical Board 2012 - 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. Dr. Zeitler and the board discussed the appropriate demeanor for par ...
“... 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.