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
- 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 Repealed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.
765-646-8444ASAM Certified
Bloomington
Psychiatrist
Joel Griffith, M.D.
812-353-3450Carmel
Psychiatrist
Christopher D. Bojrab, M.D.
317-843-9922ASAM Certified
Carmel
Psychiatrist
Ned Masbaum, M.D.
317-846-7727Danville
Psychiatrist
Gabe Gachaw, M.D.
317-272-2190Ft. Wayne
Psychiatrist
Prevesh Rustagi, M.D.
260-484-1312Indianapolis
Psychiatrist
Judith Cecil, M.D.
317-355-5009Indianapolis
Psychiatrist
Elizabeth Cunningham, M.D.
317-621-6090Indianapolis
Psychiatrist
Anne Gilbert, M.D.
317-329-7300Indianapolis
Psychiatrist
Tracy D. Gunter, M.D.
317-963-7300Indianapolis
Psychiatrist
P. Ryan Moe, M.D.
317-788-6560ASAM Certified
Indianapolis
Psychiatrist
George F. Parker, M.D.
317-278-4120Indianapolis
Psychiatrist
Amy K. Ricke, M.D.
317-843-9922Lafayette
Psychiatrist
Nizar El-Khalili, M.D.
317-448-4535added quals. w/substance abuse & addiction medicine
Louisville, KY
Psychiatrist
Daniel Hackman, M.D.
502-509-3708Mishawaka
Psychiatrist
David Sonego, M.D.
574-271-8222South 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.
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
- Answer -The following have been approved by the Board to offer this accreditation:
- 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:- No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate.
- 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:- The ability to independently maintain ventilatory function may be impaired.
- Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate.
- 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:- The ability to independently maintain ventilatory function is often impaired.
- 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.
- 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:
- Major conduction blocks, such as:
(A) epidural;
(B) spinal; and
(C) caudal; - Peripheral nerve blocks, such as:
(A) brachial;
(B) lumbar plexus;
(C) peribulbar; and
(D) retrobulbar; - 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.
- Major conduction blocks, such as:
- “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.
- Answers -
- 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:
- a local anesthetic agent; or
- 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:
- ankle;
- metacarpal;
- digit; and
- 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.
- "local anesthesia" means a transient and reversible loss of sensation in a circumscribed portion of the body produced by:
- Answer - No, accreditation is not required. Those are defined as the following:
- 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.
- Answers -
- Indiana State Medical Association Physician Assistance Program (ISMPAP, Impaired Physicians Program))
- Practice Related FAQs
This information is provided as a resource only and does not constitute legal advice. For legal advice please consult with an attorney.
- Question - I am concerned that I may have a problem with alcohol/drug impairment or abuse. Where can I go to get help?
- Answers - You should contact the Indiana State Medical Association Physician Assistance Program, immediately at (317) 261-2060. For more information go to ISMA Website. Peer review laws allow for a physician to get assistance without the risk of license discipline as long as they are compliant with ISMA’s treatment recommendations.
- Question - If I suspect that a colleague has violated the medical practice act, am I obligated to report it?
- Answers - A practitioner who has personal knowledge based upon a reasonable belief that another practitioner holding the same licenses has engaged in illegal, unlawful, incompetent, or fraudulent conduct in the practice of medicine SHALL promptly report such conduct to either a peer assistance program, the Board or the Office of the Attorney General.
- Question - I want to open a salon and do laser hair removal, what do I need to get to do this?
- Answers - The use of a laser is included in the definition of the practice of medicine, which is below. Therefore, only a licensed physician may perform or designate to “an agent” any procedure with a laser, unless provided for in the exclusions section of the statute.
