ALBME

Significant New/Amended Rules

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540-X-8-.01   Definitions:  Added definition for Covering Physician

  • Agrees in writing to be readily available to collaborative/provide medical oversight and direct medical intervention if needed
  • Covering Physician must be in same medical practice, practice group, or multidisciplinary medical team, or of the same or similar practice specialty as the collaborating physician

540-X-8-.03/.17 Qualifications for Approval to Practice as a Certified Registered Nurse Practitioner/as a Certified Nurse Midwife

  • *EFFECTIVE JANUARY 2024* added provision to obtain CME prescribed by Board of Nursing between 48 months prior to or within 12 months of commencement of a collaborative practice

540-X-8-.04/.18 Qualifications for Physicians in Collaborative Practice with Certified Registered Nurse Practitioners/Certified Nurse Midwives

  • Removed "board eligible" as a qualification
  • Adds as a qualification practice for one year AND the collaborative practice site is limited to licensed hospital
  • *EFFECTIVE JAN. 1, 2024* added provision to obtain CME prescribed by Board of Medical Examiners between 48 months prior to or within 12 months of commencement of a collaborative practice

540-X-8-.08/.22 Requirements for Collaborative Practice by Physicians and Certified Registered Nurse Practitioners/Certified Nurse Midwives

  • Added provision for collaborating physician to be ready available at each practice site or for provisions to be made for professional oversight/direction by a covering physician
  • Collaborating physician shall certify annually that any covering physician continues to agree to serve in that capacity/will inform the medical board of the termination of a covering physician within 10 days

540-X-8-.12/.26 Limitations upon Utilization of Certified Registered Nurse Practitioners/Certified Nurse Midwives

  • Amended maximum number of allowed supervisory and collaborative agreements from 160 hours/four FTEs to 360 hours/nine FTEs (combination of CRNPs/CNMs/PAs)
  • If collaborating with more than four FTEs/week, must engage in documented QA review with each CRNP/CNM every month for six months after commencement
  • Physician must disclose existence of all supervisory and collaborative agreements

540-X-7-.26, Limitations upon Utilization of Physician Assistants (Emergency Rule Amendment Effective June 14, 2021; permanent rule anticipated effective date Oct. 15, 2021)

  • Amended maximum number of allowed supervisory and collaborative agreements from 160 hours/four FTEs to 360 hours/nine FTEs (combination of CRNPs/CNMs/PAs)
  • If collaborating with more than four FTEs/week, must engage in documented QA review with each P.A. every month for six months after approval of the registration agreement
  • Physician must disclose existence of all supervisory and collaborative agreements