PURPOSE: This rule provides the requirements to apply for physician assistant temporary licensure.

1. (1) Applicants for temporary licensure are required to make application on forms prepared by the board.
2. (2) No application will be considered unless fully and completely made out on the specified forms and properly attested.
3. (3) Applications shall be sent to the State Board of Registration for the Healing Arts, 3605 Missouri Boulevard, P.O. Box 4, Jefferson City, MO 65102.
4. (4) The fee for temporary licensure shall be an appropriate fee, to be established by the board. The fee shall be sent in the form of a cashier’s check or money order drawn on a United States bank or firm; payable to the State Board of Registration for the Healing Arts. No application will be processed until the licensure fee is received.
5. (5) All applicants shall attach to the application a recent photograph not larger than three and one-half inches by five inches (3 1/2" × 5").
6. (6) All applicants are required to submit satisfactory evidence of completion of a physician assistant program accredited by the Committee on Allied Health, Education and Accreditation of the American Medical Association, or its successor. Applicants shall submit official transcripts from their school of graduation confirming the degree awarded and date of degree award or a copy of their diploma.
7. (7) All applicants are required to submit a letter of reference from the director of the physician assistant program from which the applicant graduated as proof of the applicant’s moral character.
8. (8) All applicants are required to submit verification of licensure, registration or certification from every state or territory in which the applicant is or has ever been licensed, registered or certified to practice as a physician assistant; and all other professional licenses, registrations, or certifications issued to the applicant regardless of whether or not such license, registration or certification is current.
9. (9) All applicants shall submit a complete curriculum vitae. This document must include the names and addresses of all previous employers, supervisors and job titles, from the date of high school graduation to the date of licensure application.
10. (10) All applicants shall furnish, on forms provided by the board, verification of physician supervision.
11. (11) Each applicant shall instruct the National Commission on Certification of Physician Assistants to submit the applicant’s admission letter for the certification examination; such letter shall specify the date the applicant is scheduled to take the certification examination.
12. (12) Each applicant shall instruct the National Commission on Certification of Physician Assistants to submit the applicant’s certification examination results directly to the board.
13. (13) The temporary license shall be valid until the examination results are received by the board, not to exceed three weeks following the mailing of the results by the National Commission on Certification of Physician Assistants.
14. (14) The temporary license shall automatically terminate if the temporary licensee fails the examination or does not sit for the examination as scheduled. The temporary licensee may apply for temporary licensure renewal pursuant to rule 20 CSR 2150-7.310.
15. (15) Temporary licensees may be issued permanent licensure upon successful passage of the National Commission on Certification of Physician Assistants Examination as determined by the National Commission on Certification of Physician Assistants; submission/completion of all the requirements specified in rule 20 CSR 2150-7.100, an updated activities statement, the application form and application fee.
16. (16) When an applicant has filed his/her application and the appropriate fee for temporary licensure, and the applicant is denied by the board pursuant to the provisions of section 334.100, RSMo and/or rule 20 CSR 2150-7.140, or is subsequently withdrawn by the applicant, the fee will be retained by the board pursuant to the provisions of rule 20 CSR 2150-7.200.
17. (17) The board may require the applicant for temporary licensure to make a personal appearance before the advisory commission and/or board before a final decision regarding licensure is rendered.
18. (18) An applicant may withdraw his/her application for temporary licensure any time prior to the board’s vote on his/her candidacy for licensure.

AUTHORITY: sections 334.125, 334.736, 334.738, 334.742, 334.743 and 334.745, RSMo 2000, and sections 334.100, 334.735, and 334.749, RSMo Supp. 2007.* This rule originally filed as 4 CSR 150-7.300. Original rule filed July 25, 2000, effective Dec. 30, 2000. Moved to 20 CSR 2150-7.300, effective Aug. 28, 2006. Amended: Filed Dec. 14, 2007, effective June 30, 2008. *Original authority: 334.100, RSMo 1939, amended 1945, 1959, 1963, 1974, 1976, 1979, 1981, 1983, 1984, 1986, 1987, 1989, 1990, 1993, 1997, 2004; 334.125, RSMo 1959, amended 1993, 1995; 334.735, RSMo 1989, amended 1996, 1997, 1998, 2005, 2007; 334.736, RSMo 1995, amended 1998; 334.738, RSMo 1989, amended 1998; 334.742, RSMo 1989, amended 1998; 334.743, RSMo 1989, amended 1993, 1995, 1998; 334.745, RSMo 1989, amended 1996, 1997; and 334.749, RSMo 1996, amended 1998, 1999, 2001.