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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 ... ”
“
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: Physician Statistics 2018 May - Physicians by Age
Document: GROUPMALEFEMALEUNKNOWNUnder6967071140435434041232846540626951951114654568094452811269506732374311104865564382766892126060502257483116558811682275657042848190510375251131522828Over185013001980UNKNOWN0000TOTAL51860261893978088GROUPINSTATETOTALUnder123716714043572181247846540931321521146545900822611126 ...
Description: Respiratory Care Board Licensure Committee Minutes (June 28, 2018)
Document: ... members
Chapter 604 Texas Occupations Code; the supervising Respiratory Care Practitioner or practitioner shall submit quarterly reports regarding the applicant’s work performance;the supervising Respiratory Care Practitioner or practitioner shall submit, two weeks prior to the temporary perm ...
Description: Medical Board 2018 - March - Full Board 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, dis
cipline, and
education.
Agenda item #2, Board Member Report.
a
. Innovation Task Force
Dr. Zaafran discussed ...
Description: Medical Board 2018 - June - Licensure Committee Minutes
Document: ... of continuing medical education, to be completed in the following topics: At least 24 in the topic of Dermatology; of which at least 8 must be in the topic of dermatological prescribing;At least 8 hours in the topic of HIPAA; At least 8 hours in the topic of Medical Recordkeeping, and At least 8 ho ...
Description: Process for Registering Complaints Against Agency
Document: ... he process
required to
appeal a decision issued in a specific licensure or
enforcement case.
Register a Complaint
A c
omplaint
against the agency
must be
made
in writing
and include the complainant’s
full name
and
contact information and
explain
the issue of concern
.
Th ...
Description: Rule Changes Effective July 18, 2018
Document: ... c
k on the link below for access to the rule text in the Texas Administrative Code:
http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=3&ti=22&pt=9
RULE CHANGES ADOPTED
CHAPTER 172
.
TEMPORARY AND LIMITED LICENSE
The
adoption of new
§
172.19
, concerning
Sports Team ...
Description: TMB FY 17 Internal Audit Plan
Document: ... ing Officer
s
for the Acupuncture
Examiners
, Physician Assistant
,
Medical
Radiologic Technology
,
Respiratory Care,
and Texas Physician Health Program Boards;
and
,
staff
, as documented below.
The f
ollowing documents were reviewed
and considered in our risk assessment process
: ...
Description: *Minutes adopted at June 2018 Full Board Meeting
Document: ...
Agenda item #4, Update on the audit of the Physician Health Program.
Mr. Freshour
provided an update on the audit of PHP.
The auditors are
currently setting up fo
r interviews. Dr.
Zaafran, Mr. Webb, and Mr. Denton have been recommended to speak with the auditors and
discuss their con ...
Description: TMB Legislative Appropriations Request FY 20-21
Document: ... r Fiscal Years 20Submitted to the Governor’s Office of Budget, Planning & Policyand the Legislative Budget BoardbytheTexas Medical Board Submission: August, 201
able of Contents
TitleSchedulePage #
Administrator’s StatementOrganizational ChartCertificate of Dual SubmissionsBudget Overview ...
Description: Medical Board Full Board Agenda
Document: ... ing
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
.
2.
Board
Member Report.
Presentation
PHP
update
Prescription
Dispen
sing I
ss ...
Description: Medical Board Licensure Committee Agenda
Document: ... CENSURECOMMITTEEJune 129:15 a.m.1801ONGRESS
Dial in by phone+1 5125963865,,318767589#
Call to order and roll call.
Acudetox Discussion, recommendationand possible action regarding Nonprofit Health OrganizationsApplicants for initial certificationRequests for biennial recertification c.Cancellati ...
Description: Medical Board Disciplinary Process Review Committee Agenda
Document: ... MITTEEONGRESS 9.900IDEOONFERENCEUSTINEXAS
Or call in (audio only) +15125963865,,126667348United States Austin
For instructions using Microsoft Teams, please go to
Call to Order and Roll CallTexas Physician Health Program (TXPHP):Discussion, recommendation, and possible action regarding referrals
D ...
Description: Medical Radiologic Technology Board Licensure Committee Minutes (June 29, 2018)
Document: ... complete 2 hours of continuing medical education in Ethics120 days to pay the $500 administrative feeThis recommendation is based on the applicant’s providing a false statement regarding criminal history on their application to the Board. Ms. Waddell seconded the motion. All voted in favor. Th ...
Description: Rule Changes Effective September 16, 2018
Document: ... c
k on the link below for access to the rule text in the Texas Administrative Code:
http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=3&ti=22&pt=9
RULE CHANGES ADOPTED
CHAPTER 175. FEES AND PENALTIES
The amendments
to
§175.2
, concernin
g
Registration and Renewal Fee ...
Description: Medical Board 2018 - October - Full Board 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, dis
cipline, and
education.
Agenda item #2, Board Member Report.
a.
Presentation
–
no items were presented.
...
“... 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.