Transcript
Leigh Howle (00:00) hi, Kelly.
Kellie Becker (00:01) Hello. How are you? I’m.
Leigh Howle (00:06) good. Happy Friday.
Kellie Becker (00:07) Yes, ma’am.
Leigh Howle (00:09) How are you?
Kellie Becker (00:11) I’m doing good. Can’t wait to decompress this weekend. It’s been a busy week.
Leigh Howle (00:17) It has been, I agree.
Jack Schell (00:21) Hey, thank.
Kellie Becker (00:22) You for adding the insurance to the application process. I appreciate that.
Leigh Howle (00:33) Yes, absolutely. I’ve been about.
Kellie Becker (00:35) Six over like the, this whole month that reached out for it now. Of course, I just grabbed it and sent it to them, but I thought this must be missing in the order of the application process.
Leigh Howle (00:54) Yes. So, what were the other? I know humana was one?
Kellie Becker (00:59) Yeah, humana. Gosh. I’ll have to go back through all my emails. Oh, there was, I have to dig them up.
Kellie Becker (01:17) There’s quite a few.
Leigh Howle (01:20) Okay. Was it just the Coi? Kelly?
Kellie Becker (01:23) Yeah, that’s all they ever needed was just cois?
Leigh Howle (01:27) Okay. Hi, Cheryl.
Cheryl Boyle (01:37) Every time, hey, sorry, I’m on mute talking to myself. I do that happy Friday.
Leigh Howle (01:47) Yeah, happy Friday. How are you?
Cheryl Boyle (01:50) Doing good. Yeah, it went from it went from 97 degrees in topeka Kansas yesterday to 54. So now I have junk in my throat. So, gotta love those weather swings like throwing me off.
Leigh Howle (02:05) Yeah. We’ve got a lot of pollen flying around here, yeah.
Cheryl Boyle (02:11) Same same time of year. Yes.
Leigh Howle (02:19) So, Kelly and I were just talking about the missing Coi from applications. Like humana was missing the Coi. Yeah. So I did flag that to our team, so they can make sure they include that in addition to the W9 also upload the Coi. So she was just, we were just talking about other payers that had been recently requesting that Coi. So I could also share that, those, that list with the team.
Cheryl Boyle (02:45) Okay. Well, that sounds good. Yeah, I know just like for our standard running agenda, I didn’t really have anything to go over. I know Kelly just had that one note. And then I, Kelly and I have been trying to stay on top of the tasks, you know, every week as much as humanly possible. There is a task for Pennsylvania medicaid for dr French rosas and, I can’t get her promise login just because I still don’t like every time I try to create her portal, it says that it doesn’t recognize the demographic information. And I, I’m sure it’s because of her hyphenated last name, like it’s probably the way that like even your team called and got me the right medicaid id. But even when I tried that, it’s like it asked for the name match in addition to the medicaid id. And I think it’s I think it’s her hyphenated last name. I don’t know how we like enrolled her. So I still have that on my list, to call and figure out. And then, but yeah, the rest of this, I know it’s a lot of like licensing stuff. And so, I don’t know Jack, I see you’re on, I didn’t know if you wanted to touch into any of that although Lee, I did not realize that you were like, I kind of think of you more as our payer person and not licensing, but, I, I’m very happy to hear that you’re kind of over everything.
Cheryl Boyle (04:10) So, I did want to just ask about a couple of licensing things though. I also want to defer to Jack in terms of, you know, what we want to cover, cause, I don’t know if. So, let me check my side of the invite to see if we’re going to get any more folks joining. Cause I know I did send this invite out but we said Jack, I think that we were going to have like the typical Pennsylvania licensed stuff still at three eastern, right? I think that’s what your email had said.
