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

In Pennsylvania, prescriptive authority collaborative agreements must be reviewed and updated at least once every two years, or whenever the agreement changes¹. By contrast, the regulations cited here do not specify a fixed review interval for the standard (non-prescriptive) collaborative agreement; note that the prescriptive authority agreement is a separate document from the collaborative agreement².

For context, the prescriptive authority collaborative agreement must identify the collaborating physician(s) and a substitute, include license numbers, list the CRNP’s specialty and permitted drug categories, specify the circumstances and how often the physician will personally see patients, and state the CRNP’s professional liability insurance³. The standard collaborative agreement must include an emergency services plan, the physician’s immediate availability, and regular chart and record review with related consultation protocols⁴.