Wyo. Code R. 052-0001-5
Medicine, Board of
Chapter 5: Rules of Practice and Procedure for the Licensure of Physicians Assistants
Effective Date: 05/23/2025 to Current
Rule Type: Current Rules & Regulations
Reference Number: 052.0001.5.05232025
Section 1. Authority. These rules are promulgated pursuant to authority granted by the Act and A.P.A.
Section 2. Purpose. These rules have been adopted to set forth the procedures of the board in the licensure and regulation of the practice of physician assistants in the state of Wyoming.
Section 3. Definitions. The definitions contained in the Act, the A.P.A., and Chapter 1 of these rules are incorporated herein.
Section 4. Repealed.
Section 5. Advisory council.
(a) Pursuant to Wyoming Statute 33-26-503(b)(v), the board of medicine shall appoint an advisory council to the board. This council shall consist of no less than two (2) members who shall be physician assistants holding an active license to practice in this state and no less than one (1) member who shall be a physician holding an active license to practice in this state. Additional members may be appointed at the discretion of the board; however, physician assistants shall always compose a majority of the appointed members of the council. The advisory council is responsible to and serves at the pleasure of the board.
(i) A chairman and vice-chairman shall be elected annually by a vote of the advisory council members.
(ii) Advisory council members shall serve one four (4) year term, with the ability to request reappointment by the board, not to exceed two (2) reappointments.
(b) Repealed.
(c) The advisory council shall meet in conjunction with the board for the purpose of interviewing candidates for recommendation to the board for licensure and other matters as directed by the board.
(d) Repealed.
Section 6. License required, application, and supervision agreement.
(a) No person may practice as a physician assistant or represent that he or she is a physician assistant without a license granted by the board.
(b) An application form, provided or approved in advance by the board, must be submitted to the advisory council and board. The application form must be complete in every detail. For an application to be deemed complete and be considered, the following items must be received in the board office not less than 15 business days prior to the licensure interview date, should an interview be required of the applicant, or the supervising physician or supervising physician assistant, if one is required pursuant to W.S. 33-26-504(c):
(i) The application form, complete in every detail and properly executed by the applicant;
(ii) The required fee, as set forth in Section 12 of this chapter;
(iii) Three (3) original references, submitted on a form approved by the board. A minimum of two (2) references must be from physicians with whom the applicant has practiced with the physician assistant in the past three (3) years; the third reference may be from a physician or PA-C with whom the applicant has practiced in the past three (3) years. In exceptional circumstances the board may waive one (1) or more of the required reference forms. References from physicians or physician assistants with whom the applicant has a current or prospective financial, business or family relationship are not acceptable;
(iv) Proof of legal presence in the United States, pursuant to 8 U.S.C. 1621, on a form approved or prescribed by the Board;
(c) If a supervising physician or supervising physician assistant is required pursuant to W.S. 33-26-504(c), a supervising agreement form, provided by the Board, must be submitted to the advisory council and the board by the supervising physician or supervising physician assistant. This form shall include, at a minimum:
(i) The supervising physician's or supervising physician assistant's name, degree, license number, medical specialty (if any), and medical practice address and telephone number;
(ii) A detailed description of the medical practice and the duties of the physician assistant under the supervising physician's or supervising physician assistant's scope of practice, as well as the method(s) of supervision (e.g., over-the-shoulder, same office suite, radio, telephone, video, etc.) the supervising physician or supervising physician assistant will utilize.
Section 7. Eligibility for Licensure. The board may grant a physician assistant license to an applicant who:
(a) Is not less than 21 years of age;
(b) Has graduated from a physician assistant training program accredited by the CAAHEP or its predecessor or successor organization, or the ARC-PA;
(c) Has passed a certification examination administered by the NCCPA or other national certifying agency established for such purposes which has been reviewed and approved by the board and is currently certified. An applicant who has not passed an approved certification examination shall be supervised by a physician, or supervising physician assistant with not less than five years of licensed experience in the active practice of medicine, approved in advance by the board, until such time as the applicant passes the examination and provides an official report from the NCCPA or other national certifying agency to the board. An applicant requiring supervision shall be issued a temporary license, for a period not to exceed one year, pursuant to W.S. 33-26-504(c) and 505.
