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Welcome to the Frequently Asked Questions section of the Board of Medical Examiners website.
This section has been expanded so that more of your questions can be answered.
Choose from any of the subject areas and license types listed below.


Index of FAQ Topics
eBiz Questions
Complaint Questions
General Questions
License Renewal Questions
Questions About the Board and Board Meetings
Rulemaking Questions
License Specific Questions
Acupuncturist
Emergency Care Provider (formally EMT)
Nutritionist
Physician
Physician Assistant
Podiatrist
Telemedicine




eBiz Questions <return to menu>

1. NEW TO THE BOARD OF MEDICAL EXAMINERS: It’s “eBiz”!
The Board of Medical Examiners is pleased to bring you “eBiz,” a new system for licensing, renewals and licensee information. You can find eBiz at: https://ebiz.mt.gov/pol

With your eBiz User Name and Password, you can:

            -Renew a license.
-Print a license.
-Change personal contact information (but not the information that appears on your license.)

Soon, you will be able to track your application online.

“eBiz” is also the new home for the Department of Labor and Industry’s “Licensee Lookup” service.
NOTE: Licensee Lookup does not require a User Name and Password. It is free and available to the public.

Here’s what you’ll see when you arrive at eBiz:

ebiz
To access eBiz, visit https://www.ebiz.mt.gov/pol

2. How do I get my User Name and Password?
The eBiz system generates a default User Name and Password for every licensee within the Department of Labor and Industry’s Business Standards Division. In addition, each new applicant who provides an e-mail address also gets a default User Name and Password.
If you don’t know your User Name and Password, contact the Board office by e-mail at dlibsdmed@mt.gov and your information will be sent to you.

3. How can I print my own license?

1) Go online to https://ebiz.mt.gov/pol
2) Use your User Name and Password to login
3) Once you're in, look to the lower left and find the "Health Care Licensing" blue box.
4) Click on "RENEW/PRINT LICENSE."
5) When the screen refreshes, click on your license number.
6) On the next screen, scroll down until you see a bar that reads "Print Your License"
7) Click on that bar--your license will come up and you can print it or click on the "Page" tab and you can save it to your computer.

4. How do I find license / discipline information about a licensed individual?
You can go directly to the Licensee Lookup System.  This public service is part of the Business Standards Division’s new “eBiz” website and is a primary source for verification of license credentials. The Division relies upon information provided by licensees to be true and correct, as required by statute. It is an act of unprofessional conduct for a licensee knowingly to provide erroneous information to the Division. The Department of Labor and Industry makes no warranty or guarantee concerning the accuracy or reliability of the content of this website. Assessing the accuracy and reliability of information obtained from this website is solely the responsibility of the user. If you have questions regarding information found within this Licensee Lookup website, please contact the specific licensing board directly. Please note that some disciplinary actions against licensees may not appear immediately on the website. Appeals, effective dates of orders and other administrative processes may delay posting on the website. Please contact the specific licensing board directly if you require discipline information that occurred prior to July 1, 1996.

Tips for using Licensee Lookup:

  1. Go to https://ebiz.mt.gov/pol
  2. Look for the blue box labeled “Licensee Lookup” and click on Search for a Licensee.
  3. When searching, use the licensee’s name. It’s the easiest way to search.
  4. If you don’t know an individual’s name, but know the license number, you must use the Department’s full license code, for instance, MED-PHYS-LIC-####. For all licenses granted by the Board of Medical Examiners, the “MED” and “LIC” portions of the code will remain the same. The license-specific portion will be one of the following:

    Acupuncturist: ACU
    EMT: EMT
    EMR: EMR
    AEMT: AEMT
    Paramedic: PARA
    Nutritionist: NUTR
    Physician (M.D. or D.O.): PHYS
    Physician Assistant: PAC
    Podiatrist: POD

Compliance Questions (Complaints against Licensees)<return to menu>

1. If I become aware of another healthcare provider that may be incompetent or committing unprofessional conduct, including chemical dependency or drug diversion, what should I do?
a. You are obligated to report acts of unprofessional conduct or incompetence as defined by MCA 37-1-316, and ARM 24.156.1625 for physician assistants.
b. You have two options on where you can report to assist the health care provider in question with any physical or mental impairment by habitual excessive use of addictive drugs, alcohol or any other drug/substance or by mental or chronic physical illness.  One option is to contact the Board office.  The second option is contact the Board's impairment program, the Montana Professional Assistance Program (MPAP), directly at 406-245-4300.  Your referral to MPAP may be anonymous.
c. Anyone may file a complaint or provide information to the Board office regarding unprofessional conduct or incompetence. Complaint forms may be downloaded from the BOME website or can be requested through the Business Standards Division’s Compliance Unit.
To file a complaint against a Board of Medical Examiners licensee, call (406) 841-2362.

2. What happens when a complaint is filed against a health care licensee?
Once a complaint is received, the Compliance Unit sends a letter to the complainant acknowledging that the complaint has been received.
The Compliance Unit then informs the licensee of the complaint and requests a written response. Once that response has been received, the Compliance Unit will schedule the complaint to be heard by a Screening Panel that consists of up to five members of the Board.
The BOME Screening Panel meets monthly to consider complaints. At those meetings, if the Panel’s Chair determines that matters of individual privacy clearly exceed the public’s right to know, the Panel may go into executive session and exclude members of the public and news media. Both complainants and licensees have the right to waive their privacy rights and have the complaint heard in a public session. However, if all parties do not agree to waive their rights, the Chair may close the session to the public.
Screening Panel discussions are reserved for members of the Panel. They are not trials or debates involving the complainant and the respondent. Both the complainant and the respondent (and/or their legal representatives) may attend the Panel’s deliberation in person or by teleconference but may not participate unless requested by a Panel member.
The Screening Panel may:
*Dismiss a complaint “with prejudice.” This means the complaint may not be raised again.
*Dismiss a complaint “without prejudice.” This means if the Compliance Unit receives a similar complaint about the licensee, the Panel may consider that new complaint.
*Ask for further investigation by Department staff.
*Determine that there is “reasonable cause” that a complaint is valid and recommend disciplinary action be initiated against the licensee. Once the notice of a proposed Board action is filed with the Compliance Unit, the complaint automatically becomes public.

