650—11.6 (153) Dental hygiene licensure by credentials. To be issued a license to practice dental hygiene in Iowa on the basis of credentials, an applicant shall meet the following requirements.
	 11.6(1) Applications for licensure by credentials to practice dental hygiene in this state shall be made on the form provided by the dental hygiene committee and must be completely answered, including required credentials and documents.
	 11.6(2) Applications must be filed with the dental hygiene committee along with:
	  a.   	 Satisfactory evidence of graduation from an accredited school of dental hygiene approved by the dental hygiene committee.
	  b.   	 Evidence of successful completion of the examination of the Joint Commission on National Dental Examinations or evidence of having passed a written examination that is comparable to the examination given by the Joint Commission on National Dental Examinations.
	  c.   	 A statement of any dental hygiene examinations taken by the applicant, with indication of pass/fail for each examination taken. Any dental hygienist who has lawfully practiced dental hygiene in another state or territory for five or more years may be exempted from presenting this evidence.
	  d.   	 Evidence of a current, valid license to practice dental hygiene in another state, territory or district of the United States issued under requirements equivalent or substantially equivalent to those of this state.
	  e.   	 Evidence that the applicant has met at least one of the following:
	 (1) 	 Passed an examination approved by the board in accordance with Iowa Code section 147.34(1) and administered by a regional or national testing service. The clinical examinations approved by the board are specified in 650—subrule 12.1(5).
	 (2) 	 Has for three consecutive years immediately prior to the filing of the application been in the lawful practice of dental hygiene in such other state, territory or district of the United States.
	  f.   	 Evidence from the state board of dentistry, or equivalent authority, in each state in which applicant has been licensed to practice dental hygiene, that the applicant has not been the subject of final or pending disciplinary action.
	  g.   	 A statement disclosing and explaining any disciplinary actions, investigations, complaints, malpractice claims, judgments, settlements, or criminal charges, including the results of a self-query of the National Practitioners Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB).
	  h.   	 The nonrefundable application fee for licensure by credentials, the initial licensure fee and the fee for the evaluation of the fingerprint packet and the criminal history background checks by the Iowa division of criminal investigation (DCI) and the Federal Bureau of Investigation (FBI), as specified in 650—Chapter 15.
	  i.   	 A statement:
	 (1) 	 Confirming that the applicant possesses a valid certificate from a nationally recognized course in cardiopulmonary resuscitation (CPR) that included a “hands-on” clinical component;
	 (2) 	 Providing the expiration date of the CPR certificate; and
	 (3) 	 Acknowledging that the CPR certificate will be retained and made available to board office staff as part of routine auditing and monitoring.
	  j.   	 Successful completion of the jurisprudence examination administered by the dental hygiene committee.
	  k.   	 A completed fingerprint packet to facilitate a criminal history background check by the DCI and FBI.
	 11.6(3) Applicant shall appear for a personal interview conducted by the dental hygiene committee or the board by request only.
	 11.6(4) The dental hygiene committee may also require such examinations as may be necessary to evaluate the applicant for licensure by credentials.
	 11.6(5) Applications must be signed and verified attesting to the truth of the statements contained therein.
	 11.6(6) Following review by the dental hygiene committee, the committee shall make a recommendation to the board regarding issuance or denial of a dental hygiene license. The board’s review of the dental hygiene committee recommendation is subject to 650—Chapter 1.
This rule is intended to implement Iowa Code section 147.80 and chapter 153.
[ARC 9218B, IAB 11/3/10, effective 12/8/10; ARC 0265C, IAB 8/8/12, effective 9/12/12]