Jack Schell (04:43) Yeah, moving forward with like standard agendas for today so that we can move things along. And then I did propose sometimes to meet with the folks that are really leading the licensing initiative next week, but then also just so you are aware myself, Lee and Kyle did meet this morning to just review everything with connections. And so Kyle’s prepared for the three PM call to just continue to provide some transparency around the pa licensing process specifically just to make sure everybody’s aligned on the aligned on the process and expectations. So I unfortunately will not be able to make that call but I did meet and Lee and Kyle will be there for, to talk through that. Yeah. And then as mentioned, I do want to set up that separate call next week to just meet with the team at a high level to set expectations and introduce some of the things that we talked about yesterday, like the insight to turnaround times with boards expectations for different states and then setting some I guess process in place for how we can work together for anything that’s upcoming or that’s anticipated. So we can get ahead of things rather than have to, you know, share updates. While we’re also actively requesting high priority items. So just want to get us organized for that call next week. Yeah. But on the licensing front, the specific request that was requested in question, I know we’ve talked at, you know, talked at length yesterday about and is moving forward. And then the list of questions that you sent, Kyle and Lee went through each of those this morning and have updates prepared that they’re planning to share at the three PM call.
Cheryl Boyle (06:38) So, okay, awesome. Sorry. Yes… it does. Hey, Amanda. I see you just hopped on. I did want to mention to Amanda, I think you’ll probably be on the three eastern slash two central call. Will you, do you know, yes? Or are you?
Amanda.Wo (06:58) I will be on. Okay?
Cheryl Boyle (07:01) One of the things Jack and Lee too that I wanted to touch on especially, you know, if Christina and other folks are on too is the, because it was part of the tasks that I was looking at just now. So this ongoing conversation that we’ve had with Kyle about the upfront tasking of the ces with the Pennsylvania board. I was noticing there are still so, Amy brumbaugh and Natalie collier have currently have tasks sitting there for their CE for their Pennsylvania. I think it’s their Pennsylvania. Let me just double check that. So I kind of wanted to just get out in front of that, right? And talk about the why and make sure it’s a very like clear, this is why we have to do it this way or if we don’t have to do it this way. Like can we, you know, can we look into potentially front loading those CE tasks for licenses going forward?
Amanda.Wo (08:01) Yeah, that would be great.
Jack Schell (08:04) Yeah. So I know, and Leif, if you want to speak to this too, you can let me know. But I know that when we’re talking about that child abuse CE specifically and the way that we tasked those out, I know that there was some confusion that, you know, you had done some research and maybe seen that we can start the CE prior to the application submission, et cetera. Et cetera. Well, that’s and Kyle’s going to talk to this today too. But while that is true that you can start the CE prior to the application submission. What our team and our licensing experts see is that sometimes the CE is completed and then it’s not associated with an application times out, and then is no longer relevant after 30 days after completion. So, the reason that we task the way that we do is because we want to lower the risk of that happening and ensure success and ensure that the CE is completed with a relevant link to a relevant application. So while it’s true that you can begin the CE before on our side to ensure success, we task it out after, so that you can actually link it to the application so that’s the process that we follow for those reasons.
Cheryl Boyle (09:26) And that makes sense. I guess where I’m confused is like if they complete it. So let’s just say, you know, Kelly Breen for example, we requested her Pennsylvania license. I had asked her to go ahead and start and complete the CE because I thought that we should do it that way. If she prints out that certificate, right? Like that, says she has her three hours of child abuse CE, and she uploads it to her documents in medallion. When medallion goes to submit the application, then to the Pennsylvania board, can they not just submit that certificate that she’s completed it along with the application to the board?
Jack Schell (10:04) So, as I understand it for some of the specific CE requirements, the vendor needs to send the CE verification to the board directly. And then those that are sent directly to the board are only held for 30 days, right?
Amanda.Wo (10:24) So, for like Albert pierce, we used his old CE, old as in he had completed it earlier this year for his Arizona license and it went through without a hitch because they could pull the verification and send it. But giving him a head start, let him, yeah into those 30 because we’re talking about 30 hours. So the longer we wait to say, hey, you have 30 hours of CE to do that’s. 30 hours that has to come up later.
Jack Schell (10:55) Was that a specific, which CE was that for that?