3. Let’s say the Screening Panel finds that a complaint is valid. What then?
The Screening Panel may authorize its Department of Labor and Industry prosecutor to pursue the complaint. This may lead to a negotiated settlement agreement between the Department and the licensee. Such agreements then are brought before the Board’s Adjudication Panel, which will make the final decision. No one who serves on the Screening Panel may serve on the Adjudication Panel.
If the respondent contests the Screening Panel’s finding, the complaint may go before a Department of Labor and Industry Hearings Examiner for a public hearing. The Hearing Examiner’s findings of fact, as well as any proposed orders, then go before the BOME’s Adjudication Panel for a final disposition. 
Actions that can be taken by the Adjudication Panel include revocation or suspension of a license or an order that the licensee take specific steps to correct unprofessional conduct or behavior.

4. What if someone is practicing medicine without a license?
Unlicensed practice complaints follow a different path than complaints against a licensee for unprofessional conduct. Typically, the Board’s staff attorney will handle unlicensed practice cases, instead of a Department prosecutor.
Unlicensed practice complaints go before the full Board at one of its regularly scheduled meetings. As with Screening Panel reviews, the Board Chair may determine that the demands of individual privacy clearly exceed the public’s right to know and may move the discussion to executive session.
If the Board determines that a charge of unlicensed practice is valid, it may issue a “cease and desist” order to the alleged violator. It also may refer the case to the appropriate County Attorney or pursue an injunction in the District Court that has jurisdiction in the location where the alleged unlicensed practice took place.

General Questions <return to menu>

1. Can I get a list of BOME licensees in Montana?
Yes, The Business Standards Division provides a service which allows individuals to download lists of licensees for a fee. To use the service, visit the Board of Medical Examiners website at www.medicalboard.mt.gov
In the tabs across the page, click on “Services/Links” and then look for the links to the “License Download” service. You can choose the license types, statuses and timeframe/geographical range you wish, and find out the cost.

Data elements provided via this service include:

Last Name, First Name and Middle Initial/Name (if provided)
Title (such as M.D. or D.O.)
License Type
License Number
License Status
Original Licensure Date
Expiration Date
Business Name (if provided as the preferred address)
Address, City, State, ZIP and Country

2. How do I change my name on my license? Name changes must be requested in writing with documentation of the name change included (marriage license, divorce decree etc.).  Physicians are required to notify the Board of a name change within 30 days.   If you would like a copy of your license in your new name you must include $5 for a duplicate license.

3. I’ve moved and need to change my address.  How do I do this? Please use the address change form located under the “Forms” tab on this website (or notify the board in writing via fax or US mail). Licensees are required to notify the Board of an address change within 30 days.

4. How do I find license / discipline information about a licensed individual? You can go directly to the License Lookup System.  This site is a primary source for verification of license credentials and provides discipline information. The Montana Department of Labor and Industry, Business Standards Division, presents this real time licensee lookup information as a service to the public. The Department of Labor and Industry makes no warranty or guarantee concerning the accuracy or reliability of the content of this website.  The Division relies upon information provided by licensees to be true and correct, as required by statute. It is an act of unprofessional conduct for a licensee knowingly to provide erroneous information to the Division. Assessing the accuracy and reliability of information obtained from this website is solely the responsibility of the user. If you have questions regarding information found within this licensee lookup website, please contact the specific licensing board directly. Please note that some disciplinary actions against licensees may not appear immediately on the website. Appeals, effective dates of orders and other administrative processes may delay posting on the website. Please contact the specific licensing board directly if you require discipline information that occurred prior to July 1, 1996.
<return to menu>

License Renewal Questions <return to menu>

1. When will my license expire?
Licenses granted through the BOME are good for a maximum of two years and expire on either of these dates in the license’s expiration year:

*March 31 (Physicians, Telemedicine licensees, ECPs)
*October 31 (Acupuncturists, Nutritionists, Physician Assistants, Podiatrists)

2. How long is my renewal good for?
Two years.

3. Can I renew after the expiration date has passed?
Yes. Following the renewal deadline (the expiration date of the license,) an un-renewed license becomes “lapsed” and may be renewed online for up to 45 days using the “eBiz” web service, but with a substantial penalty for late renewal.
Any license not renewed within 45 days following the expiration date becomes “expired.” An “expired” license may be renewed using the Board’s paper renewal form at any time within two years following the expiration date, but with a substantial penalty.
If not renewed within two years following the expiration date, a license is “terminated” and dropped from the licensing database. A licensee whose license has been “terminated” and wants to resume practice in Montana must re-apply for a new license.
It is very important for every Board of Medical Examiners licensee to know the status and expiration date of his or her license. For that reason, keep your license in a readily accessible place.

4. How do I renew my license through “eBiz”?
Professional licensees may renew their licenses online at https://ebiz.mt.gov/pol.
Each licensee is assigned a personal User ID and Password to access the eBiz system. As your renewal period arrives, the Department will send notification to your address of record that will include your User ID and Password.

5. Will I be reminded that it’s time to renew?
Yes, the Board’s rules still require the Board office to send a renewal notice to all licensees. With eBiz now in place, renewal notices will come by letter and will include the eBiz web address, the licensee’s User ID and Password, and additional information about how to renew.
It’s the Board’s intention that all renewal notices will be sent primarily by e-mail. That’s why it’s important to make sure the Board has a current e-mail address for you.

IMPORTANT NOTE: If a renewal notice is sent to an outdated address, the Board is under no obligation to send an additional notice to a new address. It is the licensee’s responsibility to make sure the Board has a current and correct address.

6. Will my previous PIN that I used to renew through “e-pass” still work?
No it will not. The Board (and all other Boards within the Business Standards Division) no longer use e-pass for license renewals. You must use your new User ID and Password to access the eBiz system.

IMPORTANT! For Physicians In Renewal:

7. I’m a Physician who doesn’t expect to practice in the next couple of years. Should I change my License Status to “Inactive” or “Retired” to save money on the renewal fee?
You should be careful about changing your status and should always contact staff before making this decision.

