645—327.4(148C,88GA,ch1020) Remote medical site.
	327.4(1) A physician assistant may provide medical services in a remote medical site if any of the following conditions is met:
	a. 	The physician assistant has a permanent license and at least one year of practice as a physician assistant;
	b. 	The physician assistant with less than one year of practice has a permanent license and meets all of the following criteria:
	(1)	The physician assistant has practiced as a physician assistant for at least six months;
	(2)	The physician assistant and supervising physician have worked together at the same location for a period of at least three months;
	(3)	The supervising physician reviews patient care provided by the physician assistant as determined to be appropriate by the supervising physician; and
	(4)	The supervising physician reviews a representative sample of patient charts unless the medical record documents that direct consultation with the supervising physician occurred for a period the supervising physician determines is appropriate;
	c. 	The physician assistant and supervising physician provide a written statement sent directly to the board that the physician assistant is qualified to provide the needed medical services and that the medical care will be unavailable at the remote site unless the physician assistant is allowed to practice there. In addition, for three months, the supervising physician must review a representative sample of patient charts for patient care provided by the physician assistant at least weekly.
	327.4(2) The supervising physician must visit a remote site or communicate with the physician assistant at the remote site via electronic communications to provide additional medical direction, medical services, and consultation at least every two weeks. For the purposes of this rule, communication may consist of, but shall not be limited to, in-person meetings, two-way interactive communication directly between the supervising physician and the physician assistant via the telephone, secure messaging, electronic mail, or chart review.
[ARC 1909C, IAB 3/18/15, effective 4/22/15; see Delay note at end of chapter; ARC 2436C, IAB 3/16/16, effective 2/16/16; ARC 4300C, IAB 2/13/19, effective 3/20/19; ARC 5177C, IAB 9/9/20, effective 10/14/20]