(d) Physician assistants licensed by the board prior to July 1, 1995 are not required to be currently certified by the NCCPA and are not required to provide proof of current NCCPA certification with any of the applications submitted to the board described in Section 8 below.
(e) Physician assistants may represent that they practice in one or more specialty areas of practice. These representations shall reflect the training and experience of the physician assistant and not be misleading.
(f) The board may grant an emeritus license to practice as a physician assistant, which may be used for the provision of uncompensated physician assistant services. Such license may be issued to an applicant who provides proof that the applicant is currently certified by the NCCPA and has maintained a physician assistant license in good standing in one or more jurisdictions of the United States or Canada for a period of not less than ten (10) years prior to applying for the emeritus physician assistant license and signs a statement he/she will not accept any form of remuneration for physician assistant services rendered while in the possession of an emeritus license. As part of the application process, an applicant for an emeritus physician assistant license who does not hold a current Wyoming physician assistant license shall complete to the satisfaction of a majority of the board members a personal interview consisting of inquiry and oral response to medical knowledge, personal and professional history and intentions for practicing as a physician assistant in this state. Such interview may be conducted by one (1) or more advisory council members and, if deemed appropriate by a majority of the advisory council, may be conducted by telephonic means.
(i) Physician assistants possessing an emeritus license shall:
(A) Annually sign a statement affirming that their physician assistant practice continues to be without remuneration; and
(B) Maintain current certification, in good standing, through the NCCPA including, but not limited to, the continuing education requirements thereof.
(ii) Repealed.
(g) The board may issue a volunteer/camp physician assistant license to a physician assistant who is in good standing in at least one U.S. (1) jurisdiction other than the state of Wyoming for the purpose of assisting in the practice of medicine as a volunteer, without compensation. An applicant for a volunteer/camp physician assistant license must complete and submit a form and documentation prescribed by the board, meet the requirements of W.S. 33-26-504, agree to comply with the Act and these rules, agree to be subject to the jurisdiction of the board, provide proof of licensure in good standing in at least one (1) U.S. jurisdiction other than the state of Wyoming, and pay the fee set by the board. A licensure interview is not required for issuance of a volunteer/camp physician assistant license. A volunteer/camp physician assistant license shall be valid for not more than twenty-one (21) consecutive days in any calendar year, and may not be renewed.
(A) In addition to submitting the fee, a physician assistant not licensed in this state who applies for a volunteer license shall submit on a form prescribed by the Board at a minimum the following information:
(I) Their full name, date of birth and social security number;
(II) The dates when the volunteer service will occur; and,
(III) The state where the physician assistant is currently licensed in good standing to practice medicine, and the physician's license number in that jurisdiction.
(B) Upon the board's receipt of an application for a volunteer license, the board shall query the National Practitioner Data Bank and the Federation of State Medical Boards' Physician Data Center regarding the physician assistant. If no adverse information is received from these reports, board staff shall issue the volunteer license, and report the issuance to the board at the board's next regularly-scheduled meeting. If any adverse information is received as a result of those queries, board staff will deny the application for a volunteer license.
(C) If a physician assistant's application for a volunteer license is denied pursuant to subparagraph (B), above, the physician assistant may request that determination be reviewed by the Application Review Committee. The Application Review Committee's decision that the physician assistant is not eligible to receive a volunteer license may be appealed to the full board.
(h) A person who has pled guilty or nolo contendere to, or has been convicted of, a felony or any crime that is a felony under Wyoming law in any state or federal court or any court of similar jurisdiction in another country may apply for licensure; however, the board may deny licensure based solely upon such plea or conviction.