The “Inactive” license status works best for physicians who plan to take a break from practicing in Montana for two years or less. Board rule ARM 24.156.618 states that any physician who stays on inactive status for more than two years must meet Board requirements before returning to “Active” status in Montana. Physicians who have not been in active practice anywhere during that time will have to meet additional requirements set by the Board. For details, please visit and review ARM 24.156.618.

Consequently, physicians should consider paying the full $400 renewal fee for an active license to retain their ability to practice. (The “Inactive” renewal fee is $200.)

Changing to “Retired” has even greater consequences. “Retired” licensees essentially surrender all ability to practice in Montana permanently and may not re-activate their licenses under any circumstance. A “Retired” licensee who wishes to resume “Active” practice must apply for a new license and complete the full application process specified by the Board.

Board and Board Meetings <return to menu>

1. How are members of the Board of Medical Examiners chosen?
Board members are appointed by the Governor. Each serves a four-year term and may be re-appointed.
By statute, the Board of Medical Examiners includes:
5 licensed Doctors of Medicine (including one with experience in emergency medicine)
1 licensee each from the following professions:
*Acupuncturist
*Doctor of Osteopathy
*Emergency Care Provider (ECP)
*Nutritionist
*Physician Assistant
*Podiatrist
2 Public Members
1 Liaison to the Montana Academy of Physician Assistants (non-voting position)

2. Where, when and how often does the Board of Medical Examiners meet?
The Board holds six regularly scheduled meetings per calendar year, usually in odd-numbered months. Most meetings take place at the Department of Labor and Industry’s Business Standards Division (BSD) offices at 301 S. Park St. in Helena.

Information on Board and committee meetings is posted on the Board’s website.

Emergency or special meetings may be held by conference call with at least three days notice on the BOME website. These meetings typically are called so the board can decide a single issue that must be addressed quickly.

3. How do I get a topic on the Board’s agenda?
If you wish to speak to the Board on a particular subject or wish to suggest a subject for a Board meeting agenda, please contact Executive Officer Ian Marquand by phone at (406) 841-2360 or by e-mail at dlibsdmed@mt.gov. If the Board agrees to accept your offer to make a presentation, you will receive an invitation confirming your appearance. If the Board agrees to discuss a suggested subject without a presentation, that will be reflected in the agenda posted on the Board’s website.

4. How can I contact a member of the Board?
You can send an e-mail to an individual Board member through the main Board e-mail address: dlibsdmed@mt.gov. BOME staff will forward your message on to the appropriate Board member(s).
The Governor’s website also contains contact information for every person appointed by the Governor to Executive branch boards and councils.

Rulemaking Questions <return to menu>

1. How do I know if the Board is making a change to its rules?
Under the Montana Administrative Procedures Act, any state entity must issue a public notice that it is about to change its administrative rules. There are three ways to make a rules change:

  1. propose new rules
  2. amend existing rules
  3. repeal (eliminate) rules

Public notices about rulemaking are posted on the Board’s website and are mailed to licensees and interested parties. Rulemaking notices also are available through the Montana Administrative Register at the Montana Secretary of State’s office, where all administrative rules for the state are housed. The Secretary of State’s website for administrative rules is www.mtrules.org. You can use that website to view rules and subscribe to the Montana Administrative Register, among other things.

If the Board wishes to undertake a rules change, it first must post a Notice of Amendment. This notice will show the existing rule language and note text to be deleted as stricken and new text as underlined. The Board is not allowed to simply show the amended rule in its final form.

Then, following a public comment period, the Board must post a Notice of Adoption that notes the Board’s responses to public comments and includes any changes to the original proposal, using the same stricken and underlined format.

2. How can I express my opinion about a rule change?
Each Notice of Amendment must contain information about how to submit a comment on the rules change proposal. Written comments are accepted in any form until a deadline date established in the Notice. In addition, a public hearing is held at the Business Standards Division where individuals can make oral presentations and submit written testimony.

All public comments are presented to the Board at a public meeting, at which time the Board responds to them. (If there are multiple comments on a single topic, those comments are combined as one comment but noted as coming from multiple sources.)

3. How will I know when a new or amended rule is in effect?
Once the Board votes to adopt a rules change, the Notice of Adoption is prepared and filed with the Secretary of State. At that point, the rule is in place and enforceable. This also is when the Notice of Adoption is published on the Board website and sent to licensees and interested parties.

4. When can I see the actual new rule(s) in new, amended form?
Not until the Secretary of State publishes the amended rule(s) on its website. Because of the volume of work at the SoS and the nature of the rule publishing calendar, it may be several months between the Board’s adoption of new rules and their publication on the web.

Until that point, the only way to assess any new rule is to compare the former version with the Notice of Amendment and Notice of Adoption. Board members, Board staff and other Department of Labor and Industry employees are prohibited from providing the public with a “clean” version of the new rule and must, instead, refer individuals to the Secretary of State website and the rule notices.

5. Can I be held accountable for violating a new rule before it’s available in its final form?
Yes. Once the Notice of Adoption has been filed with the Secretary of State, the rule is enforceable, even though it is not yet published in its final form.

6. Let’s say there’s a new or amended rule that’s critical to my practice as a professional. If I must follow it—or hold others accountable to it—but it’s not yet published on the Secretary of State’s website, can I take the rule notices and make my own “clean” version of the amended rule and rely on that until the official version is published?
The Board understands that licensees or other interested parties may be keenly interested in the final language of a new rule for multiple reasons, including their desire to comply with it or hold others to it. The Board discourages individuals from creating their own unofficial “clean copies” from the parts provided by existing rules and rule notices. However, it cannot prohibit individuals from doing so.

Just be aware that no rule is truly “official” until it is published by the Secretary of State. It is possible, if unlikely, that a rule might undergo a change during SoS review to correct typographical errors or resolve small deviations from standard rulemaking structure and language. Nobody should rely on an unofficial rule or distribute it to others.

NOTE: Board members and Department employees may not distribute any unofficial versions of rules to the public and must—emphasize MUST—refer the public to the Secretary of State website for the official versions of rules.