Amanda.Wo (10:59) Was for Pennsylvania? They have a 30 hours of CE. I can’t remember the requirements for it. And he was like, I actually had to do this for my license in Arizona. So he told them where to pull it from. They pulled the verification and sent it and it was good to go. My concern with not telling them to get started at the front end is that we wait till the application is ready for the CE to be turned in. We haven’t given them a window to complete 30 hours of CE.
Jack Schell (11:29) Yeah. So, and that’s where there’s like it seems like there’s a lot of nuance with the pa board.
Jack Schell (11:35) Is that what I was speaking to is the example of the child abuse CE. And so there are different requirements there. And that’s what I was speaking to is the issue that had been raised with the tasks for ces that are required. We do task those out in a group as frequently as possible. Let’s get… let me get a list of a full list of the pacs… and which ones potentially can be tasked out sooner. And Leslie you’ve already done that with Kyle.
Leigh Howle (12:19) So, the only ones that I’m aware of are the opioid cme and the child abuse one. I don’t know if there’s any additional ones but I can touch base with Kyle and find out the good news. There is good news on the opioid one and you all may be aware already, but the board does accept a waiver for that and they allow one year for the provider to complete that. So the provider can, yeah. So that one’s good. It seems like we’re getting stuck on that child abuse one. Yeah.
Cheryl Boyle (12:51) And I just put a link in. So this was a link to one of the, I think it’s like Natalie collier’s task where it like sent her to go and do the CE. And so this is like from the commonwealth of Pennsylvania. And it says, it does say here continuing education results must be submitted electronically from the provider. This process can take up to seven days. Like what I think, does that mean? Then if you’re… like so the provider can submit it, upload it. I.
Jack Schell (13:25) think that’s where, when they’ve I think that’s where when they’ve completed the course through the designated vendor, once it’s completed, the provider essentially acknowledges their completion, gets their certificate. And then that vendor like whatever wherever they’re completing it is then who sends it to the board. So yeah, the provider sends it but it’s via the vendor with whom they’ve completed the CE. Okay. So that’s why there’s also, I believe Kyle shared like a list of like approved vendors or vendors that are accepted for the ces. Because those are also the vendors that will directly send the CE certification to the board. Yeah.
Cheryl Boyle (14:02) And.
Jack Schell (14:02) that’s where the, that’s where our process with how we test that out comes into play is because they will complete, it will get sent right to the board and the board. The board will then hold that for 30 days so that’s where that process for us comes into play and how we do that, and.
Cheryl Boyle (14:21) So, Amanda, I’m looking at Albert pierce’s one that the one that you mentioned with the 30 hours of pharmacology, I do see a task for him. It was, it looks like it was for his Washington nurse practitioner license where there was a task for him to upload 30 hours. And so that one, I don’t know that was just this year. And so I think so if I’m understanding correctly, then Jack and Lee, so for Pennsylvania initial licensure, it’s only three hours of child abuse. And then don’t they have to upload some kind of opioid cme in at like 10 hours for their RX authority application.
Jack Schell (15:01) I think it’s I don’t see how many hours in what I’m looking at right now, but that is what Lee was acknowledging with regard to the opioid cme. Okay?
Cheryl Boyle (15:12) Yeah. So, and in that, like even like, so I think what to, so to find a solution here or middle ground, right? Like knowing how many hours and where by state, I’ve… sort of gotten that a little bit from Kyle, but it hasn’t been super clear. So I think like, and then if, because this 30 hour one for Albert pierce, like I, you know, that’s a lot. So, it was in the last two years though, I don’t know if that was a renewal or an initial, but it was for Washington. And I know we do have quite a few Washington. So it’s just kind of like part of the process like how is there a way that we could? Yeah.
Jack Schell (16:00) Well, so that’s where I, that’s where I think we should talk more strategically about how we prepare for the like license requests. And just if we know your, if we know your priority states, we can link you directly to the requirements from each board and we can revisit those on just this regular cadence call like reminder that like these are the, these are the requests that have been submitted for whichever states and these are the associated requirements. But we will link you out directly to the requirements with the board because they are ever changing. So like at the time at which the requests are being submitted, CE requirements may have changed or updated. You know, if you know, you’re about to have an influx of Washington as well, then let’s start to talk about the Washington requirements and make sure that you have the right reference materials.
