Transcript
Kenna Wright (00:00) hey, Rheta. How are you? Hi?
Rheta Larson (00:03) Kenna. I’m doing well. It’s good to see you. How are you doing?
Kenna Wright (00:06) I’m doing great. Thank you so much for asking. So, I have a list of questions, just random questions that I have been going through while we got a new provider recently. So I may have some questions regarding that and her licenses. And then I just have some random questions with a spreadsheet that I’m making to keep compliant with all of the forms, collaborative agreements, prescriptive authority agreements, and stuff like that we are needing to have for all of these providers. So if you have any questions for me, do you have any questions for me specifically before I bombard you with all of these questions? No?
Rheta Larson (00:46) No, that’s what we’re here for. So we can start there. I think everything that I had from our last sync was already addressed via email, which is just minor updates, but I can give you the floor.
Kenna Wright (00:58) Perfect. Awesome. Okay. So first question I have… is about Chelsea D’S California license. I know we just launched in California. So this is all kind of new for us. So we don’t think that she has enough California clinical hours to file the license for independent. I think she has to do the, what is it called? What do they call it? They call it?
Rheta Larson (01:32) Let me share my screen too, so we can pull up this together. This is.
Kenna Wright (01:37) For California, but it’s like they have two different things, for… MPS. Now, let’s see one is like a probational period. I don’t want to say probational. It’s not the right word transitional phase. They have a transitional phase where they have to complete four to 600 hours of supervised practice in California. Is that correct?
Rheta Larson (02:02) For her autonomous registration?
Kenna Wright (02:05) Yes, she doesn’t think that she has the 4,600 hours to submit it for the autonomous license.
Rheta Larson (02:13) Yeah. For autonomous registration, it looks like, let… me see what the ask was here. I know they do have a certain number of hours. I just don’t know what the actual… number is… and then let me pull California too. Thanks.
Rheta Larson (02:44) So, for autonomous registration… it’s in task over 21 days. We sent the application to her. We didn’t actually ask her prior if she had the necessary hours, but in the requirements, it would be listed here, is this where she’s saying like she doesn’t qualify because she doesn’t have enough hours, correct?
Kenna Wright (03:06) And then down there, there’s one answered yes for if she has completed that, and we didn’t want to submit that. That was true because I don’t think she has proof to document that.
Rheta Larson (03:18) Yeah. And I know they do ask for documentation to be compliant with that. Let’s see if it mentions it. She’s basically saying no, that she doesn’t qualify for this, correct. This is on, when did she start with Sana?
Kenna Wright (03:42) She started, I believe she told me this morning.
Rheta Larson (03:52) Or does she have any previous experience or is she like a new grad?
Kenna Wright (03:56) No, she does have previous experience. She said she was first licensed in California in June of 20 23, but she hasn’t practiced in California while she’s been here at Sana. So that would mean that she’s short those 4,600 hours since California requires it to be the hours to be in California.
Rheta Larson (04:18) Okay. Gotcha. Yeah. I mean, I think if the provider is basically saying she doesn’t qualify, that would be a clear indicator that we can pause on this until she is able to qualify and meet those minimum hours.
Kenna Wright (04:40) Sorry, I can respond in medallion and state that she doesn’t qualify for those hours and to submit for the transitional period license. Would that make sense? I?
Rheta Larson (04:53) Don’t think there’s a transitional license that we perform?
Kenna Wright (04:59) Because in order to get to California hours, she would have to practice in California. Whenever we’re live there, we just launch there. And the California… what is this? The California, their board for MPS? It has two tracks. So they have to do the transitional phase where they have to submit for that. And then they have the independent practice once all those requirements have been met. So, would we need to submit her for the transitional phase? I can?
Rheta Larson (05:35) Check with the team for autonomous registration for California. The only one we don’t typically assist with is autonomous registration in California. The one we do assist with is the one or three and P, autonomous registration, which I think is this particular one. If the provider qualifies which they have to meet those requirements for certification as a nurse practitioner and independent group, setting the 4,600 hours or three full time equivalent years of clinical practice. It sounds like she doesn’t so if there is another option, I can see if it’s something that medallion can help support. I don’t think that’s something we currently do. It might be out of scope, but I’ll let you know if it is, and then if it is, that would be something we just ask that either the provider completes or your internal team completes.
