T Rog

Okay.. so the good news: the revocation won't keep you from getting a job (as long as it isn't in California). The bad news: the revocation automatically places you on the DHS mandatory medi Cal suspension list for a minimum of one year, which severely limits the job market for you. Why? Because that's the Medicaid/medicare suspension list. The ACA passed by Obama has a clause that dictates that once you end up on one states Medicare/medicaid suspension list , you are considered suspended in every other state. Some places may not care about this, but technically you can't be hired by any facility that accepts Medicare or Medicaid if you're on one states suspension list. My advice to you: 1.) there is at least a 3-4 month delay between the time your revocation goes through, and the time you get added to the list (at least there was for me). Find a job before you get added because most employers will only check the lists on hire. If you have an active or unencumbered license in other states, most places won't care about a single states revocation, especially if it is simply due to a failed correspondence. Failure to correspond is actually in the top 5 reasons that people receive a revocation. If you can find a job in a state where you have an unencumbered license, before you get added to the list, they will likely check the list upon hire and not check it again until your year anniversary (at which point you will be eligible to have your name removed from the suspension list for failure to correspond.) I was actually added to the list , while I was employed, and I was completely forthcoming with my employer at the time. My employer decided to keep me on anyway, however- I applied for another job while on the suspension list. The job I applied for extended the offer to me, but because it was part of a health care system that had outfits in California, they rescinded the offer once they found out I was on the medi Cal suspension list. They didn't care about the revocation, especially since it was for a failure to correspond, but they did care that I was on the suspension list. I stayed at the job that I was currently at, at the time, and then once my year was up, I applied to have my suspension lifted and then applied for and accepted a new position with a different outfit. I know how you feel right now, but please know that this will all work itself out. It will pass, (maybe like a kidney stone), but it will pass. If you have any further questions, or if you just need someone to talk to, feel free to email me. I remember how I felt while this was going on and I wish I had someone to commiserate with at the time. I felt alienated, and I kicked myself every day. It was one of the worst time periods of my life. Just remember to hold your head up- you will get through this. My email is [email protected]. My name is Tim. Best of luck to you.

*failure to provide (not family).

Yes and no. I received confirmation that my request to be removed from the S and I list will be granted on 10/24/24. I had a unique reason for being on the list though. I've read reports of people taking a couple months, and one person a year. I was on the list secondary to a default revocation order for family to provide notice of defense. I had tried to update my address in the breeze system, and it never took. I never received the correspondence. I simply emailed them with copies of all the current unencumbered licenses I have. Then they granted the request the next day. It won't go through until 10/24

You're quite insightful. I was reading some of your other posts and responses to posts. It's refreshing to see someone be so positive and encouraging to others. Especially when they're in their deepest and darkes hour.. All too often you see hypercritical, over judgemental nurses , who fail to understand that in addition to making mistakes (which we all do), sometimes there's also the element of bad luck. Even if you are fortunate enough to never make a mistake (which I don't believe is possible), you could still find yourself in the right set of circumstances and wrong time and place. Or- you could just be someone whose been lucky enough to never make a mistake that's mattered. Most people are fortunate to skate through their career in that last category. The small percentage of us that have made mistakes that mattered, or have experienced the misfortune of wrong time and place, need to also have somewhere to go and not be further judged.

I'm not surprised. The discipline cascade is a bit ridiculous all the way around. Nursing boards are so backed up, that it takes them years to get around to issuing disciplinary actions. Years elapse, and then the nurse, the event, everything surrounding it is cloudy in memory. I really think there needs to be a statute of limitations in administrative law, or more leniency in permitting laches defense. It would force professional boards to prioritize the critic nature of complaints. The way it is now, they are given an endless timeline to process every complaint that lands on their desk. They are also given extensive immunity to any civil prosecution. I understand the reasoning for this, but it also ruins lives, reputations, careers etc. The way it's setup currently, permits the board to issue discipline 5 years down the road. You can have a minor infarction, lose a job, suffer the blow, go on to further your career, not make another mistake and suddenly 5-6 years later you're faced with the charges from that mistake being thrown in your face again and a pending board investigation/sanction. Sometimes you can be disciplined by one board for a minor infarction, then a board in another state (where you have an inactive license from years prior) decides 4 years later to issue an action based on the original state's action. It becomes the cyclical game of never living down your mistake. They don't do this to doctors. My attorney told me that he would rather deal with the medical board all day long, then spend 10 minutes with the board of nursing. I'm happy and fortunate I didn't land on the OIG list. That's a nightmare. Luckily my revocation was a default order for lack of correspondence. I had to wait a year before I could petition to come off the medi-cal list, but I think the nature of my revocation, coupled with my active licenses in other states gave me an advantage in a quick request granted by DHCS. I get to now try to navigate reinstating my California license in 2026. Yay... Fun times. I may just decide not to bother. I have no intention of moving back to California, and the license being revoked hasn't kept me unemployed in any other state, so.... I hate seeing that I have a revoked license, but I hate dealing with the BON even more. We'll see I guess.

And just as an adjunct- having your license reinstated is NOT mandatory to get off of the Medi-cal list. They actually said that to me when I initially emailed them. My license in California is still revoked until 2026, but I have 3 other states who have issued me licenses in the last 2 years, in spite of the California revocation. I think it's entirely situational.

So an update. I emailed the above mentioned email. I showed them proof of 4 other state licenses, which are unencumbered. Within 24 hours I received an email from DHCS stating that my request to have my name removed from the Medi-cal list has been granted, and that my name will be in removed in 10/24/24. Quite literally the fastest administrative resolution I've ever seen in my nursing career. I was panicked because I kept reading that it could take a year to a year and a half.

Can I ask- you wrote a letter to the email above ([email protected]), and how long did it take for them to remove your name from the list? I have a default order revocation on my California license from failure to respond to a board inquiry. I had attempted to update my address in the breeze system, and it appeared to take but didn't. Naturally I never received correspondence, and California issued a default revocation in April of 2023. Can't apply for reinstatement until 2026, but the issue they were trying to contact me about has been dealt with as is no longer an issue. Hoping I can at least be removed from the list.