How often does a collaborative agreement need to be reviewed in New York?

The frequency with which a collaborative practice agreement must be reviewed in New York is not specified in statute or regulation. State law requires NP practice protocols to be filed within 90 days of starting practice and allows them to be updated periodically, without a set cadence¹.

The Department of Education may review practice protocols at its discretion or upon request and issue a binding opinion; if a deficiency is found, a revised protocol must be submitted within 30 days². While the law does not mandate routine review of the agreement itself, the agreement must provide for physician review of patient records at least every three months³⁴.

For NPs with 3,600 or more practice hours who are not required to maintain a written practice agreement, the attestation of ongoing collaborative relationships must be kept and updated as needed, without a specified schedule⁵.