Physician Assistant (PA)

PA Application

License Types

  • 50 - License to Practice only

    • No prescriptive authority

  • 50RX – License to Practice and Prescriptive Authority combined

    • RX Provisional certificate and full certificate no longer exist

    • Initial 500 hours of Rx authority requires onsite supervision of supervising physician

 

Eligibility

Physician Assistant Core Licensure Eligibility Requirements

 

Applicants must meet all eligibility requirements at the time an application is submitted. Applications submitted by individuals who do not meet eligibility requirements are subject to denial by the board. Application fees are not refundable and an applicant will be required to reapply once eligibility requirements can be met.

 

Criminal Offenses

Q: What must be disclosed on the application regarding arrest/criminal history?

A: If you have ever been arrested, charged, or convicted of a misdemeanor or a felony you must disclose the incident(s) on the application, regardless of whether the criminal records were subsequently sealed or expunged.  This includes serious traffic offenses such as reckless driving, driving under the influence of alcohol and/or drugs, hit and run, evading a peace officer, failure to appear, and driving under suspension. Matters in which you were diverted, deferred, pardoned, or pled nolo contendere must also be disclosed.  If you are in doubt as to how to respond to the application questions, full and honest disclosure is recommended.

To verify your criminal history, the Board requires submission of fingerprints for a criminal records check completed by both the Ohio Bureau of Criminal Investigation (BCI) and the Federal Bureau of Investigation (FBI). Both entities maintain records, often beyond the time that courts keep them, and these records will be reported to the Board as a result of the criminal records check.

Failure to provide truthful responses to the questions on the application may result in disciplinary action up to, and including, permanent denial of your application.

Explanatory Statement Disqualifying Offense List 

Disqualifying Offense List 

 

Initial Application Fees

Application $400.00

Transaction fee $3.50

Total due at submission $403.50

 

Application

eLicense application portal: eLicense.ohio.gov

 

Before Completing an Application

Applicants will be required to complete the application in its entirety and pay a non-refundable fee. Applicants will be required to upload any required documents as a result of an affirmative answer provided in the Questions portion of the application, license specific certifications and to have a valid credit card (Visa, MasterCard or Discover).

The application fee for initial licensure is $400.

 

Criminal Records Check

The board strongly encourages prospective applicants to complete their background checks as soon as they know that they will be applying for Ohio licensure. There is no need to wait until an application is submitted to start the background check process. The board will retain the background check results for up to one year upon receiving them. Once an application has been submitted to the board, its status will be updated to reflect receipt of the results.

  • All applicants for licensure are required to complete an FBI and Ohio BCI criminal records check. View instructions in the background check packet or by watching the instructional video below.

  • Results MUST be sent directly from the vendor to the State Medical Board of Ohio; the Board will not accept results from the applicant or a third party.

 

Required Documents to Be Uploaded

  • Evidence of current certification with the National Commission on Certification of Physician Assistants (NCCPA). You will be asked to enter either your NCCPA ID or Social Security Number so this information can be obtained electronically from the NCCPA.

  • Education transcript from a program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).

  • Documentation related to affirmative answers provided in the Questions portion of the application.  Examples of required documentation may include:

    • National Practitioners Data Bank Report (NPDB)

    • Documentation Related to action taken by another state or entity

    • Documentation Related to arrests/criminal actions

 

Documentation That Should Be Sent Directly to the Board

  • Criminal Record Check (FBI & Ohio BCI) results.

 

After You Apply

Following submission of a completed application and payment you will receive a confirmation email. If you need to contact the Board, please email license@med.ohio.gov.

Please note: the Medical Board is unable to confirm receipt of background checks or other supporting documents prior to an application being submitted. 

Once an application has been submitted, any documents that have been previously received will be attached to the application. In order to efficiently process your application, please do not submit or email documents to the board that are not specifically required as part of the application. Board staff will contact you directly in the event that further information or additional documentation is necessary to process your application. Please allow the board 10 business days to perform an initial review of your application. After that time, you may check the status of your application by logging into eLicense and navigating to your license application. Select the Options tab and the Review Status option. Any outstanding items will be listed in the ‘Comments’ section at the bottom of the page.

 

Drug Enforcement Administration Certificate Information

For questions concerning your Drug Enforcement Administration Certificate of Registration, please direct inquiries to:

Drug Enforcement Administration (DEA)

431 Howard Street

Detroit, MI 48226

(313) 226-7524

www.deadiversion.usdoj.gov/

 

Supervision Agreements

Before initiating supervision of one or more physician assistants, a physician shall enter into a supervision agreement with each physician assistant who will be supervised. Supervision agreements are no longer submitted to the State Medical Board of Ohio for approval, but must be kept in the records maintained by the supervising physician, and be readily accessible for on-site inspection. Since supervision agreements are no longer filed with the Board, there is no expiration nor renewal of them. They are living documents that remain active and can be amended at any time until terminated. For convenience, you may use the forms below.

 

Forms and Helpful Links

License Verification Form

Supervision Agreement Application - For Health Care Facility Practice Location Only

Supervision Agreement Application - Practice Outside of a Health Care Facility Only

Chapter 4730, Ohio Revised Code

Chapter 4730, Ohio Administrative Code

National Commission on Certification of Physician Assistants

Ohio Association of Physician Assistants

Physician Assistant Core Licensure Eligibility Requirements 

Criminal Record Check (FBI and Ohio BCI) Information