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Executive committee denies telepsychiatry waiver request from Anywhere Clinic team
Summary
A Mississippi board panel denied a request by psychiatrist Grant Bullock and physician assistant Samantha Roth to waive the 75‑mile and 80/20 supervision rules for telepsychiatry after staff raised supervisory, chart‑audit and training concerns.
The executive committee of the Mississippi State Board of Medical Licensure denied a request from psychiatrist Grant Bullock and physician assistant Samantha Roth to allow telepsychiatry practice in Mississippi under exceptions to the board—s distance and supervision rules.
Bullock, who said he is board‑certified and practices in Las Vegas, and Roth, a PA who previously worked on the Mississippi Gulf Coast, described plans to provide general adult psychiatric care remotely and to limit controlled‑substance prescribing when possible. Bullock said the practice would use Practice Fusion as its electronic record and that supervising physicians would be available for consultation.
Board staff and members focused questions on supervisory arrangements and chart review. Executive Director Ken Cleveland told the applicants their written supervision protocol must reflect the board—s regulations: "review at least 10 percent, or 20 charts, whichever is less," he said, and indicated the application needed to be revised to match that standard. The board also asked about controlled‑substance policies and the state prescription monitoring program; applicants said they would rely on screening, PDMP checks and a conservative approach to benzodiazepines.
The committee closed for an executive session to consider the requests and returned to deny the waivers. Board members said applicants could consult with Executive Director Cleveland about revisions and potential reapplication.
The denial leaves the applicants subject to existing Mississippi licensure rules and requires any future application to align explicitly with the board—s supervisory and chart‑audit requirements.
