Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 195 - PAIN MANAGEMENT CLINICS › Section 195.2 - Gold Designated Practice

Current through Reg. 49, No. 28; July 12, 2024
(a) A
				clinic may apply to be designated as a "Gold Designated Practice." In order to
				be eligible for a "Gold Designated Practice" status, a clinic must:
(1) a Board-approved application
				form;
(2) Provide a Medical Home
				Agreement, written collaborative, coordinated care agreement or memorandum of
				understanding to provide management and treatments of pain, that describes
				measures that it provides and may be used for reduction of pain such as, but
				not limited to:
(A) multimodal treatment such
				as surgery, injections, pain pumps, osteopathic manipulation, epidurals,
				trigger point injections, dry needling, and topical creams or
				patches;
(B) multi-disciplinary
				practices such as medication assisted tapering and weaning, computer-based
				training pain coaching, acupuncture, chiropractic, physical therapy, massage,
				and exercise/movement; or
(C)
				collaborative care or other behavioral health integration services such as
				evidenced-based cognitive behavioral therapy interventions for mental health
				and pain reduction, medication management and opioid weaning, patient-centered
				education, regular monitoring and assessments of clinical status using
				validated tools, assessment of treatment adherence, motivational interviewing,
				and a structured approach to improving the biopsychosocial aspects of pain
				management; and
(3) In
				addition to providing a Medical Home Agreement, written collaborative,
				coordinated care agreement or memorandum of understanding to provide management
				and treatments of pain described above, the clinic must either:
(A) Meet the standards for exemption under
				Section 168.002(7) of the Act, including the clinic is operated by a majority
				of physicians who currently hold or previously held ABMS or AOA
				Board-certification or subspecialty certification in pain management; and
(i) have a majority of physicians perform or
				properly supervise delegates in providing other forms of treatment besides
				qualifying pain management prescriptions to a majority of the patients at the
				clinic;
(ii) the clinic's providers
				utilize a Medical Home Agreement signed by the primary prescriber and the
				patient; or
(iii) have a written
				collaborative, coordinated care agreement or a memorandum of understanding with
				the patient's primary physician for treating and managing the patient;
				or
(B) Be a Certified
				Pain Management Clinic (PMC) that is operated by physicians who previously held
				an ABMS or AOA Board-certification or sub-specialty in pain management or hold
				a ABMS or AOA Board-certification in an area that is eligible for a pain
				management subspecialty; and
(i) have a
				Medical Home Agreement signed by the primary prescriber and the patient;
				or
(ii) a written collaborative,
				coordinated care agreement or memorandum of understanding providing that each
				physician who prescribes qualifying prescriptions will consult with a pain
				specialist for the patient.