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U.S. Veterans Health Administration 2009 Pain Management Directive 2009-053 In 2009, the U.S. Veterans Health Administration (VHA) adopted "Standards of Pain Management" to improve the organization and delivery of integrated pain care throughout the VHA. The Directive emphasizes the importance of “stepped, consultative care,” that includes ensuring primary care providers have access to specialists to help effectively evaluate and manage complex cases. Under the heading “Clinician Competence and Expertise in Pain Management,” the Directive recommends that Pain Medicine specialists obtain and maintain one or more of the following certifications: Pain Medicine specialty board certification by the American Board of Pain Medicine (ABPM) or subspecialty board certification in Pain Medicine or Hospice and Palliative Care Medicine by one of several American Board of Medical Specialty (ABMS) Boards. Alabama’s “Pain Management Act” was enacted to empower the Alabama Board of Medical Examiners with broad authority to regulate physicians who provide pain management services in the state. Among the provisions, the Act requires physicians providing pain management services to register with the BME and access the Alabama Prescription Drug Monitoring Program (PDMP). The Act also requires that pain management services be provided in a “practice location” that meets the Act’s standards relating to ownership and operation. Every practice location must certify that it is under the direction of a medical director who meets the Act’s training requirements, which include specialty certification in pain medicine by the ABMS, AOA and Board certification by the ABPM. Act 2013-257; Article 11, Chapter 24, Title 34-24-100 To ABPM's knowledge, Alaska currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Alaska, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Under the FAQ "what does board certification mean?", the Arizona Medical Board defines board certification as being certified by an ABMS board. http://www.azmd.gov/FAQ/LicensingPhysicians.aspx If you have any contacts that you believe can be be of assistance in persuading this state to reconsider expanding this definition, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Arkansas currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Arkansas, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . California’s Business and Professions code prohibits physicians from advertising that they are board-certified unless they are certified by an ABMS member specialty board, a specialty board with an ACGME accredited postgraduate training program or “a specialty board with “equivalent” requirements approved by the Medical Board of California’s Licensing Program.” The Medical Board has approved the following four specialty boards:
CA Business and Professions Code, §651(h)(5)(A) & (B) http://www.mbc.ca.gov/Licensees/Specialty_Board_Advertising.aspx To ABPM's knowledge, Colorado currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Colorado, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Connecticut currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Connecticut, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Delaware currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Delaware, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Florida’s Board of Medicine formally recognizes ABPM as a specialty board, and authorizes ABPM Pain Medicine Diplomates to advertise as specialists in Florida. Florida Board of Medicine Rule 64B8-11.001 – Advertising Pursuant to FL Statute 456.44, "'Board-certified pain management physician' means a physician who possesses board certification in pain medicine by the American Board of Pain Medicine, board certification by the American Board of Interventional Pain Physicians, or board certification or sub-certification in pain management by a specialty board recognized by the American Association of Physician Specialists or an osteopathic physician who holds a certificate in Pain Management by the American Osteopathic Association.” FL Statutes 456.44 – Controlled substance prescribing law The Georgia pain management protocol states: the Georgia Composite Medical Board “recognizes certifications in pain medicine or palliative medicine by the American Board of Medical Specialties or the American Osteopathic Association, the American Board of Pain Medicine and the American Board of Interventional Pain Physicians.” Any physician who prescribes Schedule II or III substances for chronic pain for greater than 50% of that physician’s annual patient population must document competence to the Board through certification or eligibility for certification in pain management or palliative medicine as approved by the Georgia Composite Medical Board. ABPM is an approved board. Georgia Rule 360-3-.06 – Pain Management Protocol To ABPM's knowledge, Hawaii currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Hawaii, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Idaho currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Idaho, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Illinois currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Illinois, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Effecitve July 1, 2022, ABPM Diplomates can highlight their specialty using the following format: "(name of title of practitioners profession) specializing in (name of specialty)." To ABPM's knowledge, Iowa currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Iowa, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Kansas currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Kansas, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . The regulation details Kentucky’s requirements for owning pain management facilities. The regulation imposes strict requirements for physician-owners or physician owner-designees who will actively practice medicine in the facility, to include an attestation that demonstrates current ABMS or AOA subspecialty certification in either pain management or hospice and palliative medicine or through certification by the American Board of Pain Medicine of American Board of Interventional Pain Physicians. ABPM is included in these regulations, as a pathway to qualify physicians to practice pain medicine in Kentucky. 