Texas Administrative Code
Title 22 - EXAMINING BOARDS
Part 9 - TEXAS MEDICAL BOARD
Chapter 195 - PAIN MANAGEMENT CLINICS
Section 195.2 - Gold Designated Practice
Universal Citation: 22 TX Admin Code ยง 195.2
Current through Reg. 49, No. 38; September 20, 2024
(a) A clinic may apply to be designated as a "Gold Designated Practice." In order to be eligible for a "Gold Designated Practice" status, a clinic must:
(1) a Board-approved application
form;
(2) Provide a Medical Home
Agreement, written collaborative, coordinated care agreement or memorandum of
understanding to provide management and treatments of pain, that describes
measures that it provides and may be used for reduction of pain such as, but
not limited to:
(A) multimodal treatment such
as surgery, injections, pain pumps, osteopathic manipulation, epidurals,
trigger point injections, dry needling, and topical creams or
patches;
(B) multi-disciplinary
practices such as medication assisted tapering and weaning, computer-based
training pain coaching, acupuncture, chiropractic, physical therapy, massage,
and exercise/movement; or
(C)
collaborative care or other behavioral health integration services such as
evidenced-based cognitive behavioral therapy interventions for mental health
and pain reduction, medication management and opioid weaning, patient-centered
education, regular monitoring and assessments of clinical status using
validated tools, assessment of treatment adherence, motivational interviewing,
and a structured approach to improving the biopsychosocial aspects of pain
management; and
(3) In
addition to providing a Medical Home Agreement, written collaborative,
coordinated care agreement or memorandum of understanding to provide management
and treatments of pain described above, the clinic must either:
(A) Meet the standards for exemption under
Section 168.002(7) of the Act, including the clinic is operated by a majority
of physicians who currently hold or previously held ABMS or AOA
Board-certification or subspecialty certification in pain management; and
(i) have a majority of physicians perform or
properly supervise delegates in providing other forms of treatment besides
qualifying pain management prescriptions to a majority of the patients at the
clinic;
(ii) the clinic's providers
utilize a Medical Home Agreement signed by the primary prescriber and the
patient; or
(iii) have a written
collaborative, coordinated care agreement or a memorandum of understanding with
the patient's primary physician for treating and managing the patient;
or
(B) Be a Certified
Pain Management Clinic (PMC) that is operated by physicians who previously held
an ABMS or AOA Board-certification or sub-specialty in pain management or hold
a ABMS or AOA Board-certification in an area that is eligible for a pain
management subspecialty; and
(i) have a
Medical Home Agreement signed by the primary prescriber and the patient;
or
(ii) a written collaborative,
coordinated care agreement or memorandum of understanding providing that each
physician who prescribes qualifying prescriptions will consult with a pain
specialist for the patient.
(b) The designation may be verified by an initial audit and is valid for five years.
(c) No further audits or inspections will be conducted during the five-year "Gold Designated Practice" period, unless:
(1) A complaint is received or initiated by
the Board concerning operation of the clinic or operators at the
clinic;
(2) The clinic changes
location; or
(3) The clinic's
ownership structure changes to a majority of new owners.
(d) Practices that only treat pain patients as part of cancer care, or that provide only palliative care, hospice or other end-of-life care, are exempt under the Act from certification requirements as a PMC, but do not qualify for the "Gold Designated Practice" status.
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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