What are the requirements of a physician to collaborate with a Michigan NP?

To collaborate with a Michigan NP, a physician must use a written authorization when delegating controlled-substance prescribing and review and update it annually, noting each review date. The physician must keep the authorization at the primary place of practice, provide a copy to the NP, and ensure it contains all required elements¹²³⁴.

The written authorization must include:

• The physician’s name, license number, and signature, and the NP’s name, license number, and signature⁴.
• Any limitations or exceptions to the delegation, and the effective date of the delegation⁴.

When supervising, physicians should meet the Public Health Code’s definition of supervision, including continuous availability for direct communication, regular review and consultation, and provision of predetermined procedures and drug protocols⁵.

For controlled substances prescribed under delegation, both the physician’s and NP’s names and DEA registration numbers must be indicated on the prescription; physicians may authorize multiple prescriptions totaling up to a 90-day supply of Schedule II medication, but may not delegate prescribing intended to cause miscarriage or fetal death⁶⁷⁸. Starter-dose controlled substances require delegation, and both the physician’s and NP’s names and DEA numbers must be recorded⁹. Note that NPs may prescribe nonscheduled medications independently, without physician delegation¹⁰.