Wyoming Administrative Code › Agency 052 - Medicine, Board of › Sub-Agency 0001 - Medicine, Board of › Chapter 1 - LICENSE ELIGIBILITY, APPLICATION AND INTERVIEWS › Section 1-8 - Physician and General Fees

Current through July 13, 2024
(a) All fees
				are non-refundable.
(b) Requested
				paperwork shall not be processed until appropriate fees are received by the
				board.
(c) Application fees shall
				be paid to the board in the form of cashier's check or money order. All other
				fees shall be paid to the board in the form of a check, cashier's check or
				money order; however, on-line applications for licensure or renewal of licenses
				may be paid by credit card.
(d)
				Schedule of fees:
Application and initial license fee [Includes the cost of 1
				  NPDB report, 1 criminal record check (if necessary), temporary license (if
				  granted) pending completion and review of licensure application at next board
				  meeting, and initial license (if granted)] ........... $400.00
($250.00 for persons holding a current T-2 license)
Application and initial license fee for persons holding a
				  valid Letter of Qualification issued by a Member State of the Interstate
				  Medical Licensure Compact ................. $325.00
Application to convert from public health emergency licensure
				  exemption to full, unrestricted physician licensure (pursuant to Ch. 1, Sec.
				  7(d)(i)(D) of these Rules) and initial license fee [Includes the cost of 1 NPDB
				  report, 1 criminal record check (if necessary), temporary license (if granted)
				  pending completion and review of licensure application at next board meeting,
				  and initial license (if granted)] .......................... $165.00
Paper form license application processing fee
				  ........................................................... $50.00
Annual renewal of license (including administrative license)
				  .................................. $155.00
Paper form renewal application processing fee
				  ......................................................... $25.00
License renewal grace period surcharge:
				  ....................................................................
				  100.00
Reactivation of license [Includes the cost of 1 NPDB report,
				  1 criminal record check (if necessary), and license (if granted) through June
				  30th] ........................................... $250.00
Reinstatement of license [Includes the cost of 1 NPDB report,
				  1 criminal record check (if necessary), and license (if reinstatement is
				  granted)] [Costs may also be imposed in addition to the reinstatement fee.]
				  .............................................................................
				  $300.00
Inactive license, conversion to (one-time fee)
				  ............................................................ $50.00
Inactive license renewal
				  ........................................................................................
				  No charge
First-year residency training license ("T-1" license)
				  .................................................. $25.00
Second-year residency training license ("T-2" license)
				  .............................................. $50.00
Residency training license ("T-2" license) renewal
				  ................................................... $50.00
Volunteer license
				  ........................................................................................................
				  $15.00
Verification of license
				  .................................................................................................
				  $15.00
Wyoming hospital privileging verification of license
				  (Requires submission of a spreadsheet listing all physicians and/or physician
				  assistants for whom verifications are requested. Response will be provided on
				  the spreadsheet verifying licensee name, license number, license expiration
				  date, whether the licensee has been disciplined, and whether there are any
				  restrictions on the license.)
				  .................................................. $15.00 per license
Replacement of lost license - pocket size (No charge if the
				  licensee uses the Board's online system to print the replacement license.)
				  ............................................................. $25.00
License - wall size
				  ......................................................................................................
				  $50.00
(e) The Board hereby
				incorporates by reference the following uniform rules:
(i) Chapter 2 - Uniform Procedures, Fees,
				Costs, and Charges for Inspecting, Copying, and Producing Public Records,
				adopted by the Department of Administration and Information and effective on
				September 6, 2016, found at
http://rules.wyo.gov
, reference number
				006.0011.2.09062016.
(A) For these rules
				incorporated by reference:
(I) The Board has
				determined incorporation of the full text in these rules would be cumbersome or
				inefficient given the length or nature of the rules;
(II) The incorporation by reference does not
				include any later amendments or editions of the incorporated matter beyond the
				applicable date identified in paragraph (i) of this subsection; and,
(III) The incorporated rules are maintained
				at the Board's office and are available for public inspection and copying at
				the same location.