Code of Massachusetts Regulations 249 CMR - BOARD OF REGISTRATION IN PODIATRY
Here’s an enhanced summary of 249 CMR – Massachusetts Board of Registration in Podiatry, the comprehensive state regulations governing podiatric practice and licensure:
📘 Overview of 249 CMR Chapters
The regulations are organized into seven main sections: (mass.gov, mass.gov)
249 CMR 2.00 – General Provisions
Lays out foundational standards—documentation, medical necessity, practice requirements to safeguard public health. (mass.gov)
249 CMR 3.00 – Application & Licensure
Covers eligibility, exam requirements, licensure processes, renewals, reinstatements, and continuing medical education (CME). Updated October 14, 2022. (mass.gov)
§3.05 CME Requirement: 15 approved CME credits annually (incl. at least 1 in pain management/opioid education). Waivers allowed for valid reasons; audited licensees may face sanctions. (casetext.com)
249 CMR 4.00 – Practice of Podiatric Medicine
Specifies professional scope and standards of care for podiatric services. Last updated October 14, 2022. (mass.gov)
249 CMR 5.00 – Ethical Standards & Professional Conduct
Defines ethical duties—confidentiality, fees, informed consent, record keeping (fetching patient records, record retention of 5 years), privacy, and ensuring proper evaluation for treatment. (mass.gov)
249 CMR 6.00 – Administrative Duties of the Board
Details internal board procedures, meetings, licensing tasks, enforcement actions, and compliance. (mass.gov)
249 CMR 7.00 – Insurance Requirements
Establishes liability insurance standards for podiatric practices structured as LLPs or LLCs. (mass.gov)
🔍 Key Highlights & Implications
Record retention: Maintain podiatric patient records for at least 5 years after the last visit. Patients are entitled to records or summaries, with only reasonable fees for copying—not tied to fees owed for services. (casetext.com)
CME compliance: License renewal hinges on completion of 15 CME credits annually, including mandatory pain management/opioid training, with provisions for waivers and potential audit sanctions. (casetext.com)
Ethical mandates: Includes standards governing privacy, informed consent, patient dignity, billing transparency, and handling of patient records.
🛠️ How You Can Access These Regulations
You can view full PDFs via the Massachusetts Trial Court Law Libraries:
General provisions: 249 CMR 2.00
Licensure & CME: 249 CMR 3.00
Scope of practice: 249 CMR 4.00
Ethics: 249 CMR 5.00
Admin structure: 249 CMR 6.00
Insurance rules: 249 CMR 7.00
All contained within the “249 CMR” collection. (mass.gov)
✅ In Summary
| Section | Focus | Highlights |
|---|---|---|
| 2.00 | General policy | Practice standards, documentation rules |
| 3.00 | Licensure & CME | 15 credits/year incl. opioid training; audit risk |
| 4.00 | Clinical practice | Defines podiatric scope and care standards |
| 5.00 | Ethics & conduct | Informed consent, confidentiality, record use, privacy |
| 6.00 | Board admin | Governance, enforcement, regulatory processes |
| 7.00 | Insurance | Liability coverage for LLP/LLC entities |
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