Summary of PA Regulations

Prescribing: Physician Assistants are permitted to independently prescribe under the supervision of a MD (allopathic) supervisor. The list of medications the PA can not prescribe are listed in the work agreement approved by the board. PAs may prescribe scheduled II-V medications with an active DEA number.

Physician Patient Visits: The supervising physician is required to see the hospitalized patient at least once.

Chart Review: All documentation in a patient record by the PA must be reviewed by their supervising physician at least weekly in an office or satellite location. When relaying a medical regimen or prescribing medications, the outpatient chart must be countersigned by the supervising physician within ten (10) days. A modification of this requirement can be made by submitting a written agreement change form to the appropriate board.

New Graduates: A new graduate may practice under an approved temporary permit from graduation to certification. Check out our New Graduate Info Sheet page for more information.

Ratios: A supervising physician may be the primary supervising physician for four PAs but can be an alternate for an unlimited number of PAs.

Satellite Location: A separate application process is required for a PA to practice in a satellite office separate from the main physician office. The satellite office must be in an area of medical need. The MD must visit the satellite location at least weekly and must review documentation in records of selected patients.

Exclusions: A PA may not independently bill for services. A PA may not independently advertise their services. A PA may not perform acupuncture. A PA may pronounce a patient dead. A PA may not provide medical services outside their written agreement.

A PA may not begin providing medical care without prior approval of their state licensure 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 Medicine Regulations.

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State Board of Osteopathic Medicine

Prescribing: A physician assistant may 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. A modification of this requirement can be made with a written agreement change form to the State Board of Osteopathic Medicine.

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 four 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.

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