(a) The applicant for physician assistant licensure may be required to appear for a licensure interview before the advisory council. An applicant may be required to appear if one or more of the following applies:
(i) Is seventy (70) years old or older;
(ii) Has been licensed as a physician assistant for more than thirty-five (35) years;
(iii) Has answered 'Yes' to one or more questions on the application form regarding physical or mental impairment, substance or alcohol abuse, criminal convictions, liability claims, prior disciplinary actions, restrictions or conditions on medical licensure, including relinquishment or surrender of a physician assistant license, or restriction, suspension, or resignation while under investigation, of hospital privileges;
(iv) Information acquired or received by the board indicates the applicant may not possess sufficient medical training, skill or experience appropriate for the applicant’s intended practice in this state;
(v) The applicant’s education and/or training verification documents indicate an unexplained delay in completion of his education or training;
(vi) The applicant’s verification documents indicate more than one attempt at passage of any examination necessary to obtain initial licensure or to maintain ongoing licensure;
(vii) The applicant’s verification documents indicate failure to pass the NCCPA recertification examination;
(viii) One or more advisory council member(s) determine that there are issues raised by the application and/or any supporting or verification documents that should be addressed in an interview with advisory council members;
(ix) Whose temporary license was deferred by the application review committee;
(x) The applicant has not previously engaged in active practice as a physician assistant for a period of at least twelve (12) continuous months;
(xi) The applicant has been convicted of or pled guilty or nolo contendere to a charge of driving while under the influence of an intoxicant within five (5) years of the date of his/her application;
(xii) The applicant has not been engaged in active practice as a physician assistant in the immediately-preceding two (2) year period;
(xiii) Failure to fully and completely answer one or more questions on the application form or failing to answer one or more questions truthfully; or,
(xiv) The applicant’s post graduate work and/or employment history indicate an unexplained gap.
(b) The supervising physician or supervising physician assistant shall complete and submit a supervision agreement form describing his willingness to undertake full responsibility for the physician assistant’s professional actions and such other actions as may affect patients, and setting forth the conditions of his supervision of the physician assistant;
(c) Physicians or physician assistants who have conditions or restrictions upon their license or privileges issued by the board or other state medical licensing board or health care facility may apply to supervise a physician assistant. All applications submitted by physicians or physician assistants with restrictions or conditions on their license or clinical privileges shall be reviewed by the board and the application to supervise a physician assistant may be denied on the grounds that the supervising physician or supervising physician assistant has restrictions or conditions on their license. The board may, in its discretion, require an interview with an applicant, or the applying supervising physician or supervising physician assistant, under this subsection.
(d) If a physician assistant requires supervision pursuant to subsection 7(c) of this chapter, the advisory council may require a supervising physician or supervising physician assistant to interview in person before the advisory council to determine the supervising physician's or supervising physician assistant's ability to properly supervise the physician assistant and his willingness to accept the responsibility of supervision of a physician assistant.
(e) If a physician assistant who requires supervision pursuant to subsection 7(c) of this chapter changes supervising physician or supervising physician assistant, but remains in the same practice situation and location, the physician assistant shall submit an application on a form approved by the board explaining the change. The supervising physician or supervising physician assistant shall also complete and submit an application describing his willingness to undertake full responsibility for the physician assistant's professional actions and such other actions as may affect patients. Under these circumstances, an interview may be required if deemed appropriate by the advisory council or the board. If initial licensure fees have been paid, no further fees will be assessed.
(f) If a physician assistant who requires supervision pursuant to subsection 7(c) of this chapter changes job situations or locations within the state under a new supervising physician or supervising physician assistant, the physician assistant shall submit an application on a form approved by the board explaining the change, and pay a supervisor change fee. The supervising physician or supervising physician assistant shall also complete and submit a supervising agreement form describing his willingness to undertake full responsibility for the physician assistant's professional actions and such other actions as may affect patients. A subsequent interview may be required by the advisory council or the board.
(g) If a physician assistant who requires supervision pursuant to subsection 7(c) of this chapter leaves the state for employment and returns, a new supervising physician or supervising physician assistant application and fees must be submitted to the advisory council and board for approval. An interview may be required.
(h) Following review of the application documents and, where appropriate an interview, the advisory council shall make its recommendations to the board regarding licensure of a physician assistant to practice in Wyoming. The final decision remains with the board.
(i) If a licensed physician requires the emergency assistance of a physician assistant who requires supervision pursuant to subsection 7(c) of this chapter, the supervising physician or supervising physician, and the physician assistant to be supervised shall, within two (2) business days of the emergent situation, submit to the board on form prescribed by the board a statement detailing the circumstance of the emergency and the need for the assistance of the physician assistant without the board's prior approval. If it is determined that the situation was not an emergency or if it was not appropriate to involve the physician assistant, both the supervising physician or supervising physician assistant and the physician assistant may be subject to disciplinary action.
