reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part V - Management of Acute Pain › Section 18VAC90-70-150 - Treatment of acute pain with opioids

Current through Register Vol. 40, No. 24, July 15, 2024
A. Initiation of
				  opioid treatment for patients with acute pain shall be with short-acting
				  opioids.
1. A prescriber providing treatment
				  for a patient with acute pain shall not prescribe a controlled substance
				  containing an opioid in a quantity that exceeds a seven-day supply as
				  determined by the manufacturer's directions for use, unless extenuating
				  circumstances are clearly documented in the medical record. This shall also
				  apply to prescriptions of a controlled substance containing an opioid upon
				  discharge from an emergency department.
2. An opioid prescribed as part of treatment
				  for a surgical procedure shall be for no more than 14 consecutive days in
				  accordance with manufacturer's direction and within the immediate perioperative
				  period, unless extenuating circumstances are clearly documented in the medical
				  record.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part V - Management of Acute Pain › Section 18VAC90-70-160 - Medical records for acute pain

Current through Register Vol. 40, No. 24, July 15, 2024
The medical record shall include a description of the pain,
					 a presumptive diagnosis for the origin of the pain, an examination appropriate
					 to the complaint, a treatment plan, and the medication prescribed or
					 administered to include the date, type, dosage, and quantity prescribed or
					 administered.
Statutory Authority: §§
												54.1-2400 and
						54.1-2957.04 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VI - Management of Chronic Pain › Section 18VAC90-70-170 - Evaluation of the chronic pain patient

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  requirements of this part shall not apply to:
1. The treatment of chronic pain related to
				  (i) cancer, (ii) sickle cell, (iii) a patient in hospice care, or (iv) a
				  patient in palliative care;
2. The
				  treatment of chronic pain during an inpatient hospital admission or in a
				  nursing home or an assisted living facility that uses a sole source pharmacy;
				  or
3. A patient enrolled in a
				  clinical trial as authorized by state or federal law.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VI - Management of Chronic Pain › Section 18VAC90-70-180 - Treatment of chronic pain with opioids

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Nonpharmacologic and non-opioid treatment for pain shall be given consideration
				  prior to treatment with opioids.
B.
				  In initiating opioid treatment for all patients, the practitioner shall:
1. Carefully consider and document in the
				  medical record the reasons to exceed 50 MME per day;
2. Prior to exceeding 120 MME per day, the
				  practitioner shall document in the medical record the reasonable justification
				  for such doses or refer to or consult with a pain management
				  specialist;
3. Prescribe naloxone
				  for any patient when risk factors of prior overdose, substance misuse, doses in
				  excess of 120 MME per day, or concomitant benzodiazepine are present;
				  and
4. Document the rationale to
				  continue opioid therapy every three months.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VI - Management of Chronic Pain › Section 18VAC90-70-190 - Treatment plan for chronic pain

Current through Register Vol. 40, No. 24, July 15, 2024
A. The medical
				  record shall include a treatment plan that states measures to be used to
				  determine progress in treatment, including pain relief and improved physical
				  and psychosocial function, quality of life, and daily activities.
B. The treatment plan shall include further
				  diagnostic evaluations and other treatment modalities or rehabilitation that
				  may be necessary depending on the etiology of the pain and the extent to which
				  the pain is associated with physical and psychosocial impairment.
C. The prescriber shall record in the medical
				  records the presence or absence of any indicators for medication misuse or
				  diversion and take appropriate action.
Statutory Authority: §§
												54.1-2400 and
						54.1-2957.04 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VI - Management of Chronic Pain › Section 18VAC90-70-200 - Informed consent and agreement to treatment of chronic pain

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  practitioner shall document in the medical record informed consent, to include
				  risks, benefits, and alternative approaches, prior to the initiation of opioids
				  for chronic pain.
B. There shall be
				  a written treatment agreement, signed by the patient, in the medical record
				  that addresses the parameters of treatment, including those behaviors that will
				  result in referral to a higher level of care, cessation of treatment, or
				  dismissal from care.
C. The
				  treatment agreement shall include notice that the practitioner will query and
				  receive reports from the Prescription Monitoring Program and permission for the
				  practitioner to:
1. Obtain urine drug screen
				  or serum medication levels, when requested; and
2. Consult with other prescribers or
				  dispensing pharmacists for the patient.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VI - Management of Chronic Pain › Section 18VAC90-70-210 - Opioid therapy for chronic pain