Cheryl Boyle (16:53) Yeah, that makes sense. Okay. Yeah, that’s, a good plan and layout for, yeah, like an Amanda Christina, Holly, me Francis type strategy call for, yeah, and,
Jack Schell (17:07) then I, also, as I’ve told you yesterday Charlotte, it’s like with the tasking specifically, obviously, we’re pretty hyper focused on the Pennsylvania scenario right now and that’s because that’s been the utmost priority. But I am working with our team and just understanding if there is opportunity for essentially… tasking earlier or at least making sure that we have the process documented for you. So you understand when things will be tasked. So, yeah, that’s something that I’m continuing to just want to make sure I gather all the information for you because it seems like you’ve been getting information maybe a little bit piecemeal and if there’s any opportunity to optimize, then I,
Cheryl Boyle (17:52) want to find it. Yeah, I think I just like clarity on like, can we submit a certificate from previously completed child abuse CE along with the application to the board of Pennsylvania? Yes or no? Like that’s just the question that I just want to know because if we can, then I think it makes sense like even if you all’s team can’t you know, internally task out that task sooner that’s okay. You know, myself and Kelly and Amanda, we can just tell our own providers as we’re getting them licensed from Pennsylvania. Hey, go ahead and complete, you know, here’s this approved website, go ahead and complete it, print out the certificate, upload it to your medallion and then they’ll send it in with your app. If that makes sense? Like if we can just like do some discover little custom workarounds, if that makes sense for, you know, that kind of help meet that need of ample notification, we can be prepared and stuff. Can, you know, get done faster? That would be great.
Leigh Howle (18:50) Yes, of.
Jack Schell (18:51) course.
Leigh Howle (18:51) I.
Jack Schell (18:52) hear you. So.
Leigh Howle (18:53) Jack, there was a message from one of our senior licensing managers on that piece. And it does say the provider, you know, medallion will task out for the ces for the child abuse ces, the provider can get this completed beforehand if they’d like and upload proof of completion to the document. So Cheryl that references what you had said earlier, perfect. Yes. But, again, the CE is only held for 30 days. If there’s no application on file. So it seems like as long as everything is good in the provider’s profile and the tasks are getting addressed, you know, efficiently that once that CE gets sent to the board, that application as long as the application is on file within 30 days, then it should be fine. But if there’s any room for error.
Amanda.Wo (19:51) Yeah.
Cheryl Boyle (19:53) Okay. So, so now, I think I’m following, so it’s that there, so… there has to be a verification of said CE done by the board and it has to be within 30 days of when we submit the application. So it’s not that, so they just don’t accept the certificate as they have to verify it with the vendor. And if you’ve done it before, like if the vendor sends it in to verify it, but so, but then the board couldn’t re, verify it though. Like, so let’s say, you know, Kelly Breen for example, she completes her CE, then she, you know, doesn’t complete her tasks for a bit and delays whatever.
Cheryl Boyle (20:33) And the board receives the app 45 days later. Would they not be able to then verify that she did that CE with that vendor 45 days ago… from?
Jack Schell (20:46) The Pennsylvania board. It says 30 days and like that’s them that’s not necessarily something we have control of.
Cheryl Boyle (20:56) Okay. So they, so it has to be completed within 30.
Leigh Howle (20:58) Days of submission. Yeah, they only, yeah, they only hold it so they only keep it on file or hold it for 30 days and then they, yeah, they will discard it if that application is not there for them to link that CE certificate to.
Cheryl Boyle (21:22) Okay. Amanda, any thoughts? Does that make sense?
Amanda.Wo (21:27) It does. But my interpretation of that is we could definitely get them started on completing these faster. I’m trying to find ways to minimize the delays and keeping in mind that when they’re fully engaged seeing patients, they’re just not going to be thinking maybe I should check my medallion portal for another task… so that’s where I’m trying to like shore up any of those gaps so that we can tell them this is what you’re expecting to have happen next?
