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Medical Resources

Additional Resources for Medical Licensing

  • Statutes & Rules

    Licensure Law and Administrative Rules governing this profession are found in various parts of the Indiana Code. The Indiana Professional Licensing Agency provides access to the Licensure Law and Administrative Rules, available by clicking on the links below:

    Medical Licensing Board Statutes and Rules

    Article 22.5 Physicians

    • Ch 1.       Definitions and Exclusions
    • Ch. 2.      Creation of Medical Licensing Board
    • Ch. 3.      Licensure Requirements
    • Ch. 4.      Examinations
    • Ch. 5.      Licenses and Permits
    • Ch. 5.5.   Physician Noncompete Agreements
    • Ch. 6.      Discipline; Retirement of Licenses
    • Ch. 7.      Registration Fees
    • Ch. 8.      Penalties
    • Ch. 9.      Repealed
    • Ch. 10.    Osteopathic Residency Training and Certification
    • Ch. 11.    Physician Referral to Certain Health Care Entities
    • Ch. 12.    Expired
    • Ch. 13.    Controlled Substance Rules
    • Ch. 13.2. Notification Concerning Dense Breast Determination
    • Ch. 14.    Expired
    • Ch. 15.    Health Care Volunteer Registry
    • Ch. 16.    Interstate Medical Licensure Compact
    • Ch. 17.    Physician's Patient Information

    Chapter 9 Health Professions Standards of Practice

    • 25-1-9-1               "Board"
    • 25-1-9-2               "Practitioner"
    • 25-1-9-3               "License"
    • 25-1-9-3.5            "Sexual contact"
    • 25-1-9-4               Standards of professional practice; findings required for sanctions; evidence of foreign discipline
    • 25-1-9-4.5            Failure to provide human trafficking information
    • 25-1-9-5               Optometry employment practice
    • 25-1-9-6               Veterinary practitioners; cruelty to animals
    • 25-1-9-6.5            Chiropractors; waiver of deductible or copayment
    • 25-1-9-6.7            Marriage and family therapists; disciplinary sanctions
    • 25-1-9-6.8            Practitioner guidelines before prescribing stimulant medication for a child for treatment of certain disorders
    • 25-1-9-6.9            Failing to provide or providing false information to agency
    • 25-1-9-7               Physical or mental examination; power to require
    • 25-1-9-8               Failure to submit to physical or mental examination; sanctions
    • 25-1-9-9               Disciplinary sanctions
    • 25-1-9-10             Summary license suspension pending final adjudication; notice; opportunity to be heard
    • 25-1-9-10.1         Retention of clinical consultants and experts to advise on suspension
    • 25-1-9-11             Reinstatement of suspended licenses
    • 25-1-9-12             Reinstatement of revoked license
    • 25-1-9-13             Consistency of sanctions prescribed
    • 25-1-9-14             Surrender of practitioner's license instead of hearing; approval
    • 25-1-9-15             Costs in disciplinary proceedings
    • 25-1-9-16             Refusal of licensure or grant of probationary license
    • 25-1-9-17             Applicant appearance before board
    • 25-1-9-18             Fitness determination of health care provider; filing complaint
    • 25-1-9-19             Third party billing notice
    • 25-1-9-20             Repealed
    • 25-1-9-21             Rules; management and disposition of health records
    • 25-1-9-22             Prohibition on release of screening and test results
    • 25-1-9-23             In network practitioner charge limited to network plan rate; compliance with federal requirement; conditions for reimbursement of out of network practitioner at higher rate; when explanation required

