How often must an NP and collaborating physician meet in Pennsylvania?

In Pennsylvania, the law does not prescribe a specific meeting schedule for an NP (CRNP) and collaborating physician. Instead, the prescriptive authority collaborative agreement must specify how often the collaborating physician will personally see patients to whom the CRNP is prescribing¹. The collaborative framework also requires the physician to be immediately available via direct communication or telecommunication and to conduct regular chart and record reviews as outlined in the agreement².

Practices should use their agreements to set regularly scheduled physician availability for referrals, consultation and chart review, periodic updating in medical diagnosis and therapeutics, and cosigning records when needed⁴. Additionally, the prescriptive authority collaborative agreement must be reviewed and updated at least every two years, providing a formal opportunity to reassess meeting cadence and oversight processes³.