Jack Schell (21:59) Are you currently tasked? Like are, have you, maybe this is a question for Lee, but have you guys explored like which tasks are assigned to admins versus providers? And like whether or not that would?
Amanda.Wo (22:11) Be lovely.
Jack Schell (22:12) Whether or not these types of tasks should be assigned to you. So that you do know whether you need to go tap a provider on the shoulder?
Amanda.Wo (22:21) Yeah. I mean, that’s where it would be. It would be perfect because right now we’ll send this big list of things to do to the provider. They complete it. And then we’ll find out in now that we have the weekly meetings, we just updated it today. There’s three more tasks for you to do. So that’s the piece where I’m like it’s frustrating and it’s causing delays because it just keeps piecemealing out, more tasks. So that piece, if we could solve for that would be lovely, which is why we’re trying so hard to get everything front loaded because what happens is we wait a week till the meeting and then new tasks get pushed through and it’s like, okay, well, now, it’s not their days on, right? They’re doing 12 hour shifts. So those not having everything up front loaded when they go in and maybe they don’t work Friday when we’re having this meeting and everything gets pushed out. So now, I’m waiting four more days till they’re back on shift to start the process, hoping they’ll have time in between patients. So if there’s ways we can strategize to close those gaps that’s the piece that’s getting frustrating?
Jack Schell (23:27) Yeah… definitely. Hear you. And definitely understand that that’s piecemeal is a frustrating experience. Lee, do you think that it’s worth exploring like potentially assigning certain tasks to admins and seeing… if there’s opportunity for the admin team to just take care of items?
Leigh Howle (23:47) Well, they do, I mean, Cheryl and Kelly.
Cheryl Boyle (23:51) They do.
Leigh Howle (23:53) Go in and mark it done and email providers and work as many provider tasks as they can.
Cheryl Boyle (24:02) Okay. I mean, Amanda, we could give you admin access to.
Amanda.Wo (24:07) Medallion.
Cheryl Boyle (24:09) so that you could see the admin tasks too because it’ll say like task type license, you know? So that way you could see like here’s an admin task. It’s for a license. Let me check it out and see who I need to go tap on the shoulder.
Amanda.Wo (24:21) Yeah, because for example, when we just got dr nadiri licensed in Virginia, right? So different state, different requirements. But it was honestly dramatically faster to just tell her skip medallion, go get your license in Virginia because then you can see all of these tasks at once. They’re getting done at once versus once I incorporate medallion into that provider’s process flow, that starting and stopping and pushing of tasks instead of being able to see in one place at one time, this is what’s coming next. It’s slowing it down versus just telling them go forth and get on the Virginia’s medical board and apply for your license. So as much as we could, you know, support it but also make it clear what’s coming next. I mean, I think dr nadiri got her Virginia license before we even pushed. We pushed her application for Pennsylvania forward. I’m sorry for Virginia before she even received her first pass from medallion to start it. So as much as we can front load and be speedy, I would love it and I would appreciate it because we’re delayed. I mean months waiting for these Pennsylvania licenses.
Leigh Howle (25:39) And I’m sharing my screen. So I did pull up Albert pierce and the tasks that were, you know, for licensing that showed up here. And I think it could be worth just kind of going through Cheryl and we can talk about this, you know, off sync. But just having a list of all the requirements for pa for Washington. And I know I’ve sent some documents over. Kyle has sent documents over this one right here. In particular, the legal questions, this looks like a part of the actual licensing system and it’s just a basic PDF with check boxes on it, if that could, if that PDF could be used during provider onboarding and just have that pre populated and uploaded into documents. I can communicate that to the licensing team and they wouldn’t even task out for something like this. So it’s just like these little things that we.
Amanda.Wo (26:34) could collaborate.
Leigh Howle (26:35) On together to try to get as much upfront as possible.
Amanda.Wo (26:41) That would be great. I.
Cheryl Boyle (26:43) Yeah, I mean, so let me just recap what I heard. I think. So you, Lee would just give us like a here’s a checklist from the board, everything they’re going to need. So like self query and PDB, primary source verification from your nursing, this, that and the other, we would go gather it internally, all the items on said checklist, upload them all into medallion when we have them all. And then hit go if you will and have you all package it up and send it off and monitor and follow up and all that good. Jazz.
