ࡱ>  *bjbjVV 4B<<"~ ~ <$I5HHHHHHHKMH   HH  :H  H BE:Q "D$HH0ID1Ns R1NHEE1NZGT Ht[HH I    1N~ :   January 2012 The INDIANA PHYSICIAN ASSISTANT COMMITTEEis now on Facebook! Click HYPERLINK "http://www.facebook.com/pages/Indiana-Physician-Assistant-Committee/157716277585192"here tofollow us and get the latest updates on: Boardmeeting dates Renewal information Rule changes Legislative updates Interesting articles UPCOMING RENEWALS Renewals for physician assistants are fast approaching. All PA licenses and Controlled Substance Registrations (CSR), for those with prescriptive authority, will expire on June 30, 2012. Around May 1st, you will receive notification, via email, that your license is now available to renew online. You cannot renew your license until 60 days prior to the expiration date. Please make sure that IPLA always has your current address and email address on file. The cost to renew your PA license is $50 and the cost to renew each CSR is $60. If you fail to renew by June 30, 2012, there will be a $50 late fee assessed to your license and each CSR that you hold. Renewals will be available at HYPERLINK "http://www.pla.IN.gov"www.pla.IN.gov after May 1, 2012. Your login ID is your full license number (with the A at the end) and your password is the last 4 digits of your social security number. To renew your license, you MUST have a current NCCPA certificate. If you are in the military and being deployed and need to renew early, please contact our office at HYPERLINK "mailto:pla3@pla.IN.gov"pla3@pla.IN.gov. Only those being deployed may renew early. ADDRESSES ARE PUBLIC RECORD While doing an online license verification search, it will only display the city, state and zip code of the address that we have on a licensees record. However, all addresses that are listed are considered to be public record and can be obtained by contacting IPLA. Although controlled substance registrations (CSR) require a practice address, your address of record for your PA license, can either be a home address, practice address or PO Box. You may change your address anytime by logging on at HYPERLINK "http://www.pla.IN.gov"www.pla.IN.gov, or you may email your change of address to the committee at pla3@pla.IN.gov. You will also have an opportunity during the renewal process to change your address. SURVEY There will be a survey attached to your online license renewal. It is very important that every licensee complete the quick, less than 5 minute survey, to help the state determine workforce shortage issues/trends and address how Indiana can handle a health epidemic or natural disaster. We encourage you to renew online as the survey is not available for paper renewal applicants. CONTROLLED SUBSTANCE REGISTRATIONS An Indiana Controlled Substance Registration (CSR) gives physician assistants the authority to prescribe controlled substances in Indiana. In addition, PAs must hold a valid federal Drug Enforcement Agency (DEA) license to legally prescribe controlled substances. You must have a CSR license to obtain, renew and maintain a federal DEA license. The cost of an initial and renewal of a CSR is $60.00. A portion of these fees help to fund the INSPECT program. The application may be found at HYPERLINK "http://www.in.gov/pla/3026.htm"http://www.in.gov/pla/3026.htm CSRs expire the same day as your PA license, regardless of when they are issued. You must have a separate CSR for each location where you administer or dispense controlled substances. If you are just prescribing, one (1) CSR will cover all locations. On the application for a CSR, you must select the drug schedules for which you are asking the authority to prescribe. PAs are not eligible for authorization of Schedule 1 as they are experimental drugs only or Schedule 2, as PAs only have the authority to order Schedule 2s in a hospital setting and should do that under the auspices of the hospitals CSR. On your CSR application, you must also furnish your physical practice address. The practice address must be an Indiana address. Home addresses or PO Boxes are not accepted. Address changes of CSRs can be emailed to our office at HYPERLINK "mailto:pla3@pla.IN.gov"pla3@pla.IN.gov Just a reminder that you may only prescribe controlled substances that have been designated to you by your