201 KAR 9:250E - Registration and Oversight of Pain Management Facilities The Louisiana Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing has adopted LAC 48:I.Chapter 78 - Pain Management Clinic - Licensing Standards. As part of these provisions, they define a pain specialist as follows: Pain Specialist—a physician, licensed in Louisiana, with a certification in the subspecialty of pain management by a member board of the American Boards of Medical Specialties. http://new.dhh.louisiana.gov/assets/medicaid/hss/docs/PMC/PAINMGT.doc If you have any contacts that you believe can be be of assistance in persuading this state to reconsider expanding this definition, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Maine currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Maine, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Maryland defines "board-certified" as follows: 9) “Board-certified” means the physician is certified by a public or private board, including a multidisciplinary board, and the certifying board is: (a) A member of ABMS; http://www.dsd.state.md.us/comar/comarhtml/10/10.32.01.02.htm If you have any contacts that you believe can be be of assistance in persuading this state to reconsider expanding this definition, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Massachusetts currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Massachusetts, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Minnesota currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Minnesota, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Pain and Symptom Management Advisory Committee Report includes ABPM as "a national professional organization approved by the department of Consumer and Industry Services" PAIN and SYMPTOM MANAGEMENT ADVISORY COMMITTEE REPORT Per Miss. Code Ann. §73-43-11 (1972, as amended). 8. Training Requirements for All Physicians Practicing in Pain Management Clinics. Effective July 1, 2014, physicians who have not met the qualifications set forth in the subsections (1) through (5) below, shall have successfully completed a pain residency fellowship or a pain medicine residency that is accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the American Osteopathic Assocation (AOA). All physicians prescribing or dispensing controlled substance medications in pain management clinics registered by the Board must meet one (1) of the following qualifications:
Please click here to view the rule on the Mississippi website.
Certification entities can register themselves with the Missouri Board of medicine, after supplying all information listed on following page: Section 334.737.1 ABPM plans to investigate whether submitting an application is an option. To ABPM's knowledge, Montana currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Montana, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Nebraska currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Nebraska, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Nevada currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Nevada, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, New Hampshire currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in New Hampshire, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . 13:35-6.10 Advertising and solicitation practices New Jersey specifies the following with regard to advertising and solicitation practices: (m) Any licensee advertising board certification in a specialty shall possess current certification by a specialty board or certifying entity. Specialty boards recognized by the American Board of Medical Specialties (ABMS), the American Osteopathic Association (AOA), and/or the American Podiatric Medicine Association (APMA) shall be approved by the Board and included in a list maintained by the Board. A licensee advertising board certification shall conspicuously specify in the advertisement the specific specialty board or certifying entity granting the certification (for example, the American Board of Psychiatry and Neurology, the American Board of Radiology, etc.), the national organization recognizing such specialty board or certifying entity (for example, ABMS, AOA, APMA, etc.), if any, and, if not included in the name of the specialty board or certifying entity itself, the field of medical or surgical specialty in which the certification was conferred. Licensees may not hold themselves out as a Board-certified specialist in a particular specialty unless the physician has received formal recognition as a specialist in that specialty from one of the specialty boards listed herein or otherwise approved by the Board. A licensee may not hold himself or herself out as a dermatologist unless he or she is a residency trained dermatologist, having completed a 3-year formal dermatology residency after his or her first year of internship, accredited by the American Board of Medical Specialties ("ABMS") or the American