Effective July 15th 2020, House Bill 135 takes effect in Kentucky, which allows prescriptive authority for Physician Assistants for Schedule III through V controlled substances provided that certain criteria are met beforehand.
The Drug Enforcement Administration (DEA) has a registration category specifically for PAs, NPs and others (listed as “midlevel practitioners”) who are authorized to prescribe controlled medications by state law or regulation. PAs who prescribe controlled substances must register with the DEA to obtain a registration number. What follows are some frequently asked questions (FAQs) and resources regarding DEA registrations as applied to the new Kentucky laws and regulations that allow PAs to prescribe these medications.
July 15th is the date in which the new legislation allowing PAs to write for controlled substances goes into action. But, before prescribing controlled substances you must apply to the KBML and get approval, apply and receive your DEA number and also register with KASPER.
In 2012 House Bill 1 was passed that set in place certain requirements for prescribers of controlled substances. In order for the CME to qualify under Kentucky statute, it must be eapproved by the Kentucky Board of Medical Licensure as in compliance with that law. A current list of approved courses can be found at https://kbml.ky.gov/cme/Pages/default.aspx.
You can either mail, fax or email the application. The application has the appropriate address, email and fax number on it. The application is free to submit.
No, the supplemental application will be all you need.
Per KBML, they will attempt to send your approval letter ASAP. They do not see this being more than 2 weeks and hope to get the letter out within one week.
Statute KRS 218A.205 states that a provider must have 7.5% of their required CME hours in these certain CME subjects. As PAs we must obtain 100 CME hours every 2 years, so that is why we must obtain 7.5 hours every 2 years.
Schedule III, IV and V medications.
Prescriptions for Schedule III controlled substances as defined by KRS 218A.080, as well as benzodiazepines and Carisoprodol, issued by a Physician Assistant are limited to a 30 day supply with no refills.
Prescriptions for Schedule IV or Schedule V controlled substances are limited to the original prescription and refills not to exceed 6 months.
You can prescribe Buprenorphine once you obtain your waiver/MAT training and also if your Supervising Physician also prescribes Buprenorphine.
MAT training is mandated by the Federal Government for prescribing of Buprenorphine. You must obtain 24 hours of specialized training to prescribe Buprenorphine.
Yes, you must apply to KBML to prescribe controlled substances in KY. If you plan to practice in KY only, then you can contact DEA's Registration and Program Support Section at 1-800-882-9539 or request the change online at www.DEAdiversion.usdoj.gov. If you are going to practice in multiple states then you must have a DEA License for each state.
Contact your institutions IT support as they might need to change your EMR template.
DEA: This license will need to be renewed every 3 years.
KBML: This will need to be updated every 2 years with your licensure.
First you must complete the supplemental application for prescriptive authority with the Kentucky Board of Medical Licensure, after receiving your letter confirming as successful application you can apply one of two ways:
Four to six weeks on average.
For registration support contact:
DEA is statutorily mandated to recover the full cost of its Diversion Control Program through the fees it collects from DEA registrants.
Effective July 15th 2020, Kentucky physician assistants authorized to prescribe controlled substances must register to use the KASPER system as required by KRS 218A.202. To obtain a KASPER account, physician assistants must have authorization from the Kentucky Board of Medical Licensure for controlled substance prescriptive authority, a Kentucky DEA registration and a driver’s license. Follow the steps below.
Step 1. Create a Kentucky Online Gateway (KOG) account
You may already have a KOG account if you have used the Cabinet’s secure portal to access other services such EDRS (Electronic Death Registry System), Vital Statistics or Benefind. If so, go to Step 2 below.
Step 2. Create your KASPER account application
For helpful tips on using KASPER, authorizing delegates or reviewing your prescribing history (Reverse KASPER) visit the KASPER public web site.