Acupuncturists <return to menu>

1. How do I apply for an acupuncturist license?
Begin by downloading an application from the BOME website. Use either the “License Info” or the “Forms” tabs to find it. The form will include information on documentation you will need to submit to the Board.
The licensing requirements for acupuncturists are outlined in Montana statutes, beginning at MCA 37-1-316 of the Montana Code Annotated.
Administrative rules for acupuncturist license applications begin at ARM 24.156.1401. To search for rules, visit www.mtrules.org.

2. What are the qualifications for receiving an acupuncturist license in Montana?
To receive a Montana acupuncturist license, you must:

· Be a graduate of an acupuncture school that is accredited by the Accreditation Commission for Acupuncture and Oriental Medicine.
· Be at least 18 years of age.
· Pass the NCCAOM exam and the council of Colleges for Acupuncture and Oriental Medicine exam in clean needle technique.

NOTE: As of May 2012, the Board no longer requires character references for any of its applicants.

3. What does the Board require besides a completed application form?

· Certified Transcripts of Acupuncture Education
· Clean Needle exam results from the Colleges for Acupuncture and Oriental Medicine
· Exam results provided by the National Commission for the Certification of Acupuncture and Oriental Medicine
· Birth Certificate or Driver’s License
· A recent photograph signed by the applicant and dated as to when it was taken
· Recent National Practitioner Data Bank Self-Query (unopened)
· Current Verification of all State Licenses (if any) currently held
· Copy of DD214 military discharge, if applicable.
· Application Fee

NOTE: All documents not written in English must be accompanied by certified translations.

4. How much does it cost to apply?
The application fee for an acupuncturist license is $65.00

5. What’s involved in the application review process?
The process of reviewing a license application begins when the main application is received.
You will be notified when the application arrives and advised if any elements are missing.

6. “Routine” and “Non-Routine” Applications: What’s the difference?
During the review process, applications fall into two categories: “routine” and “non-routine.”
A “routine” license application is one in which BOME staff find no items of concern.
A “non-routine” application—in which an applicant discloses past disciplinary issues, criminal justice issues, civil proceedings or other items of concern— may take additional time to be declared “complete,” depending on how much additional information the applicant must submit and how quickly that information is delivered once it’s requested.
Once a “non-routine” application is declared “complete,” it is forwarded to the full Board for review at a regular scheduled public meeting. Those meetings occur every two months, which can mean a more lengthy delay for the applicant.

Emergency Care Provider (formally EMT)<return to menu>


1. I understand the names for EMTs will change on January 1, 2014. What will the new names be?
Because of recent Board rule changes, EMT licensees will see a change in the nomenclature used to identify their licenses as of January 1. The new names will be:

  • EMR
  • EMT
  • AEMT
  • Paramedic

Generically, all of these licensees will be known as Emergency Care Providers or “ECPs.” There are other changes that may affect your level of licensure. If you have questions, call the Department at 406-841-2300 and ask for EMT Training Coordinator Ken Threet. Please note that many of the Board’s forms currently relating to EMTs will change as of January 1. More information will be forthcoming on this ahead of the January 1 changeover.

2. How does someone become an ECP?
Helping people as an ECP is a great job and very fulfilling. You’ll need to accomplish a couple of things: attend and successfully complete an ECP training course, successfully pass a written and practical examination demonstrating your knowledge and skills, and become licensed to provide care as an ECP.  The first step is to find a training program that you can attend. 

Montana’s Administrative Rules governing EMT licensure begin at ARM 24.156.2711

There’s also lots of information available at www.emt.mt.gov.

3. Where can I get an application for licensure as an ECP in Montana?
You can download the application from our web site within the “Board Info” Tab under ECP License.  Follow the instructions on the instruction page regarding required attachments and fees.

NOTE: As of May 2012, the Board no longer requires character references for any of its applicants.

4. When submitting my ECP application it refers to a “Self Query”--what is it and is it required?
The “Self Query” is a service provided by the National Practitioner Data Bank or NPDB. It’s a healthcare provider background check and you are required to submit it with your application if you’ve never been licensed in Montana. Your application cannot be declared “complete” without the Self Query.

5. What if I’m currently licensed in Montana--do I still need to do a Self Query?
If you are currently licensed as an ECP by the Montana Board of Medical Examiners (at any level) you do not need to provide a Self -Query. (Also, if you currently are licensed, you do not need to provide proof of age or proof of high school graduation.)

6. What are the reciprocity requirements for Montana?
Montana does not offer true reciprocity with other states. However, Montana will accept either of the following as proof of licensure/certification:

  1. Certification by the National Registry of EMTs, or certification by the American Board of Pre-Hospital Care equal to or greater than the level of licensure being requested in Montana.
  2. Proof of licensure in another state in which the Board feels meets Montana’s requirements for initial licensure and compliance. This is determined on an individual basis. Submit a completed application for this determination.

7.I’ve downloaded the ECPT licensure application and the instructions say I need a verification form from every state in which I’ve ever been licensed. Does this include the National Registry? No, but as referenced in the previous question, if you are registered by NREMT, you must provide a copy of your current NREMT card or registration statement in addition to these verifications.

8.Can ECP’s work in hospital emergency rooms or other medical facilities?
Not as a licensed ECP.  The Board formerly had an advisory on this subject that will become part of new statewide protocols on January 1.

9. We are interested in doing an endorsement for our ambulance service, where do I find the requirements for doing an endorsement?
You can find endorsement curricula, verification forms and applications on the ECP website. Look for the “Lead Instructor” tab, under Endorsements.

10. My ambulance service director wants me to coordinate a ECP-Basic course, where do I find the application and what is required?
All course applications can be found on our website. Look for the “Education” tab, and then click on Applications.  However, in order to coordinate an initial ECP course of instruction the coordinator will need to attend a Lead Instructor Program. Attendance and successful completion of the Lead Instructor Training Program will provide the coordinator all the necessary information to coordinate initial ECP training.  The Lead Instructor must be a licensee of the Board.  Scheduled Lead Instructor Training Programs can be found on the website. Look for to the “Lead Inst” tab, under Applications. There is no cost to attend a Lead Instructor Training Program.