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  practitioner shall review the course of pain treatment and any new information
				  about the etiology of the pain or the patient's state of health at least every
				  three months.
B. Continuation of
				  treatment with opioids shall be supported by documentation of continued benefit
				  from the prescribing. If the patient's progress is unsatisfactory, the
				  practitioner shall assess the appropriateness of continued use of the current
				  treatment plan and consider the use of other therapeutic modalities.
C. Practitioners shall check the Prescription
				  Monitoring Program at least every three months after the initiation of
				  treatment.
D. The practitioner
				  shall order and review a urine drug screen or serum medication levels at the
				  initiation of chronic pain management and thereafter randomly at the discretion
				  of the practitioner but at least once a year.
E. The practitioner shall regularly evaluate
				  for opioid use disorder and shall initiate specific treatment for opioid use
				  disorder, consult with an appropriate health care provider, or refer the
				  patient for evaluation for treatment if indicated.
Statutory Authority: §§
												54.1-2400 and
						54.1-2957.04 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VI - Management of Chronic Pain › Section 18VAC90-70-220 - Additional consultation

Current through Register Vol. 40, No. 24, July 15, 2024
A. When
				  necessary to achieve treatment goals, the prescriber shall refer the patient
				  for additional evaluation and treatment.
B. When a practitioner makes the diagnosis of
				  opioid use disorder, treatment for opioid use disorder shall be initiated or
				  the patient shall be referred for evaluation and treatment.
Statutory Authority: §§
												54.1-2400 and
						54.1-2957.04 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VI - Management of Chronic Pain › Section 18VAC90-70-230 - Medical records

Current through Register Vol. 40, No. 24, July 15, 2024
The prescriber shall keep current, accurate, and complete
					 records in an accessible manner and readily available for review to
					 include:
1. The medical history and
				  physical examination;
2. Past
				  medical history;
3. Applicable
				  records from prior treatment providers or any documentation of attempts to
				  obtain those records;
4.
				  Diagnostic, therapeutic, and laboratory results;
5. Evaluations and consultations;
6. Treatment goals;
7. Discussion of risks and
				  benefits;
8. Informed consent and
				  agreement for treatment;
9.
				  Treatments;
10. Medications,
				  including date, type, dosage and quantity prescribed, and refills;
11. Patient instructions; and
12. Periodic reviews.
Statutory Authority: §§
												54.1-2400 and
						54.1-2957.04 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VII - Disciplinary Provisions › Section 18VAC90-70-240 - Grounds for disciplinary action against the license of a certified midwife

Current through Register Vol. 40, No. 24, July 15, 2024
The boards may deny licensure or relicensure, revoke or
					 suspend the license, or place on probation, censure, reprimand, or impose a
					 monetary penalty on a licensed certified midwife for the following
					 unprofessional conduct:
1. Has had
				  licensure to practice midwifery in this Commonwealth or in another jurisdiction
				  revoked or suspended or otherwise disciplined;
2. Has directly or indirectly held himself
				  out or represented himself to the public as a physician or is able to, or will
				  practice independently of a physician;
3. Has performed procedures or techniques
				  that are outside the scope of practice as a licensed certified midwife and for
				  which the licensed certified midwife is not trained and individually
				  competent;
4. Has violated or
				  cooperated in the violation of the laws or regulations governing the practice
				  of medicine, nursing, or certified midwifery;
5. Has become unable to practice with
				  reasonable skill and safety as the result of physical or mental illness or the
				  excessive use of alcohol, drugs, narcotics, chemicals, or any other type of
				  material;
6. Has violated or
				  cooperated with others in violating or attempting to violate any law or
				  regulation, state or federal, relating to the possession, use, dispensing,
				  administration, or distribution of drugs;
7. Has failed to comply with continuing
				  competency requirements as set forth in
				  18VAC90-70-90;
8. Has willfully or negligently breached the
				  confidentiality between a practitioner and a patient. A breach of
				  confidentiality that is required or permitted by applicable law or beyond the
				  control of the practitioner shall not be considered negligent or
				  willful;
9. Has engaged in
				  unauthorized use or disclosure of confidential information received from the
				  Prescription Monitoring Program; or
10. Has practiced as a licensed certified
				  midwife during a time when the practitioner's certification as a certified
				  midwife by the American Midwifery Certification Board has lapsed.
Statutory Authority: §§
												54.1-2400 and
						54.1-2957.04 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VII - Disciplinary Provisions › Section 18VAC90-70-250 - Hearings

