216-40-05 R.I. Code R. § 1.5

Current through June 20, 2024

Section 216-RICR-40-05-1.5 - Application for License && Fees

1.5.1Application

A. Application for licensure shall be made on forms provided by the Board which shall be completed, including the physician's signature and a recent identification photograph of the applicant, head and shoulder front view, approximately two inches by three inches (2" x 3") in size submitted to the Board.

B. Such application shall be accompanied by the following documents and fee (non-refundable and non-returnable):

1. The applicant must submit a self-query of the National Practitioner Data Bank.

2. Each license application, except from an applicant who qualifies for a license by endorsement pursuant to § 1.4.3(A) of this Part, must also include a completed Federation Credentials Verification Form (FCVS) from the Federation of State Medical Boards of the United States, Inc.

3. A statement from the Board of Examiners in Allopathic or Osteopathic Medicine in each State in which the applicant has held or holds licensure to be submitted to the Board of this state attesting the licensure status of the applicant during the time period applicant held licensure in said State;

4. The application examination fee, as set forth in Part 10-05-2 of this Title, Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health;

5. Such other information as may be deemed necessary and appropriate by the Board.

C. The Board, at its discretion, reserves the right to require any or all applicants to appear before the Board for an interview.

D. An applicant shall not be eligible for licensure by endorsement if the Board finds that the applicant has engaged in any conduct prohibited by this Part.

E. Granting of licensure after a lapse for non-disciplinary reasons. If a physician has not engaged in the active practice of medicine for two (2) years or more the Board shall establish clinical competency of the applicant prior to reactivation or reinstatement. The Board may establish clinical competency based on any or all of the following:

1. Documentation of appropriate continuing medical education;

2. Evidence of maintenance of certification from an American Board of Medical Specialty or American Osteopathic Association Board;

3. An evaluation of clinical competency by a Board approved organization, such as the Center for Personalized Education for Physicians (CPEP). The applicant is responsible to report the results of an evaluation from a Board approved organization and follow the recommendations for ongoing competence; and

4. Successfully passing a Board approved exam.

F. Granting of licensure after a lapse for disciplinary reasons. If a physician has not engaged in the active practice of medicine for two (2) years or more based on a disciplinary action from the Board or any other jurisdiction, the Board shall establish clinical competency based on any or all of the following:

1. An evaluation of clinical competency by a Board approved organization, such as the Center for Personalized Education for Physicians (CPEP). The applicant is responsible to report the results of an evaluation from a Board approved organization and follow the recommendations for ongoing competence; and

2. Successfully passing a Board approved exam.

G. Applicants whose physician licenses either are or have been suspended or revoked in another jurisdiction must submit a letter of good standing to the Board from the originating jurisdiction prior to their application being considered in Rhode Island.

1.5.2Interns, Residents, or Fellows

A. An application for limited medical registration as an intern, resident or fellow be made on forms provided by the Board, shall be submitted through the hospital, institution, clinical facility, or medical practice, and shall be accompanied by the following documents and fee (non-refundable and non-returnable):

1. Being eighteen (18) years of age or older;

2. Good moral character;

3. Successful graduation and completion of no less than two (2) years of study in a medical school accredited by the LCME or COCA and having power to grant degrees in medicine or osteopathic medicine;

4. Appointment as an intern, resident or fellow in an accredited training program pursuant to § 1.3.4(A) of this Part; and

5. The application fee, as set forth in Part 10-05-2 of this Title, Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health;

6. Such other information as may be deemed necessary by the Board.

B. Furthermore, each applicant from an accredited training program or its equivalent shall have the application for limited medical registration signed by:

1. The Administrator/Chief Executive Officer of the hospital, clinic, or other institution that has granted the appointment as an intern, resident or fellow; and

2. The program director attesting to the provisions of § 1.5.2(A)(3) of this Part.

C. Applicants from foreign medical schools shall present evidence of valid certification by the Educational Commission for Foreign Medical Graduates (ECFMG) including the provisions of § 1.5.2(B)(1) of this Part.

1. This requirement may be waived at the discretion of the Board for candidates approved by the Board who are participating in a short-term [less than six (6) month duration] postgraduate experience as part of a formal program administered by the director of an ACGME or AOA accredited residency or fellowship.