11. I’m confused about Medical Direction. Can you clarify?
This can be a confusing subject, especially since individual ECPs are licensed through the Board of Medical Examiners and ambulance services are licensed through Montana’s Department of Public Health and Human Services. Simply put, every ECP should have a relationship with a Medical Director, either on an individual basis or through employment with an EMS provider. Physicians or other medical professionals must meet BOME standards to be a Medical Director. Once approved, Medical Directors provide two kinds of Medical Direction:

“Off-line Medical Direction” refers to the medical oversight and supervision provided by a physician or physician assistant to an ECP or an EMS service. This includes assessing an ECP’s abilities and quality of care and reviewing an ECP’s performance on actual cases. “Off-line Medical Direction” often happens within a licensed emergency medical (ambulance) service but also can be a relationship between an individual ECP and a medical professional.

”Online Medical Control” means real-time interactive medical advice or orders to ECPs. Online medical control must be provided by a Montana-licensed physician or physician assistant with an unrestricted license who has been contracted for this purpose.

12. How can my Medical Director find out more about his/her responsibilities?
Montana’s Administrative Rules governing ECP Medical Directors begin at ARM 24.156.2732.
There is much more information available at www.emt.mt.gov under the “MD Control” tab. 
If you have questions, call the Department at 406-841-2300 and ask for Harry Sibold, MD - State EMS Medical Director.

 

Nutritionist<return to menu>

1. Is there a difference between a “nutritionist” and a “dietitian”?
The Board of Medical Examiners licenses nutritionists, not dietitians. According to MCA 37-25-102 (9), "Nutritionist" means:
     (a) a person licensed under this chapter; or
     (b) a person who has satisfactorily completed a baccalaureate and master's or a doctoral degree in the field of dietetics, food and nutrition, or public health nutrition conferred by an accredited college or university.

Additionally, MCA 37-25-301 states:

 37-25-301. Scope of dietetic-nutrition practice. Only a nutritionist can provide the following services:
     (1) assessing the nutrition needs of individuals and groups and determining resources and constraints in the practice setting;
     (2) establishing priorities and objectives that meet nutritive needs and are consistent with available resources and constraints;
     (3) providing nutrition counseling for any individual;
     (4) developing, implementing, and managing nutrition care systems; and
     (5) evaluating, adjusting, and maintaining appropriate standards of quality in food and nutrition services.

2. How do I apply for a Montana nutritionist  license?
Begin by downloading an application from the BOME website. Use either the “License Info” or the “Forms” tabs to find it. The form will include information on documentation you will need to submit to the Board.
The licensing requirements for nutritionists are outlined in Montana statutes, beginning at MCA 37-25-101.
Administrative rules for nutritionist license applications begin at ARM 24.156.1301.

3. What are the qualifications for receiving a nutritionist license in Montana?
To receive a nutritionist license, an applicant must have graduated from an accredited college or university in the field of dietetics, food and nutrition or public health. Applicants also must be currently registered with the Commission on Dietetic Registration (CDR.)

In addition to a complete Montana application for licensure, applicants must provide to the Board:

 *Official Nutrition Education Transcripts
*A current copy of your CDR card
*A recent National Practitioner Data Bank self-query (unopened)
*Current verifications from all states (if any) in which you are licensed.
*The license application fee.

     NOTE: As of May 2012, the Board no longer requires character references for any of its applicants.

4. How much does it cost to apply?
The application fee for a nutritionist license is $58.50.

5. What’s involved in the application review process?
The process of reviewing a license application begins when the main application is received.

6. “Routine” and “Non-Routine” Applications: What’s the difference?
During the review process, applications fall into two categories: “routine” and “non-routine.”
A “routine” license application is one in which BOME staff find no items of concern.
A “non-routine” application—in which an applicant discloses past disciplinary issues, criminal justice issues, civil proceedings or other items of concern— may take additional time to be declared “complete,” depending on how much additional information the applicant must submit and how quickly that information is delivered once it’s requested.
Once a “non-routine” application is declared “complete,” it is forwarded to the full Board for review at a regular scheduled public meeting. Those meetings occur every two months, which can mean a more lengthy delay for the applicant.

Physician <return to menu>

1. What’s involved in getting a physician license in Montana?
The Board has been taking steps to make the licensing process for physicians faster and smoother. However, the applicant has the ultimate responsibility for providing the Board with the information it needs to make a licensing decision.

Currently, an applicant for a physician license must provide the Board with:

· An Application Form (see below)
· Licensure Verifications
· Educational Certifications
· Postgraduate Training Verifications
· DEA Query
· Passport-size Photograph
· “Fifth Pathway” Verification or ECFMG Certificate (for Foreign Medical Graduates only)

NOTE: As of May 2012, the Board no longer requires character references for any of its applicants.

NOTE: As of September 2012, the Board no longer requires an applicant for a physician license to submit a self-query from the National Practitioner Data Bank.

2. How do I apply for a physician  license?
At the BOME, physicians have two options for applying for a license:

1) Downloading a traditional paper application from the BOME website. The application will include information on fees, as well as the documentation you will need to provide to the Board in order for your application to be considered “complete.” You then will mail the application to the Board for review.

2) Using the Federation of State Medical Boards’ online “Uniform Application.” The UA is designed for physicians who practice in multiple states and wish to complete the application online.
The Federation also offers the “Federation Credentials Verification Service” to assist applicants with education and license verifications. This service is NOT an application for licensure and costs $300, payable to the Federation.
It’s important to know that the UA and FCVS are separate processes; if you decide to use both, then both must be complete for your application to be accepted. In addition, you also must fulfill all of the State of Montana’s other application requirements.
      NOTE: The Federation charges a once-per-lifetime fee of $50 for using the UA. This is separate from the Montana license application fee and is paid to the Federation, not to the state.

3. What’s involved in the application review process?
The process of reviewing a license application begins when the main application is received, whether it’s a paper application or a UA.
Throughout this process, the burden to provide accurate information to the Board through the licensing process is on the applicant, as per statute MCA 37-3-309.
The statute also empowers the Department of Labor and Industry (which houses the BOME) to make its own investigation to confirm an applicant’s qualifications. In all phases of application review, the statutory role of the BOME and its staff is to protect the public.
  