Kenna Wright (06:21) Perfect. Yeah.
Rheta Larson (06:23) Let me take this one down as an action item.
Kenna Wright (06:27) Thank you so much. And then no.
Rheta Larson (06:34) Ct.
Rheta Larson (06:48) I don’t know if there’s an actual. Is it saying it’s a transitional app in the California portal? Let me see. I’m wondering if this is a new requirement because that isn’t something that I’m familiar with, but it could be something it.
Kenna Wright (07:08) Acted like it was something new whenever I was researching all of it, that it has those two new tracks for NPS where they have to do that transitional phase prior.
Rheta Larson (07:17) Okay. Gotcha. Yeah. I can do more research. I just want to make sure I have the item correct. Absolutely. All right. Anything else with Chelsea?
Kenna Wright (07:28) What else for Chelsea? I had some forms that I’m working on getting signed for her for Oklahoma. That is in medallion. Let me see. I think there were some questions on it that I wasn’t sure the answer of and a got has been out. So I’m not sure if this is something that you can even answer for us, but it was asking for specific licenses when it came to prescriptive authority for controlled medications and I just wanted to make sure I was answering those accurately for what we have, because I know we don’t use. We don’t submit for controlled substances. So we don’t have to do a lot of that stuff. Let me pull up Oklahoma.
Rheta Larson (08:20) Is this for the employment verification?
Kenna Wright (08:24) There’s one employment verification for? Was that Oklahoma? Or was that va?
Rheta Larson (08:31) The one that I see here is for Oklahoma. Okay. Let me pull her up and it says it’s an employment verification of at least 520 work hours. This is the actual form, but I don’t see anything regarding, okay?
Kenna Wright (08:44) It might have been the other Chelsea that I’m thinking of for Oklahoma.
Rheta Larson (08:47) Prescriptive authority. Okay. So, Chelsea, she spells her name different, right? Yes.
Kenna Wright (08:55) Got it. And.
Rheta Larson (09:00) the collaborating physician agreement? Yes. Oops, wrong one. Perfect. Oh, actually, there’s no form here. This task pertains to obtaining the collaborative physician information. Oh, yeah. We just need the collaborative physician info for Chelsea. We have Adam’s task. Is this the one you’re referencing or something else? I?
Kenna Wright (09:31) Think it’s the same one. But I think with the tasks, there’s like always five different tasks for the same thing, which always confuses me. It was for Oklahoma and it was there’s.
Rheta Larson (09:46) a few ways to read this. So when you go and pull up her profile and you filter by that particular state, this is, I think it’s confusing in the overview section, then you can basically expand the record to the left here. And then it breaks down what’s a provider task, what’s an admin task? And the reason why you’re seeing dupes is because we most likely haven’t heard back from Chelsea. So we just tasked you all to basically reach out to her. So this is showing all. But we essentially tasked her to review the application and then she got her. Actually, this one is still outstanding for her cmes. So these are the two that are outstanding for Chelsea… why?
Kenna Wright (10:31) Can’t I find that form and then.
Rheta Larson (10:33) admin tasks. This is basically just saying we need y’all to confirm the collaborative physician information for Chelsea. Okay? So.
Kenna Wright (10:41) You’ll just need the provider information. You don’t need a form filled out by us.
Rheta Larson (10:47) Yeah, it just says, please provide the document and mark the task done by provider. Once completed. Please provide the collaborating physician agreement. We do need that document for Chelsea on the admin side that’s an ask for her. And then we need her to review the ces needed for Oklahoma, and then determine if she’s done these. If she has mark completed, if she hasn’t we gave information on what she needs to complete there. And then also review. This is a renewal though, review the Oklahoma renewal for her nurse practitioner license. Okay? And just make sure all the information we input is correct. But I don’t see anything to fill out just the physician or just provide the physician collaborating agreement. So we.
