Texas Administrative Code
Title 22 - EXAMINING BOARDS
Part 9 - TEXAS MEDICAL BOARD
Chapter 172 - PAIN MANAGEMENT CLINICS
Subchapter B - TEMPORARY LICENSES
Section 172.4 - Minimum Operational Standards for the Treatment of Pain Patients
Universal Citation: 22 TX Admin Code § 172.4
Current through Reg. 50, No. 13; March 28, 2025
(a) Physicians treating a pain patient must:
(1) operate in
compliance with provisions of all applicable federal and state laws;
(2) follow the standard of care;
and
(3) maintain complete,
contemporaneous, and legible medical records, in the same manner as a non-pain
patient, and include documentation of:
(A)
monitoring efficacy, daily functionality, description of pain relief;
(B) mandatory PMP checks;
(C) pain contracts, if applicable;
(D) support for billing; and
(E) drug testing results and other forms of
monitoring for patient compliance with treatment recommendations.
(b) For pain patients transferring their care to a new treating physician at a Gold Designated Practice, the following applies:
(1) The new
treating physician must:
(A) document an
initial problem focused exam;
(B)
document a PMP check; and
(C)
request medical records from the prior treating physician(s) within 15 business
days of seeing the patient.
(2) The new physician may provide only a
one-time 30-day maximum non-refillable prescription of pain medication at the
initial visit.
(3) If the requested
medical records are not received within 15 business days after the initial
request, the physician must perform the following before issuing any other
prescriptions for pain treatment to the patient:
(A) a complete history and physical,
including assessment of abuse or diversion potential;
(B) diagnostic testing and obtain the results
to verify pain sources or etiology, if applicable;
(C) drug testing; and
(D) a PMP check.
Disclaimer: These regulations may not be the most recent version. Texas 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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