Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-1 - ORGANIZATION AND ADMINISTRATION › Section 540-X-1-.16 - Fees Associated With Collaborative

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Fee for New Collaborative Practice:
(a) At the time a physician enters into a
			 collaborative practice agreement with a Certified Registered Nurse Practitioner
			 (CRNP) or a Certified Nurse Midwife (CNM), for the purpose of registering the
			 collaborative practice, an initial commencement fee in the amount of Two
			 Hundred Dollars ($200.00) and a completed collaborative practice commencement
			 form shall be submitted to the Board.
(b) The collaborative practice commencement
			 form will request the following:
1. Physician
			 name, license number, primary practice specialty, primary practice address,
			 whether the physician is board certified, the physician's residency completion
			 date, and the name of program and completion date of any fellowship, or other
			 supervised training program, if applicable.
2. CRNP/CNM name, RN license number, national
			 certification specialty, practice address.
3. Number of hours per week to practice in
			 collaborative agreement.
4. Whether
			 the practice is a remote practice, the physician's primary practice, patient
			 homes, hospital, skilled nursing facility, or other.
5. Whether the collaborative practice will be
			 solely by telemedicine. If yes, additional information may be solicited,
			 including but not limited to:
(i) Plan for
			 providing required medical oversight and direction to the CRNP/CNM.
(ii) Plan for completing required quality
			 assurance reviews;
(iii) If no
			 covering physician is named on the application, plan for being readily
			 available at all times.
(iv)
			 Detailed plan to meet requirement of meeting face to face no less than twice
			 annually.
(v) Detailed plan to meet
			 requirement of being physically present no less than 10% of the CRNP/CNM's
			 scheduled hours if the CRNP/CNM has fewer than two years/4,000 hours of
			 experience since being certified.
6. Whether the practice will be under a
			 limited protocol for comprehensive physical exams or a limited protocol for
			 long term care.
7. Physician's
			 certification of understanding the responsibilities described in Board Rules
			 Chapter 540-X-8.
8. Physician's
			 certification that all covering physicians listed in the application have
			 knowledge of their addition to the collaborative agreement, an understanding of
			 Board Rules Chapter 540-X-8, and an awareness of their responsibilities in the
			 collaborative agreement.
9.
			 Physician's attestation of understanding of all quality assurance requirements
			 contained in Board Rules Chapter 540-X-8.
(c) Payment of the initial fee and submission
			 of the completed commencement form is established by the Board as a
			 qualification for the physician to participate and engage in the collaborative
			 practice.
(d) If the physician has
			 not paid the initial fee and submitted a completed commencement form, the Board
			 shall not approve the physician to participate in the collaborative
			 practice.