(j) Applications submitted to the board for initial licensure as a physician assistant expire six (6) calendar months after the date the application document is received in the board office.
(k) Licensure interviews shall be conducted in person (unless otherwise specifically permitted by these rules) and shall consist of oral questions by the physician assistant advisory council and oral responses by the applicant. By his or her responses to questions posed in the licensure interview, the applicant must demonstrate to the satisfaction of a majority of the board that he or she is qualified to practice as a physician assistant in this state, that (1) he or she possesses a minimum fund of general and identified scope of practice medical knowledge appropriate for the applicant's intended practice in this state, (2) he or she possesses sufficient medical training and medical experience appropriate for the applicant's intended practice in this state, (3) he or she possesses personal and professional character and integrity befitting practice as a physician assistant, and (4) that there are no other factors contained in the application or disclosed in the licensure interview that would demonstrate that the applicant would be unable to practice as a physician assistant in a safe and competent manner.
(l) Licensure interviews may be conducted by video conference or other electronic means in the sole discretion of the advisory council.
(m) Licensure interviews. If an application or any information received by the Board or the advisory council demonstrates that an applicant is of a status or possesses one or more of the following characteristics, or if any advisory council or Board member believes a licensure interview is necessary given the information contained on the application, the applicant may be required to submit to a licensure interview before the advisory council and/or the Board:
(A) Is seventy (70) years old or older;
(B) Has been licensed as a physician assistant for more than thirty-five (35) years;
(C) Has answered 'Yes' to one or more questions on the application form regarding physical or mental impairment, substance or alcohol abuse, criminal convictions, liability claims, prior disciplinary actions, restrictions or conditions on medical licensure, including relinquishment or surrender of a medical license, or restriction, suspension, or resignation while under investigation, of hospital privileges;
(D) Information acquired or received by the board indicates the applicant may not possess sufficient medical training, skill or experience appropriate for the applicant's intended practice in this state;
(E) The applicant's education and/or training verification documents indicate an unexplained delay in completion of his medical education or postgraduate training;
(F) The applicant's verification documents indicate more than one attempt at passage of any examination necessary to obtain initial licensure or to maintain ongoing licensure;
(G) The applicant's verification documents indicate failure to pass specialty recertification examinations;
(H) One or more board member(s) determine that there are issues raised by the application and/or any supporting or verification documents that should be addressed by the advisory council and/or the Board;
(I) The applicant has not previously engaged in the active as a physician assistant for a period of at least twelve (12) continuous months;
(J) The applicant has been convicted of or pled guilty or nolo contendere to a charge of driving while under the influence of an intoxicant within five (5) years of the date of his/her application;
(K) The applicant has not been engaged in the active practice as a physician assistant in the immediately-preceding two (2) year period;
(L) Failure to fully and completely answer one or more questions on the application form or failing to answer one or more questions truthfully; or,
(M) The applicant’s work and/or employment history indicate an unexplained gap.
(a) For purposes of this section, the following definitions apply:
(i) 'Clean application' means that the physician assistant applicant has none of the following:
(A) Professional liability insurance settlement(s) or payment(s) in excess of $50,000 individually or $100,000 in the aggregate;
(B) Criminal record;
(C) Medical condition(s) which could affect the physician assistant's ability to practice safely;
(D) Licensing or regulatory board complaint(s), investigation(s), or action(s) (including withdrawal of a licensure application);
(E) Adverse action taken by a health care entity;
(F) Investigation(s) or action(s) taken by a federal agency, the United States military, medical society or association; or,
(G) Suspension or expulsion from, or disciplinary action in, any academic program, including physician assistant school and any post-graduate training program.
(ii) 'Core application documents' means the following:
(A) The required application form(s), including the supervising agreement form, if required under subsection 7(c) of this chapter, and appropriate fee(s);
(B) Form and supporting document(s) demonstrating proof of legal presence in the U.S. pursuant to 8 U.S.C. § 1601, et seq.;
(C) Verification of current certification by, and good standing with, the NCCPA;
(D) FSMB Board Action Databank report; and,
(E) NPDB report.
