Michigan

What is a collaborative practice agreement called in Michigan?

Chris Turitzin
Updated
December 9, 2025

In Michigan, a collaborative practice agreement is called a “written authorization.” This document is used when a physician delegates controlled-substance prescriptive authority to an APRN12. By contrast, APRNs may prescribe nonscheduled (noncontrolled) prescription drugs without physician delegation3.

A written authorization must include: (1) the name, license number, and signature of the supervising physician; (2) the name, license number, and signature of the APRN; (3) any limitations or exceptions to the delegation; and (4) the effective date of the delegation1.

The delegating physician must review and update the written authorization at least annually and note each review date on the document4. The physician must also keep the written authorization at the physician’s primary place of practice and provide a copy to the APRN5.

Citations

  1. Michigan Administrative Code Rule 338.2411 (1)(a-d)
  2. Michigan Compiled Laws §333.17211a (1)(b)
  3. Michigan Compiled Laws §333.17211a (1)(a)
  4. Michigan Administrative Code Rule 338.2411 (2)
  5. Michigan Administrative Code Rule 338.2411 (3-4)
Chris, founded Single Aim Health in 2024 to provide clinicians, especially NPs and PAs, with essential services for launching and growing their practices. A Stanford graduate in Product Design, Chris co-founded Momentus Media, which was acquired by Facebook, and worked as a Product Manager there. He later gained expertise in digital health through leadership roles at Bicycle Health, Virta Health, and founding Wink Health. Now, he is using his experience to help clinicians through Single Aim Health.
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