The term "medical assistant" is generic and designates a group of professions in the health field other than those of general nurse and midwife.

The procedure applies exclusively in cases where medical assistants, who intend to practice their profession in another EU Member State, travel to Romania to temporarily or occasionally carry out professional activities.

Particularities:

-The temporary or occasional nature of medical assistant professional activities is determined, case by case, by the Order of General Nurses, Midwives, and Medical Assistants in Romania (OAMGMAMR), depending on their duration, frequency, periodicity, and continuity.

-During the provision of services, the respective medical assistants:

• practice the profession in Romania with the professional title established by OAMGMAMR and provided by law for the respective medical assistant profession;
• are exempt from the obligation to register with OAMGMAMR and from the payment of the membership fee;
• are automatically registered with OAMGMAMR during the provision of those services;
• are subject to the professional, regulatory, or administrative provisions regarding professional qualifications and the use of titles, provisions concerning serious professional acts that directly and specifically affect the protection and safety of beneficiaries of the services provided, as well as disciplinary provisions provided by law for Romanian citizen medical assistants, members of OAMGMAMR;
• are exempt from the accreditation procedure provided by social health insurance legislation.

Service providers have the obligation to inform the National Health Insurance House in advance about the services to be provided on Romanian territory, and in case of emergency, within a maximum of 7 days from their provision.

Procedure description:

I. At the first provision of services in Romania, OAMGMAMR may verify the provider’s professional training in order to avoid serious harm to patient health due to lack of professional qualification of the provider, and without exceeding the necessary scope in this regard.

Within 30 days from the receipt of the declaration and all the mentioned documents, the OAMGMAMR Commission for the recognition of nurse qualifications, midwife, and medical assistant qualifications obtained in another EU Member State, a state belonging to the EEA, or in the Swiss Confederation analyzes the applicant’s training.

Based on its conclusions, the President approves how to resolve the applicant’s request, namely:

• not to verify the provider’s qualification, automatic temporary registration with OAMGMAMR and approval of temporary provision of medical assistant services in Romania;
• after verifying qualification:

1) request the provider to pass an aptitude test, or

2) temporarily register the provider automatically with OAMGMAMR and grant approval for temporary provision of medical assistant services in Romania.

In cases where the qualification verification of the applicant may lead to situations causing a delay in decision-making, OAMGMAMR notifies the applicant, within the aforementioned 30-day period, of the reasons for the delay. The situations are resolved within 30 days from notification, and the decision is finalized within 60 days from their resolution.

The aptitude test is applied when a significant difference is found between the provider's qualification as a medical assistant and the training required in Romania for the corresponding specialization, to the extent that this difference may negatively affect public health and cannot be compensated by the applicant's professional experience as well as by knowledge, skills, and competencies acquired through lifelong learning, formally validated by a relevant body for this purpose.

After the medical assistant in question takes the aptitude test, OAMGMAMR decides regarding the provision of the service by the latter, and the services can be provided within 30 days from the date of the decision.

Approval for temporary provision of medical assistant services and, respectively, automatic temporary registration with OAMGMAMR are communicated to the applicant and to the OAMGMAMR branch in the territorial area of the healthcare facility where the applicant is to provide the services in question in Romania.

II. In case of renewal of the declaration, after verifying the temporary and occasional nature of the provision of services by the OAMGMAMR Commission for recognition of nurse, midwife, and medical assistant qualifications obtained in another EU member state, a state belonging to the EEA, or in the Swiss Confederation, the President approves the temporary provision of midwife services and, respectively, automatic temporary registration of the applicant with OAMGMAMR, within 30 days from receipt of the declaration. These are communicated to the applicant and to the OAMGMAMR branch in the territorial area of the healthcare facility where the applicant is to provide the services in question in Romania.

If OAMGMAMR does not make a decision within the deadlines established above, the service may be provided.