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  provisions of the Administrative Process Act (§
										2.2-4000 et seq. of the Code of
				  Virginia) shall govern proceedings on questions of violation of
				  18VAC90-70-240.
B. The Committee of the Joint Boards of
				  Nursing and Medicine shall conduct all proceedings prescribed in this chapter
				  and shall take action on behalf of the boards.
Statutory Authority: §§
												54.1-2400 and
						54.1-2957.04 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VII - Disciplinary Provisions › Section 18VAC90-70-260 - Delegation of proceedings

Current through Register Vol. 40, No. 24, July 15, 2024
A. Decision to
				  delegate. In accordance with subdivision 10 of §
										54.1-2400 of the Code of
				  Virginia, the committee may delegate an informal fact-finding proceeding to an
				  agency subordinate [ ].
B. Criteria
				  for delegation. Cases that involve intentional or negligent conduct that caused
				  serious injury or harm to a patient may not be delegated to an agency
				  subordinate, except as may be approved by the chair of the committee.
C. Criteria for an agency subordinate.
1. An agency subordinate authorized by the
				  committee to conduct an informal fact-finding proceeding may include current or
				  past board members, professional staff, or other persons deemed knowledgeable
				  by virtue of their training and experience in administrative proceedings
				  involving the regulation and discipline of health professionals.
2. The Executive Director of the Board of
				  Nursing shall maintain a list of appropriately qualified persons to whom an
				  informal fact-finding proceeding may be delegated.
3. The committee may delegate to the
				  executive director the selection of the agency subordinate who is deemed
				  appropriately qualified to conduct a proceeding based on the qualifications of
				  the subordinate and the type of case being heard.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 70 - REGULATIONS GOVERNING THE PRACTICE OF LICENSED CERTIFIED MIDWIVES › Part VII - Disciplinary Provisions › Section - DOCUMENTS INCORPORATED BY REFERENCE (18VAC90-70)

Current through Register Vol. 40, No. 24, July 15, 2024
Standards
					 for the Practice of Midwifery, revised 2011, American College of
					 Nurse-Midwives
Statutory Authority: §§
												54.1-2400 and
						54.1-2957.04 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part I - Purpose and Definitions › Section 18VAC95-11-10 - Purpose

Current through Register Vol. 40, No. 24, July 15, 2024
The purpose of this chapter is to promote public
					 involvement in the development, amendment or repeal of the regulations of the
					 Board of Long-Term Care Administrators. This chapter does not apply to
					 regulations, guidelines, or other documents exempted or excluded from the
					 provisions of the Administrative Process Act (§ 2.2-4000 et seq. of the
					 Code of Virginia).
Statutory Authority
§§ 2.2-4007.02 and 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part II - Notification of Interested Persons › Section 18VAC95-11-30 - Notification list

Current through Register Vol. 40, No. 24, July 15, 2024
A. The agency shall
				  maintain a list of persons who have requested to be notified of regulatory
				  actions being pursued by the agency.
B. Any person may request to be placed on a
				  notification list by registering as a public user on the Town Hall or by making
				  a request to the agency. Any person who requests to be placed on a notification
				  list shall elect to be notified either by electronic means or through a postal
				  carrier.
C. The agency may maintain
				  additional lists for persons who have requested to be informed of specific
				  regulatory issues, proposals, or actions.
D. When electronic mail is returned as
				  undeliverable on multiple occasions at least 24 hours apart, that person may be
				  deleted from the list. A single undeliverable message is insufficient cause to
				  delete the person from the list.
E.
				  When mail delivered by a postal carrier is returned as undeliverable on
				  multiple occasions, that person may be deleted from the list.
F. The agency may periodically request those
				  persons on the notification list to indicate their desire to either continue to
				  be notified electronically, receive documents through a postal carrier, or be
				  deleted from the list.
Statutory Authority
§§ 2.2-4007.02 and 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part II - Notification of Interested Persons › Section 18VAC95-11-40 - Information to be sent to persons on the notification list

