What are the requirements for terminating a collaborative agreement in Tennessee?

Terminating a collaborative agreement in Tennessee requires following the state’s termination process and making timely updates. To end a collaboration, use the Tennessee Department of Health’s process for supervising physicians to terminate the existing relationship, which includes indicating a reason for termination¹. Additionally, either the physician or the NP must remove the supervisory relationship in the Controlled Substance Monitoring Database (CSMD)².

NPs must also update their Board notice when collaborator information changes³, and Tennessee rules require that such updates be made within 30 days of any change⁴⁵. These steps help ensure prescriptive authority records, protocols, and controlled substance monitoring information remain accurate and compliant.

• Submit the termination through the Department of Health’s termination process and specify the reason for ending the collaboration¹.
• Remove the supervisory relationship in the CSMD (either party may do this)².
• Update the Board of Nursing notice to reflect collaborator changes; the law requires notice updates when information changes³, and rules require that updates occur within 30 days⁴⁵.