(b) License Application Processing, Review and Interviews. When an applicant's core application documents have been received by the board and are deemed to be satisfactory, the executive director or his designee will review the application and supporting materials to determine whether a licensure interview of the applicant will be required pursuant to this rule. If the executive director or his designee determines that the applicant will not, in all likelihood, be required to have a licensure interview pursuant to this chapter, the applicant has been continually licensed in good standing (not including training licenses) for the preceding three (3) years in one or more states and/or the District of Columbia, and the applicant has a clean application, the executive director may, acting on behalf of the advisory council and the board, issue a temporary license to the applicant pursuant and subject to these rules, including the requirement for a complete application set forth therein. The temporary license shall be valid until 8:00 a.m. of the first day of the next regularly-scheduled board meeting.
(c) If an applicant is not issued a temporary license pursuant to subsection (b) of this section, when the application is deemed complete pursuant to subsection 6(b) of this chapter, the physician assistant's application for licensure shall be sent to the advisory council for review. Upon the positive recommendation of a majority of the members of the advisory council, the physician assistant's application will be forwarded to the board's Application Review Committee for consideration of issuance of a temporary license to be valid until 8:00 a.m. of the first day of the next regularly-scheduled board meeting.
(d) A temporary license may be issued under subsection (b) of this section, and subsection 7(c) of this chapter, to a physician assistant who meets all requirements for licensure except completion of the NCCPA certification examination, pursuant to subsection 7(c) of this chapter and W.S. 33-26-504(c) and 505.
(e) A physician assistant who receives a temporary license under this section remains subject to the requirement for a personal interview with the advisory council and/or the board in this chapter.
(f) Temporary licenses issued less than fifteen (15) business days prior to the next regularly-scheduled board meeting will be valid until the later of a vote of board members on the application pursuant to these rules, or 8:00 a.m. on first day of the second regularly-scheduled board meeting after issuance.
(g) Upon written request received from the holder of a temporary license not less than seven (7) days before expiration of the temporary license, the executive director may extend a temporary license for an additional term no longer than the later of a vote of board members on the application pursuant to these rules, or the date of the next regularly-scheduled board meeting after extension of the temporary license. The holder of a temporary license may request no more than one (1) extension of the temporary license under this subsection.
(h) If, upon review of the application of a person who is granted a temporary license under subsection (b) or (c) of this section, one or more advisory council or board members request that the holder of the temporary license appear for a licensure interview, the executive director may extend the temporary license held by that person until 8:00 a.m. on the first day of the second regularly-scheduled board meeting after issuance of the temporary license.
(i) If the advisory council does not meet in conjunction with a regularly-scheduled board meeting, the executive director may, in his discretion, extend temporary licenses due to expire at that board meeting until the next regularly-scheduled board meeting.
(j) All applicants who are granted a temporary license under subsection (b) of this section are required to submit all documentation and materials necessary to ensure that their license application is complete in accordance with this chapter. Failure to have a complete license application within 180 days of issuance of a temporary license may result in denial by the board of the application for licensure pursuant to W.S. 33-26- 202(b)(i).
(k) If the supervision by a supervising physician or supervising physician assistant of a physician assistant practicing under a temporary license issued pursuant to subsection 7(c) of these rules is terminated for any reason, and the physician assistant does not have another board-approved supervising physician or supervising physician assistant, the physician assistant's temporary license will automatically convert to 'inactive,' and the physician assistant may not resume practicing until a new supervising physician or supervising physician assistant is approved by the board.
(a) License Renewal and Deadline. Physician assistant licenses originally issued between January 1st and August 31st shall be due for first-time renewal no later than the immediately following December 31st. Physician assistant licenses originally issued between September 1st and December 31st shall be valid through, and due for first-time renewal no later than, December 31st of the following calendar year. Regardless of the original issue date, after first-time license renewal, all physician assistant licenses shall be renewed not later than December 31st of each calendar year. A physician assistant may renew a license by sending a signed renewal questionnaire and renewal fee to the board, or completing an on-line renewal form and submitting a renewal fee prior to expiration of current license.
(i) License Renewal Form. A physician assistant may renew a license by submitting an application for renewal each year in a format or form provided by the board. The board may utilize paper or electronic forms, or a combination of both.
