W. Va. Code R. § 11-1B-11 - Practice Notifications
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.
11.5. A practice notification is complete
when it conforms to the requirements of this section and is accompanied by the
appropriate fee. The Board may return an incomplete practice notification
unprocessed and may request additional information from the health care
facility or physician assistant to obtain information necessary to complete the
practice notification.
11.6. Upon
receipt of a complete practice notification and the appropriate fee, the Board
shall provide the physician assistant and health care facility written notice
that the physician assistant is authorized to practice in the identified health
care facility or facilities.
11.7.
A physician assistant with an active practice notification on file with the
Board may only practice within the health care facility or facilities
identified in the practice notification. If practicing on behalf of the health
care facility, a physician assistant may practice at one or more additional
locations not included on his or her activated practice notification on an
occasional basis not to exceed two days per month per location if the health
care facility maintains documentation of the physician assistant's practice at
such occasional practice locations and provides such documentation to the Board
upon request.
11.8. A physician
assistant may list more than one health care facility on a single practice
notification if each of the facilities is operated under the same corporate
umbrella and the health care facility representative identified in subdivision
11.4.4 of this rule is authorized and responsible for executing the practice
notification and ensuring compliance with the provisions of the practice
notification certification at every health care facility listed on the practice
notification.
11.9. A new practice
notification, with the required fee, must be filed for approval by the Board if
the physician assistant seeks to practice at a health care facility not listed
in an active practice notification.
11.10. A practice notification automatically
terminates if:
11.10.1. The physician
assistant's license or interstate telehealth registration expires;
11.10.2. The physician assistant ceases
practice at the health care facility or facilities listed in the practice
notification; or
11.10.3. The
physician assistant is no longer credentialed to practice at the health care
facility or facilities listed in the practice notification.
11.11. A physician assistant with
more than one health care facility location on an active practice notification
shall notify the Board within ten days if he or she ceases practicing, or is no
longer credentialed to practice, at one of the health care facilities included
in the practice notification. The practice notification shall not terminate,
but shall no longer authorize practice at the location identified by the
physician assistant as a former practice location.
11.12. A health care facility or a physician
assistant may terminate a practice notification. A physician assistant shall
immediately cease practicing upon the termination of a practice notification.
The physician assistant must notify the Board, in writing, within 10 days of
the termination of any practice notification.
11.13. A physician assistant may
simultaneously practice pursuant to one or more active practice
notifications.
Notes
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