Nurse Practitioner Collaborative Agreements in Ohio
Table of Contents
Medium
Meeting Requirements
Board submissions
Distance Restrictions
Ohio NP collaboration is documented through a written standard care arrangement. OAAPN maintains a Standard Care Arrangement resource page and offers a paid model SCA template, while several Ohio organizations have made example SCAs publicly available.1
Useful Ohio examples include a Nationwide Children's Hospital SCA, an example family practice SCA, and a University of Cincinnati / COHCA SCA. Any template should still be checked against current Ohio requirements for SCA contents, quality assurance, prescribing safeguards, and chart review.234
Citations
1. OAAPN Standard Care Arrangement resource page; Single Aim 50-State Template Guide, Ohio section.
2. Ohio Revised Code section 4723.431.
3. Ohio Administrative Code rule 4723-8-04.
4. Ohio Administrative Code rule 4723-8-05.
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Submitting the Agreement to the State
Ohio APRNs practice under a written standard care arrangement with each collaborating physician or podiatrist. The Board of Nursing does not approve the arrangement before practice, but it may review the arrangement for compliance; the APRN submits each collaborator's name and business address to the Board within 30 days of first engaging in collaboration and reports later additions or deletions within 30 days.1
The arrangement is kept on file by the APRN's employer and is revised when collaborators change in the same employment setting. Ohio's current rule requires the arrangement to include party details, services and prescriptive scope, coverage plans, consultation/referral and disagreement processes, prescribing safeguards, OARRS provisions, and quality assurance tied to at least annual random chart review.23
Citations
1. Ohio Revised Code section 4723.431(A)(1), (D).
2. Ohio Administrative Code rule 4723-8-04.
3. Ohio Administrative Code rule 4723-8-05.
Collaboration & Supervision Requirements
Prescriptive Authority (Medications & Controlled Substances)
Scope of Practice
⚠️ Special Note: five-prescribing-APRN cap Ohio pay may sit near the top of the national range because physicians must manage the five-prescribing-APRN limit, same-or-similar specialty fit, and annual quality assurance/chart review expectations.
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About the Author
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