(ii) License Renewal Grace Period. Licensees who fail to submit an application for renewal by December 31st may submit an application, the requisite renewal fee, and the license renewal grace period surcharge no later than March 31st.
(b) Reactivation of a lapsed physician assistant license.
(i) A licensee may apply to reactivate a lapsed physician assistant license by submitting the following:
(A) An application on a form prescribed by the board;
(B) Payment of the applicable fees established by the Board by rule;
and,
(C) Two (2) references as described in section 4(a)(iv) of this Chapter.
(ii) The holder of a lapsed physician assistant license must also submit proof of completion of not less than sixty (60) hours of qualified continuing medical education, as defined in chapter 5, subsection 21(a) of these rules, within the preceding three (3) years. This subsection shall not apply to the holder of a lapsed license who is otherwise exempt from the continuing medical education requirement pursuant to chapter 5, subsection 21(b) of these rules.
(iii) License Reactivation Application Processing, Review and Interviews.
(A) When all application materials required in subsections (a) and (b) have been received and are deemed to be satisfactory, the executive director or his designee shall review the application and supporting materials and may, acting on behalf of the Board, issue a temporary license to the applicant pursuant and subject to Chapter 5, Section 9 of these rules. If the executive director or his designee declines to issue a temporary license to the applicant, the applicant's file shall be presented to the application review committee. The application review committee may:
(I) Issue a temporary license to the applicant, pursuant and subject to Chapter 5, Section 9 of these rules;
(B) Defer action on the application until the applicant appears for a licensure interview; or,
(C) Advise the applicant in writing that the application review committee will bring proceedings to deny the application for licensure, following the procedure set forth in Chapter 7 of these Rules.
(iv) A summary of each applicant's licensure file and application will be sent to all members of the Board prior to the next regularly-scheduled board meeting, and any board member may request that the applicant appear for a licensure interview
(v) Following a licensure interview (if one is required), the board shall, by a vote of the board members present:
(A) Grant a license;
(B) Refer the application to the application review committee to bring proceedings to deny the application upon stated reasons, following the procedure set forth in Chapter 7 of these Rules;
(C) Allow the applicant to withdraw the application;
(D) Agree in writing signed by the applicant, to the issuance of a license subject to restrictions and/or conditions; or
(E) Defer action pending successful completion by the applicant of a medical competence examination such as the special purpose examination (SPEX) and/or such other examination, review, evaluation or course of study designated by the board and/or the board’s receipt, review and approval of other information requested during the interview.
(vi) If an applicant for reactivation does not have a licensure interview, a license may be reactivated only upon a majority vote of the board. The board may conduct this vote by voice vote, and may do so using a consent list showing applicants for approval.
(vii) If the board denies reactivation of a lapsed license, the applicant may appeal that decision pursuant to W.S. 33-26-407(a).
(c) A physician assistant may apply for a duplicate license if a license is lost, stolen, or destroyed.
(d) A physician assistant may offer to voluntarily relinquish a license at any time, however the board may, at its discretion, refuse to accept such offer.
(e) Notwithstanding the foregoing, in a public health emergency declared by the Governor, a physician assistant license which lapsed due to non-renewal may be emergently reactivated. The physician assistant shall submit an application on a form provided or approved by the board. The application shall be reviewed by the executive director or his designee, who shall have sole discretion whether to approve the application; if the application is denied, it will be deemed converted to an application for regular reactivation under subsection (b) of this section. There is no fee for this application or license, and the emergently reactivated license shall automatically expire upon the termination of the public health emergency. A physician assistant wishing to practice after the end of the emergency reactivation granted under this subsection shall follow the reactivation process set forth in subsection (b) of this section before doing so. The following criteria must be met for approval of emergency reactivation of a license under this subsection:
(i) The physician assistant must submit an application on a form provided, or approved, by the board;
(ii) The physician assistant must have held a full, unrestricted license to practice as a physician assistant in Wyoming no less recently than December 31, 2021, or have held a full, unrestricted license to practice as a physician assistant in Wyoming no less recently than December 31, 2017 and been engaged in active practice as a physician assistant in another jurisdiction no later than December 31, 2019; and,
(iii) Queries regarding the physician assistant to the National Practitioner Data Bank and the FSMB’s Physician Data Center do not reveal revocation, surrender, relinquishment, suspension or other termination of the physician assistant’s license or privileges to practice in any state, hospital, or health care facility.