Current through Register Vol. 40, No. 24, July 15, 2024
A. To persons
				  electing to receive electronic notification or notification through a postal
				  carrier as described in
				  18VAC95-11-30, the agency shall
				  send the following information:
1. A notice
				  of intended regulatory action (NOIRA).
2. A notice of the comment period on a
				  proposed, a reproposed, or a fast-track regulation and hyperlinks to, or
				  instructions on how to obtain, a copy of the regulation and any supporting
				  documents.
3. A notice soliciting
				  comment on a final regulation when the regulatory process has been extended
				  pursuant to § 2.2-4007.06 or 2.2-4013C of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part III - Public Participation Procedures › Section 18VAC95-11-50 - Public comment

Current through Register Vol. 40, No. 24, July 15, 2024
A. In
				  considering any nonemergency, nonexempt regulatory action, the agency shall
				  afford interested persons an opportunity to (i) submit data, views, and
				  arguments, either orally or in writing, to the agency; and (ii) be accompanied
				  by and represented by counsel or other representative. Such opportunity to
				  comment shall include an online public comment forum on the Town Hall.
1. To any requesting person, the agency shall
				  provide copies of the statement of basis, purpose, substance, and issues; the
				  economic impact analysis of the proposed or fast-track regulatory action; and
				  the agency's response to public comments received.
2. The agency may begin crafting a regulatory
				  action prior to or during any opportunities it provides to the public to submit
				  comments.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part III - Public Participation Procedures › Section 18VAC95-11-60 - Petition for rulemaking

Current through Register Vol. 40, No. 24, July 15, 2024
A. As
				  provided in § 2.2-4007 of the Code of Virginia, any person may petition
				  the agency to consider a regulatory action.
B. A petition shall include but is not
				  limited to the following information:
1. The
				  petitioner's name and contact information;
2. The substance and purpose of the
				  rulemaking that is requested, including reference to any applicable Virginia
				  Administrative Code sections; and
3. Reference to the legal authority of the
				  agency to take the action requested.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part III - Public Participation Procedures › Section 18VAC95-11-70 - Appointment of regulatory advisory panel

Current through Register Vol. 40, No. 24, July 15, 2024
A. The agency may appoint a regulatory
				  advisory panel (RAP) to provide professional specialization or technical
				  assistance when the agency determines that such expertise is necessary to
				  address a specific regulatory issue or action or when individuals indicate an
				  interest in working with the agency on a specific regulatory issue or
				  action.
B. Any person may request
				  the appointment of a RAP and request to participate in its activities. The
				  agency shall determine when a RAP shall be appointed and the composition of the
				  RAP.
C. A RAP may be dissolved by
				  the agency if:
1. The proposed text of the
				  regulation is posted on the Town Hall, published in the Virginia Register, or
				  such other time as the agency determines is appropriate; or
2. The agency determines that the regulatory
				  action is either exempt or excluded from the requirements of the Administrative
				  Process Act.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part III - Public Participation Procedures › Section 18VAC95-11-80 - Appointment of negotiated rulemaking panel

Current through Register Vol. 40, No. 24, July 15, 2024
A. The agency may appoint a negotiated
				  rulemaking panel (NRP) if a regulatory action is expected to be
				  controversial.
B. An NRP that has
				  been appointed by the agency may be dissolved by the agency when:
1. There is no longer controversy associated
				  with the development of the regulation;
2. The agency determines that the regulatory
				  action is either exempt or excluded from the requirements of the Administrative
				  Process Act; or
3. The agency
				  determines that resolution of a controversy is unlikely.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part III - Public Participation Procedures › Section 18VAC95-11-90 - Meetings

