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