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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: 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.
...
Description: TMB FY 18 Internal Audit Plan
Document: ... ed for audits and other functions to be performed in fiscal year 2018. This Plan determines the scope of internal audit activities and is the source for assignment and prioritization of internal audit responsibilities for fiscal year 2018. Specific planning for audit procedures is a naturally ongo ...
Description: TMB FY 18 Annual Internal Audit Report
Document: ... ........
4
-
5
V.
Executive Summary
Texas Physician Health Program
Background.
................................
................................
................................
...........
6
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16
Audit Objective, Scope, and Methodology.
................................
........... ...
Description: Medical Board 2018 - June - Full Board Minutes
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, dis
cipline, and education.
Agenda item #2
, Board Member Report.
a
.
Distinguished Service Award.
Dr. Zaafran
a ...
Description: Medical Radiologic Technology Board Education Committee Minutes (September 28, 2018)
Document: ... ficate. Dr. Khan seconded the
motion. All voted in favor. The motion passed.
Further, the committee directed
that for future cases in which applicants have graduated
within one year from the date of the accreditation granted, staff
evaluate the program
and
determine that at the time of ...
Description: Respiratory Care Board Licensure Committee Minutes (September 27, 2018)
Document: ... n,
submitting a false statement to the Board and time out of practice.
The Agreed Order will have the
following conditions:
The Agreed Order will be
in
force for a period of 2 years from the date of the
entry of the Agreed Order.
Completion of 11 hours of con
tinuing ...
Description: Respiratory Care Board Ad Hoc Committee Minutes (September 27, 2018)
Document: ... nd possible action regarding the use of shadowing in certification involving active practice issues.Johnston reported that at the last committee meeting it was determined that shadowing will no longer be required in cases where the applicant has an active practice issue. After discussion, no action ...
Description: Medical Board 2018 - August - Full Board Minutes
Document: ... hing and maintaining standards of excellence used in regulating the practice of medicine
and ensuring quality hea
lth care for the citizens of Texas through licensure, dis
cipline, and
education.
Agenda item #2, Board Member Report.
a.
Presentation & Resolution
.
Dr. Zaafran
ack ...
Description: Medical Board 2018 - October - Licensure Committee Minutes
Document: ... tee close the meeting to the
public and continue in Executive Se
ssion for deliberations concerning Agenda Items
2
and
3a
.
The motion passed.
Mr. Webb
announced that the meeting would be closed for
deliberations at
9:48 a.m.
concerning
licensee requests and licensure applications
a ...
Description: Acupuncture Board Full Board Agenda
Document: ... ibl
e action regarding referrals fro
m the
Texas Physician Health Progr
am.
8
.
Consideration and Approval of Agreed Board Orders
.
9
.
Consideration and Approval of Non
-
Public Rehabilitation Orders and
Modification Request/Termination Request of Non
-
Orders.
...
Description: PA Statistics 2018 Sept - Physician Assistants by School of Graduation
Document: PROGRAMINSTATEOUTSTATETOTA
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Description: PA Statistics 2018 Sept - Physician Assistant by In and Out of State
Document: GENDERINSTATEOUTSTATETOTA
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GRADUATE480468654903026750377613013784314369279RACETOTA
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Description: PA Statistics 2018 Sept - Physician Assistant by Gender
Document: FEMALEUNKNOWNTOTA
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20022204 ...
Description: PA Statistics 2018 Sept - Physician Assistant by Age
Document: MALEFEMALEUNKNOWNTOTA
L
Under2451388316363821549319343751168215454437993124543551939573203062628298278257821322104341606512266112073Over17602329496311199279
Description: Physician Statistics 2018 Sept - Physicians by Specialty
Document: M.D.'SD.O.'SUNKNOWNTOTALRADIOLOGY20029009MEDICINE121013AN1102FP64010
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211280239RADIOLOGY3003SURGERY1001NEUROLOGY20022103
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“... 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.