image of caduceus
PA Registration/Renewal

New biennial renewal process: 

As of December 2018 Physician Assistant Registration/Renewal will begin the process of renewing biennially (every 2 years).

To activate your license for the first time, you need to pay your first time registration fee within 90 days of your license issue date.  To maintain an active license, you will need to renew your registration biennially.

In order to stagger the roll out of the biennial renewals, all licensed Physician Assistants are being separated out into 2 groups.  Licenses ending with an odd number will register for two years in 2019.  Licenses ending with an even number will register for one year in 2019 and then register for two years in 2020.  Once the roll out is complete, even license numbers will continue to renew in even years, and odd license numbers will renew in odd years.

For any questions related to the new Physician Assistant biennial renewal, please contact us at Registrations@tmb.state.tx.us using the subject line: “PA renewal”, and please also include your license number.  This will help us route your request appropriately for a faster response.

 

New criminal history background check requirement: 

As of 9/1/2019, criminal history background checks through the Department of Public Safety and the Federal Bureau of Investigation are required prior to registration for current licensees.  Detailed information is in the tabs below.

Physician assistants can complete renewals online 60-90 days prior to expiration. Registration reminders will be sent out at least 60 days in advance of the expiration date.

 

Supervision and Prescriptive delegation: 

To register Supervision and/or Delegation, use the online system to file the notice of intent to practice/supervise forms required of PAs and physicians AND to register prescriptive authority, prior to beginning to practice.

 

Supervision & Prescriptive Delegation System - Click Here

 

  • CRIMINAL HISTORY BACKGROUND CHECKS:

    • The fingerprint background check will be required prior to the completion of your registration/renewal, per the statutory requirement set out in HB 1504, which updates Texas Occupations Code, Sec 204.1561, unless you were fingerprinted for your PA licensure application after 1/15/2018.
    • Applicants or licensees who were fingerprinted prior to 1/15/2018 are not part of the current FBI civil rap back system. At this time, the only way to ensure that individuals who were printed prior to this date have a full criminal history background check, is to submit fingerprints for evaluation.

    Note: Fingerprint results will not be REQUIRED until your renewal. Reminders of the fingerprint requirement will be included in the renewal notice sent out 90 days prior to your current expiration date.  

    Additional fingerprint results are not required for subsequent renewals or if you were fingerprinted for your PA licensure application after 1/15/2018.

     

    • Please note that the criminal history results can take 4-6 weeks for processing. Instructions getting your finger prints done are listed under the tab “Fingerprints”.
    • As results can take weeks to receive, we encourage you to begin this process as soon as possible.
    • A Board issued 6-digit ID number is required for submitting your fingerprints. This 6-digit ID number is assigned at the time of application submission. This 6-digit ID number will be included in your renewal reminder.  If you wish to submit your fingerprints early, please contact us at Registraitons@tmb.state.tx.us and request your 6 digit ID number for your fingerprint submission.
    • Per Title 28, Code of Federal Regulations (CFR), Section 50.12, FBI fingerprinting reports are only allowed to be used for the purposes requested. Therefore, we are not able to access fingerprint results that were submitted to another agency. If you have been previously fingerprinted for another license or by another agency, we apologize for the inconvenience; however, you will still be required to submit the fingerprint criminal history background prior to the next registration/renewal of your license.

    Physicians, Physician Assistants, and several other types of licensure applicants are required to submit their fingerprints for state and national criminal history background checks.  Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee (see the Fingerprinting FAQs below for the current fees), payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.

    Please note – applicants for initial licensure should not submit fingerprints for review until after they have submitted the online application.

    Live Scan Fingerprinting – Available in Texas and Select Out-of-State Locations*:

    If you are in Texas, reside out of state but can schedule a time to be in Texas, or are near an approved out-of-state live scan location*, you may make an appointment for a live scan (a process that captures fingerprints without the use of ink).

    *To see if there is an approved out-of-state location near you for live scans, please visit the following link: https://uenroll.identogo.com/workflows/11G62J/locator/location.