    TITLE 844 MEDICAL LICENSING BOARD OF INDIANA

    • ARTICLE 1. GENERAL PROVISIONS
    • ARTICLE 2. PHYSICIANS' ASSISTANTS (REPEALED)
    • ARTICLE 2.1. PHYSICIAN'S ASSISTANTS (REPEALED)
    • ARTICLE 2.2. PHYSICIAN ASSISTANTS
    • ARTICLE 3. NURSE-MIDWIVES (TRANSFERRED)
    • ARTICLE 4. MEDICAL DOCTORS; OSTEOPATHIC DOCTOR
    • ARTICLE 5. STANDARDS OF PROFESSIONAL CONDUCT AND COMPETENT PRACTICE OF MEDICINE
    • ARTICLE 6. PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS
    • ARTICLE 7. REINSTATEMENT TO PRACTICE
    • ARTICLE 8. PODIATRISTS (TRANSFERRED)
    • ARTICLE 9. HEARING AID DEALERS
    • ARTICLE 10. OCCUPATIONAL THERAPISTS AND OCCUPATIONAL THERAPY ASSISTANTS
    • ARTICLE 11. RESPIRATORY CARE PRACTITIONERS
    • ARTICLE 12. HYPNOTIST COMMITTEE
    • ARTICLE 13. ACUPUNCTURISTS
    • ARTICLE 14. GENETIC COUNSELORS
    • ARTICLE 15. ANESTHESIOLOGIST ASSISTANTS
    • ARTICLE 16. HIGH BREAST DENSITY GUIDELINES
    • ARTICLE 17. CERTIFIED DIRECT ENTRY MIDWIVES
    • ARTICLE 18. DIABETES EDUCATORS
    • ARTICLE 19. DIETITIANS; CERTIFICATION

    TITLE 760, ARTICLE 1, RULE 71, SECTION 3: Copies of Medical Records
    760 IAC 1-71-3 General requirements

    Authority: IC 16-39-9-4
    Affected: IC 16-39

    Sec. 3. (a) A provider or medical records company that receives a request for a copy of a patient's medical record shall charge not more than the following:
    (1) One dollar ($1) per page for the first ten (10) pages.
    (2) Fifty cents ($.50) per page for pages eleven (11) through fifty (50).
    (3) Twenty-five cents ($.25) per page for pages fifty-one (51) and higher.
    (b) The provider or the medical records company may collect a labor fee not to exceed twenty dollars ($20). If the provider or medical records company collects a labor fee, the provider or medical records company may not charge for making and providing copies of the first ten (10) pages of a medical record.
    (c) The provider or medical records company may charge the actual costs of mailing the medical record.
    (d) The provider or the medical records company may collect an additional ten dollars ($10) if the request is for copies to be provided within two (2) working days.
    (e) The provider or medical records company may collect a charge not to exceed twenty dollars ($20) for certifying a patient's medical record.
    (Department of Insurance; 760 IAC 1-71-3; filed Sep 14, 2005, 2:45 p.m.: 29 IR 547;readopted filed Nov 29, 2011, 9:14 a.m.: 20111228-IR-760110553RFA; readopted filed Nov 6, 2017, 1:06 p.m.: 20171206-IR-760170354RFA)

  • Board Approved Psychiatrists & Addictionologists

    BOARD APPROVED PSYCHIATRISTS* by City, Name                            revised: 02.22.2016

    City

    Specialty Name

    Practitioner and Phone #

    Notes/Others

    Anderson

    Psychiatrist

    Andrew Skinner, M.D. 
    765-646-8444

    ASAM Certified

    Bloomington

    Psychiatrist

    Joel Griffith, M.D. 
    812-353-3450

     

    Carmel

    Psychiatrist

    Christopher D. Bojrab, M.D.
    317-843-9922

    ASAM Certified

    Carmel

    Psychiatrist

    Ned Masbaum, M.D.
    317-846-7727

    Danville

    Psychiatrist

    Gabe Gachaw, M.D. 
    317-272-2190

     

    Ft. Wayne

    Psychiatrist

    Prevesh Rustagi, M.D.
    260-484-1312

     

    Indianapolis

    Psychiatrist

    Judith Cecil, M.D.
    317-355-5009

     

    Indianapolis

    Psychiatrist

    Elizabeth Cunningham, M.D.
    317-621-6090

     

    Indianapolis

    Psychiatrist

    Anne Gilbert, M.D.
    317-329-7300

     

    Indianapolis

    Psychiatrist

    Tracy D. Gunter, M.D.
    317-963-7300

     

    Indianapolis

    Psychiatrist

    P. Ryan Moe, M.D.
    317-788-6560

    ASAM Certified

    Indianapolis

    Psychiatrist

    George F. Parker, M.D.
    317-278-4120

     

