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-5 - License Renewal

Current through Register Vol. XLI, No. 28, July 12, 2024
5.1. With the
				exception of an initial license, a license to practice as a physician assistant
				is issued for a term of two years. An initial license expires on the
				31st day of March in the next year established by
				the Board for physician assistant license renewal. Provided, that if an
				original license is issued within 30 days of an established renewal deadline,
				the initial license shall expire on the 31st day of
				March in the subsequent renewal year.
5.2. License renewal for all licensed
				physician assistants, regardless of the date the license was first issued,
				shall occur prior to April 1 of every odd year. A license shall expire, if not
				renewed by the renewal deadline, which shall be set by the Board and published
				on the Board's website.
5.3. A
				physician assistant license shall be renewed upon timely submission of a fully
				completed renewal application form and payment of a nonrefundable renewal fee
				in an amount established by 11 CSR 4.
5.4. An online application is available
				through the Board's website. A licensee shall maintain current contact
				information on file with the Board including: a preferred mailing address; a
				home address; current practice locations; telephone number; and a current email
				address. A licensee shall notify the Board of any changes to such contact
				information within 15 days of the change.
5.5. It is the responsibility of the licensee
				to submit a renewal application before the renewal deadline set by the Board.
				Failure of the licensee to receive a renewal application or a renewal notice
				does not constitute justification for any physician assistant to practice on an
				expired license, even if the physician assistant is otherwise authorized to
				practice as a physician assistant under an active practice
				notification.
5.6. The Board's
				physician assistant renewal application form shall include, and applicants must
				provide, the following information:
5.6.1. The
				applicant's name, email address, home address, preferred mailing address and
				primary practice location address(es) and telephone numbers;
5.6.2. Demographic information of the
				applicant, such as date of birth, sex, etc.;
5.6.3. A statement concerning any
				disciplinary action taken against the applicant in the last two years in any
				jurisdiction;
5.6.4. Information
				with respect to the applicant's professional practice, character and fitness to
				practice as a physician assistant;
5.6.5. A statement of all other jurisdictions
				in which the applicant is licensed to practice as a physician
				assistant;
5.6.6. The renewal
				applicant's NCCPA certification status;
5.6.7. Certification of successful completion
				of all continuing education requirements;
5.6.8. An attestation by the physician
				assistant that, to the extent he or she has been authorized to practice during
				the last two years, the physician assistant has practiced within the delegation
				of duties set forth in the licensee's authorized practice agreement(s) and/or
				pursuant to an active practice notification; and
5.6.9. Other information required by the
				Board for renewal of a license.