Ohio

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

Chris Turitzin
Updated
December 9, 2025

In Ohio, a collaborative agreement—called a standard care arrangement (SCA)—does not have a mandated review frequency. The SCA must document the date of the most recent review, but Ohio law does not prescribe how often parties must conduct that review2. The Board of Nursing may periodically review SCAs for compliance, which does not establish a fixed cadence1.

For ongoing oversight, the SCA must include quality assurance provisions, including re-approval requirements when modifications are made2. Separately, the quality assurance process must provide for periodic random chart review—including prescribing patterns—at least annually by the collaborating physician3.

Citations

  1. 2024 Ohio Revised Code §4723.431 (A)(1)
  2. Ohio Board of Nursing Rule 4723-8-04 (D)(1-11)
  3. Ohio Board of Nursing Rule 4723-8-05 (C)(1-3)
Chris, founded Single Aim Health in 2024 to provide clinicians, especially NPs and PAs, with essential services for launching and growing their practices. A Stanford graduate in Product Design, Chris co-founded Momentus Media, which was acquired by Facebook, and worked as a Product Manager there. He later gained expertise in digital health through leadership roles at Bicycle Health, Virta Health, and founding Wink Health. Now, he is using his experience to help clinicians through Single Aim Health.
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