Avoiding “Sign This So We Can Get Started”

Attention Psychiatrists in All States

The Federation of State Medical Boards (FSMB) provides a centralized source on how state medical boards are responding to the national emergency caused by the COVID-19 pandemic while safeguarding the public and assuring patient safety.

The resources include a list of states waiving in-state licensure requirements for telehealth, a list of states expediting licenses for retired/inactive physicians, a list of states declaring emergency declarations and details on licensing waivers.

There is also information on blanket waivers for health care providers, resources and updates from the CDC on COVID-19, and guidance for federal, state, and local governments and government agencies seeking emergency changes to licensure requirements.

The resources can be found at http://www.fsmb.org/advocacy/covid-19/.

Another resource is the Center of Connected Health Policy, which provides information on telehealth-related laws, regulations, and Medicaid programs, available at https://www.cchpca.org/

Attention Nevada Psychiatrists

Notification of Address Change, Practice Closure and Location of Records

Pursuant to NRS 630.254, all licensees of the Board are required to “maintain a permanent mailing address with the Board to which all communications from the Board to the licensee must be sent.” A licensee must notify the Board in writing of a change of permanent mailing address within 30 days after the change. Failure to do so may result in the imposition of a fine or initiation of disciplinary proceedings against the licensee. The address provided will be viewable by the public on the Board’s website.

Additionally, if you close your practice in Nevada, you are required to notify the Board in writing within 14 days after the closure, and for a period of 5 years thereafter, keep the Board apprised of the location of the medical records of your patients.

Attention Idaho Psychiatrists

New Delegation of Services Agreement Between Supervising Physician and Physician Assistants

A revised Delegation of Services (DOS) agreement went into effect at the end of December 2019. The DOS agreement addresses four main areas, including medical specialty and type of practice where the physician assistant (PA) will provide services, prescriptive authority of legend drugs, controlled substances, list of drugs outside of Family Practice that will be prescribed by the PA, and a notarized affidavit by the primary supervising physician attesting to the PA’s education, qualifications and clinical abilities within the scope of the primary supervisor’s specialty. The supervising physician and alternate supervising physician need to attest that they read IDAPA Rules regarding Supervising Physicians. These rules state that the primary supervising physician accepts full responsibility for the medical acts of and patient services provided by the PA. In addition, the supervising and alternate supervising physicians also attest that they will: have monthly on-site visits, review a representative number (generally 10%) of the PA’s charts, be available for consultation and not supervise more than four PAs without special permission of the Board of Medicine.

Attention Maine Psychiatrists

LD1660 “An Act to Improve Access to Physician Assistant Care”

This law creates three categories of physician assistant practice in Maine, related to the paradigm shift from physician delegation and oversight towards independent practice for physician assistants with more than 4,000 hours of experience:

  1. PAs with less than 4,000 hours experience must have a “collaboration agreement” that includes a scope of practice approved by the Board. PAs in a “health care facility” or a “physician group practice” that have a credentialing process may use the healthcare system’s credentialing document as a substitute for the “collaboration agreement.”
  2. PAs with more than 4,000 hours of experience who are within a healthcare system or a physician group practice do not have to have a “collaboration agreement” or a “practice agreement.”
  3. PAs with more than 4,000 hours of experience and who work in an office by themselves with no physician in the practice must have a “practice agreement” that includes a scope of practice approved by the Board. This was a significant concession by MEAPA – to include the scope of practice in the “practice agreement.”

The law empowers the Maine Board of Licensure in Medicine to make rules regarding “collaborative agreements” and “practice agreements.”

Attention California Psychiatrists

AB 577 (Eggman, Chapter 776) – Health Care Coverage: Maternal Mental Health

Extends the duration of the requirement that health plans and health insurers provide continuity of care for pregnant women to up to 12 months from the diagnosis or from the end of pregnancy, whichever occurs later, if the woman presents written documentation of being diagnosed with a maternal mental health condition from the individual’s treating health care provider.