1.5.3Academic Faculty

A. Application for limited registration for "academic faculty" shall be made on forms provided by the Department which shall be completed and submitted to the Board at least thirty (30) days prior to the scheduled date of Board meeting.

B. Such application shall be accompanied by the following documents and fee (non-refundable and non-returnable):

1. For U.S. citizens: a certified copy of birth certificate; or

2. For foreign medical physicians: if a certified copy of birth certificate cannot be obtained, immigration papers or resident alien card or such other birth verifying papers acceptable to the Board;

3. One (1) recent photograph of the applicant, head and shoulder front view approximately two inches by three inches (2" x 3") in size;

4. A statement from the board of examiners in medicine in each State in which the applicant holds or has held a license confirming the applicant to be or have been in good standing. Such statement shall be submitted to the Board;

5. A certified copy of medical diploma;

6. A complete curriculum vitae;

7. A written statement from the dean of the medical school attesting that an offer has been made to the individual for a full-time senior level academic appointment, including the recommendation that the applicant is a person of professional rank (i.e., associate or full professor) whose knowledge and special training will benefit the medical school; and

8. The application fee, as set forth in Part 10-05-2 of this Title, Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health.

C. All documents not written in the English language shall be accompanied by certified translations.

1.5.4Examination

A. By Examination for Allopathic && Osteopathic Physicians: Applicants shall be required to pass such examination as the Board deems necessary to test the applicant's knowledge and skills to practice medicine in Rhode Island pursuant to the Act and this Part.

B. For written examinations, the Board requires applicants to successfully pass the following:

1. The National Board of Allopathic or Osteopathic Medical Examination (NBME) or (NBOME); or

2. The United States Medical Licensing Examination (USMLE);

3. The Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA)

4. The Licentiate Medical Council of Canada (LMCC);

5. Or any combination of examinations acceptable to the Board and as recommended by the United States Medical Licensing Examination;

6. The passing score for each section of the above examinations must be seventy-five (75) or more (The Board does not accept averaging of the separate components.)

7. Applicants for licensure in Rhode Island must pass each section of the required examination by the third (3^rd) attempt. In the event of a third (3^rd) failure, opportunity for re-examination(s) shall be subject to the applicant's completion of additional requirements as recommended by the Board on a case by case basis.

1.5.5Continuing Education

A. Every physician licensed to practice allopathic or osteopathic medicine in Rhode Island under the provisions of the Act and this Part, shall on or before the first (1^st) day of June of every even-numbered year, on a biennial basis, earn a minimum of forty (40) hours of AMA PRA Category 1 Credit^TM/AOA Category 1a continuing medical education credits and shall document this to the Board.

1. A physician's participation in an American Board of Medical Specialty's (ABMS) Maintenance of Certification program will be considered equivalent to meeting CME requirement.

2. A physician's participation in the AOA's Osteopathic Continuous Certification (OCC) program will be considered equivalent to meeting CME requirement.

B. The application shall include evidence satisfactory to the Board of completion of a prescribed program of continuing medical education established by the appropriate medical or osteopathic society. Participation by duly appointed members of the Board in regular Board meetings and investigating committee meetings shall be considered acceptable on an hours served basis in lieu of AMA PRA Category 1 Credit^TM/AOA Category 1a continuing medical education hours.

C. The Board may extend for only one (1) six (6) month period such educational requirements pursuant to the provisions of R.I. Gen. Laws § 5-37-2.1.

D. It shall be the sole responsibility of the individual physician to obtain documentation from the approved sponsoring or co-sponsoring organizations, agencies or other, of his or her participation in a learning experience and the number of dated credits earned.

1. Those documents must be safeguarded, for a period of three (3) years, by the physician for review by the Board if required. Only a summary list of those documents, not the documents themselves, shall be submitted with the application for renewal of the certification.

E. Licensure renewal shall be denied to any applicant who fails to provide satisfactory evidence of continuing medical education as required by this Part.

1.5.6Issuance and Renewal of License and Fee

A. Upon completion of the aforementioned requirements and upon submission of the initial licensure fee as set forth in Part 10-05-2 of this Title, Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health, the Director may issue a license to those applicants found to have satisfactorily met all the requirements of this Part. Said license unless sooner suspended or revoked shall expire biennially on the first (1^st) day of July of the next even-numbered year.