IC25-22-5-1-1.1 Definitions Sec. 1.1 as used in this article:- (a) “practice of medicine or osteopathic medicine” means any one (1) or a combination of the following:
- (1) Holding oneself out to the public as being engaged in:
- (C) the performing of any kind of surgical operation upon a human being, including tattooing, except for tattooing (as defined in IC 35-42-2-7), in which human tissue is cut, burned or vaporized by the use of any mechanical means, laser, or ionizing radiation, or the penetration of the skin or body orifice by any means, for the intended palliation, relief or cure;”
- (1) Holding oneself out to the public as being engaged in:
- (a) “practice of medicine or osteopathic medicine” means any one (1) or a combination of the following:
- Answers - The use of a laser is included in the definition of the practice of medicine, which is below. Therefore, only a licensed physician may perform or designate to “an agent” any procedure with a laser, unless provided for in the exclusions section of the statute.
- Question - Can a Pharmacist refuse to fill a prescription?
- Answers - Refer to Pharmacy law IC 25-26-13-16
- (a) A pharmacist shall exercise his professional judgment in the best interest of the patient’s health when engaging in the practice of pharmacy.
- (b) A pharmacist has a duty to honor all prescriptions from a practitioner or from a physician, podiatrist, dentist, or veterinarian licensed under the laws of another state. Before honoring a prescription, the pharmacist shall take reasonable steps to determine whether the prescription has been issued in compliance with the laws of the state where it originated. The pharmacist is immune from criminal prosecution or civil liability if he, in good faith, refuses to honor a prescription because, in his professional judgment, the honoring of the prescription would:
1. Be contrary to law;
2. Be against the best interest of the patient;
3. Aid or abet an addiction or habit; or
4. Be contrary to health and safety of the patient
- Answers - Refer to Pharmacy law IC 25-26-13-16
- Question - Can I prescribe for myself and my family?
- Answers - Prescribing for yourself and your family is never a good idea; however the law does not prohibit it. If you choose to do so, you need to be sure you are complying with practice standards and keep appropriate records. Physicians have been disciplined by the Board for not keeping records of family members they have treated.
- Question - I am going to close my practice what do I need to do?
- Answers - See 844 IAC 5-2-16 which includes in part the following:
- (a) A practitioner, upon his/her retirement, or upon discontinuation of the practice of medicine or osteopathic medicine, or upon leaving or moving from a community, shall notify all of his/her active patients in writing, or by publication once a week for three (3) consecutive weeks in a newspaper of general circulation in the community, that he/she intends to discontinue his/her practice of medicine or osteopathic medicine in the community, and shall encourage his/her patients to seek the services of another practitioner, provided, however, that this section shall not apply to practitioners solely engaged in internship, residency, preceptorship, fellowship, teaching, or other postgraduate medical education or training programs. The practitioner discontinuing his/her practice shall make reasonable arrangements with his/her active patients for the transfer of his/her records, or copies thereof, to the succeeding practitioner, or to a program conducted by a medical society or association approved by the medical licensing board.
- You may also contact the Indiana State Medical Association as they have written information explaining what steps a physician needs to take to retire/close a practice. You can contact ISMA at (317) 261-2060
- Answers - See 844 IAC 5-2-16 which includes in part the following:
- Question - I am located in another state and will be reading x-rays or tests of a patient in Indiana. Do I need an Indiana license to perform this?
- Answers - Please review IC 25-22.5-1-1.1
- “Practice of medicine or osteopathic medicine” means any one or a combination of the following:
(4) Providing diagnostic or treatment services to a person in Indiana when the diagnostic or treatment services:
(a) are transmitted through electronic communications; and
(b) are on a regular, routine, and non-episodic basis or under an oral or written agreement to regularly provide medical services……etc. - If you meet 4a & b above you would need a license in Indiana before proceeding. If you are unsure you should consult your own counsel.
- “Practice of medicine or osteopathic medicine” means any one or a combination of the following:
- Answers - Please review IC 25-22.5-1-1.1
- Question - I have just settled a malpractice action; do I need to report this to the Board?
- Answers - All malpractice settlements and/or judgments must be reported on the renewal following the settlement/judgment. You do not need to report it prior to that.
- Question - I am concerned that I may have a problem with alcohol/drug impairment or abuse. Where can I go to get help?
- 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 Indiana Athletic Trainers Board (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.