Don't forget to check the "News and Announcements" Section for information on the new PA laws including guidance documents, model supervision agreement and information on Botox and Light Based Devices.
LICENSURE AND PRESCRIPTIVE AUTHORITY
What do I Need to Get a License in Ohio?
A physician assistant license includes prescriptive authority only under the following conditions:
You have master’s degree or higher from an ARC-PA program
You have a degree from and ARC-PA program AND a master’s degree with clinical relevance to PA practice.
If you do not have a master’s degree you will be eligible for a license if:
You hold a current, valid license to practice as a PA in another jurisdiction and have been in active practice with prescriptive authority in any jurisdiction through the three-year period immediately preceding the date of application.
You hold an ARC-PA degree and have experience practicing with prescriptive authority as a PA for at least three consecutive years while on active duty, with evidence of service under honorable conditions, in any of the armed forces of the United States or the national guard of any state, including any experience attained while practicing as a physician assistant at a health care facility or clinic operated by the United States department of veterans affairs.
You hold an ARC-PA degree and have experience practicing with prescriptive authority as a physician assistant for at least three consecutive years while on active duty in the United States public health service commissioned corps.
If you did not hold prescriptive authority in another jurisdiction, the military or in the public health service, you will not be issued prescriptive authority with your license. To obtain prescriptive authority, you will need to obtain a master’s degree. Upon receipt of proof of your master's degree, the Medical Board will give you prescriptive authority.
How do I Apply for a License?
Background checks are required and the application for a license is online.
You will not be notified by the Medical Board of your approval so you will need to check the Medical Board website for the status of your license on the Licensee Profile and Status page.
Renewal of your Certificate to Practice is every two years in even years regardless of when it was issued to you. Renewal of prescriptive authority is every two years in odd years regardless of when it was issued to you.
New Licensee Prescriptive Authority Requirement
During the first five hundred hours you may only prescribe under the on-site supervision of a supervising physician.
You are excused from this requirement if you held a prescriber number from another jurisdiction and practiced with prescriptive authority in that jurisdiction for not less than one thousand hours.
A record of a physician assistant's completion of the hours required shall be kept in the records maintained by a supervising physician of the physician assistant. The record shall be made available for inspection by the board.
Required of all PAs and supervising physicians. This agreement states that the PA is agreeing to be supervised by the physician and that the physician agrees to supervise the PA. A physician can have supervisory agreements with an unlimited number of PAs but the physician can only supervise up to three PAs at one time.
The PA can start work 5 days after the Supervision Agreement is received by the Medical Board.
Recommended answers to the four new questions on the agreement for Outside a Healthcare Facility.
PA Formulary - Click HERE to see the Formulary
Information on Prescribing Schedule II
From the Formulary: Opioids for treatment of drug addiction:
The wording on the February 2013 formulary is taken from ORC 4730.411, Divisions A, B, C. OAPA comments are in italics.
No CTP holder may prescribe an opioid for the treatment of drug addiction. Federal law requires that opioids for the treatment of drug addiction be prescribed by physicians only.
NOTE restrictions in the law regarding ANY/ALL Schedule II drugs:
Schedule II drugs may only be prescribed, as per ORC Section 4730.411, division (A), ONLY IF:
1) The patient is in a terminal condition (as defined in ORC 2133.01); AND
2) The physician assistant's supervising physician initially prescribed the substance for the patient;
3) The prescription is for an amount that does not exceed the amount necessary for the patient's use in a single twenty-four-hour period.
Number 1 through 3 above only apply to patients in a terminal condition. If your patient is not terminal, this does not apply to you.
The restrictions on prescriptive authority in ORC Section 4730.411, division (A) of this section (terminal patients) do not apply if a physician assistant issues the prescription to the patient from any of the following locations:
(1) A hospital registered under section 3701.07 of the Revised Code;
(2) An entity owned or controlled, in whole or in part, by a hospital or by an entity that owns or controls, in whole or in part, one or more hospitals;
(3) A health care facility operated by the department of mental health or the department of developmental disabilities;
(4) A nursing home licensed under section 3721.02 of the Revised Code or by a political subdivision certified under section 3721.09 of the Revised Code;
(5) A county home or district home operated under Chapter 5155. of the Revised Code that is certified under the medicare or medicaid program;
(6) A hospice care program, as defined in section 3712.01 of the Revised Code;
(7) A community mental health agency, as defined in section 5122.01 of the Revised Code;
(8) An ambulatory surgical facility, as defined in section 3702.30 of the Revised Code;
(9) A freestanding birthing center, as defined in section 3702.51 of the Revised Code;
(10) A federally qualified health center, as defined in section 3701.047 of the Revised Code;
(11) A federally qualified health center look-alike, as defined in section 3701.047 of the Revised Code;
(12) A health care office or facility operated by the board of health of a city or general health district or the authority having the duties of a board of health under section 3709.05 of the Revised Code;
Numbers 1 through 12 are practice locations regulated by the state. Those locations may have their own policies that dictate PA prescribing. The law, though, allows PAs to prescribe up to 7 days of Schedule II without the patient being seen by your supervising physician.
(13) A site where a medical practice is operated, but only if the practice is comprised of one or more physicians who also are owners of the practice; the practice is organized to provide direct patient care; and the physician assistant has entered into a supervisory agreement with at least one of the physician owners who practices primarily at that site.
Number 13 refers to private practices BUT only those practices that are owned by a physician(s). If your private practice is NOT OWNED by a physician, you cannot prescribe any Schedule II medications.
If the practice is owned by a physician, a PA can prescribe up to 7 days of Schedule II without the patient seeing the supervising physician. If your supervising physician has seen the patient before, and the patient is seeking a refill, you may prescribe any amount, but common sense would indicate no more than 30 days.
A physician assistant shall not issue to a patient a prescription for a schedule II controlled substance from a convenience care clinic even if the clinic is owned or operated by an entity specified in Section 4730.411 (B) ORC.
Formulary Update Requests
If you would like to request formulary updates for specific drugs either not appearing on the PA formulary or in a different category, please use this FORM and send it to the Physician Assistant Policy Committee at the Ohio State Medical Board.
Ohio PAs may apply for their DEA number during their provisional period.
Ohio PAs may prescribe Schedule II-V.
Once you have updated your registration on the DEA website for Schedule II, you will need to wait to prescribe Schedule II until you receive a new certificate from the DEA. This will come by regular mail and will take about a week.