    Indianapolis

    Psychiatrist

    Amy K. Ricke, M.D. 
    317-843-9922

     

    Lafayette

    Psychiatrist

    Nizar El-Khalili, M.D.
    317-448-4535

    added quals. w/substance abuse & addiction medicine

    Louisville, KY

    Psychiatrist

    Daniel Hackman, M.D. 
    502-509-3708

     

    Mishawaka

    Psychiatrist

    David Sonego, M.D.
    574-271-8222

     

    South Bend

    Psychiatrist

    Kearn Hinchman, D.O. 
    574-258-6316

     

    *This list represents individuals whom the Medical Licensing Board of Indiana has recognized as service providers for Board mandated evaluations. The provision of this list does not in any way imply that individuals may not choose an alternate to provide similar services with Board approval. The Board does not guarantee your satisfaction with the services provided by any these practitioners.

  • Physician Assessment and Remedial Education Programs
  • High Breast Density Information

    This page is being provided as an educational resource on high breast density, pursuant to 844 IAC 16.  The Board does not make any claims with regard to these links.  Please consult with a healthcare provider to discuss treatment and evaluation that is appropriate for you.

  • LCME Standards

    Standards for Accreditation of Medical Education Programs Leading to M.D. Degree

    To obtain information concerning the LCME Standards please visit the LCME website.  LCME standards can be found here http://lcme.org/publications/.

  • Office Based Procedures

    The information below is provided as a resource only.  This does not constitute legal advice.  For assistance in interpreting and applying this rule please consult with private counsel.

    844 IAC 5-5 Standards for Procedures Performed in Office-Based Setting that Require Moderate Sedation/Analgesia, Deep Sedation/Analgesia, General Anesthesia, or Regional Anesthesia

    Accrediting Agencies

    • AAAASF (QuadASF) – American Association for Accreditation of Ambulatory Surgery Facilities, Inc.
    • AAAHC (TripleAHC) – Accreditation Association for Ambulatory Health Care, Inc.
    • JC – Joint Commission
    • HFAP – Health Facilities Accreditation Program

