West Virginia Code of State Rules › Agency 24 - Osteopathic Medicine › Title 24 - LEGISLATIVE RULE WEST VIRGINIA BOARD OF OSTEOPATHIC MEDICINE › Series 24-02 - Osteopathic Physician Assistants › Section 24-2-3 - Qualification and Application for Licensure to Practice as a Physician Assistant

Current through Register Vol. XLI, No. 28, July 12, 2024
3.1.
				Minimum qualifications for licensure as a physician assistant are set forth in
				W. Va. Code §
									30-3E-4.
3.2. An application for a license to practice
				as a physician assistant shall be completed on a form provided by the Board,
				which is available on the Board's website. The Board shall not consider an
				application or decide upon the issuance of a license to an applicant until the
				complete application, including all third-party documentation or verification,
				is on file with the Board and the Board has had at least fifteen days to review
				the application. An application for licensure must be accompanied by payment of
				a nonrefundable application fee in an amount established by 24 CSR 5, unless
				the applicant has applied for and been granted an initial licensing fee waiver
				as set forth in 24 CSR 8.
3.3. The
				Board's physician assistant licensure application shall include, and applicants
				must provide, the following information:
3.3.1. The applicant's name, email address,
				home address, preferred mailing address and primary practice location
				address(es) telephone numbers and email address;
3.3.2. Demographic information of the
				applicant, such as date of birth, sex, etc.;
3.3.3. A photograph taken within the previous
				twelve (12) months which substantially resembles the applicant;
3.3.4. Documentation establishing that the
				applicant:
3.3.4.a. Obtained a baccalaureate
				or master's degree from an accredited program of instruction for physician
				assistants; or
3.3.4.b. Graduated
				from an approved program of instruction in primary health care or surgery prior
				to July 1, 1994;
3.3.5.
				Documentation that the applicant has passed the Physician Assistant National
				Certifying Examination administered by the NCCPA and documentation establishing
				that the applicant:
3.3.5.a. Has a current
				certification from the NCCPA; or
3.3.5.b. Has a current license in good
				standing from a state that does not require a physician assistant to maintain
				national certification;
3.3.6. Documentation and/or certification
				which establishes that the applicant does not hold a physician assistant
				license, certification or registration in any jurisdiction which is currently
				suspended or revoked;
3.3.7. Other
				information as determined by the Board which relates to whether the applicant
				is mentally and physically able to engage safely in practice as a physician
				assistant; and
3.3.8. Any
				additional information identified by the Board for licensure.
3.3.9. Submission to a state and national
				criminal history record check, based on fingerprints submitted to the West
				Virginia State Police or its assigned agent for forwarding to the Federal
				Bureau of Investigation, pursuant to W. Va. Code §
										30-1D-1
et seq
.
				The applicant must pay all costs associated with the criminal history record
				check. Should criminal offenses be reported on an applicant's criminal history
				record check, the Board shall consider the nature, severity, and recency of
				offenses, as well as rehabilitation and other factors on a case by case basis
				for licensure. Criminal history record checks shall be verified by a source
				acceptable to the Board, other than the applicant.