W. Va. Code R. § 24-2-3 - Qualification and Application for Licensure to Practice as a Physician Assistant

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.

3.4. The Board may require production of original documents and/or certified documents in support of an application for licensure. The applicant shall provide all documentation required by the Board and the West Virginia Code. The application, together with all documents submitted, becomes the property of the Board and will not be returned.

3.5. Any applicant may be required to appear before Board members at a meeting at which his or her application may be considered. The purpose of required attendance at a Board meeting is to enable the Board to clarify information contained in the application.

3.6. The burden of satisfying the Board of the applicant's qualifications for licensure is upon the applicant. The Board may deny an application for a physician assistant license to any applicant determined to be unqualified for licensure by the Board.

Notes

W. Va. Code R. § 24-2-3