Leigh Howle (27:15) Yes. And I’ll tell the licensing team like these are the documents that they’re going to have, you know, already listed in the provider’s profile. This one is a really good one. The, where is it? I know we just have a couple of minutes, the controlled substance and legal question. It’s just a generic PDF, you know, do you prescribe controlled substances? What are the drug categories? And then it’s got the legal disclosure questions on the bottom, you know, disciplinary action and… all of this is in the platform, but the prescription pieces are not. So, if this could be just given to providers up front, I can communicate that to the licensing team and let them know it’s in the profile already. Well, no.
Cheryl Boyle (28:02) I, yeah, that makes sense. I think, for the RX authority license for sure. I guess I was thinking like just regular licenses in general like directly with, you know, a Pennsylvania license, for example, directly with pals, a nurse practitioner one, like, is that what you were thinking too? Like if there’s a checklist of what all is entailed in that license? Yeah.
Leigh Howle (28:25) Yeah, you know, that out of guide. Yeah, the guide I sent over, yes. Yes. Did that have the granularity that we’re looking for?
Cheryl Boyle (28:35) I think that’s what I sent to Kelly Breen. Let me just check my email and reopen that. And sorry, just to keep cause I know we’re getting close to time. So, let me just explore this further. So, if we were to, you know, do this. So, Amanda, then I think what that means though is that… our team would be kind of responsible for getting all the items the pre work items to medallion before they would submit, which could take time, right? Like our npdb self query and I don’t know just other miscellaneous, random board stuff. Is that okay. Well.
Amanda.Wo (29:15) Let’s talk with Christina selberg and see what she thinks she has to assist us with? And maybe we start there?
Cheryl Boyle (29:23) Okay.
Jack Schell (29:25) Sorry to, sorry to interrupt. I do have to hop to another call. But I do think that this is also great to pick up in the three PM call too. Just continuing to talk about opportunities to consolidate like the one that Lee was just talking through. I unfortunately cannot make the three PM call as I’ve noted, but I will follow up with Lee and Kyle afterwards to make sure that things are moving in the right direction.
Leigh Howle (29:54) Awesome. Sounds good. Thanks for the time.
Jack Schell (29:57) Okay. Bye.
Cheryl Boyle (30:01) Sorry, I’m still trying to, I can’t search trying to find the Kelly green email, cause I just want to confirm that document that you had given us. And if you need to hop, I’m sorry, I can take it offline. I know we’re at time. Oh.
Leigh Howle (30:15) Yeah, we’re it’s fine.
Leigh Howle (30:16) I was, I’m actually searching for it right now too, and I think it would be good just to, I’ll use Albert pierce and Kelly green as an example, and I’ll just go through their tasks and make sure that all the tasks related to pa, are listed on that document so that we could kind of gather everything that would be needed in one place. You know, it will be a little bit different whether it’s a PM hnp or an MD do, but, you know, I think if we could just kind of try to have as much upfront, and that might be during onboarding during HR, I’m not really sure, but, that would alleviate the back and forth in the tasks. So the providers would be able to focus on patient care.
Cheryl Boyle (31:01) Yeah. Okay. No, that sounds good. Okay. I will keep looking as well. And then, yeah, we’ll talk. Okay, here, I found it. I found it. Okay. You sent a table with a fingerprint scan too, and then… yeah, Pennsylvania licensing overview. So… I think the idea is then, is it okay if I share my screen real quick?
Leigh Howle (31:32) I was gonna do the same thing are.
Cheryl Boyle (31:34) You, you okay, maybe you go ahead and do yours. It’s fine. Okay?
Leigh Howle (31:46) That’s coming. Okay. So, same thing. So, if we’re looking at the cme requirements?
Leigh Howle (31:55) For let’s go down to the pmhnps and, you know, of course, the RN, graduate program board certified, this is the three hours of the board approved child abuse recognition training. If there’s any way that we could add additional instructions to the providers, like… you know, I had a question too like what if they start it and… then finish it and then upload that document to maybe we could get more clarification from Kyle on, how that could be saved in the provider profile?