4. I want to have someone help me submit and monitor my application. Is that allowed?
Yes. Many physicians are assisted in the application process by a prospective employer, a health care recruiter, or other third party. However, the Board is not authorized to share information about your application with other people without your permission.
     NEW! The Montana application now includes an Authorization to Release Information and Release from Liability.
This form will allow someone else to receive information from Board staff about your application status. However, you must provide the completed and signed form for that permission to be granted. Without the form, your associate cannot receive information.

5. “Routine” and “Non-Routine” Applications: What’s the difference?
During the review process, applications fall into two categories: “routine” and “non-routine.”
A “routine” physician license application is one in which BOME staff find no items of concern. The Montana physician license application states that once a “routine” application is complete, a license may take up to 30 days to issue.
A “non-routine” application—in which an applicant discloses past disciplinary issues, criminal justice issues, civil proceedings or other items of concern— may take additional time to be declared “complete,” depending on how much additional information the applicant must submit and how quickly that information is delivered once it’s requested.
“Non-routine” applications, once complete, are referred to the full Board for review at a regular scheduled public meeting. Those meetings occur every two months, which can mean a more lengthy delay for the applicant.

6. I’m a health facility administrator. I need to get a specialist on staff quickly to serve a pressing need in the community. Can the process go faster?
BOME staff address each application as it arrives, then update incomplete applications as additional information is received. There is no prohibition on making staff aware of special circumstances surrounding a particular applicant; however, there also is no obligation for BOME staff to take those circumstances into consideration when reviewing a license application.
In general, the best way to insure a smooth and less time-consuming review process is to get the Board all the information it needs as quickly as possible. That includes information detailing any personal or professional issues an applicant has in his/her background.
 
7. What does the application and renewal cost?
Application: $325
Renewal: $400 (every two years)

8. When will my license expire?
Physician licenses are good for a maximum of two years and expire on March 31 of the expiration year. A license may be renewed for another two years.

9. Can I renew after the expiration date has passed?
Yes. Online renewals are allowed for up to 45 days after the expiration date, but with a substantial penalty for late renewal.
Any license not renewed within the 45-day “late renewal period” become “expired.” An “expired” license may be renewed using the Board’s paper renewal form at any time within two years following the expiration date, but with a substantial penalty.
If not renewed within two years following the expiration date, a license is “terminated” and dropped from the licensing database. A physician whose license has been “terminated” and wants to practice medicine in Montana must re-apply for a license.

Physician Assistant <return to menu>

1. What are the qualifications for a physician assistant to be licensed in Montana?
An applicant for a Physician Assistant’s license should review the qualifications for licensure in Montana by reviewing the state laws and regulations. 
Montana statutes governing physician assistant licensing begins at MCA 37-20-101 and the Administrative rules begin at ARM 24.156.1601.
The criteria includes:
a. Good moral character
b. Is a graduate of a physician assistant training program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or, if accreditation was granted before 2001, accredited by American Medical Association's Committee on Allied Health Education and Accreditation or the Commission on Accreditation of Allied Health education programs.
c. Has passed an examination administered by the National Commission on Certification of a Physician Assistants, Inc., (NCCPA)
d. A current certificate from NCCPA

2. How do I become licensed as a physician assistant in Montana?
An applicant for physician assistant licensure will need to submit the following:
*A completed application
*The $325 application fee
*A National Practitioner Data Bank self-query. 
The applicant also must arrange for the following information to be sent directly to the Board from the appropriate agency:
*A DEA Query form.
*License verifications from other states.
Applicants for a physician assistant license also must:
*Participate in a teleconference interview with a current board member.
*Submit a signed Supervision Agreement to the Board. A Supervision Agreement is a written agreement between a supervising physician and a physician assistant providing for the supervision of the physician assistant. (link to form) This agreement must be approved by the Board before a licensed PA can practice in Montana.

     NOTE: As of May 2012, the Board no longer requires character references for any of its applicants.

3. How do I get a supervision agreement approved by the Board?
By submitting the signed supervision agreement to the Board along with a $25 Supervision Agreement filing fee. 

4. What shall I expect during the interview for licensure or the approval of a supervision agreement?
The purpose of the interview is to insure both the physician assistant and supervising physician clearly understand their roles and regulatory obligations. You should review the laws and regulations related to physician assistants prior to the interview. The interview is conducted by a Board member with the applicant and the supervising physician.  The process takes 15-20 minutes and is typically conducted by telephone conference call.

5. How long will it take to receive my physician assistant license once the Board receives the completed application and all other materials?
Upon receipt of all required materials, the physician assistant license will be issued within ten to fourteen days.

6. How long does the whole licensing process take?
The total amount of time depends on a number of factors, including:
*How quickly the applicant provides all required information. If an application arrives and is incomplete, a Board application specialist will inform the applicant about what still must be received.
*Concerns about an applicant’s history that make the application “non-routine.” In this case, the applicant may be notified to submit additional information or may be required to appear before the Board at one of its regularly scheduled meetings.
*The time it takes to arrange the interview and submit a signed Supervision Agreement.
Again, once an interview has been completed, the physician assistant license will be issued within ten to fourteen days.  If the application is considered non-routine there may be a delay in the processing of the application.  The applicant may be notified to submit additional information as required or may be required to appear before the Board for a personal interview for consideration of the application during a regularly scheduled Board meeting.  The Board meets six times per year every other month beginning in the month of January.

7. Can I obtain a temporary physician assistant license?
No, Montana does not issue a temporary license for physician assistants.

8. Can a physician assistant practice independently?
No, the physician assistant has a dependent practice and must be under physician supervision. Under MCA 37-20-101 and MCA 37-20-403, the supervising physician is professionally and legally responsible for all care and treatment of the physician assistant's patients.

