172 Neb. Admin. Code, ch. 10, § 007

Current through September 17, 2024

Section 172-10-007 - REINSTATEMENT

This section applies to an individual previously credentialed in Nebraska who wishes to return to practice in Nebraska.

007.01 ELIGIBILITY. An individual may apply for reinstatement as follows:

(A) An individual whose credential has expired, been placed on inactive status, voluntarily surrendered for an indefinite period of time, or suspended or limited for disciplinary reasons, may apply for reinstatement at any time.

(B) An individual whose credential has been voluntarily surrendered for a definite period of time may apply for reinstatement after that period of time has elapsed.

(C) An individual whose credential has been revoked may apply for reinstatement only after a period of two years has elapsed from the date of revocation.

007.02 INELIGIBILITY. An individual whose credential has been permanently voluntarily surrendered is not eligible to have his or her credential reinstated and may not apply for a new credential to practice the same profession or occupation.

007.03 APPLICATION AND DOCUMENTATION. To reinstate a credential, an individual must submit a complete application, have met the continuing competency requirements, and meet the requirements set out in Neb. Rev. Stats. § 38-129 and §§ 4-108 through 4-111.

007.03(A) INFORMATION. The individual must submit the following information:

(i) Legal name and any other names by which the individual is known;

(ii) Complete mailing address;

(iii) Social security number (SSN) or Alien Registration Number (A#). Some individuals may have both a social security number and an Alien Registration Number and if so, the individual must report both;

(iv) Telephone number and e-mail address;

(v) Whether the individual holds a credential(s) in another jurisdiction(s) to provide health services, health-related services or environmental services; and

(vi) If making application following voluntary surrender or disciplinary action, information relating to what actions the individual has taken to address the reasons that caused the action.

007.03(B) DOCUMENTATION. The individual must submit the following documentation and information with the reinstatement application to the department:

(i) CITIZENSHIP OR LAWFUL PRESENCE. Documentation that the individual meets the requirements set out in Neb. Rev. Stats. § 38-129 and §§ 4-108 through 4-111.

(ii) OTHER CREDENTIAL INFORMATION. If the individual holds a credential to provide health services, health-related services, or environmental services in another jurisdiction, provide the name of the jurisdiction, credential number, type of credential, date issued, and expiration date for each credential the applicant holds or has held;

(iii) DISCIPLINARY ACTION. If the credential has been disciplined, a list of any disciplinary actions taken against the individual's credential and a copy of the disciplinary action(s), including charges and disposition;

(iv) DENIAL. If the individual was denied a credential, an explanation of the basis for the denial and a copy of the denial documentation;

(v) CONVICTION INFORMATION. If the individual has been convicted of a felony or misdemeanor in Nebraska or another jurisdiction since the credential was last renewed or since the effective date of the disciplinary action was taken by the department, the individual must submit:

(1) A copy of the entire court record related to all misdemeanor and felony convictions;

(2) An explanation of the events leading to the conviction (what, when, where, why) and a summary of actions that the applicant has taken to address the behaviors or actions related to the conviction;

(3) A letter from the individual's probation officer addressing the terms and current status of the probation, if the individual is currently on probation;

(vi) DRUG OR ALCOHOL RELATED CONVICTIONS. To aid in the evaluation of an individual's drug or alcohol related conviction(s), an individual may submit evaluation and discharge summaries where drug or alcohol treatment was obtained or required. Evaluations and discharge summaries may be submitted by the provider directly to the department.

172 Neb. Admin. Code, ch. 10, § 007

Adopted effective 6/24/2019