Cheryl Boyle (32:42) And,
Leigh Howle (32:43) then like sent over, you know, to the board within 30 days of submission.
Cheryl Boyle (32:52) I would love that.
Leigh Howle (32:55) Kyle knows Pennsylvania, he’s worked it for like over a decade. So, he knows licensing in Pennsylvania really well. Yeah, we’ve got the fingerprint. Yeah.
Cheryl Boyle (33:10) And the fingerprint. So, I kind of tried this with Kelly Breen. I told her like, okay, here’s, the CE requirements, you know, here’s where you go. And then the fingerprint, and she came back and said I need a vendor code for the fingerprint. And I saw in medallion that you guys use vendor. I think I saw on another task, it was like use vendor code medall or something. MED a LL. But like, I don’t know if again, like if she were to do that CBC background stuff now and use the vendor code, oh, well, it’s in there, test out to her. Okay? Should?
Leigh Howle (33:46) We copy and paste this onto those instructions. So it’s done up front or, yeah, is it going to mess?
Cheryl Boyle (33:52) Things… up, right? Is it a 30 day window? Right? Like I think that’s where.
Leigh Howle (33:59) Yeah, Kyle will know that detail… or?
Cheryl Boyle (34:05) Is it just a one and done? And you send it in with the application? Like see, I think that’s where I keep, I don’t know. I, I’m not an expert. Obviously, I have done one way back in the day, not in Pennsylvania in another state. And I just remember like I had to gather all of the PSPS and all of the background stuff like in advance and send it in. So, I think that’s where I keep going like, is there not a way that we could just do this all in advance? Like to Amanda’s point task, it all out, get it all done in advance and then send it in one fell swoop. Does the board really like need something sent to them within 30 days? Or if it’s submitted with the app, can they not just accept that, right? If that makes sense? Yeah.
Leigh Howle (34:52) I don’t know we can touch base with Kyle. I know that I am not a subject matter expert with pa, but I do know that some boards will require the PSV directly from that source. So our licensing team will send the application to the board, and then the board will come back to us and say, now you need to send a PSV request to this institution or this board for certification, and then it has to go directly from those sources to the board.
Cheryl Boyle (35:28) Got it. So that’s not something that we would do ahead of time. That would be something that would happen once it was submitted to the board and the board would dictate… right?
Leigh Howle (35:39) Yeah. Okay.
Cheryl Boyle (35:42) Yeah, because I wasn’t seeing any of that in the initial licensing requirements like it didn’t on the checklist. It didn’t say anything about like primary source verification of medical education or primary, you know, whatever, like I didn’t see or the self, the mpdb self query that I’ve seen before although that might be for like the fsmb profiles, I don’t know with some of the MD licenses, but… yeah, just like they’re just, yeah, it’s I know it’s a complicated process and so any way that we can front… load consolidate, you know, explain… in education materials before, you know, the medallion process, I think the better.
Leigh Howle (36:24) Essentially, yeah. Yeah, we’ll keep working on it. I feel like we’re making progress. I feel like it’s definitely going much better. So the new providers that are coming on, we’ll have it all ironed out and it’ll just be it’ll be so much better. So I’ll go ahead and just kind of skim through these and make sure they’re listed on our shared Pennsylvania licensing overview. And then we’ll just kind of keep adding to it and I can send you updated ones or we can work on it as a live document, what’s your preference?
Cheryl Boyle (36:59) Oh, updated as a live document’s. Fine. Yeah. Okay.
Leigh Howle (37:03) I’ll share it with you. And then, as I comment on it, I’ll just tag you in it or highlight it for you and just let you know which ones are.
Cheryl Boyle (37:11) Yeah, that’s fine. Okay. All right. Well, thanks, Leigh. I know we’re keeping you longer. So, yeah, appreciate all your help. We will talk to you in a couple hours. I’ll.
Leigh Howle (37:25) see you soon. All right. Thanks. Okay. Bye.