Kenna Wright (11:33) just need to fill out the form. I think that I may, I have the form for that, and I think that’s what I may be.
Rheta Larson (11:38) Oh, gotcha. Yeah, that’s not something we don’t typically like, help with collaborating physician agreements. I can’t like if you need, if you have very specific questions and you want to send them over, I’m happy to try and get support from our team, but that’s an internal like with your organization, what y’all’s what’s on us for your providers? Okay?
Kenna Wright (12:01) So, it talks about unrestricted license from Oklahoma. And it asks for Oklahoma bureau of narcotics, dangerous drugs. Do you have a current permit for this? We don’t because we don’t use that. So, I’m sure that we haven’t submitted for that. Okay? Maybe… this will be something that Agata has to answer possibly.
Rheta Larson (12:26) Yeah. Is her, is the physician some, someone who you can also maybe reach out to? Sometimes they have, I see she has a Texas Dea, but that’s not Oklahoma. So I think you’re fine to answer those as no, if Sana is not prescribing in that state or she’s not going to be prescribing in that state.
Kenna Wright (12:47) Okay. Got it. But again,
Rheta Larson (12:48) that’s something I would definitely loop in either like your legal team or your compliance team and just make sure that y’all are aligned there.
Kenna Wright (12:55) Absolutely. Okay. Confirm if Robin’s calling her license compact or not. I do have a question regarding our pa’s licenses. You know, our pa’s have independent practice on them.
Kenna Wright (13:19) Do you know if our NPS have the autonomous licenses in Florida? Or if it’s just the, like a regular in state license. Do you know the difference for Florida? Yes?
Rheta Larson (13:38) I don’t think Florida has a restricted or reduced practice for autonomous. Let me see if that’s one we even support though the supervision?
Kenna Wright (13:50) Is required for Florida for NPS unless they are autonomous and I’m not sure if it doesn’t state on medallion like what their license, if it’s an autonomous license or not. So, I’m not sure if we need to have that collaborative agreement or if we don’t need to have it since I’m not sure what their license is.
Rheta Larson (14:13) Florida is not part of the reduced restrictive practice for MPS. And then as far as autonomous registration is concerned, let.
Kenna Wright (14:26) Me pull.
Rheta Larson (14:32) Prescriptive prescriptive authority is included in the state license. So it’s not a separate application. And we do support autonomous registration applications in Florida. So, do you have a particular example with the provider that you’re either?
Kenna Wright (14:47) Chelsea or the other? Chelsea, I know that they both, those… are the MPS that we have on file. So let me look at them. So.
Rheta Larson (14:59) Chelsea has her, Chelsea Kay has her Florida permanent license with prescriptive authority, and it sounds like y’all are trying to get a town minister registration in Florida for.
Kenna Wright (15:09) Her. If I’m just curious if it is that I don’t know if we specifically need that or not. I’m just curious if that’s what she already has on file. She only.
Rheta Larson (15:19) Has her permanent Florida license, NP, license with prescriptive authority that’s all she has issued right now. She doesn’t have an autonomous registration license.
Kenna Wright (15:27) Got it.
Rheta Larson (15:29) That’s Chelsea K. And then in her requests, I see we’re only doing the renewal for that. So there’s nothing we’re working on for her. Okay? And then Chelsea Dowd, if you go to their existing licenses, you should be able to pull this information there. So I’m just filtering by Florida, and then you’ll be able to see all the licenses associated with the providers. So she does have a permanent RN license in Florida, and she also holds her nurse practitioner license that includes a prescriptive authority. So she’s actively working or her Florida license is active through 20 27 and 20 26 there. And then for autonomous registration, I don’t think we also, I don’t think we have a request for her there. Either we only have four.
Kenna Wright (16:14) Perfect. I just wanted to clarify that their licenses were autonomous. Perfect.
Rheta Larson (16:21) Let’s see no Florida for her either.