Osteopathic Association ("AOA"), and possesses current specialty certification from the ARMS or AOA. Notwithstanding the foregoing, licensees having formal recognition as a Board-certified dermatologist from the American Board of Certification in Dermatology, or a Board-certified specialist from the Royal College of Physicians and Surgeons of Canada, at the time of approval of this amendment (i.e.,______________, 20__) shall be permitted to hold themselves out as a Board certified specialist in their recognized specialty. If you have any contacts that you believe can be be of assistance in persuading this state to reconsider expanding this definition, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . The New Mexico Pain Relief Act definite a clinical expert as follows: E. “clinical expert” means a person who by reason of specialized education or substantial relevant experience in pain management has knowledge regarding current standards, practices and guidelines; It is not clear exactly what ramifications this verbiage could have on ABPM certification, but all physicians approved to take the ABPM Certification Examination have successfully demonstrated both specialized education and substantial relevant experience in pain management. To ABPM's knowledge, New York currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in New York, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . ABPM is not specifically recognized, but ABPM does meet all of the criteria outlined in the North Carolina Medical Board's Advertising and Publicity Position Statement: 4, 1-7 To ABPM's knowledge, North Dakota currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in North Dakota, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Ohio code includes requirements regarding ownership and operation of pain management clinics. Physician owners must demonstrate certification in pain management or hospice and palliative medicine by the ABMS, AOA BOS, American Board of Pain Medicine or American Board of Interventional Pain Physicians. There are significant additional requirements for physician owners who cannot demonstrate one of these Board certifications. Each physician who provides care at a pain management clinic shall hold staff membership at a local hospital with admitting or consulting privileges and meet one of several potential requirements, ABPM certification being one of them. OAC 4731-29-01 - Standards and procedures for the operation of a pain management clinic Oklahoma has an application for individual applicants to have their Board recognized. ABPM appears to meet all criteria. The Oregon Medical Board has the following statement on advertising: If a physician represents him/herself as a specialist, he/she must be prepared to demonstrate training or expertise in a legitimate specialty. Successful completion of training recognized as a prerequisite for Board certification in a medical specialty or subspecialty by either the American Board of Medical Specialties (ABMS) or the Advisory Board for Osteopathic Specialists (ABOS) shall be considered adequate. Anything less shall put the burden of proof upon the physician to legitimize the claim. http://www.oregon.gov/omb/board/philosophy/Pages/Advertising.aspx If you have any contacts that you believe can be be of assistance in persuading this state to reconsider expanding this definition, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Board certified.--A physician licensed to practice medicine in this Commonwealth who has successfully passed an examination and has maintained certification in the relevant medical specialty or subspecialty area, or both, recognized by one of the following groups: (i) The American Board of Medical Specialties. If you have any contacts that you believe can be be of assistance in persuading this state to reconsider expanding this definition, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . In February 2015, the Rhode Island Board of Medicine officially adopted a new opioid prescribing protocol, which includes ABPM Diplomates in the definition of "pain medicine physician." 81–96. Office Based Surgery. a. The specific office-based surgical procedures and anesthesia services that each respective practitioner involved is qualified and competent to perform must be commensurate with each practitioner’s level of training and experience. Criteria to be considered to demonstrate competence include: http://www.scstatehouse.gov/coderegs/Ch%2081.pdf While they define board certification as ABMS or AOA, they also include "equivalent board certification as determined by the Board". It is not clear what criteria is used to decide if other boards are equivalent. To ABPM's knowledge, South Dakota currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in South Dakota, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Tennessee’s Department of Health adopted regulations to improve the care provided in “Pain Management Clinics.” The regulation outlines the requirements for physicians who serve as medical directors of a clinic, including board certification by the American Board of Pain Medicine. Within the Tennessee Clinical Practice Guidelines for Management of Chronic Pain, ABPM Diplomates are recognized as Pain Medicine specialists. The Texas Board of Medicine carefully reviewed all aspects of ABPM’s rigorous certification process and found them to be “substantially equivalent” to those required of ABMS member boards. As reflected on the Texas Board of Medicine’s website, Texas Diplomates can convey this well-earned certification to patients and for the purpose of advertising this well-earned