Finding a Collaborating Physician in Louisiana

New Orleans, Louisiana, USA skyline

The regulatory landscape for Nurse Practitioners (NPs) can be difficult to understand. Zivian was created to help advanced practice providers navigate the compliance landscape so that you can stay focused on your practice. If you are an NP trying to find a collaborating physician in Louisiana, we’ve got you covered!

The state of Louisiana requires nurse practitioners to collaborate with a physician. Louisiana is classified as a Reduced Practice Authority state. 

In this post, we break down state regulations and key considerations to establish a meaningful collaboration with a physician in the Pelican State.

Note: State regulations and requirements are subject to change. Always check with your state medical or nursing board to confirm the most up-to-date information.

What Is the Practice Environment for NPs in Louisiana?

General: In which category does the state fall: NP independent practice, transition to independence, or collaboration required?

A collaboration with a physician is required.

Delegation Authority and Process

Is a collaboration agreement required?

Yes, a collaboration agreement is required.

What form of agreement is required and what are the requirements for the substance of the agreement?

Contact our team to learn more about the required components of a collaboration agreement in Louisiana.

Where must the agreement be stored?

The agreement must be stored at the practice site.

Does the agreement need to be filed with the state?

The practitioner must submit the agreement via the Louisiana Board of Nursing portal.

Are there requirements to file the agreement after the initial filing?

There are no explicit requirements.

Who must sign the agreement?

The agreement must be signed by the practitioner, primary collaborating physician, and back-up physician

How often must the agreement be reviewed / reauthorized?

The agreement must be reviewed / reauthorized annually.

What are the required qualifications for the collaborating provider (licensure, same scope, active practice in state, etc.)?

The collaborating physician must be providing patient care in the same scope or a practice comparable in scope, specialty or expertise to that of the NP.

What are the required qualifications for the NP?

See the Louisiana Board of Nursing’s website for more information about these requirements.

Is an alternate collaborating physician required?

Yes, a backup physician is required.

Collaboration Requirements

Are there ratios / limits on the number of NPs that a collaborator may supervise or enter into collaboration agreements? 

There are no explicit requirements.

Is there an express requirement to review a certain number / percentage of charts?

The physician is required to review 5% of charts.

Is there a requirement to meet and, if so, how often and how?

Monthly meetings are required.

Are there proximity requirements?

There are no explicit requirements.

Are there location-specific requirements (e.g., that collaborator must go to practice site at some frequency)?

There are no explicit requirements.

Is remote supervision allowed / are there limitations on remote supervision?

Yes, remote supervision is permitted.

Physician and NP Filing Requirements

Outside of filing the collaboration agreement, must the physician or NP file any separate forms?

The practitioner must submit the agreement via the Louisiana Board of Nursing portal.

Prescription Requirements and Controlled Substance Prescribing

What are the prescription and controlled substance prescribing requirements?

See all prescription requirements outlined by the Louisiana Board of Nursing.

Find a Collaborating Physician with Zivian Health

Zivian enables compliant, high-quality collaborations between advanced practice providers and physicians. We make clinical collaborations more productive via a convenient and secure platform, regulatory expertise, and an empowering clinical community.

Contact our team today and get started!

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The Role of Physician Assistants in Expanding Healthcare Access

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Questions to Ask a Potential Collaborating Physician