Kenna Wright (16:25) Amazing. Do you know if our pas, so Emily or Bailey, if their licenses in Arizona, if those are collaborative licenses, because I know if they are collaborative licenses, then we… this will depend on the collaborative requirement. Yeah. So if the pa has over 8,000 hours, then they can submit for a collaborative license in Arizona where supervision isn’t needed just the collaboration. And so I need to know what they currently have to know if I need different collaborative forms filled out.
Rheta Larson (17:10) Are they both physician assistants?
Kenna Wright (17:11) Yes. Okay. I’m looking for license that’s attached, Emily’s license that’s attached. And I can’t tell by the license. It just says physician’s assistant. I can’t tell if it’s a collaborative license or not.
Rheta Larson (17:26) I’m pulling up the… physician license real quick because typically we only do the permanent licensure for the clinicians. So in this instance, this is her permanent physician assistant license in the state of Arizona.
Rheta Larson (17:48) Nothing else tied to that view verifications…
Rheta Larson (18:09) Request for her?
Rheta Larson (18:16) Yeah, because they typically do need that collaborating physician in order to even practice. So if we did it for her, we would have collected that information to obtain licensure, but you can also check the request and like see historically what medallion has done in the past. Okay? I’m just trying to pull if we even submitted this on y’all’s behalf, which we did. It looks like this was done in. We got her new physician assistant license in Arizona. Sorry, my system’s loading so slow today. Thank you.
Rheta Larson (18:57) Sona.
Rheta Larson (19:07) And y’all provided the employment letter that included all the relevant information that was needed for Emily. So… physician associate works full time. Yeah. Is there something in particular you’re looking for though on the license itself? Like is there something that you need to show proof of? No, not.
Kenna Wright (19:33) Necessarily, we need to show proof of just for, to be compliant with any audits that come our way. I’m not sure if the pa, there’s a difference between if they need supervision or if they don’t need supervision based off their hours, and if they have a collaborative license, which is different than just the regular pa license is what the Florida board stated. Arizona board, pardon me. Yeah. So.
Rheta Larson (19:58) For Arizona, in particular, we have her permanent license issued and then post licensure, it is the clinician’s responsibility to like upkeep with any post licensure requirements. But she did indicate that her collaborative agreement was emailed to the board, but I think it was changing back in April. Okay? But she did say she was going to email it to the board herself. So that might be a question for Emily just to make sure she’s gotten her collaborating physician or her supervising physician updated. But based off of what I see here, we had that information at the time of licensure.
Kenna Wright (20:33) Yeah. We have, we have that on file. We have her collaborating and supervising agreement on file. I just wasn’t sure if she, what her license specifically was because Arizona says that there’s two different ones. Yeah. And if.
Rheta Larson (20:45) you go to her, if you can’t pull it directly, sometimes I like to log into the board portals as well? Let’s see if this one changed. Let me actually do this, have the cred… resource. And if, unless they change their information associated with their portal, you… should be able to log in with anything that’s in their external account section.
Rheta Larson (21:18) There’s pa, oh, wrong board.
Rheta Larson (21:27) And this one, it just asks for this info. So this one’s tricky… Elodie… search… profile.
Rheta Larson (21:51) Yeah, just based off what I’m seeing, it’s the active physician assistant license… okay? But I’m not sure if that answers your question particularly on Arizona. Yeah.
Kenna Wright (22:08) I think that they sound like they’re just like the initial license and that it’s probably not where they can supervise themselves or they don’t have to be supervised. So that helps that’s super helpful. Let me see if there’s anything else urgent that I needed to ask?
Kenna Wright (22:27) Julie McDermott’s, wa, Washington license. She asked me yesterday what the delay was there and I wasn’t familiar with it. I know Agata and her had been talking about it. So I just wanted to see if there’s anything that you advised or what the holdup was. Let me see.
Rheta Larson (22:50) Let’s pull Washington.
Rheta Larson (22:57) So currently, I don’t see me in requested. This is initial like she doesn’t have her Washington at all. Her initial looks completed. This was done in October. Renewal was marked inactive as of February. So we didn’t do the renewal for her because someone mentioned the license renewal window expired without any action from provider admin. It looks like we never got a response back from Julie if we can proceed with the renewal submission.
