902 KAR 22:030.
Midlevel health care practitioner.
RELATES TO: KRS
216.900-216.930
STATUTORY
AUTHORITY: KRS Chapter 13B, 216.920, 216.925
NECESSITY,
FUNCTION, AND CONFORMITY: KRS Chapter 216 mandates that the Kentucky Board of
Family Health Care Providers promulgate administrative regulations necessary to
implement their duties and responsibilities. The administrative regulation
responds to provisions of KRS 216.920 which requires the Kentucky Board of
Family Health Care Providers to certify and recertify midlevel health care
practitioners; develop and administer qualifying examinations for midlevel
health care practitioners; identify continuing education requirements for
midlevel health care practitioners.
Section 1.
Definition. "Midlevel health care practitioner (MAP)" means a person
certified by the Kentucky Board of Family Health Care Providers to provide
limited management of chronic conditions to patients in a licensed network
following treatment protocols reviewed and approved by the board pursuant to
KRS 216.925.
Section 2.
Application for Certification. (1) The application form as shown in these
administrative regulations for the general practice of midlevel health care
practitioners (MLPs) shall be completed in its entirety by all applicants.
(2) The
application forms shall be obtained through the Kentucky Board of Family Health
Care Providers, c/o Division of Vital Records and Health Development,
Department for Public Health, 275 East Main Street, Frankfort, Kentucky 40621.
(3) The application
shall be executed and sworn before a notary and returned to the Kentucky Board
of Family Health Care Providers with a postmark of at least sixty (60) days
prior to the scheduled examination with the fee of fifty (50) dollars.
(4) The Kentucky
Board of Family Health Care Providers may reject an application for the
following reasons:
(a) Applicant
has been convicted of a misdemeanor involving moral turpitude or a felony;
(b) Applicant
has had a health care profession license or certificate denied or revoked in
any state or territory;
(c) Applicant
has an addiction to alcohol or any other chemical substances;
(d) Applicant
has misrepresented any facts on the application;
(e) Applicant
has failed to provide additional information requested by the Kentucky Board of
Family Health Care Providers;
(f) Applicant
has not properly completed or sworn to the information to meet all the
requirements pursuant to KRS Chapter 216.
(5) The Kentucky
Board of Family Health Care Providers shall notify the candidate of acceptance
or rejection of the application and/or date, time, place of the examination at
least thirty (30) days prior to the examination.
Section 3.
Approved Qualifying Examinations. (1) The examination for certification as a
midlevel health care practitioner shall consist of a written portion and a
clinical/skills practicum portion.
(2) The
qualifying examination for certification as a midlevel health care practitioner
shall consist of the following components as approved by the Kentucky Board of
Family Health Care Providers:
(a) The written
portion of the examination shall consist of items based on medical treatment
protocols developed and approved by the Kentucky Board of Family Health Care
Providers.
(b) The clinical
practicum portion of the examination shall test the applicant's skills and
shall be based on the medical treatment protocols developed and/or approved by
the Kentucky Board of Family Health Care Providers.
(c) A score of
seventy (70) percent shall be achieved on the written portion of the qualifying
examination and a score of 100 percent shall be achieved on the clinical/skills
portion of the examination for certification as a midlevel health care
practitioner.
(3) The board
shall recognize the national or state qualifying examinations for certification
or licensure of advanced registered nurse practitioners, physician assistants
and registered nurses as the qualifying examination for the certified midlevel
health care practitioner.
Section 4.
Qualifying Examination Administration. (1) Examination sites and examination
frequency shall be designated by the Kentucky Board of Family Health Care
Providers and published annually.
(2) There shall
be no limit on the number of times a candidate can take the examination for
certification.
(3) The
candidate shall notify the Kentucky Board of Family Health Care Providers if a
new test date is desired.
Section 5.
Initial Certification of Midlevel Health Care Practitioners. (1) To be
certified by the Kentucky Board of Family Health Care Providers as a midlevel
health care practitioner, a person shall:
(a) Be a health
care professional who, by license or certification directly deals with physical
or psychological illness of a patient;
(b) Submit a
completed application with the required fee;
(c) Be of good
character and reputation;
(d) Meet the
requirement for application pursuant to KRS 216.925;
(e) Have passed
an examination approved by the Kentucky Board of Family Health Care Providers.
(2) The
certified midlevel health care practitioner shall practice only in licensed
networks following the guidelines pursuant to KRS 216.925.
(3)
Certification shall begin on or before July 1, 1992, and completion of the
qualifying examination is required every five (5) years thereafter.
(4) Interagency
cooperation.
(a) The board
shall notify in writing other health care profession licensing or certifying
agencies of an individual's additional certification as a midlevel health care
practitioner.
(b) The board
shall request that if the other health care profession licensing or certifying
agency revokes the midlevel health care practitioner's license or
certification, that notice of the revocation be sent to the Cabinet for Health
Services within ten (10) days of the agency's action.
Section 6.
Recertification of Midlevel Health Care Practitioners. (1) The application form
as shown in these administrative regulations for the general practice of
midlevel health care practitioners (MLPs) shall be completed in its entirety by
all applicants.
(2) The application
forms shall be obtained through the Kentucky Board of Family Health Care
Providers, c/o Division of Vital Records and Health Development, Department for
Public Health, 275 East Main Street, Frankfort, Kentucky 40621.
(3) The
application shall be executed and sworn before a notary and returned to the
Kentucky Board of Family Health Care Providers with a postmark of at least
sixty (60) days prior to the end of the licensure period with the fee of fifty
(50) dollars.
