State Board of Medicine
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State Board of Osteopathic Medicine
Prescribing: A physician assistant may not prescribe under an osteopathic supervisor.
Physician Patient Visits: There are no specific visit requirements in an office setting.
Chart review: The DO must review all PA documentation in a patient record within a week in an office or satellite location.
New Graduate: There is no provision for a new graduate to work under a DO supervisor. The PA must be nationally certified before making application to the State Board of Osteopathic Medicine.
Ratios: A DO may be a primary supervisor for two PAs but may be the alternate for an unlimited number of PAs.
Satellite location: A separate application process is needed to be approved to practice in a satellite location. The PA must be employed in the main physician office for one year before beginning to practice in a satellite location. In this setting, there are physician visit restrictions which apply based on the patient’s age. The supervising physician must see every child from infancy to 2 years of age at least every third visit, and from 1 year of age to 18 years of age, at least every other visit. All other patients must be seen every fifth visit.
Exclusions: The PA may not independently bill for medical services. The PA may not advertise independently for their services. The PA may not pronounce a patient dead. The PA may not perform acupuncture.
A PA may not begin providing medical care without prior approval of their state certification application as well as prior approval of the supervising physician’s application.
A PA is required to notify the Board, in writing, of any changes in or termination of employment or a change in mailing address within 15 days. This includes any change in supervising physician(s). A supervising physician is also required to notify the Board within 15 days of any changes or termination of his or her supervision of a physician assistant. Failure to notify the Board within 15 days is basis for disciplinary action.
Click here to review a complete copy of the State Board of Osteopathic Medicine Regulations.