Kenna Wright (23:44) So, it’s writer.
Rheta Larson (23:47) Approved application on two four.
Kenna Wright (23:51) Let’s see.
Rheta Larson (23:59) I don’t know because it’s April. Now, some states have late windows that you can still submit through. But usually it’s only like a certain number of days. So her Washington license per our platform appears to be expired. Do you know if she renewed this on her own? I’m not.
Kenna Wright (24:15) Sure if she renewed it on her own or not? Or if we were requesting it to be renewed, let me see if there’s any message from Agata on here, okay? Because.
Rheta Larson (24:23) Based on what I’m seeing, it’s expired, but let me pull Washington real quick just to make sure that’s the case and to see if anyone like renewed it like on y’all’s end or if we got it through and maybe just didn’t note it, which I don’t think would be the case… Julie.
Rheta Larson (24:59) Nine six seven zero here she is. Yeah, it is expired as a, for the Washington board… portal. Her license number ending in five seven two has… an expiration date through February third of 20 26. And it just looks like she didn’t or we didn’t get a response to the.
Kenna Wright (25:26) Application. Yeah, to.
Rheta Larson (25:28) Approve it until it was already inactive or it was.
Kenna Wright (25:31) Already expired, was it admin that was needing to approve it? No, she.
Rheta Larson (25:35) Approved it. She approved it on the fourth and the expiration date was on the third. So I think after that, I can check to see if there’s a late renewal, which I don’t think there is for Washington. Some states do it for a few days outside like 60 others don’t and then it would require her to reinstate the license. Do you all want to proceed with the reinstatement? I.
Kenna Wright (25:58) will confirm that with a God. I’m sure that the answer is yes. Okay.
Rheta Larson (26:04) Reinstatements are a little nuanced… because it’s like a permanent application all over. They usually will not require as much information that a permanent license does, but it will require like some PSV. Okay?
Kenna Wright (26:20) Let me see if I can.
Rheta Larson (26:23) Oh, see. This is already set up with her hotmail. So, if she can get in here and like check to see if this is still active, like if there’s a late renewal, but I’ll check with the team also and just see if there’s any possibility for a late renewal.
Rheta Larson (26:38) If you just want to check if you want us to reinstate, we would just need the input request for that. So then you would go to her profile request and then indicate license reinstatement, and then select the license which in this case would be Washington. And then we’ll get the notice to proceed with that. Got it. Do you mind going back?
Kenna Wright (26:59) To that board website that you were just on and I’m going to take a screenshot of what that showed. Yeah, just so I can send that to Julie so she can see that once.
Rheta Larson (27:09) Licensure is completed and we tackle renewals, it’s changed to their personal email. So then we have to work with them to get into those items. But, so.
Kenna Wright (27:18) Much. Okay. I think those are the only pressing things that I really had some questions on. So I appreciate you so much because this is all so new to me and I’ve been having these questions for a minute. So that was so helpful. Yeah, no.
Rheta Larson (27:32) Worries. Sorry, I wasn’t more helpful on the Arizona one. But if there’s any, no.
Kenna Wright (27:36) Worries. I’ll get to that.
Rheta Larson (27:38) Yeah. Let me know if there’s anything else we can help with. I’ll flag Julie’s renewal and see if there is the possibility for a late renewal. I’m not confident there is. And then I’ll also look into the separate type of application for Chelsea D perfect which again, I’m not sure. I think it’s something that might be out of scope for us because we only offer that one autonomous registration application for California.
Kenna Wright (28:01) Okay. Amazing. That would be super helpful. And I will let Chelsea know that you’re looking into that for her.
Rheta Larson (28:08) Great. Any other questions?
Kenna Wright (28:09) No, ma’am, not that I can think of right now. I appreciate you.
Rheta Larson (28:13) Yes, I hope you enjoy the rest of your day. Take care.
Kenna Wright (28:15) You as well bye.