9. What are the qualifications and responsibilities for a supervising physician?
A supervising physician must be a physician (Medical Doctor or Doctor of Osteopathy) who possesses a current, active license to practice medicine in Montana; exercises supervision over the physician assistant in accordance with statute and rules adopted by the Board; retains professional and legal responsibility for the care and treatment of patients by the physician assistant; and who agrees to a supervision agreement and a duties and delegation agreement. Refer to MCA 37-20-101 and MCA 37-20-401(4).

10. Can a physician assistant practice once he or she receives an active license in Montana?
Only if they have an approved Supervision Agreement on file with the Board, as well as a “Duties and Delegation” agreement with the supervising physician. Under state law, the Duties and Delegation agreement must be signed and on file at the PA’s and supervising physician’s place of work and it must be available upon request by any other person, facility and/or the Board.

11. What is the definition of Supervision Agreement?
In accordance with MCA 37-20-401(5), a supervision agreement is a written agreement between a supervising physician and a physician assistant providing for the supervision of the physician assistant.

12. What kind of supervision is required?
A supervising physician may provide the following types of supervision to a physician assistant: direct supervision, on-site supervision or general supervision.  Direct supervision means the supervisor is within technologically unassisted audible and visible reach of the person being supervised.  On-site supervision means the supervisor must be in the facility and quickly available to the physician assistant.  General supervision means accepting responsibility for, and overseeing the medical services of, a physician assistant by telephone, radio, or in person as frequently as necessary considering the location , nature of practice, and experience of the physician assistant.

13. Under what circumstances does a revision to the “supervision agreement” have to be submitted to the board for approval?
None. Only new supervision agreements are submitted to the Board for approval. However, when a supervision agreement is terminated by either the physician or physician assistant, it is the responsibility of both the physician and physician assistant to notify the Board of the date of termination.

14. Under what circumstances is it appropriate to submit a new supervision agreement?
Prior to the physician assistant beginning practice in a new working relationship with a supervising physician.

15. Can a physician assistant practice without a Supervision Agreement?
No, under MCA 37-20-104(2), prior to being issued a license and submitting a supervision agreement to the board, a physician assistant may not practice as a physician assistant in this state, even under the supervision of a licensed physician.

16. Can a physician assistant practice without a Duties and Delegation agreement?
No, under MCA 37-20-301(2), a supervising physician and the supervised physician assistant shall execute a duties and delegation agreement constituting a contract that defines the physician assistant's professional relationship with the supervising physician and the limitations on the physician assistant's practice under supervision of the supervising physician . The agreement must be kept current, by amendment or substitution, to reflect changes in the duties of each party occurring over time. The Board may, by rule, specify other requirements for the agreement.

17. What is the definition of a Duties and Delegation agreement?
Under MCA 37-20-301, a duties and delegation agreement is a contract between the supervising physician and physician assistant that defines the physician assistant's professional relationship with the supervising physician and the limitations on the physician assistant's practice under the supervision of the supervising physician. The agreement must be kept current, by amendment or substitution, to reflect changes in the duties of each party occurring over time and a copy must be kept at the physician assistant's place of work. The duties and delegation agreement must be made available when requested from the board or any other individual, such as hospital, administrators, other healthcare provider and/or patient etc.

18. If a physician assistant's only supervising physician is not available, whose obligation is it to ensure that supervision is in place?
Both the supervising physician and physician assistant are obligated to ensure that there is active and continuous supervision, but do not require onsite direct supervision or the physical presence of the physician, as long as there is a means of communication available between the supervising physician and the physician assistant.  However, in the event that communication is not available while the physician assistant is practicing, the supervising physician must provide for an alternate means of supervision to assist the physician assisted as needed.  The physician assistant must be able to contact the physician designated as the back up physician in the absence of the supervising physician.  This does not relieve the supervising physician's professional and legal responsibilities under MCA 37-20-301(1)(b).

19. What are the qualifications for a backup physician?
A supervising physician may arrange for an alternate means of supervision in the event of the supervising physician's absence.  A back up physician (Medical Doctor or Doctor of Osteopathy) must possess a current, active license to practice medicine in Montana.

20. Does a back up physician who is covering in the absence of the supervising physician need to be approved by the Board?
No, the Board does not require back up physicians to be approved, nor does the Board need to be notified of a change in any back up physician.  However, the duties and delegation agreement between the physician and physician assistant should describe the setting and continuous supervision method being utilized in their practice.  (For example:  On site, electronic, written instructions and/or protocols, back up supervising physician available or all of this above).

21. What is a physician assistant's scope of practice according to Montana Law?
Under MCA 37-20-403(3), the physician assistant may diagnose, examine, and treat human conditions, ailments, diseases, injuries, or infirmities, either physical or mental, by any means, method, device, or instrumentality authorized by the supervising physician.  The authorization will be delegated by the supervising physician, in writing through the duties and delegation agreement kept current and on file at the place of employment by the supervising physician and physician assistant.

22. What is the prescribing and dispensing authority for a physician assistant?
A physician assistant may prescribe, dispense, and administer drugs to the extent authorized by the supervising physician.  All dispensing activities allowed by Montana law must comply with MCA 37-2-104, and with the packaging and labeling guidelines developed by the Board of Pharmacy under MCA Title 37, Chapter 7.

23. What is the maximum period a physician assistant is authorized to prescribe, dispense or administer of schedule II drugs listed in 50-32-224, MCA?
34 days as in MCA 37-20-404, which has been effective since October 1, 1995.

24. Where do you find regulations for prescribing in Montana?
Statutes on prescribing are found in Title 37, Chapter 7 and Title 50 of the Montana Code Annotated.  Administrative Rules are found under ARM Title 24, Chapter 174.

25. What are the potential consequences should a physician assistant violate his or her prescribing authority?
a.  Termination or restriction of prescribing authority by DEA or the Board of Medical Examiners,
b.  Possible disciplinary action instituted against the physician assistant's license, and
c.  Possible disciplinary action instituted against the supervising physician's license.