Current through Register Vol. 40, No. 24, July 15, 2024
Notice of any open meeting, including meetings of a RAP or
					 NRP, shall be posted on the Virginia Regulatory Town Hall and Commonwealth
					 Calendar at least seven working days prior to the date of the meeting. The
					 exception to this requirement is any meeting held in accordance with §
					 2.2-3707D of the Code of Virginia allowing for contemporaneous notice to be
					 provided to participants and the public.
Statutory Authority
§§ 2.2-4007.02 and 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part III - Public Participation Procedures › Section 18VAC95-11-100 - Public hearings on regulations

Current through Register Vol. 40, No. 24, July 15, 2024
A. The agency shall indicate in its notice of
				  intended regulatory action whether it plans to hold a public hearing following
				  the publication of the proposed stage of the regulatory action.
B. The agency may conduct one or more public
				  hearings during the comment period following the publication of a proposed
				  regulatory action.
C. An agency is
				  required to hold a public hearing following the publication of the proposed
				  regulatory action when:
1. The agency's basic
				  law requires the agency to hold a public hearing;
2. The Governor directs the agency to hold a
				  public hearing; or
3. The agency
				  receives requests for a public hearing from at least 25 persons during the
				  public comment period following the publication of the notice of intended
				  regulatory action.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 11 - PUBLIC PARTICIPATION GUIDELINES › Part III - Public Participation Procedures › Section 18VAC95-11-110 - Periodic review of regulations

Current through Register Vol. 40, No. 24, July 15, 2024
A. The agency shall conduct a periodic review
				  of its regulations consistent with:
1. An
				  executive order issued by the Governor pursuant to § 2.2-4017 of the
				  Administrative Process Act to receive comment on all existing regulations as to
				  their effectiveness, efficiency, necessity, clarity, and cost of compliance;
				  and
2. The requirements in §
				  2.2-4007.1 of the Administrative Process Act regarding regulatory flexibility
				  for small businesses.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 15 - REGULATIONS GOVERNING DELEGATION TO AN AGENCY SUBORDINATE › Section 18VAC95-15-10 - Decision to delegate

Current through Register Vol. 40, No. 24, July 15, 2024
In accordance with subdivision 10 of § 54.1-2400 of the
				  Code of Virginia, the board may delegate an informal fact-finding proceeding to
				  an agency subordinate upon determination that probable cause exists that a
				  practitioner may be subject to a disciplinary action.
Statutory Authority: 54.1-2400 of the Code of
					 Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 15 - REGULATIONS GOVERNING DELEGATION TO AN AGENCY SUBORDINATE › Section 18VAC95-15-20 - Criteria for delegation

Current through Register Vol. 40, No. 24, July 15, 2024
Cases that may not be delegated to an agency subordinate
				  include violations of standards of practice, except as may otherwise be
				  determined by the executive director in consultation with the board
				  chair.
Statutory Authority: 54.1-2400 of the Code of
					 Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 15 - REGULATIONS GOVERNING DELEGATION TO AN AGENCY SUBORDINATE › Section 18VAC95-15-30 - Criteria for an agency subordinate

Current through Register Vol. 40, No. 24, July 15, 2024
A. An agency subordinate authorized by the
				board to conduct an informal fact-finding proceeding may include current or
				past board members and professional staff or other persons deemed knowledgeable
				by virtue of their training and experience in administrative proceedings
				involving the regulation and discipline of health professionals.
B. The executive director shall maintain a
				list of appropriately qualified persons to whom an informal fact-finding
				proceeding may be delegated.
C.
				The board may delegate to the executive director the selection of the agency
				subordinate who is deemed appropriately qualified to conduct a proceeding based
				on the qualifications of the subordinate and the type of case being
				heard.
Statutory Authority: 54.1-2400 of the Code of
					 Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part I - General Provisions › Section 18VAC95-20-10 - Definitions

