West Virginia Code of State Rules › Agency 11 - Medicine › Title 11 - LEGISLATIVE RULE WEST VIRGINIA BOARD OF MEDICINE › Series 11-01B - Licensure, Practice Requirements, Disciplinary and Complaint Procedures, Continuing Education, Physician Assistants › Section 11-1B-11 - Practice Notifications

Current through Register Vol. XLI, No. 28, July 12, 2024
11.1.
				Before a physician assistant may practice in collaboration with physicians, the
				physician assistant and a health care facility shall file a practice
				notification with the Board.
11.2.
				A practice notification shall be completed on a form provided by the Board and
				shall be accompanied by the appropriate fee. The fee for the submission of a
				practice notification shall be one hundred dollars ($100) until such time as a
				different fee is established by 11 CSR 4. Practice Notification forms can be
				found on the Board's website.
11.3.
				A physician assistant may not commence practice pursuant to a practice
				notification until the Board provides written notification to the physician
				assistant and health care facility that a complete practice notification has
				been filed with the Board. The Board's written notification activates the
				practice notification and provides the physician assistant with authorization
				to practice in the identified health care facility or facilities.
11.4. A practice notification shall include:
11.4.1. The full name, license number,
				preferred mailing address, telephone number, and email address of the physician
				assistant;
11.4.2. The name and
				address of each health care facility where the physician assistant will
				practice pursuant to the practice notification including all locations of the
				health care facility where the physician assistant customarily or routinely
				practices;
11.4.3. Verification
				that the physician assistant meets the qualifications for prescriptive
				authority;
11.4.4. The name, job
				title, email address and contact information of the health care facility
				representative who is responsible for executing the practice notification and
				ensuring compliance with the provisions of the certification; and
11.4.5. Certification by the physician
				assistant and the health care facility that:
11.4.5.a. The physician assistant shall
				practice in collaboration with physicians;
11.4.5.b. The physician assistant shall
				practice in conformity with the physician assistant's education, training and
				experience and in accord with the delineation of privileges granted to the
				physician assistant or other credentialing requirements of the health care
				facility;
11.4.5.c. The physician
				assistant holds a license issued by the Board to practice as a physician
				assistant or an interstate telehealth registration issued by the Board pursuant
				to W. Va. Code §
											30-1-26;
11.4.5.d. The physician assistant meets the
				requirements for prescriptive authority and shall exercise prescriptive
				authority in conformity with section 12 of this rule; and
11.4.5.e. The physician assistant shall
				notify the Board upon the cessation of the physician assistant's practice
				pursuant to the practice notification.
11.4.6. If a physician assistant who files a
				practice notification holds a license which is subject to probation or any
				practice restriction or limitation, the practice notification shall be
				accompanied by:
11.4.6.a. A description of the
				physician assistant's practice restrictions or limitations;
11.4.6.b. Certification by the health care
				facility representative completing the practice notification that the health
				care facility is aware of all such practice restrictions or
				limitations;
11.4.6.c.
				Certification by the physician assistant and the health care facility
				representative that the physician assistant's practice shall comport with all
				practice restrictions or limitations.