Alabama Administrative Code
Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS
Chapter 540-X-1 - ORGANIZATION AND ADMINISTRATION
Section 540-X-1-.16 - Fees Associated With Collaborative
Universal Citation: AL Admin Code R 540-X-1-.16
Current through Register Vol. 42, No. 11, August 30, 2024
(1) Fee for New Collaborative Practice:
(a) At the time a physician enters into a
collaborative practice agreement with a Certified Registered Nurse Practitioner
(CRNP) or a Certified Nurse Midwife (CNM), for the purpose of registering the
collaborative practice, an initial commencement fee in the amount of Two
Hundred Dollars ($200.00) and a completed collaborative practice commencement
form shall be submitted to the Board.
(b) The collaborative practice commencement
form will request the following:
1. Physician
name, license number, primary practice specialty, primary practice address,
whether the physician is board certified, the physician's residency completion
date, and the name of program and completion date of any fellowship, or other
supervised training program, if applicable.
2. CRNP/CNM name, RN license number, national
certification specialty, practice address.
3. Number of hours per week to practice in
collaborative agreement.
4. Whether
the practice is a remote practice, the physician's primary practice, patient
homes, hospital, skilled nursing facility, or other.
5. Whether the collaborative practice will be
solely by telemedicine. If yes, additional information may be solicited,
including but not limited to:
(i) Plan for
providing required medical oversight and direction to the CRNP/CNM.
(ii) Plan for completing required quality
assurance reviews;
(iii) If no
covering physician is named on the application, plan for being readily
available at all times.
(iv)
Detailed plan to meet requirement of meeting face to face no less than twice
annually.
(v) Detailed plan to meet
requirement of being physically present no less than 10% of the CRNP/CNM's
scheduled hours if the CRNP/CNM has fewer than two years/4,000 hours of
experience since being certified.
6. Whether the practice will be under a
limited protocol for comprehensive physical exams or a limited protocol for
long term care.
7. Physician's
certification of understanding the responsibilities described in Board Rules
Chapter 540-X-8.
8. Physician's
certification that all covering physicians listed in the application have
knowledge of their addition to the collaborative agreement, an understanding of
Board Rules Chapter 540-X-8, and an awareness of their responsibilities in the
collaborative agreement.
9.
Physician's attestation of understanding of all quality assurance requirements
contained in Board Rules Chapter 540-X-8.
(c) Payment of the initial fee and submission
of the completed commencement form is established by the Board as a
qualification for the physician to participate and engage in the collaborative
practice.
(d) If the physician has
not paid the initial fee and submitted a completed commencement form, the Board
shall not approve the physician to participate in the collaborative
practice.
Author: Alabama State Board of Medical Examiners
Statutory Authority: Code of Ala. 1975, §§ 34-24-53, 34-24-340(b).
Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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