Mo. Code Regs. tit. 20 § 2150-2.260
Current through Register Vol. 50, No. 1, January 2, 2025
Section 20 CSR 2150-2.260 - Assistant Physician-Certificate of Prescriptive AuthorityPURPOSE: This rule is being amended to implement Senate Bill 718 (2018) passed by the 99th General Assembly with respect to the assistant physician's involvement in the "Improved Access to Treatment for Opioid Addictions Act" (IATOA) and with regard to on-site supervision requirements.
(1) Licensees applying for a certificate of prescriptive authority shall submit- (A) A completed application on a form provided by the board;(B) Applicants shall submit the application fee as stated in 20 CSR 2150-2.080;(C) A supervision verification form, signed by their collaborating physician, stating that the collaborating physician has delegated to the assistant physician the authority to prescribe: Schedule II (hydrocodone)-limited to a five- (5-) day supply; Schedule III-limited to a five- (5-) day supply, except that buprenorphine may be prescribed for up to a thirty- (30-) day supply without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician; Schedule IV; or Schedule V. The delegated authority to prescribe shall be consistent with each professional's education, knowledge, skill, and competence. Any limitations on the physician's or assistant physician's ability to prescribe shall be listed on the supervision verification form; and(D) An affidavit completed by their collaborating physician documenting the completion of at least one hundred twenty (120) hours in a four- (4-) month period by the assistant physician during which the assistant physician practiced with the supervising physician continuously present. Pursuant to section 334.037, RSMo such on-site supervision requirement shall not apply to assistant physicians of population-based public health services as defined in 20 CSR 2150-5.100 as of April 30, 2009, or assistant physicians providing opioid addiction treatment.Adopted by Missouri Register December 1, 2016/Volume 41, Number 23, effective 1/29/2017Amended by Missouri Register July 15, 2019/Volume 44, Number 14, effective 9/3/2019