1) The bill that will grant PAs the authority to prescribe hydrocodone was signed into law and will become effective August 28, 2015. I have reached out to the BNDD regarding what the process will be for us once this law goes into effect and below is the response I received:
Here are the steps we will be going through:
1. Gov signed the bill into law;
2. The law will go into effect on August 28, 2015;
3. At that time, mid-levels will have C2 authority;
4. Those already registered, can fax or email, or mail a request to BNDD to have Schedule 2 added to their existing registrations. BNDD will amend and update a registration for no fee.
5. Those who will be re-applying, will have a Schedule 2 box to check on their applications.
Between now and August……BNDD will be working on two things:
1. Updating our paper application to add the Schedule 2 box; and
2. Working with OA-ITSD to have them update our online application by adding a Schedule 2 box.
Once practitioners have updated their Missouri BNDD registration to show schedule 2…..they can go to the DEA website and make a similar request to update their DEA certificate.
Michael R. Boeger, Administrator
Missouri Bureau of Narcotics and Dangerous Drugs
P.O. Box 570
For any specific question(s) you may have about this process that do not seem clear on what they have provided, I would recommend contacting the MO BNDD directly for any clarification you might require.
2) We have also received an update regarding the MO Medicaid enrollment process for PAs of MO. Here is the language that was most recently sent to me:
The MO HealthNet Division (MHD) is in the process of adding a new Physician Assistant provider type to allow PAs to independently enroll and submit claims for service reimbursement. This change is targeted for implementation in August 2015. A provider information bulletin will be released in advance so providers may begin enrolling.
3) As we reported several weeks ago, Governor Nixon vetoed HB618 which contained language giving PAs authority to declare death and sign death certificates. Jorgen has been discussing this issue with the sponsors of the bill as well as other groups who were supporting this bill in hopes that there would be interest from these people and groups to pursue overriding his veto. Therefore, it is time to call the troops into action. We are asking every PA to contact their state representative and state senator and ask them to support the veto override on HB618. We will place some talking points for you to use in the members only section. Don’t feel the need to be bogged down with too many details as the legislators will not ask you pointed detailed questions if you speak with them or in an email response. If you are asked anything that you are unsure of the answer, just tell them that you are not sure but you will find out and get back in contact with them and provide whatever answers they need. Then contact me or your local DAL and we will help you find the answers they are looking for from you. Feel free to ask your physicians, patients, families or whoever is willing to contact their legislators as well with the same request. If you are unsure who your state legislators currently are, there is a link on our website that will provide that info but have your 9 digit zip code with you as that will be needed. The veto session will be held in September so do not procrastinate with reaching out to these legislators! Remember, we need a 2/3 majority to override a veto so this is by no means a lay-up.