    Frequently Asked Questions

    • Question - What type of accreditation is needed to perform procedures that require anesthesia in an office-based setting?
      • Answer - A physician may not perform or supervise a procedure that requires anesthesia in an office-based setting unless the office-based setting is accredited by an accreditation agency approved by the board.
    • Question - What is the purpose of the accreditation?
      • Because sedation is a continuum, it is not always possible to predict how a patient will respond.  Physicians administering sedation must be able to rescue a patient whose level of sedation becomes deeper than initially intended.  Physicians administering anesthesia, or supervising or directing the administration of anesthesia, must be knowledgeable about the risks and the interventions required for correcting any adverse physiological consequences that may occur.
    • Question - What accrediting bodies are approved by the Medical Licensing Board?
      • Answer -The following have been approved by the Board to offer this accreditation:
        • (QuadASF) – American Association for Accreditation of Ambulatory Surgery Facilities, Inc.
        • (TripleAHC) – Accreditation Association for Ambulatory Health Care, Inc.
        • Joint Commission
        • (HFAP) Health Facilities Accreditation Program
    • Question - What is considered an “Office-based Setting?”
      • Answer -Office based setting means any facility, clinic, center, office or other setting where procedures are performed that require anesthesia, which includes the following types:  moderate sedation/analgesia, deep sedation/analgesia, general anesthesia or regional anesthesia.  This term does NOT include a hospital operated by the federal government or a setting licensed under IC 16-21-2 as a hospital, ambulatory surgical center, abortion clinic or birthing center.
    • Question - How do I know if I need this accreditation?
      • Answer -If your office based setting described above is administering moderate sedation/analgesia, deep sedation/analgesia, general anesthesia, or regional anesthesia, you will need to be accredited. Accreditation is not required for the administration of local anesthesia, topical anesthesia, superficial nerve blocks, or minimal sedation/anxiolysis.
    • Question - What is the definition of the above types of anesthesia or sedation?
      • Answers -
        • “moderate sedation/analgesia" (also sometimes called "conscious sedation") means a drug induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation.
          The following are conditions that a patient under moderate sedation/analgesia may experience:
          1. No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate.
          2. Cardiovascular function is usually maintained.
        • “deep sedation/analgesia" means a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully following repeated or painful stimulation. For purposes of this rule, reflex withdrawal from a painful stimulus is not considered a purposeful response.
          The following are conditions that a patient under deep sedation/analgesia may experience:
          1. The ability to independently maintain ventilatory function may be impaired.
          2. Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate.
          3. Cardiovascular function is usually maintained.
        • "general anesthesia" means a drug-induced loss of consciousness during which patients are not arousable, even by pain stimulation.
          The following are conditions that a patient under general anesthesia may experience:
          1. The ability to independently maintain ventilatory function is often impaired.
          2. Patients often require assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function.
          3. Cardiovascular function may be impaired.
        • "regional anesthesia" means the administration of anesthetic agents to a patient to interrupt nerve impulses without the loss of consciousness and includes the following:
          1. Major conduction blocks, such as:
            (A) epidural;
            (B) spinal; and
            (C) caudal;
          2. Peripheral nerve blocks, such as:
            (A) brachial;
            (B) lumbar plexus;
            (C) peribulbar; and
            (D) retrobulbar;
          3. Intravenous regional anesthesia, such as Bier blocks.
            Notwithstanding section 2 of this rule, a superficial nerve block or application of a local anesthetic agent in which the total dosage administered exceeds the recommended maximum dosage per body weight described in the manufacturer's package insert shall be considered regional anesthesia for purposes of this rule.
    • Question - Do I need accreditation if I am administering local anesthesia, topical anesthesia, superficial nerve blocks or minimal sedation/anxiolysis?
      • Answer - No, accreditation is not required.  Those are defined as the following:
        • "local anesthesia" means a transient and reversible loss of sensation in a circumscribed portion of the body produced by:  
          1. a local anesthetic agent; or
          2. cooling a circumscribed area of the skin.
            (The term includes subcutaneous infiltration of an agent.)
        • “topical anesthesia" means a transient and reversible loss of sensation to a circumscribed area produced by an anesthetic agent applied directly or by spray to the skin or mucous membranes.
        • "superficial nerve block" means an agent placed in the proximity of any nerve or group of nerves outside of the vertebral canal to produce a loss of sensation in an anatomic or circumscribed area. The term is limited to the following blocks:
          1. ankle;
          2. metacarpal;
          3. digit; and
          4. paracervical;
        • "minimal sedation/anxiolysis" means a drug-induced state during which a patient responds normally to verbal commands. Although cognitive function and coordination may be impaired, ventilatory and cardiovascular functions are usually not affected.
    • Question - What else is required of a physician?
      • Answers - 
        • A physician who performs a procedure that requires anesthesia in an office-based setting, or who directs or supervises the administration of anesthesia in an office-based setting, must have:
        • Admitting privileges at a nearby hospital;
        • A transfer agreement with another practitioner who has admitting privileges at a nearby hospital;
        • An emergency transfer agreement with a nearby hospital.
        • Agreements with local emergency medical services (EMS) for the purposes of transfer of patients to the hospital in case of an emergency.
  • Indiana State Medical Association Physician Assistance Program (ISMAPAP, Impaired Physicians Program)
  • Practice Related FAQs
  • Scope of Practice Rulings

    Licensed practitioners that have a specific question or questions about the scope of practice of their licensed profession may request a "practice ruling" from the Indiana Professional Licensing Agency (PLA) and the Medical Licensing Board of Indiana (the Board). The PLA and the Board may provide a formal determination/interpretation based on the practitioner's factual situations/circumstances. Licensed practitioners may submit a "Request for Practice Ruling" through the web-based form provided on the PLA's "Request for Practice Ruling" web page. Additional information and instructions for submitting a "Request for Practice Ruling " are provided on the web page.

    All requests will be reviewed by the PLA's legal team, and PLA's legal team will draft a ruling for the Board's consideration and potential adoption. All rulings adopted by the Board will be posted to the Indiana Register as well as the comprehensive list provided on the the PLA's "Request for Practice Ruling" web page.

 Top FAQs