(a) Pursuant to W.S. 33-26-507(a) the board shall collect the following fees:
| Application and license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), temporary license (if granted) pending completion and review of licensure application at next board meeting, and initial license (if granted)] | $200.00 |
|---|---|
| Application to convert from public health emergency licensure exemption to full, unrestricted physician assistant licensure (pursuant to Ch. 1, Sec. 7(d)(i)(D) of these Rules) and initial license fee [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), temporary license (if granted) pending completion and review of licensure application at next board meeting, and initial license (if granted)] | $100.00 |
| Paper form license application processing fee | $25.00 |
| Annual renewal of license | $80.00 |
| EXCEPTION: Annual renewal of physician assistant licenses for the calendar year January 1-December 31, 2026, shall be: | $10.00 |
| Paper form license renewal processing fee | $10.00 |
| License renewal grace period surcharge | $50.00 |
| Reactivation of license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), and temporary license (if granted) pending completion and review of the licensure application at the next board meeting, and initial license (if granted)] | $100.00 |
| Reinstatement of license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), and license (if reinstatement is granted) through December 31st. Costs may also be imposed in addition to the reinstatement fee.] | $150.00 |
| Extension of temporary license | $25.00 |
| Volunteer license | $15.00 |
| Supervisor change fee | $10.00 |
| Emeritus license | No charge |
(b) Application fees shall be paid to the board in the form of cashier's check or money order. All other fees shall be paid to the board in the form of a check, cashier's check or money order; however, on-line applications for licenses or renewal of licenses and license applications may be paid by credit card.
(c) Fees are not refundable.
(d) Requested paperwork shall not be processed until appropriate fees are received by the board.
(a) The board shall have the authority to deny an application for a license by, place restrictions or conditions on the license of, or revoke or suspend the license of, a physician assistant for, but not limited to, those grounds set forth in W.S. 33-26-402, 33-26-508 and any of the following reasons if the physician assistant:
(i) Has held himself or herself out, or permitted another to represent him or her, as a licensed physician.
(ii) Repealed.
(iii) Repealed.
(iv) Repealed.
(v) Repealed.
(b) A hearing to deny an application for licensure or for reactivation of a license, place restrictions or conditions on a license, or to revoke or suspend a license, of a physician assistant, shall be conducted following the procedure set forth in Chapter 7 of these rules. If the board denies the license application, places restrictions or conditions on a license, or revokes, suspends or takes other action against a license, it shall issue a final order reflecting such action supported by findings of fact and conclusions of law.
(c) On the date of issuance of such final order, the executive director shall send a copy of such order to the applicant by certified mail at the address shown on the application or at the most recent address provided by the licensee.
An applicant who is denied a license, reinstatement or reactivation of a physician assistant license may appeal such final order to the district court pursuant to W.S. 16-3-114.
Section 15. Repealed.
Section 16. Repealed.
Section 17. Repealed.
(a) The supervising physician or supervising physician assistant shall notify the board of any change of practice location or supervisory status of a physician assistant licensed in the state of Wyoming, and working under the supervising physician's or supervising physician assistant's supervision, within thirty (30) days of the effective date of such change.
(b) When complying with W.S. 33-26-513, a physician assistant license or license holder shall be identified as "physician assistant."
(c) Repealed.
(d) Repealed.
(e) Medical supervision of a physician assistant by other than an approved physician or physician assistant is prohibited.
(f) Repealed.
Section 20. Supervision and protocol requirements. All physician assistant supervision arrangements formed or submitted to the Board shall comply with the following requirements:
(a) A supervising physician or supervising physician assistant, and any physician assistant under his supervision, shall maintain on file with the Board a current supervision plan approved pursuant to section 8(h) of this chapter.
(b) The supervision plan shall be submitted as part of any application by a supervising physician and/or supervising physician assistant, or group of supervising physicians and/or supervising physician assistants.
(c) Before a supervising physician or supervising physician assistant, and the physician assistant(s) being supervised, may change a supervision plan previously approved by the Board, they shall submit a revised supervision plan on an application form published by the Board. The revised supervision plan application shall be reviewed by the advisory council and the Board pursuant to section 8(h) of this chapter.
