Texas Physician Licensure Presentation to UT Houston Residents

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Texas Physician Licensure Presentation to UT
Houston Residents
Texas Medical Board

• Mari Robinson, JD
• Interim Executive Director
• 03/11/09

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Presentation Topics

• LIST (License Inquiry System of Texas)
• Physician Licensure Process
• Licensure Application Documentation
• Priority and Expedited Handling
• Eligibility Requirements
• Required Documentation and Actions
• Eligibility Issues and Process
• Tips for Applicants for a Smooth Licensure
  Process

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LIST (License Inquiry System of Texas)

• Applicants monitor and track their application
  through the licensing process
• Applicants can
• View application status
• View outstanding requirements (documents, JP
  exam, etc.)
• Read and post messages to TMB
• Access LIST from any where in the world via the
  Internet, 24/7
• Accessible with user ID and password

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Physician Licensure Process

• Applicant Actions
• FCVS (optional credentialing service)
• Online Application - 885
• Submission of Additional Documentation
• Supplemental Documentation and Important
  Information
• Described in instructions for completing
  additional licensure forms

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Physician Licensure Process

• TMB Actions - Screening
• Review for expected documentation, etc. based on
  application characteristics
• No evaluation of documents at this stage
• Cannot exit screen until all expected documents
  arrive and actions completed. Includes
• Passage of JP exam
• Criminal history report from fingerprints (DPS
  and FBI)
• Substantial equivalence documentation Zpack
• Clerkship documentation

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Physician Licensure Process

• TMB Actions - Licensure Processing
• Assigned to licensure analyst
• Analyst evaluates application and supporting
  documentation for compliance with rules and
  statute
• May request further documentation
• Will correspond through LIST

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Physician Licensure Process

• TMB Actions Temporary Licenses
• Temporary License
• Only available AFTER all requirements are met
• Not numbered

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Physician Licensure Process

• TMB Actions Permanent Licenses
• Permanent License
• Full Board action required
• Considered at next board meeting
• License numbers issued to approved applicants
• Registration and fees due immediately (no more
  than 90 days after license issuance)

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Licensure Application and Documentation

• www.tmb.state.tx.us
• Click on Services for Healthcare
  Professionals/Physicians/Physician Applicants
• Eligibility Requirements and Documentation
• Sample Application Form
• Apply for Your License Online
• Additional Licensure Forms

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Eligibility Requirements

• Medical Education
• Domestic Graduate
• International Medical School Graduate (IMG)
• Substantial Equivalence Do you have to prove it
  or not?
• Schools disapproved by another state board
• Fifth Pathway

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Eligibility Requirements

• Postgraduate Training
• Domestic Graduates 1 year
• International Graduates / Fifth Pathway 3 years
• Examinations
• Professional Character
• Criminal History
• Academic / Disciplinary Actions
• Competency Issues
• Substance Abuse or Mental/Physical Condition
• Medical Liability Suits/Claims
• Submission of a False or Misleading Statement

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Eligibility Issues and Process

• Statutory ineligibility, ineligibility under
  board rule
• Exceed maximum exam attempts allowed
• Too few postgraduate training years
• File reviews and determinations of eligibility
• Issues related to professional character
• Time out of medicine

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Eligibility Issues and Process

• Administrative Penalties
• Rehabilitation Orders
• Appearance before the TMB Licensure Committee
• Appeal Process

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Priority and Expedited Handling

• Priority - Physician applicants who agree to
  treat Medicare/Medicaid Patients for 5 years
  following licensure
• Will be required to sign an agreement.
• Failure to comply may result in disciplinary
  action
• Expedited - Physician applicants planning to
  practice in
• A medically underserved area (MUA)
• A health professionals shortage area (HPSA)
• A rural area

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Tips for Applicants for a Smooth Licensure Process

• Review your eligibility use the TMB web site
• Read and follow all instructions
• Review your application for completeness
• If in doubt, answer yes
• Send supplemental documentation in one package
• Track your mail use a service that delivers to
  TMBs physical address, not the PO Box

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Contact Information

• Jaime Garanflo Tonie Knight
• Director, Licensure Customer Affairs Manager,
  Licensure
• Jaime.garanflo_at_tmb.state.tx.us
  Tonie.knight_at_tmb.state.tx.us
• Denise Meyer Nori Peterson
• Team Leader, Licensure Team Leader,
  Licensure
• Denise.meyer_at_tmb.state.tx.us
  Nori.peterson_at_tmb.state.tx.us
• Monique Johnston
• Licensure Specialist
• Monique.johnston_at_tmb.state.tx.us
• Customer Information Center
• Verifcic_at_tmb.state.tx.us
• 512-305-7030