Current through Register Vol. 40, No. 24, July 15, 2024
A. The following
				  words and terms when used in this chapter shall have the definitions ascribed
				  to them in §
										54.1-3100 of the Code
				  of Virginia:
"Board"
"Nursing home"
"Nursing home administrator"
B. The following words and terms when used in
				  this chapter shall have the following meanings unless the context indicates
				  otherwise:
"Accredited institution" means any degree-granting college
					 or university accredited by an accrediting body approved by the U.S. Department
					 of Education.
"Active practice" means a minimum of 1,000 hours of
					 practice as a licensed nursing home administrator within the preceding 24
					 months.
"AIT" means a person enrolled in the
					 administrator-in-training program in nursing home administration in a licensed
					 nursing home.
"Administrator-of-record" means the licensed nursing home
					 administrator designated in charge of the general administration of the
					 facility and identified as such to the facility's licensing agency.
"Approved sponsor" means an individual, business, or
					 organization approved by NAB or by an accredited institution to offer
					 continuing education programs in accordance with this chapter.
"Continuing education" means the educational activities
					 that serve to maintain, develop, or increase the knowledge, skills,
					 performance, and competence recognized as relevant to the nursing home
					 administrator's professional responsibilities.
[ "Domains of Practice" means the content areas of tasks,
					 knowledge, and skills necessary for administration of a nursing home as
					 approved by NAB. ]
"Full time" means employment of at least 35 hours per
					 week.
"Hour" means 50 minutes of participation in a program for
					 obtaining continuing education.
"Internship" means a practicum or course of study as part
					 of a degree or post-degree program designed especially for the preparation of
					 candidates for licensure as nursing home administrators that involves
					 supervision by an accredited college or university of the practical application
					 of previously studied theory.
"NAB" means the National Association of Long Term Care
					 Administrator Boards.
"National examination" means a test used by the board to
					 determine the competence of candidates for licensure as administered by NAB or
					 any other examination approved by the board.
"Preceptor" means a nursing home administrator currently
					 licensed and registered or recognized by a nursing home administrator licensing
					 board to conduct an administrator-in-training (AIT) program.
Statutory Authority: §
												54.1-2400.
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part I - General Provisions › Section 18VAC95-20-20 to 18VAC95-20-50

Current through Register Vol. 40, No. 24, July 15, 2024
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part I - General Provisions › Section 18VAC95-20-60 - Posting of license

Current through Register Vol. 40, No. 24, July 15, 2024
Each licensee shall post his license in a main entrance or
					 place conspicuous to the public in the facility in which the licensee is
					 administrator-of-record.
Statutory Authority
§§ 54.1-2400 and 54.1-3101 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part I - General Provisions › Section 18VAC95-20-70 - Accuracy of information

Current through Register Vol. 40, No. 24, July 15, 2024
A. All
				  changes in the address of record or the public address, if different from the
				  address of record, or the name of a licensee, trainee, or preceptor shall be
				  furnished to the board within 30 days after the change occurs.
B. All notices required by law and by this
				  chapter to be mailed by the board to any registrant or licensee shall be
				  validly given when mailed to the latest address of record on file with the
				  board and shall not relieve the licensee, trainee, or preceptor of the
				  obligation to comply.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part I - General Provisions › Section 18VAC95-20-80 - Required fees

Current through Register Vol. 40, No. 24, July 15, 2024
The applicant or licensee shall submit all fees [ in this
					 section ] that apply:
1. AIT program application
$215
2. Preceptor application
$65
3. Licensure application
$315
4. Verification of licensure requests from other
								states
$35
5. Nursing home administrator license
								renewal
$315
6. Preceptor renewal
$65
7. Penalty for nursing home administrator late
								renewal
$110
8. Penalty for preceptor late renewal
$25
9. Nursing home administrator reinstatement
$435
10. Preceptor reinstatement
$105
11. Duplicate license
$25
12. Duplicate wall certificates
$40
13. Reinstatement after disciplinary action
$1,000
Statutory Authority: §
												54.1-2400.
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part I - General Provisions › Section 18VAC95-20-90 to 18VAC95-20-120

Current through Register Vol. 40, No. 24, July 15, 2024
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part I - General Provisions › Section 18VAC95-20-130 - Additional fee information

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  There shall be a fee of $50 for a returned check or a dishonored credit card or
				  debit card.
B. Fees shall not be
				  refunded once submitted.
C.
				  Examination fees are to be paid directly to the service or services contracted
				  by the board to administer the examinations.
Statutory Authority: §
												54.1-2400
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part I - General Provisions › Section 18VAC95-20-140 to 18VAC95-20-160