(d) Supervising physicians and supervising physician assistants, and the physician assistant(s) being supervised, shall maintain documentation to demonstrate compliance with the elements of the supervision plan.
(e) A supervising physician or supervising physician assistant, and the physician assistant(s) being supervised, shall, upon written request from the Board, produce within twenty (20) days of receipt of the Board's request any documentation maintained pursuant to subsection (d).
(f) In addition to the ability to request documentation pursuant to subsection (e) the Board may, from time to time, conduct an audit of approximately ten (10) percent of then-active supervisory relationships, selected by random means, by requesting from the selected supervising physician or supervising physician assistant, and the physician assistant(s) being supervised, any documentation from the past three (3) years maintained pursuant to subsection (d).
(g) Effective January 1, 2022, any board-approved supervision agreement between a supervising physician and a physician assistant who has passed the NCCPA or other national certifying examination pursuant to subsection 7(c) of this chapter shall be deemed terminated. Nothing in this subsection shall be deemed to affect any approved supervision agreement between a physician and a physician assistant who has not passed the NCCPA or other board-approved certifying examination. Physicians and physician assistants who have passed the NCCPA or other approved certifying examination remain free to associate, collaborate, or otherwise practice cooperatively.
(a) To renew, reinstate or reactivate a physician assistant license in Wyoming, a physician assistant shall verify one or more of the following:
(i) Continued participation in the NCCPA maintenance of certificate process, including completion of not less than 60 continuing medical education credits during the preceding three calendar years;
(ii) Completion of not less than 60 hours of continuing medical education credits during the preceding three calendar years;
(iii) Documented volunteer service rendering clinical care in a nonprofit health care facility in this state to low income uninsured persons while holding an emeritus license in good standing, such CME to be credited at the rate set forth in Chapter 1, Section 5(a)(v)(A)(II) of these rules; or,
(iv) Documented volunteer service to the board as a medical consultant, such service to be credited as CME at the rate of one (1) hour of continuing medical education credit per two (2) hours of service as a consultant, not to exceed twenty (20) hours' CME credit in a calendar year.
(b) The following persons shall not be subject to the continuing medical education requirement of subsection (a) of this section:
(i) A physician assistant who has been certified or recertified by the NCCPA within the past three years as of the renewal date;
(ii) A physician assistant who has held a Wyoming physician assistant license less than three years as of the renewal date;
(iii) A physician assistant who holds an inactive license to practice medicine in
Wyoming as defined in Ch. 1, Sec. 5(a)(iv) of these rules and who indicate such status by written notice to the board.
(c) Upon written request specifying the reasons for an exemption, the board may grant an exemption to a physician assistant of all or part of the requirements of circumstances beyond the control of the licensee, such as temporary disability, mandatory military service or officially declared disasters.
(d) Upon written request received in the board offices on or before the renewal date and for good cause shown, the board may grant an extension of the deadline requirements for up to one year.
(e) Each year, accompanying the application for renewal of a license to practice medicine or accompanying a petition for reactivation or reinstatement of his/her license, a physician assistant shall submit a license renewal application provided by the board requiring the license holder to verify that he/she has met the CME requirements described above or that he/she holds an inactive physician assistant license or is otherwise exempt from these rules.
(f) Physician assistants shall maintain CME records for no less than four (4) years and such records shall be made available to the board upon request.
(g) Failure to complete CME requirements as described in this rule may cause the physician assistant to be ineligible for annual license renewal. Failure to produce records reflecting that a physician assistant has completed the required minimum continuing medical education hours upon written request by the board may constitute unprofessional conduct under W.S. 33-26-402(a)(xxviii).
(h) The board shall periodically conduct a random audit of approximately ten (10%) percent of its physician assistant licensees to determine compliance with these rules. The physician assistants selected for the audit shall provide a signed statement of completion of the required hours and all supporting documentation within forty-five (45) days of the date of the notice of the audit. Failure to comply with the audit may subject the physician assistant to disciplinary action by the board as set forth above in subsection (g). If found to have not completed the requirement noted above, a physician assistant shall have not more than six (6) months within which to comply with this rule.