supervising physician and which are authorized under your supervisory agreement and the Indiana practice act. IC 35-48-3-5 (e) states (e) If the Drug Enforcement Administration terminates, denies, suspends or revokes a federal registration for the manufacture, distribution, or dispensing of controlled substances, a controlled substance registration (CSR) issued by the board under this chapter is automatically suspended. STAFF & CONTACT INFORMATION Kristen Kelley Director Jody Edens Assistant Director Donna Moran Litigation/Probation Specialist Meredith Shirley Case Manager Dawn Shaffer Case Manager Elizabeth Sangar Case Manager Kathy Garner Case Manager Professional Licensing Agency Medical Licensing Board of Indiana 402 West Washington Street, Room W072 Indianapolis, IN 46204 Office hours are 8:00 am to 4:30 pm Phone number (317) 234-2060 Fax number (317) 233-4236 Email HYPERLINK "mailto:pla3@pla.IN.gov"pla3@pla.IN.gov Web HYPERLINK "http://www.pla.IN.gov"www.pla.IN.gov Find us on  HYPERLINK "http://www.facebook.com/" \l "!/pages/Indiana-Physician-Assistant-Committee/157716277585192" Facebook. COMMITTEE MEMBERS All members of the committee are appointed by the Governor in increments of three (3) year terms. The committee consists of 3 physician assistants who have had at least three (3) years of practice experience, one (1) physician and one (1) consumer member. The committee is made up of the following: Steven Jacobs, PA-C, President - Bloomington James Chapman, PA-C, Secretary - Fort Wayne Donald Munson (Gregg), PA-C - Carmel Joe Fox, M.D. - Indianapolis The Consumer member position is currently vacant COMMITTEE MEMBER PROFILE Joseph Fox, M.D. was first appointed by the Governor to the Indiana Physician Assistant Committee in November 1996 as the physician member. Dr. Joseph Fox serves as Anthems Lead Medical Director for Indiana Health Care Management. In that role he is responsible for the administration of medical services for health plans managed in Indiana (both local and national business). His primary duties include assurance of proper implementation of medical policies, clinical guidelines, management of complex care management issues, and provide support to care management staff. He also serves as Chairman of the Indiana Credentials Committee. Prior to his current role Dr Fox served as Medical Director for Senior Markets, Central Region. He was responsible for the care management strategy for the Medicare portfolio of products including the Medicare HMOs, local and regional PPOs, private fee-for-service and Medicare supplements products in Missouri, Wisconsin, Indiana, Kentucky, Ohio and Virginia. Additionally, he has medical leadership responsibility for Anthems Medicare pharmacy product BlueMedicare Rx. Before joining Anthem Dr. Fox was Chief Medical Officer of The HealthCare Group, a multi-product health plan in Indianapolis and was previously medical director for Ambulatory Services for the Methodist Medical Group. Dr. Fox has also served on various Indiana University Health hospital committees. He received his undergraduate degree from Indiana State University, his Doctor of Medicine from Indiana University, and is board certified in Internal Medicine. Dr. Fox is also a Colonel in the United States Army Reserve, where he has served in several leadership roles. 2012 COMMITTEE MEETING DATES Please note that meeting dates are subject to change or may be cancelled due to lack of business. Board meetings are held in the Indiana Government Center South, 402 West Washington Street, Indianapolis, Indiana 46204. March 8 July 12 Oct 13 Dec 13 A list of disciplinary actions may be found on our license litigation system at HYPERLINK "http://www.in.gov/ai/appfiles/pla-litigation/"http://www.in.gov/ai/appfiles/pla-litigation/. Free online licensure look-ups may be obtained at HYPERLINK "https://extranet.in.gov/WebLookup/Search.aspx"https://extranet.in.gov/WebLookup/Search.aspx. This is a real time database and is the best resource for accurate data. 2012 CME OPPORTUNITY It'snever too early to mark your calendar for the Indiana Academy of Physician Assistants Annual CME Meeting which will be held in Bloomington on October 3-5, 2012 at the Indiana Memorial Union. 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