    1. Schedule an appointment to be electronically fingerprinted by IDEMIA at one of their IdentoGo enrollment centers.

    • Internet based scheduling is the quickest and most convenient way to obtain a fingerprint appointment.
      1. You may begin the process now by clicking on this link: https://uenroll.identogo.com/servicecode/11G62J and then;
      2. click “Schedule or Manage Appointment”;
      3. complete all required fields on the following page and click “Next”;
      4. Enter your Board issued 6 digit ID#* with “MB-“ in front – example: (Ex: MB-123456) and click “Next”;
      5. Complete all required fields on the remaining 7 pages, including choosing a location, date, and time for your appointment, and click “Submit”.
      6. Please note that you will need to bring the identity documents required by IdentoGo with you to this appointment.
    • If you prefer to schedule over the telephone, you must:
      1. Review the TX Fingerprint Service Code form (Fingerprint Service Code form);
      2. Then call 888.467.2080;
      3. Please have the TX Fingerprint Service Code form before you call – IdentoGo will prompt you for the Service Code (11G62J) located at the top of the form;
      4. Please note that you will need to bring the identity documents required by IdentoGo with you to this appointment.

    2. Arrive at your scheduled appointment with your photo identification and fee.

    • If you plan on bringing a form of identification other than a valid (unexpired) TX Driver's License, please refer to the Department of Public Safety’s acceptable document types here: DPS - Documents to Prove Identity for Fingerprinting
    • IdentoGo accepts Visa/MasterCard/Discover/American Express, business checks, money orders and coupon codes (employer accounts) at the time of service.
    • Please note that personal checks and cash are not accepted.

    3. Your fingerprints will be submitted electronically to DPS and the FBI. You will not receive a printed fingerprint card.

    4. At the conclusion of your appointment, the IDEMIA enrollment agent will provide you with an IdentoGo receipt stating that you were fingerprinted.

    Fingerprints provided for this application shall be used to check criminal history records of the Texas Department of Public Safety and the Federal Bureau of Investigation, in accordance with applicable statutes.

    Please note: If you choose to schedule fingerprinting online, please ensure that you use the TMB service code (11G62J) as, by law, we cannot use fingerprint results that were sent to another agency. If you have accidentally selected another agency, prior to your appointment you will need to visit https://uenroll.identogo.com/ and select “Manage an Existing Appointment”.

     

    Hard-Copy Fingerprinting – For Use at Locations Outside of Texas Without Access to an Out-of-State Live Scan Center:

    If you reside outside of Texas and cannot schedule an appointment in Texas or at an approved out-of-state location for a Live Scan, you must be fingerprinted in ink on a card at a local law enforcement agency, and must then submit the completed card directly to IdentoGo to be digitally scanned and processed. Only cards provided by the Texas Medical Board are acceptable.

     

    1. Request a fingerprint card by contacting the Texas Medical Board at Screen-CIC@tmb.state.tx.us if you are an applicant, or at Registrations@tmb.state.tx.us if you are a licensee.  When emailing your request, please include your current mailing address.

    2. Pre-enroll with MorphoTrust USA to submit fingerprint cards.

    • Internet based pre-enrollment is the quickest and most convenient way to submit fingerprint cards.
      1. You may begin the process now by clicking on this link: https://uenroll.identogo.com/servicecode/11G62J and then;
      2. Click “Submit a Fingerprint Card by Mail”;
      3. Complete all required fields on the following page and click “Next”;
      4. Enter your Board issued 6 digit ID#* with “MB-“ in front (Ex: MB-123456) and click “Next”;
      5. Complete all required fields on the remaining 4 pages;
      6. On the next screen, enter your payment information (Visa/MasterCard/Discover/American Express), ensure the service code listed on the right-hand side notes ‘11G62J’, and click “Submit”. Print the confirmation document containing a bar code and complete the process by signing the waiver and filling in your contact information.
      7. Once you have obtained your fingerprint cards, follow the mail-in directions listed on the confirmation document. Do not send fingerprint cards to the Board. Doing so will delay your background reports.
    • If you prefer to pre-enroll over the telephone, you must:
      1. Review the Texas Fingerprint Service Code form (Fingerprint Service Code form );
      2. Then call 888.467.2080
      3. Please have a copy of the Texas Fingerprint Service Code form before you call – IdentoGo will prompt you for the Service Code (11G62J) located at the top of the form; and
      4. Inform the IdentoGo representative that you wish to pre-enroll for a “hard card submission”;
      5. Once payment is complete a summary confirmation document will be emailed to you;
      6. Print the confirmation document and complete the process by signing the waiver and filling in your contact information.
      7. Once you have obtained your fingerprint cards, follow the mail-in directions listed on the confirmation document. Do not send fingerprint cards to the Board. Doing so will delay your background reports.

