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

To terminate a collaborative practice agreement in Virginia, the APRN must notify the Boards’ designee (or alternate) when the patient care team physician can no longer serve and, if the APRN is unable to enter into a new practice agreement with another patient care team physician, may continue practicing temporarily upon notification to the Boards’ designee (or alternate) and the designee’s receipt of such notification¹. Events triggering this contingency include the physician’s death, disability, retirement from active practice, license surrender, suspension or revocation, or relocation such that the physician is no longer able to serve¹. In such cases, practice without a patient care team physician is permitted for an initial period not to exceed 60 days¹.

During this initial period, the APRN may prescribe only those drugs previously authorized by the practice agreement and must have access to appropriate input from appropriate health care providers in complex clinical cases, patient emergencies, and for referrals¹. With permission from the Boards’ designee or alternate, practice may be extended for another 60 days if the APRN provides evidence of efforts to secure a new patient care team physician and of access to physician input¹. APRNs authorized for autonomous practice are not required to maintain a practice agreement, eliminating the need for termination procedures².