Do NPs need a collaborative agreement or any other type of written agreement with physicians?
A collaborative agreement with a physician is required for Michigan nurse practitioners to receive direct Medicaid and Medicare reimbursement. It may be required for other third party payors, such as managed care organizations, and therefore the NP should be aware of those requirements when applying for provider status with other payors. BC/BS of MI does not require an agreement for NPs but does require one for certified nurse midwives. 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 NPs. Those elements of a nurse practitioner’s practice which fall within this definition/scope and for which the NP is prepared educationa
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