Collaborating in Arizona

Review the requirements to successfully and compliantly collaborate in Arizona.

State Regulations for Nurse Practitioners

General

  • In which category does the state fall: NP independent practice, transition to independence, or collaboration required?
  • Independent practice.

Delegation Authority/Process

  • Is an agreement required?
    • No requirement.
  • What form of agreement is required and what are the requirements for the substance of the agreement (is use of state template required?)
    • No requirement.
  • Where must the agreement be stored?
    • No requirement.
  • Does the agreement need to be filed with the state?
    • No requirement.
  • Are there requirements to file the agreement after the initial filing (e.g., for updates or on a specified frequency)
    • No requirement.
  • Who must sign the agreement?
    • No requirement.
  • How often must the agreement be reviewed/reauthorized?
    • No requirement.

Qualifications

  • What are the qualifications for the collaborating provider (licensure, same scope, active practice in state, etc.)?
    • No requirement.
  • What are the qualifications for the NP?
  • Is an alternate collaborating physician required?
    • No requirement.

Collaboration Requirements

  • Are there ratios/limits on the number of NPs that a collaborator may supervise or enter into collaboration agreements?
    • No requirement.
  • Is there an express requirement to review a certain number/percentage of charts?
    • No requirement.
  • Is there a requirement to meet and, if so, how often and how?
    • No requirement.
  • Are there proximity requirements? (e.g., between the NP/collaborator or practice site)
    • No requirement.
  • Are there location-specific requirements? (e.g., that collaborator must go to practice site at some frequency)
    • No requirement.
  • Is remote supervision allowed/are there limitations on remote supervision?
    • No requirement.
  • Physician and NP filing requirements
    • No requirement.
  • Physician and NP filing requirements – outside of filing the collab agreement, must the physician and/or NP file any separate forms? (e.g., notice of delegation of prescriptive authority, notice of collaboration, notice to PDMP, etc.) NOTE: timing/frequency should be noted because the state may have requirements for initial filing and/or filing for updates, terminations, etc.
  • No requirement.
  • What are the prescription requirements?
    • The NP must ensure that all prescription orders contain the following:
    • NP’s name, address, telephone number, and population focus;
    • The prescription date;
    • The name of the patient and either the address of the patient or a blank for the address if the prescription is not being dispensed by the NP;
    • The full name of the drug, strength, dosage form, and directions for use;
    • The letters “DAW”, “dispense as written”, “do not substitute”, “medically necessary” or any similar statement on the face of the prescription form if intending to prevent substitution of the drug;
    • The NP’s DEA registration number, if applicable; and
    • The NP’s signature.
  • What are the requirements for controlled substance processing?
  • DEA registration number may prescribe, but may not exceed the limitations of each certification:
  • A Schedule II controlled substance, but shall not prescribe refills of the prescription, and shall follow all other restrictions provided by law;
  • A Schedule III or IV controlled substance, and may prescribe a maximum of five refills in six months;
  • A Schedule V controlled substance, and may prescribe refills for a maximum of one year.

Sources for Reference

  • A.R.S. § 32-1601(23).
  • A.A.C. § R4-19-511
  • A.A.C. § R4-19-512