Lifelong Learning- Practicing in Missouri Jennifer Allen, M.D. - - PowerPoint PPT Presentation
Lifelong Learning- Practicing in Missouri Jennifer Allen, M.D. Objectives 1. Understand requirements for initial licensing in Missouri 2. Understand requirements for initial credentialing in Missouri 3. Understand MOC requirements for
Jennifer Allen, M.D.
1. Understand requirements for initial licensing in Missouri 2. Understand requirements for initial credentialing in Missouri 3. Understand MOC requirements for ongoing licensure/credentialing 4. Understand how to gain prescriptive license 5. Review credentialing for health insurance for reimbursement 6. Review current status of Collaborative or supervisory practice agreements
in Missouri
Good character
Graduate from accredited high school
Have at least 60 hours of pre-professional college credit
Must list all medical and non-medical activities since entrance into med school
Graduate from approved medical school
Graduate from approved training program
US Graduate- minimum 1 year
IM Graduate- must complete 3 years training
Pass examination-
All 3 USMLE (Comlex) steps- no more than 3 attempts, within 7 years
Must pass jurisprudence exam (initial only)
Pay the licensure fee ($75)
4 Routes to licensure in Missouri
1. Board endorsement 2. Reciprocity 3. Endorsement by Flex, USMLE or LMCC 4. Passing the USMLE Step 3 in Missouri
1. Complete 50 MC-FP points 2. Pay the fee: $1300-$1400 3. License- must be able to get one 4. Complete training 5. Pass the exam
If successfully licensed in another state then may receive licensure in Missouri Must pay the fee equivalent to the test fee List in chronological order all places of previous practice and licensure
Must have passed all prior Steps (total 3 attempts at all Steps) Must complete training within 60 days of Step 3 in Missouri
Complete the renewal application by January 31 each year Pay the fee ($100) Complete and report 50 hours of CME every 2 years CME is not required in the 2 years post residency completion/initial licensure
period
Maintain a full unrestricted license Complete 50 points of self-assessment/quality improvement Complete 150 hours of CME in 3 year stages Take the exam every 10 years Pay an annual fee ($200)
BNDD and DEA
Bureau of Narcotics and Dangerous Drugs Any person who prescribes, stocks, dispenses, orders,
manufactures….controlled substances
Apply online- print certificate online also (nothing will be mailed, only on
computer not smart phone for example)
Pay Fee $30/year Keep address updated (within 30 days of moving) Most common violation is record keeping
6 sections to complete
Personal info Activity- practitioner, pharmacy, teacher, researcher, manufacturer, etc State license- need BNDD and valid state license Background- any issues, experience etc. with controlled subs in past Pay the fee- $731/3 years Confirmation- all info correct and print certificate.
Credentialing is a process used to evaluate the qualifications and practice
history of a doctor. This process includes a review of a doctor's completed education, training, residency and licenses. It also includes any certifications issued by a board in the doctor's area of specialty.May 22, 2013 www.aetna.com accessed on April 24, 2017 Need an NPI number- national provider identifier, unique to the individual or entity that allows all data to be collected and shared through one number Came out of HIPAA legislation of 1996, implemented in 2005.
https://nppes.cms.hhs.gov/NPPES/Welcome.do
National Committee for Quality Assurance: www.NCQA.org
Non-profit that certifies the verification organizations and accredits managed care
The Seal is supposed to inform consumers and providers that an organization is
well managed and provides quality care
Informative blog about rules and regs/ quality measures/MACRA Everything you want to know about health plans, clinicians, organizations
Council for Affordable Quality Healthcare
Credentialing database, non-profit alliance of health plans Goal is to streamline the business of healthcare Free Fill out info once and they provide it to all the health plans you want to work with Enables electronic payments Follows sanctions/discipline actions/
NPs- advanced practice registered nurses PAs- physician assistants APs- assistant physicians (medical school graduates who have not completed
residency)
Each group has its own section in the statutes Very similar practice acts
Information found in Mo Revised Statutes Chapter 334, current August 28,
2016
Regardless of the agreement the PHYSICIAN accepts responsibility for
Medical acts: all treatments, prescribing, dispensing, advice etc are
considered delegated medical acts.
PA’s and AP’s are governed by the BOHA, NP’s are governed by the SBON SCOPE of practice is a defining factor
MO Division of Professional Registration: www.pr.mo.gov http://www.moga.mo.gov/mostatutes/chapters/chapText334.html https://www.theabfm.org Health.mo.gov/safety/bndd https://www.deadiversion.usdoj.gov/drugreg/ http://www.medscape.org/viewarticle/506277_10 US Nurse Practitioner Prescribing Law: A State-by-State Summary http://www.medscape.com/viewarticle/440315 Boards of Nursing in the United States: State-by-State Web Links http://www.medscape.com/viewarticle/482270
http://www.ncqa.org/ https://www.caqh.org/