B. Every physician licensed during the current year who intends to practice allopathic or osteopathic medicine during the ensuing two (2) years shall file with the Board, before the first (1^st) day of July of each even-numbered year, a renewal application, on such forms as the Chief Administrative Officer deems appropriate, and duly executed together with the renewal fee as set forth in Part 10-05-2 of this Title, Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health on or before the first (1 ^st) day of July in each even-numbered year. Payment shall be postmarked on or before July 1.

C. Upon receipt of a renewal application and payment of fee, a license renewal, subject to the terms of the Act and this Part, shall be issued, effective for two (2) years, unless sooner suspended or revoked.

D. The licenses (registration certificates) of all allopathic or osteopathic physicians whose renewals, accompanied by the prescribed fee, are not filed on or before the first (1^st) day of July shall be automatically lapsed. The Board may in its discretion and upon the payment by the physician of the current licensure (registration) fee, plus an additional fee, as set forth in Part 10-05-2 of this Title, Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health reinstate any license (certificate) lapsed under the provisions of R.I. Gen. Laws § 5-37-10 and § 1.5.6(E) of this Part.

E. Every person to whom a license to practice medicine in Rhode Island has been granted by the duly constituted licensing authority in Rhode Island and who intends to engage in the practice of medicine during the ensuing two (2) years, shall register his or her license by filing with the Board such application duly executed together with such registration form and fee as established by the Director.

F. In order to update for the profile the information initially supplied to the Board by the physician at initial application for licensure, each physician shall provide the following information through the questionnaire:

1. Specialty board certification;

2. Number of years in practice in any State;

3. Name(s) of the hospital(s) where the physician has privileges in any State, and

4. The location of the physician's primary practice setting.

G. A limited medical registration certificate as an intern, resident or fellow shall be valid for a period of not more than one (1) year from the date of issuance and may be renewed annually for not more than four (4) consecutive years by the Department, except as provided in § 1.3.4(E) of this Part.

H. A limited registration certificate for academic faculty shall be valid for a period of not more than one (1) year, expiring on the thirtieth (30^th) day of June following its initial effective date and may be renewed for not more than five (5) consecutive years by the Board, provided however, such registration shall automatically expire when the holder's relationship with the medical school is terminated or substantially changes. The holder shall reapply for limited registration in accordance with the requirements of §§ 1.5.3(A) through (C) of this Part if the relationship with the medical school substantially changes. After the fifth (5^th) consecutive renewal, a physician may reapply for limited registration in accordance with the provisions of §§ 1.5.3(A) through (C) of this Part.

1.5.7Refusal of License

The Director at the direction of the Board, after due notice and hearing, in accordance with the procedures set forth in R.I. Gen. Laws §§ 5-37-5.2 to 5-376.2, may refuse to grant the original license to any physician and/or applicant who fulfills the grounds for such refusal pursuant to R.I. Gen. Laws § 5-37-4.

1.5.8Inactive List

A. The requirements regarding the physician inactive list are pursuant to R.I. Gen. Laws § 5-37-11. During the period of inactive status referenced in the Act, the physician may not practice medicine, as defined in § 1.2(A)(20) of this Part.

B. Any physician whose name has been included in the inactive list pursuant to § 1.5.8(A) of this Part shall be restored to active status by the Director upon the filing of a written request accompanied by the registration form and fee as set forth in Part 10-05-2 of this Title, Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health. Furthermore, at the discretion of the Board, the applicant may be required to appear before the Board for an interview.

C. Reactivation or Reinstatement of an inactive or expired license after a lapse for non-disciplinary reasons is processed pursuant to § 1.5.1(E) of this Part.

D. Reinstatement of a license after a lapse for disciplinary reasons is processed pursuant to § 1.5.1(F) of this Part.

1.5.9Unprofessional Conduct

A. The Director is authorized to deny or revoke any license to practice allopathic or osteopathic medicine or otherwise discipline a licensee upon finding by the Board that the person is guilty of unprofessional conduct which shall include, but not be limited to those items, or combination thereof, listed in R.I. Gen. Laws § 5-37-5.1.

B. Licenses that have been revoked by the Director shall not be eligible for consideration for re-instatement for a period of five (5) years. Re-instatement of revoked licenses shall be at the discretion of the Board.

