Are there any proximity or in-person requirements between an NP and collaborating physician in Michigan?

Michigan does not impose a specific proximity or in-person presence requirement between an NP and the collaborating physician. Under Michigan’s definition of supervision, the focus is on the continuous availability of direct communication—which may be in person or by radio, telephone, or telecommunication—rather than physical co-location.¹

For supervised practice, Michigan requires the following conditions to exist:

• Continuous availability of direct communication in person or by radio, telephone, or telecommunication between the NP and the licensed supervising health professional.¹
• Availability of the supervising health professional on a regularly scheduled basis to review the NP’s practice, provide consultation, review records, and further educate the NP.¹
• Provision of predetermined procedures and drug protocols by the supervising health professional.¹

Additionally, when a physician delegates controlled substance prescribing via a written authorization, the physician must review and update that authorization annually and note the review date, and must maintain the written authorization at the physician’s primary place of practice and provide a copy to the APRN.²³