Mo. Code Regs. Ann. tit. 20, § 2150-7.122
Collaborative Practice Arrangements, Name and Address Change Requirements, Retirement Affidavits
Effective Jun 30, 2022sections 334.125, 334.738, and 334.743, RSMo 2016, and section 334.735, RSMo Supp. 2021.* This rule originally filed as 4 CSR 150-7.122. Original rule filed Jan. 3, 1997, effective July 30, 1997. Amended: Filed July 25, 2000, effective Dec. 30, 2000. Moved to 20 CSR 2150-7.122, effective Aug. 28, 2006. Amended: Filed Dec. 14, 2007, effective June 30, 2008. ** Amended: Filed Nov. 9, 2021, effective June 30, 2022. *Original authority: 334.125, RSMo 1959, amended 1993, 1995, 2014; 334.735, RSMo 1989, amended 1996, 1997, 1998, 2005, 2007, 2008, 2009, 2010, 2013, 2014, 2017, 2018, 2019; 334.738, RSMo 1989, amended 1998; and 334.743, RSMo 1989, amended 1993, 1995, 1998. **Pursuant to Executive Order 21-07, 20 CSR 2150-7.122, section (4) was suspended from April 3, 2020 through April 23, 2021State Board of Registration for the Healing Arts
PURPOSE: This rule provides the requirements and time frames licensees must follow in reporting a change in collaboration, name and/or address change, or to document retirement from practice.
- (1) Licensed physician assistants who have a change in a collaborative practice arrangement, for any reason, must submit written notification and the required form to the board within fifteen (15) days of such occurrence.
- (2) Licensed physician assistants must submit written notification of any address change to the board within fifteen
- (15) days of such occurrence.
- (3) Licensed physician assistants whose names have changed since licensure was issued must submit a copy of the legal document verifying the name change to the board, within fifteen (15) days of such occurrence.
- (4) Licensed physician assistants who retire from practice as a physician assistant shall file an affidavit, on a form furnished by the board, stating the date of retirement. The licensee shall submit any other documentation requested by the board to verify retirement. Licensees who reengage in practice as a physician assistant after submitting an affidavit of retirement shall reapply for licensure as required in sections 334.735 and 334.738, RSMo and pursuant to the provisions of rule 20 CSR 2150-7.125.
AUTHORITY: sections 334.125, 334.738, and 334.743, RSMo 2016, and section 334.735, RSMo Supp. 2021.* This rule originally filed as 4 CSR 150-7.122. Original rule filed Jan. 3, 1997, effective July 30, 1997. Amended: Filed July 25, 2000, effective Dec. 30, 2000. Moved to 20 CSR 2150-7.122, effective Aug. 28, 2006. Amended: Filed Dec. 14, 2007, effective June 30, 2008. ** Amended: Filed Nov. 9, 2021, effective June 30, 2022. *Original authority: 334.125, RSMo 1959, amended 1993, 1995, 2014; 334.735, RSMo 1989, amended 1996, 1997, 1998, 2005, 2007, 2008, 2009, 2010, 2013, 2014, 2017, 2018, 2019; 334.738, RSMo 1989, amended 1998; and 334.743, RSMo 1989, amended 1993, 1995, 1998. **Pursuant to Executive Order 21-07, 20 CSR 2150-7.122, section (4) was suspended from April 3, 2020 through April 23, 2021.