Do APRNs need a collaborative agreement or any other type of written agreement with physicians?
A collaborative agreement with a physician is required for Michigan APRNs to receive direct Medicaid and Medicare reimbursement. It may be required for other third party payors, such as managed care organizations, and therefore the APRN should be aware of those requirements when applying for provider status with other payors. Nursing practice as defined by MI law is not dependent upon physician delegation or supervision, and it is not a subset of medical practice. Nursing is an independent profession. Delegation or supervision does not apply for those acts performed within the nurse’s scope of practice. The definition of nursing – the scope of practice – is provided in the Public Health Code; it is the same for all nurses, generic RNs and APRNs. Those elements of a APRN’s practice which fall within this definition/scope and for which the APRN is prepared educationally and experientially constitute the practice of nursing. They do not need to be delegated. Collaborative agreements, whic
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