Current through Register Vol. 40, No. 24, July 15, 2024
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part II - Renewals and Reinstatements › Section 18VAC95-20-170 - Renewal requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A. A person
				  who desires to renew his license or preceptor registration for the next year
				  shall, not later than the expiration date of March 31 of each year, submit a
				  completed renewal form and fee.
B.
				  The renewal form and fee shall be received no later than the expiration date.
				  Postmarks shall not be considered.
C. A nursing home administrator license or
				  preceptor registration not renewed by the expiration date shall be
				  invalid.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part II - Renewals and Reinstatements › Section 18VAC95-20-175 - Continuing education requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A. In order to
				  renew a nursing home administrator license, an applicant shall attest on his
				  renewal application to completion of 20 hours of approved continuing education
				  for each renewal year.
1. Up to 10 of the 20
				  hours may be obtained through Internet or self-study courses and up to 10
				  continuing education hours in excess of the number required may be transferred
				  or credited to the next renewal year.
2. Up to two hours of the 20 hours required
				  for annual renewal may be satisfied through delivery of services, without
				  compensation, to low-income individuals receiving health services through a
				  local health department or a free clinic organized in whole or primarily for
				  the delivery of those services. One hour of continuing education may be
				  credited for one hour of providing such volunteer services, as documented by
				  the health department or free clinic.
3. At least two hours of continuing education
				  for each renewal year shall relate to the care of residents with mental or
				  cognitive impairments, including Alzheimer's disease and dementia.
4. A licensee who serves as the registered
				  preceptor in an approved AIT or Assisted Living Facility AIT program may
				  receive one hour of continuing education credit for each week of training up to
				  a maximum of 10 hours of self-study course credit for each renewal
				  year.
5. A licensee is exempt from
				  completing continuing education requirements and considered in compliance on
				  the first renewal date following initial licensure.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part II - Renewals and Reinstatements › Section 18VAC95-20-180 - Late renewal

Current through Register Vol. 40, No. 24, July 15, 2024
A. A person
				  who fails to renew his license or preceptor registration by the expiration date
				  shall within one year of the initial expiration date:
1. Return the renewal notice or request
				  renewal in writing to the board; and
2. Submit the applicable renewal fee and late
				  fee.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part II - Renewals and Reinstatements › Section 18VAC95-20-200 - Reinstatement for nursing home administrator license or preceptor registration

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  board may reinstate a nursing home administrator license or preceptor
				  registration that was not renewed within one year of the initial expiration
				  date.
B. An applicant for nursing
				  home administrator license reinstatement shall apply on a reinstatement form
				  provided by the board, submit the reinstatement fee, and provide one of the
				  following:
1. Evidence of the equivalent of
				  20 hours of continuing education for each year since the last renewal, not to
				  exceed a total of 60 hours.
2.
				  Evidence of active practice in another state or United States jurisdiction or
				  in the United States armed services during the period licensure in Virginia was
				  lapsed.
3. Evidence of requalifying
				  for licensure by meeting the requirements prescribed in
				  18VAC95-20-220
				  or
				  18VAC95-20-225.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part III - Requirements for Licensure › Section 18VAC95-20-220 - Qualifications for initial licensure

Current through Register Vol. 40, No. 24, July 15, 2024
One of the following sets of qualifications is required for
					 licensure as a nursing home administrator:
1. Degree and practical experience. The
				  applicant shall (i) hold a baccalaureate or higher degree in a health
				  care-related field that meets the requirements of
				  18VAC95-20-221
				  from an accredited institution; (ii) have completed not less than a 320-hour
				  internship that addresses the Domains of Practice as specified in
				  18VAC95-20-390 in a
				  licensed nursing home as part of the degree program under the supervision of a
				  preceptor; and (iii) have received a passing grade on the national
				  examination;
2. Certificate
				  program. The applicant shall (i) hold a baccalaureate or higher degree from an
				  accredited college or university, (ii) successfully complete a program with a
				  minimum of 21 semester hours study in a health care-related field that meets
				  the requirements of
				  18VAC95-20-221
				  from an accredited institution, (iii) successfully complete not less than a
				  400-hour internship that addresses the Domains of Practice as specified in
				  18VAC95-20-390 in a
				  licensed nursing home as part of the certificate program under the supervision
				  of a preceptor, and (iv) have received a passing grade on the national
				  examination;
3.
				  Administrator-in-training program. The applicant shall have (i) successfully
				  completed an AIT program that meets the requirements of Part IV (18VAC95-20-300
				  et seq.) of this chapter , (ii) received a passing grade on the national
				  examination, and (iii) completed the Domains of Practice form required by the
				  board; or
4. Health Services
				  Executive (HSE) credential. The applicant shall provide evidence that he has
				  met the minimum education, experience, and examination standards established by
				  NAB for qualification as a Health Services Executive.
Statutory Authority: §
												54.1-2400.
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part III - Requirements for Licensure › Section 18VAC95-20-221 - Required content for coursework