    3. Obtain a copy of your fingerprints by an agency authorized to process fingerprints on an original FBI APPLICANT fingerprint card. Please review the back of the fingerprint card for the required items that must be filled out. Remember that both you and the official taking the fingerprints must sign the card.  ONLY CARDS PROVIDED BY THE TEXAS MEDICAL BOARD ARE ACCEPTABLE.

    4. All fingerprints MUST be captured by an agency authorized to process fingerprints.

    5. Once you have obtained your completed and signed fingerprint cards, follow the mail-in directions found on the IdentoGo Pre-Enrollment Confirmation Page that you previously completed and printed.

    6. Wait for a receipt from IdentoGo.

    Fingerprints provided for this application shall be used to check criminal history records of the Texas Department of Public Safety and the Federal Bureau of Investigation, in accordance with applicable statutes.

     

    Fingerprinting FAQs

    Once the Board has issued you an official license number, you will have 90 days to register and activate your license.  Failure to register will result in penalty fees, and after one year, license cancellation.

     

    Please note: You must complete registration and pay the fee within 90 days of the date your license was issued to avoid penalty fees.  If you have not registered your license within 90 days of your license issue date, a penalty fee equal to ½ the registration fee will be assessed.  If you have not registered your license within 120 days of your license issue date, the penalty fee will increase to a fee equal to a full registration fee.  If you do not register within 12 months of the date of issuance of your license, your license will be considered canceled.

     

    Under Senate Bill 195 (84th Legislative Session) effective 9/1/2016, the TMB will remit funds to the Texas State Board of Pharmacy for the purposes of the operation and maintenance of the Texas Prescription Monitoring Program (PMP). As such, a small fee for this purpose has been added to your total renewal fee due.

     

    First Registration Fee 

     

    The Board assigns a first registration period. These vary in length from 6 to 24 months. First time registration fees are prorated accordingly. Subsequent registrations will be two years in length and will be due on the same day each renewal.

     

    The initial registration fee includes the $18.90 Prescription Monitoring Program (PMP) fee, and a $5 Office of Patient Protection fee for the first year, with an additional $1 charged for any subsequent year. These fees are required by statute and cannot be pro-rated. The remaining amount is required by the Physician Assistant Board and prorated for each permit length.

     

    These fees are explained in more detail in the chart below.

     

    Initial Registration

    Length of Permit

    Agency Fee

    Ofc Pt Prot Fee

    PMP

    Total

    6 months

     $133.75

     $5.00

     $18.90

     $157.65

    9 months

     $200.63

     $5.00

     $18.90

     $224.53

    12 months

     $267.50

     $5.00

     $18.90

     $291.40

    15 months

     $334.38

     $5.00

     $18.90

     $358.28

    18 months

     $401.25

     $6.00

     $18.90

     $426.15

    21 months

     $468.13

     $6.00

     $18.90

     $493.03

    24 months

     $535.00

     $6.00

     $18.90

     $559.90

    The fee for subsequent biennial registrations is $555.90 per renewal.  This rate can be changed by the legislature, however, at any time in the future.

    Under Senate Bill 195(84th Legislative Session) effective 9/1/2016, the TMB will remit funds to the Texas State Board of Pharmacy for the purposes of the operation and maintenance of the Texas Prescription Monitoring Program (PMP). As such, a small fee for this purpose has been added to your total renewal fee due.

     

    The biennial registration fee includes the $18.90 Prescription Monitoring Program (PMP) fee, and a $1 per year fee for the Office of Patient Protection. These fees are required by statute and cannot be pro-rated.

     

    These fees are explained in more detail in the chart below.