C. Physician Self-treatment or Treatment of Immediate Family Members. A physician is not authorized to prescribe a controlled substance to him or herself or an immediate family member under any circumstances. However, a physician may prescribe a non-controlled substance for him or herself or an immediate family member for less than thirty (30) days, with appropriate documentation.

D. Discharging a Patient from a Practice. Periodically, a physician/practice may need to terminate the physician-patient relationship. This shall be done via written notice, which shall be documented in the medical record. The physician/practice must be available to the patient for thirty (30) days for medication refills, urgent or emergent conditions. A physician does not have to refill controlled substances if there is a suspicion of diversion.

E. Boundary Violations

1. Physicians shall not engage in a romantic or sexual relationship with a current patient.

2. Psychiatrists shall not engage in a romantic or sexual relationship with a current or former patient ever.

F. Gifts. Physicians may not receive as a gift from any patient greater than one hundred dollars ($100.00) in cash, or the market value equivalent thereof in goods or services, per calendar year.

G. Compounding of Sterile Products. Non-sterile and sterile compounding performed by practitioners must conform to current standards of practice for the compounding of pharmaceuticals set forth in § 15-1.7 of this Chapter and the United States Pharmacopeia ("USP").

H. Standard of Care

1. Infection Prevention. The Board accepts the CDC's "Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care" (September 2016) incorporated by reference at § 1.1.2 of this Part, and any successor documents, as the prevailing standard of care regarding infection prevention.

2. Telemedicine. Treatment and consultation recommendations made in an online setting, including issuing a prescription via electronic means, will be held to the same standards of appropriate practice as those in face-to-face settings. Therefore, consistent with the definition of telemedicine, provided in § 1.2(A)(25) of this Part, treatment, including issuing a prescription, based solely on an online questionnaire without an appropriate evaluation does not constitute an acceptable standard of care and is considered unprofessional conduct. Asynchronous evaluation of a patient, without contemporaneous real-time, interactive exchange between the physician and patient, is not appropriate.

I. Issuing of fines for disciplinary actions

1. The Board is authorized to issue monetary fines, in addition to other sanctions.

2. The Board will not issue a fine based on the first count or charge, and will not issue a fine that exceeds one thousand dollars ($1,000.00) for the second (2^nd) count or charge, and will not issue a fine for subsequent counts or charges that exceeds five thousand dollars ($5,000.00) per count or charge.

3. The Board will consider various factors, yet is not limited to these factors, when assessing fines, such as;

a. Prior complaints of similar nature

b. Prior disciplinary actions

c. Impact of violation on patient safety

d. Impact of violation on public safety

e. Willingness of physician to ensure further violations do not occur

1.5.10Closing a Medical Practice

A. In the event of a planned voluntary closure of a medical practice, the physician shall, at least ninety (90) days before closing his or her practice, give public notice as to the disposition of patients' medical records in a media venue with, at a minimum, statewide influence, and shall notify the Rhode Island Medical Society and the Board of the location of the records. The public notice shall include the date of the office closure, and where and how patients may obtain their records both prior to and after closure of the physician's practice.

1. At least ninety (90) days before voluntary closure of his or her practice, the physician shall send notice to the last known address (mail and/or email) of each patient seen within two (2) years of the actual or expected date of closure, which notice must include, at minimum, the actual or expected date of closure and instructions for obtaining patient medical records before and after closure.

B. The heirs or estate of a deceased physician who had been practicing at the time of his or her death shall, within ninety (90) days of the physician's death, give public notice as to the disposition of patients' medical records in a media venue with a statewide circulation, and shall notify the Rhode Island Medical Society and the Board of the location of the records.

C. Any physician closing his or her practice, or the heirs or estate of a deceased physician who had been practicing at the time of his or her death, shall store the physician's patient records in a location and manner so that the records are maintained and accessible to patients.

D. Any person or corporation or other legal entity receiving medical records of any retired physician or deceased physician who had been practicing at the time of his or her death, shall comply with and be subject to the provisions of R.I. Gen. Laws Chapter 5-37.3, the Confidentiality of Health Care Information Act, and shall be subject to the Rules and Regulations promulgated in accordance with R.I. Gen. Laws § 23-1-48 and with the provisions of R.I. Gen. Laws §§ 5-37-22(c) and (d), even though this person, corporation, or other legal entity is not a physician.