Current through Register Vol. 40, No. 24, July 15, 2024
To meet the educational requirements for a degree in a
					 health care-related field, an applicant must provide an official transcript
					 from an accredited college or university that documents successful completion
					 of a minimum of 21 semester hours of coursework concentrated on the
					 administration and management of health care services to include a minimum of
					 three semester hours in each of the content areas in subdivisions 1 through 4
					 of this section, six semester hours in the content area set out in subdivision
					 5 of this section, and three semester hours for an internship.
1. Customer care, supports, services: Course
				  content shall address program and service planning, supervision, and evaluation
				  to meet the needs of patients, such as (i) nursing, medical and pharmaceutical
				  care; (ii) rehabilitative, social, psychosocial, and recreational services;
				  (iii) nutritional services; (iv) safety and rights protections; (v) quality
				  assurance; and (vi) infection control.
2. Human resources: Course content shall
				  focus on personnel leadership in a health care management role and must address
				  organizational behavior and personnel management skills such as (i) staff
				  organization, supervision, communication, and evaluation; (ii) staff
				  recruitment, retention, and training; (iii) personnel policy development and
				  implementation; and (iv) employee health and safety.
3. Finance: Course content shall address
				  financial management of health care programs and facilities such as (i) an
				  overview of financial practices and problems in the delivery of health care
				  services; (ii) financial planning, accounting, analysis, and auditing; (iii)
				  budgeting; (iv) health care cost issues; and (v) reimbursement systems and
				  structures.
4. Environment: Course
				  content shall address facility and equipment management such as (i)
				  maintenance, (ii) housekeeping, (iii) safety, (iv) inspections and compliance
				  with laws and regulations, and (v) emergency preparedness.
5. Leadership and management: Course content
				  shall address the leadership roles in health delivery systems such as (i)
				  government oversight and interaction, (ii) organizational policies and
				  procedures, (iii) principles of ethics and law, (iv) community coordination and
				  cooperation, (v) risk management, and (vi) governance and decision
				  making.
Statutory Authority: §
												54.1-2400.
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part III - Requirements for Licensure › Section 18VAC95-20-225 - Qualifications for licensure by endorsement

Current through Register Vol. 40, No. 24, July 15, 2024
The board may issue a license to any person who:
1. Holds a current, unrestricted license from
				  any state or the District of Columbia; and
2. Meets one of the following conditions:
a. Has been engaged in active practice as a
				  licensed nursing home administrator; or
b. Has education and experience equivalent to
				  qualifications required by this chapter and has provided written evidence of
				  those qualifications at the time of application for licensure.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part III - Requirements for Licensure › Section 18VAC95-20-230 - Application package

Current through Register Vol. 40, No. 24, July 15, 2024
A. An
				  application for licensure shall be submitted after the applicant completes the
				  qualifications for licensure.
B. An
				  individual seeking licensure as a nursing home administrator or registration as
				  a preceptor shall submit:
1. A completed
				  application as provided by the board;
2. Additional documentation as may be
				  required by the board to determine eligibility of the applicant;
3. The applicable fee;
4. An attestation that he has read and
				  understands and will remain current with the applicable Virginia laws and
				  regulations relating to the administration of nursing homes; and
5. A current report from the U.S. Department
				  of Health and Human Services National Practitioner Data Bank (NPDB).
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 95 - BOARD OF LONG-TERM CARE ADMINISTRATORS › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF NURSING HOME ADMINISTRATORS › Part III - Requirements for Licensure › Section 18VAC95-20-240 to 18VAC95-20-280

Current through Register Vol. 40, No. 24, July 15, 2024