State Medical Board Of Ohio Physician Assistant Supervision Agreement Application

Prior to the passage of HB 111, The Ohio Law was an often tedious process, requiring the submission of supervisory agreements to the Board of Directors and waiting for them to be approved before the PA began its practice for a new employer. This registration and waiting process took time, often resulted in delays in the start of work, access to patients and contributed to scheduling problems. In addition, under current legislation, the supervisory agreements had a two-year period and required an extension and re-submission of the supervisory agreement for board approval. In addition, all amendments were to be submitted to the board and the amendments did not change the expiry dates of the original agreements. As a result, these provisions have created a heavy administrative burden for PA employers. The passage of HB 111 should alleviate these problems and streamline the use of P.A. by Ohio employers and physicians. The Physicians` Order is legally authorized to impose a civil fine of up to US$1,000 if it finds that the supervised medical assistant has performed in a manner that departs from the terms of the monitoring agreement and/or that the treating physician has been deviated from the terms of the monitoring agreement approved by the Medical Board. In a way, the audit and authorization process of the Chamber of Supervisory Agreements served as a safety net for the respect of physicians. Until recently, the supervisory physician was required to provide a copy of the monitoring agreement to the Ohio Medical Council, which would allow him to verify compliance with the Ohio 4730.19 surveillance code.

In the event of compliance, the monitoring agreement would take effect at the end of the fifth working day following receipt of the agreement, unless the board notifies the supervisory physician of any breaches or breaches. According to the board, the attending physician had the opportunity to revise the monitoring agreement and resubmit it for approval. For those with existing monitoring agreements, nothing is necessary (other than making sure that a copy is stored on the exercise site), even if they are intended for renewal. Ensure that any changes to the agreements by September 26, 2018 result in a new monitoring agreement to be retained. Make sure that all the monitoring agreements you have on file on September 26, 2018 are correct. After 26 September, the College of Physicians will begin the audit procedure and there will be penalties for non-compliance. Questions may be asked at OAPA at or 800/292-4997, as supervisory agreements are no longer subject to the board, there is no renewal of these agreements. These are living documents that remain active and can be modified at any time until the doctor stops monitoring the medical assistant. The Board of Directors has put forward formal agreements for convenience, but physicians and their advisors can develop their own agreements in accordance with the law. The link to the form agreements is available here: Under the amended status, it is the responsibility of physicians who supervise medical assistants to ensure that their supervisory agreement is in accordance with Ohio law and to understand and perform their duties and supervisors.

The adoption of HB 111 means, among other things, less burden and bureaucracy for employers of medical assistants (PA) and their supervisory physicians.