1.5.11Mammography and Medical Records Mammography

A. All aspects of mammography services shall be performed in accordance with the Mammography Quality Standards Reauthorization Act of 1998, Pub. Law 105248, and 21 C.F.R. Part 900.

B. The requirements for retention of mammography x-rays by health care providers are pursuant to R.I. Gen. Laws § 23-4.9-1.

1.5.12Medical Records

A. Medical records and medical bills may be requested by the patient or the patient's personal representative. All medical record requests to physicians shall be made in writing through a properly executed Authorization for Release of Health Care Information.

B. Reimbursement

1. Reimbursement to the physician for responding to a patient a copy of their medical record, regardless of format, shall be consistent with Federal law specifically 45 C.F.R. § 164.524.

2. Physicians are prohibited from charging patients who requests their own records a retrieval or certifying fee for duplicating medical records.

3. The physician may not require prior payment of charges for medical services as a condition for obtaining a copy of the medical record. The physician may not require prepayment of charges for duplicating or retrieving records as a condition prior to fulfilling the patient's request for the medical record if the request is for the purpose of continuity of care. Copying of X-rays or other documents not reproducible by photocopy shall be at the physician's actual cost plus reasonable fees for clerical service not to exceed twenty-five dollars ($25.00). Charges shall not be made if the record is requested for immunization records required for school admission or by the applicant or beneficiary or individual representing an applicant or beneficiary for the purposes of supporting a claim or appeal under the provision of the Social Security Act or any Federal or State needs-based program such as Medical Assistance, RIte Care, Temporary Disability Insurance and Unemployment compensation.

4. No fees shall be charged to an applicant for benefits in connection with a Civil Court Certification Proceeding or a claim under the Worker's Compensation Act, R.I. Gen. Laws § 28-29-38 as reflected in R.I. Gen. Laws § 23-17-19.1(16).

5. Requested records must be provided within thirty (30) days of the receipt of the written request or signed authorization for records. Requests for medical records made by authorized third (3^rd) parties (e.g., attorneys representing the patient, attorneys not representing the patient, a patient's estate on behalf of the patient, or insurance companies) submitting a properly executed Authorization for Release of Information shall be billed at not more than two dollars and fifty cents ($2.50) per page for the first ten (10) pages, then seventy-five cents ($0.75) per page for the next fifty (50) pages, then fifty cents ($0.50) per page. An additional charge to reflect actual cost of postage is permissible.

6. Should instances arise relating to the retrieval and copying of medical records which are not specifically covered by this Part, a fee structure consistent with that described above shall apply.

7. No fees shall be charged when a medical record is being sent from one (1) provider to the next in the context of a consultation.

8. When a patient requests in writing that his or her medical records be transferred to another physician, the original physician shall promptly honor such request. The physician shall be reimbursed for reasonable expenses (as defined in § 1.5.12(B) of this Part) incurred in connection with copying such medical records.

C. Medical Records shall be stored by physicians or their authorized agents for a period of at least seven (7) years unless otherwise required by law or Regulation.

D. Medical Records shall be legible and contain the identity of the physician or physician extender and supervising physician by name and professional title who is responsible for rendering, ordering, supervising or billing each diagnostic or treatment procedure. The records must contain sufficient information to justify the course of treatment, including, but not limited to: active problem and medication lists; patient histories; examination results; test results; records of drugs prescribed, dispensed, or administered; and reports of consultations and hospitalizations.

E. A medical record in paper or electronic format must be available in a completed format available for review by another healthcare provider for purposes of continuity of care in a timely manner. Failure to have the medical record in a completed format will be deemed to be grounds for unprofessional conduct.

1.5.13Patient Disclosure

A. The requirements regarding patient disclosures are pursuant to R.I. Gen. Laws § 5-37-22.

1. A physician who practices medical acupuncture as a therapy shall provide full written disclosure to his/her patient receiving medical acupuncture that the physician's qualifications to practice medical acupuncture are not equivalent to those of doctors of acupuncture licensed in accordance with R.I. Gen. Laws Chapter 5-37.2. Further, a physician integrating medical acupuncture into his/her medical practice shall disclose to the patient the type of pathway (i.e., pain management, primary care) in which the physician was trained.