(4) The Kentucky
Board of Family Health Care Providers may reject an application for the
following reasons:
(a) Applicant
has been convicted of a misdemeanor involving moral turpitude or a felony;
(b) Applicant
has had a health care profession license or certificate denied or revoked in any
state or territory;
(c) Applicant
has an addiction to alcohol or any other chemical substances;
(d) Applicant
has misrepresented any facts on the application;
(e) Applicant
has failed to provide additional information requested by the Kentucky Board of
Family Health Care Providers;
(f) Applicant
has not properly completed or sworn to the information to meet all the
requirements pursuant to KRS Chapter 216;
(g) Applicant
has failed to complete mandatory education requirements.
(5) The midlevel
health care practitioner shall provide evidence of having completed the
required ten (10) medical education hours annually for recertification.
(6) The Kentucky
Board of Family Health Care Providers shall notify the candidate of acceptance
or rejection of the application and/or date, time, place of the examination at
least thirty (30) days prior to the examination.
Section 7.
Revocation of Certification. (1) A midlevel health care practitioner's
certification may be revoked for the following reasons:
(a) Conviction
of a misdemeanor involving moral turpitude or felony;
(b) Any other
health care profession license or certificate is denied or revoked in any state
or territory;
(c) Addiction to
alcohol or any other chemical substances;
(d)
Misrepresentation of any facts during the application, testing and
certification process or at any time while practicing as a midlevel health care
practitioner in a licensed network;
(e) Failure to
complete the ten (10) required medical education hours recognized by the board.
(2) The board
shall request in writing to the supervising physician of the licensed network
where the midlevel health care practitioner is employed that notification be
provided to the designated Cabinet for Human Resources staff of the occurrence
of any of the above.
(3)
Administrative hearings due to appeal or denial shall be held in accordance
with 902 KAR 1:400.
Section 8.
Mandatory Continuing Education Requirements. (1) Any human immunodeficiency
virus education courses shall be in accordance with 902 KAR 2:160, Human
immunodeficiency virus education continuing education for professionals.
(2) Courses
shall utilize organized learning experiences through personal professional
presentations or educational programs meeting the criteria for AMA Category 1
or the Kentucky Board of Nursing requirements.
(3) Continuing
education courses approved by any other health care profession licensing or
certifying agency shall be considered for relevance to the role of midlevel
health care practitioners and for approval as continuing education courses for
midlevel health care practitioners by the Kentucky Board of Family Health Care
Providers.
(a) The
potential provider of continuing education requirements for the midlevel health
care practitioner shall request an application for approval as a provider and
the board shall assign the potential provider of continuing education a
permanent, nontransferable number. The provider of continuing education number
shall be used to identify all communications, offering announcements, records,
and reports.
(b) Applications
for approval as a provider of continuing education may be submitted at any time
during the year.
(c) If the
potential provider of continuing education meets the board's standards and
criteria, approval shall be granted.
(4) At the time
of recertification the certified midlevel health care practitioner shall submit
to the Kentucky Board of Family Health Care Providers in the form of
certificates, examinations, signed forms, etc., proof of completion of ten (10)
approved medical education hours per year to the following address: Kentucky
Board of Family Health Care Providers, c/o Division of Vital Records and Health
Development, Department for Public Health, 275 East Main Street, Frankfort,
Kentucky 40621.
(See
Forms on following two pages)
I hereby submit
a photograph of myself taken within the past six (6) months. Further, I swear
that the statements herein contained are strictly true in every respect; that I
have never been convicted of a felony or a misdemeanor involving moral
turpitude; that I am not addicted to alcohol or other chemicals; that I have
read and understand this affidavit; and that if this petition is granted and
certification is subsequently issued to me, I will comply with the laws governing
the practice of midlevel health care practitioner in the Commonwealth of
Kentucky and do my utmost to uphold and maintain professionalism in the health
care field.
Signature of
Applicant:
Signed and sworn to
before me this ______ day of _____, 19__.
Official designating
officer administering oath:
On this ________ day
of _____, 19__, personally appeared before me, referred to in the foregoing
application for admission to an examination to demonstrate his qualifications
to practice as a midlevel health care provider in the Commonwealth of Kentucky.
I hereby certify that the accompanying photograph is that of the person making
this application for examination for certification to practice as a midlevel
health care provider.
Signature:
Official Title:
AFFIDAVIT
State of:
County of:
(Attach photograph in
space provided on form.)
Examination Date
_________________________ Application
No. ________________________
APPLICATIONS
MUST BE TYPED OR FILLED OUT IN INK
APPLICATION
FOR CERTIFICATION CHECK
APPROPRIATE BOX
KENTUCKY
BOARD OF FAMILY HEALTH CARE PROVIDERS
FOR
CERTIFICATION TO PRACTICE □
Applicant for Examination
Commonwealth
of Kentucky □
Certified or licensed PA, ARNP,
Frankfort,
Kentucky 40621
RN applicant for certification
AN
EQUAL OPPORTUNITY EMPLOYER M/F/H □
Recertification
To the Kentucky Board
of Family Health Care Providers:
I hereby apply for
permission to take an examination at the next scheduled examination to
demonstrate my qualifications to practice as a midlevel health care
practitioner in the Commonwealth of Kentucky. I enclose herewith the required
fee of fifty ($50) dollars (certified check or money order) and furnish below
the information to which my affidavit is added at the end.
Social
Security No. ____________________________ Home Phone
No.________________Work Phone No._______________
□
Mr.
_________________________________________________________________________________________________
Last
Name First Name Middle
Name Maiden Name (if any)
□
Ms.
Address: _________________________________________________________________________________________________
Street,
R.F.D., or Box No. State City Zip
Code
Date
of Birth: _________________________________
Month Day Year
PREVIOUS
EDUCATION
EDUCATION AND TRAINING: Please
circle highest grade completed. college transcripts are required.
Grade School High
School College Graduate
School Have you passed a G.E.D. Test? Yes