credential. (1) A physician may not represent to another person that the physician is certified in a medical specialty or certified by a particular board unless: (a) the physician includes in the representation the name of: (i) the certification board or entity; and (ii) the medical specialty for which the physician is certified; and (b) the board or certification entity meets the requirements of Subsection (2). (2) A certification entity or board under Subsection (1) shall meet the following qualifications: (a) be included in the American Board of Medical Specialties or an American Osteopathic Association Certifying Board; or (b) (i) require an Accreditation Council for Graduate Medical Education or American Osteopathic Association approved postgraduate training program that provides complete training in the specialty or subspeciality; and (ii) be certified or had prior certification by the member board of the American Board of Medical Specialties or an American Osteopathic Certifying Board. 58-67-806. Representation of medical specialization. If you have any contacts that you believe can be be of assistance in persuading this state to reconsider expanding this definition, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . To ABPM's knowledge, Vermont currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Vermont, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Virginia's Advertising ethics code states in part that "D. A licensee shall disclose the complete name of the specialty board that conferred the certification when using or authorizing the use of the term "board certified" or any similar words or phrase calculated to convey the same meaning in any advertising for his practice." 18VAC85-20-30. Advertising ethics As of March 2014, the State of Washington officially recognizes ABPM as an approved credentialing board under the state-endorsed definition of “pain medicine specialist.” The Washington State Medical Quality Assurance Commission took this action after reviewing the ABPM’s rigorous credentialing process, including qualifications for Applicants and the administration of ABPM’s certification examination. West Virginia’s Chronic Pain Clinic Licensing Act established requirements for operating a pain management clinic. The regulation imposes strict requirements which mandates each pain management clinic shall designate a physician owner who shall practice at the clinic and be responsible for the operation of the clinic. The designated physician must meet one of the following training requirements: 1) complete a pain medicine fellowship that is accredited by the Accreditation Council for Graduate Medical Education or such other similar program as may be approved by the secretary; or 2) hold current board certification by the American Board of Pain Medicine or current board certification by the American Board of Anesthesiology or such other board certification as may be approved by the secretary. http://www.legis.state.wv.us/wvcode/ChapterEntire.cfm?chap=16&art=5H Med 10.03 Unprofessional conduct. “Unprofessional conduct” includes the following, or aiding or abetting the same: If certification with American Board of Pain Medicine is clearly represented, this would not appear to violate this provision, but this is not completely clear. https://docs.legis.wisconsin.gov/code/admin_code/med/10.pdf Wyoming To ABPM's knowledge, Wyoming currently does not have any rules or regulations establishing prescribing protocol or defining a pain medicine specialist or standards for pain clinics. If you believe you can be of assistance with advancing ABPM recognition in Wyoming, please contact the ABPM office at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . ABPM is actively working to add additional states that recognize its credentialing. To help our advocacy effort, see the "State Call to Action" or contact ABPM at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .Contact your medical board or state governor to help advocate for ABPM recognition!Directory of State Medical and Osteopathic Boards Per Miss. Code Ann. §73-43-11 (1972, as amended). Rule 1.15 Pain Management Clinics. 8. Training Requirements for All Physicians Practicing in Pain Management Clinics. Effective July 1, 2014, physicians who have not met the qualifications set forth in subsections (1) through (5) below, shall have successfully completed a pain residency fellowship or a pain medicine residency that is accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the American Osteopathic Association (AOA). All physicians prescribing or dispensing controlled substance medications in pain management clinics registered by the Board must meet one (1) of the following qualifications: 1. board certification by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Board of Addiction Medicine (ABAM) and hold a subspecialty certification in pain medicine; 2. board certification by a specialty board recognized by the American Osteopathic Association Bureau of Osteopathic Specialists in pain management; 3. board certification in pain medicine by the American Board of Pain Medicine (ABPM); 4. successful completion of a residency program in physical medicine and rehabilitation, anesthesiology, neurology, neurosurgery, or psychiatry and approved by the ACGME or the AOA; or successful completion of 100 hours of in-person, live participatory AMA or AOA Category 1 CME courses in pain management. Upon completion of the 100 hours of CME, physicians must also document completion of 15 hours of live lecture format, Category 1 CME in pain management for every year the physician is practicing pain management |