1.5.14Collaborative Pharmacy Practice

A. A physician/pharmacist may engage in a collaborative practice agreement with a Rhode Island licensed pharmacist/physician, or group of pharmacists/physicians, pursuant to a collaborative practice agreement.

1. All collaborative practice agreements must be approved by the Board of Pharmacy ("BOP"), the Board of Medical Licensure and Discipline ("BMLD"), and the Director, each of which may request revisions to any proposed collaborative practice agreement as a condition of approval. Each proposed collaborative practice agreement must first be submitted to the BOP. Upon BOP approval, the collaborative practice agreement will be forwarded to the BMLD. Upon BMLD approval, the collaborative practice agreement will be forwarded to the Director for approval.

B. No collaborative practice may commence unless and until the corresponding collaborative practice agreement is approved by the Director. The Director may also terminate a collaborative practice agreement at any time.

C. All collaborative practice agreements must include the following:

1. Purpose of the agreement;

2. Citation of the authority to establish the agreement;

3. Identification and signatures of all parties to the agreement, as well as date of signature;

4. Site and settings where the collaborative practice is to take place;

a. The agreement shall specify the site(s) and setting(s) where the collaborative practice occurs. All services provided pursuant to a collaborative practice agreement shall be performed in a setting that ensures patient privacy and confidentiality.

b. Any site locations must have secure access to an Electronic Health Record (EHR) that ensures patient privacy and confidentiality.

c. Signatories to the collaborative practice agreement shall keep a copy of the agreement on file at their primary place(s) of practice.

5. Authorization of specific patient care functions;

a. The physician shall approve all protocols and activities for pharmacist driven drug therapy management, provide written protocols that describe the activities in which a pharmacist is authorized to engage, including but not limited to the procedures, decision criteria, and plan a pharmacist shall follow when providing medication therapy management.

b. The pharmacist shall have prescriptive privileges including but not limited to initiating, adjusting, monitoring or discontinuing medication therapy.

(1) The pharmacist(s) shall document each initiation, modification, or discontinuation of medication therapy in the patient's electronic medical record. Documentation shall also include other pertinent information including but not limited to changes in conditions, telephone encounters, test results, and patient assessment.

c. A physician or other prescriber shall be allowed to override a collaborative practice decision made by the pharmacist when appropriate.

6. Scope of conditions or diseases to be managed;

A description of the types of diseases and/or conditions, medication categories involved, and medication therapies management;

7. Training and education requirements of all parties, as agreed upon by the signing parties and not inconsistent with any applicable training and education requirements for professional licensure;

8. An attestation form that all parties have professional liability insurance; All parties shall have professional liability insurance during the term of the agreement. Proof of liability insurance must be available to the Department upon request.

9. Communication requirements between parties; Care provided to the patient by the pharmacist will be in coordination with the provider.

10. Cross coverage and continuity of care plan;

In the event either party is unable to continue the agreement, an appropriate qualified provider must be available for consultation during business hours.

11. Provisions for review and revisions to the collaborative practice agreement;

a. Collaborative practices may review or revise their collaborative practice agreements at any time at the request of the signatories. However, the agreement must be reviewed by the signatories at least once every two (2) years. Any changes to the agreement must be signed and dated by all signatories.

b. In the event substantive or material changes are made to the agreement, such as addition of new disease states or conditions to be managed, the collaborative practice agreement shall be resubmitted to for BOP, BMLD, and Director approval.

(1) No substantive changes to any collaborative practice agreements may be implemented without prior approval from BOP, BMLD, and the Director.

(2) Addition or removal of physicians, pharmacists and other qualified provider does not require BOP, BMLD, or Director approval.

c. New participants in the collaborative practice agreement shall be kept up to date with names and signatures at the practice site.

12. Provisions relative to signatory withdrawal from the agreement;

a. A signatory may withdraw from the agreement at any time; provided, however, that in the event that withdrawal of such signatory would result in failure of the agreement for want of a party, a new party must contemporaneously be substituted consistent with the provisions of § 1.5.14 of this Part.

b. A patient may withdraw from treatment under the agreement at any time.

D. The Department may request additional information as required to determine compliance with this Part.

216 R.I. Code R. § 216-RICR-40-05-1.5

Amended effective 4/24/2022