Michigan Nurse Practitioner Collaborative Agreement Templates

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The Michigan Department of Health and Human Services (MDHHS) provides guidelines for collaborative practice agreements between nurse practitioners and physicians. According to the guidance, agreements must include the following key elements:

• Communication and Availability: A process outlining how the NP and physician will communicate, ensure physician availability for consultations, and establish an emergency plan when the designated physician is unavailable.
• Roles and Responsibilities: Clearly defined duties for both the NP and physician, taking into account their individual education, training, and experience.
• Termination Clause: A provision allowing either the NP or physician to end the collaborative agreement.
• Signatures: The agreement must be signed by both the NP and the collaborating physician.

For NPs seeking examples of Michigan collaborative practice agreements, multiple organizations have made their CPAs publicly available.

Michigan Collaborative Practice Agreement Example (Sterling Area Health Center)

‍A collaborative practice agreement Example is available from Sterling Area Health Center here.

Michigan Collaborative Practice Agreement Example (Odell medical)

A collaborative practice agreement Example is available from Odell Medical here.

Is a collaborative practice agreement required in Michigan?

Yes, Michigan requires that a nurse practitioner must have a collaborative practice agreement with a physician licensed in Michigan in order to prescribe controlled substances. The State Bar of Michigan Health Care Law Section