26. What is the rule governing chart review for a physician assistant?
In accordance with Board rule, ARM 24.156.1623, the supervising physician shall review a minimum of 10 percent of the physician assistant charts on at least a monthly basis.  Chart review for a physician assistant having less than one year of full time practice experience from the date of initial licensure must be 100 percent for the first three months of practice, and then may be reduced to not less than 25 percent for the next three months, on a monthly basis, for each supervision agreement.  The supervising physician shall countersign and date all written entries that have been chart reviewed and shall document any amendments, modifications, or guidance provided. Chart review for a physician assistant who has been issued a probationary license must be 100 percent on a monthly basis, unless the Board terminates the probationary period.

27. What am I obligated to report to the Board?
As stated in ARM 24.156.1621, you must report the following:
1.  A physician assistant shall report to the board within three months from the date of a final judgment, order, or agency action, all information related to malpractice, misconduct, criminal, or disciplinary action in which the physician assistant or the physician assistant's supervisor, based on the physician assistant's conduct, is a named party.
2. A physician assistant shall, within 10 days of receipt of a complaint from the Board, provide the Board with the name of the supervising physician who is responsible under the supervision agreement to which the complaint is related.
3.  A physician assistant with suspected or known impairment shall self-report to the Board or the Board endorsed professional assistant program (MPAP).
4.  A physician assistant is obligated to report suspected or known impairment of other health care providers to the appropriate licensing board, agency or to the endorsed professional assistance program.
The Board also requests that you report the termination of a supervision agreement and any address or name change within 30 days.

The Board also requests that you report the termination of a supervision agreement and any address or name change within 30 days.

<return to menu>

Podiatrists<return to menu>

1. What are the qualifications for receiving a podiatrist license in Montana?
The licensing requirements for podiatrists are outlined in Montana statutes, beginning at MCA 37-6-301.
Administrative rules for podiatrist license applications begin at ARM 24.156.1002.

     NOTE: As of May 2012, the Board no longer requires character references for any of its applicants.

2. How do I apply for a podiatrist license?
Begin by downloading an application from the BOME website. Use either the “License Info” or the “Forms” tabs to find it. The form will include information on documentation you will need to submit to the Board.

3. How much does it cost to apply?
The application fee for a podiatrist license is $325.00

4. What’s involved in the application review process?
The process of reviewing a license application begins when the main application is received.

5. “Routine” and “Non-Routine” Applications: What’s the difference?
During the review process, applications fall into two categories: “routine” and “non-routine.”
A “routine” license application is one in which BOME staff find no items of concern.
A “non-routine” application—in which an applicant discloses past disciplinary issues, criminal justice issues, civil proceedings or other items of concern— may take additional time to be declared “complete,” depending on how much additional information the applicant must submit and how quickly that information is delivered once it’s requested.
Once a “non-routine” application is declared “complete,” it is forwarded to the full Board for review at a regular scheduled public meeting. Those meetings occur every two months, which can mean a more lengthy delay for the applicant.

6. I want to be certified to do ankle surgery in Montana. Do I have to do anything else beyond applying for a license?
Yes, you also must apply for a Montana certification in ankle surgery. You must demonstrate that you either have been Board-certified in ankle surgery, certified for the procedure in another state, or that you have completed an approved surgical residency. You also must pay an additional $100.00 fee.
The standards for certification can be found at ARM 24.156.1003.

Telemedicine <return to menu>

1. What does a Telemedicine license allow?
Montana law defines telemedicine as the practice of medicine by a physician located outside the state who treats patients in Montana and who transmits “evaluative or therapeutic” acts into Montana through “any means, method, device, or instrumentality.”
A telemedicine provider must have an established or regularly used connection with the state such as an office, privileges in a Montana hospital or healthcare facility, or a contractual relationship with a person or entity in Montana related to the provider’s practice.

2. What does Montana require before issuing a Telemedicine license?
To receive a Telemedicine license in Montana, an applicant must provide the following to the Board:

· Application Form.
· Proof of Current Active, Unrestricted Licensure in Another State (with license verifications from all states in which the applicant is licensed.)
· An identified agent for service in Montana who is registered with the MT Secretary of State and the Board.
· Proof of Malpractice/Professional Negligence Insurance coverage of $1 million.
· Proof of an established connection with the State of Montana, such as an office or privileges in a Montana healthcare facility.
· $300.00 Application Fee (check or money order.)

3. Are there other conditions of licensure?
Yes. A telemedicine applicant must have:

· No history of disciplinary action or limitation of any kind imposed by a state or federal agency in a jurisdiction where the applicant is or has ever been licensed to practice medicine.
· No pending investigations by a state medical board, state agency or federal agency.
· No history or conviction of a crime related to the physicians’ practice of medicine.
· No more than three payments on professional malpractice claims within 5 years prior to application.

4. Where do I find the application form?
Application forms are located online at the Board’s website: www.medicalboard.mt.gov.

5. What’s involved in the application review process?
BOME staff address each application as it arrives, then update incomplete applications as additional information is received.
Throughout this process, the burden to provide accurate information to the Board through the licensing process is on the applicant, as per statute MCA 37-3-309.
The statute also empowers the Department of Labor and Industry (which houses the BOME) to make its own investigation to confirm an applicant’s qualifications. In all phases of application review, the statutory role of the BOME and its staff is to protect the public.

6. Will I have to go before the Board to get my license?
That depends on whether your application is considered “routine” or “non-routine.”
A “routine” license application is one in which BOME staff find no items of concern. Processing time of a routine application depends largely on the time an applicant spends providing all the information required for licensure.
A “non-routine” application—in which an applicant discloses past disciplinary issues, criminal justice issues, civil proceedings or other items of concern— usually take additional time, depending on how long it takes the applicant to provide required information.
“Non-routine” applications are sent to the full Board for review at a regularly scheduled public meeting. Those public meetings occur every two months.

7. When will my license expire?
Telemedicine licenses are good for a maximum of two years and expire on March 31 of the expiration year.
A license may be renewed for another two years. The Board sends out reminders when renewals are due.

8. How much does a renewal cost?
“Active” Renewal: $300.00
For information on other renewal options, please contact the Board.

9. Can I renew after the expiration date has passed?
Online renewals are accepted for 45 days after the printed expiration date, but with a substantial penalty for late renewal.
Telemedicine licensees who wish to renew after the 45-day “late renewal period” has ended must contact the Board to arrange for the renewal of that license.


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