     

    In order to stagger the roll out of the biennial renewals, all licensed Physician Assistants are being separated out into 2 groups. 

    Licenses ending with an odd number will register for two years in 2019.  Licenses ending with an even number will register for one year in 2019 and then register for two years in 2020.  Once the roll out is complete, even license numbers will continue to renew in even years, and odd license numbers will renew in odd years.

     

     Subsequent Registration

    Length of Permit

    Agency Fee

    Ofc Pt Prot Fee

    PMP

    Total

    12 months

     $267.50

     $1.00

     $18.90

     $287.40

    24 months

     $535.00

     $2.00

     $18.90

     $555.90

    Online registration:

     

    No financial information is seen, processed, or stored by the Texas Medical Board. The payment portion of the online registration system is handled by Texas.gov, the official website of Texas.  The price of this service includes funds that support the ongoing operations and enhancements of Texas.gov, which is provided by a third party in partnership with the State. Texas.gov will remit the amount paid to the Texas Physician Assistant Board on your behalf.

     

    Please note that as of 9/1/2015 Texas.gov will charge a different amount depending on the type of online payment service used.

    Ex:           $555.90 Registration fee due          

                    $568.67 Total amount charged on credit card

     

    Ex:            $555.90 Registration fee due

                     $555.90 Total amount charged through electronic check

     

    Non-online (paper) registration:

     

    An additional processing fee of $50 will be charged to those licensees who choose to register through a paper form, when an online option is available.  If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.

     

    To request a hard copy registration form, please contact the Registration Department at registrations@tmb.state.tx.us or (512) 305-7030.

     

     

    Delinquency fees

     

    Initial Registration – If you have not registered your license within 90 days of your license issue date, a penalty fee equal to ½ the registration fee will be assessed.  If you have not registered your license within 120 days of your license issue date, the penalty fee will increase to a fee equal to a full registration fee.  If you do not register within 12 months of the date of issuance of your license, your license will be considered canceled.

     

    Subsequent Registrations - There is no grace period for the expiration date of a physician assistant license. Once the expiration date has occurred, penalty fee equal to one half of the registration fee will be added.  After 90 days, the penalty fee will increase to equal a full registration fee. If a license has been expired for one year or longer it is automatically cancelled.

    Please note that the Board does not have a “zero balance receipt” that shows that a licensee has a zero balance or that licensee registration has been paid in full, nor can we provide an individualized billing statement of the amount due to complete license registration/renewal. 

     

    Online Registration:

    Please remember that the payment portion of the online registration system is handled by Texas.gov, the official website of Texas.  A printable receipt will be provided at the end of the online registration process. In addition, a confirmation of payment receipt will be emailed to the address given as part of the Texas.gov payment process.

    Additional copies of the receipt will be provided by request only. Submit your request to Registrations@tmb.state.tx.us . Please include your full name, license number, date of payment, and amount paid.

     

    Non-online (paper) registration:

    A receipt will be provided by request only. Submit your request to Registrations@tmb.state.tx.us . Please include your full name, license number, date of payment, and amount paid.

    NEW - TMB Transitions to electronic licenses


    The Texas Medical Board is transitioning to electronic licenses for a more paperless experience and to allow for enhanced licensee control.   As of September 1, 2019 the Board will no longer issue paper licenses after a completed registration/renewal for the following license types:

    • Physician (including telemedicine, administrative, conceded eminence and public health)
    • Physician Assistant
    • Acupuncturist
    • Acudetox
    • General Medical Radiologic Technologist
    • Limited Medical Radiologic Technologist
    • Non-Certified Radiologic Technician
    • Respiratory Care Practitioner
    • Medical Physicist
    • Perfusionist

     

    What does this mean for licensees renewing their licenses on or after September 1, 2019?

    Once your registration/renewal is complete, please allow 2 business days for processing.  After that time, you will be able to log into your MyTMB account and view, save or print a copy of your active license.  In addition, after September 1, 2019, you will be able to use the same system to view, save or print a copy of your active license as needed.

     

    Please note that primary source verification regarding licensure status is always available to anyone, including licensees’ employers, via the TMB website through Look up a License.