nication of the patient’s progress by the optometrist.
5. The ophthalmologist must report any irregular behavior of the op- tometrist to TMB for referral to the Texas Optometry Board.
6. The ophthalmologist must enter into the patient’s written medical records that he or she has elected to enter into a comanagement agreement with an optometrist.
7. It is at the discretion of the oph- thalmologist to complete a clinical skills assessment with each optom- etrist in which a comanagement ar- rangement exists. The ophthalmol- ogist will, however, receive written confirmation and documentation that the comanaging optometrist has completed all of the require- ments of the Optometric Health Care Advisory Committee to ob- tain the designation of “optometric glaucoma specialist.”
8. A physician may charge a reason- able consultation fee for a consul- tation given when a patient is re- ferred with a diagnosis of primary open angle glaucoma
9. When a physician examines a pa- tient involved in a comanagement consultation with a therapeutic op- tometrist for treatment of primary open angle glaucoma, the physician shall forward to the therapeutic op- tometrist, not later than the 30th day following the examination, a written report on the results of the examination. A physician who, for a medically appropriate reason, does not return a patient to the thera- peutic optometrist, shall state in the report to the therapeutic op- tometrist the specific medical rea- son for failing to return the patient.
10.To enter into a comanagement agreement, the optometrist and ophthalmologist must agree that following each visit, specified in- formation, previously agreed upon by both the ophthalmologist and the optometrist, about the patient examined will be forwarded to the other practitioner. n
LAW FIRM PC
April 2015 TEXAS MEDICINE 25
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