Finding a Collaborating Physician in Wisconsin
The regulatory landscape for nurse practitioners (NPs) varies widely by state and can be challenging to navigate. Zivian was created to handle the challenges of collaboration compliance so that you can focus on providing care. If you are an NP trying to find a collaborating physician in Wisconsin, we’ve got you covered.
The state of Wisconsin requires nurse practitioners to collaborate with a physician. Wisconsin’s regulatory structure is Reduced Practice Authority.
In this post, we break down state regulations and key considerations for Wisconsin NPs to establish a compliant collaboration with a physician.
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 Wisconsin?
In which category does the state fall: NP independent practice, transition to independence, or collaboration required?
A collaborative relationship with a physician is required.
Delegation Authority and Process
Is an agreement required?
No, an official agreement is not required, but NPs are required to “document” their collaborative relationship with a physician.
What form of agreement is required and what are the requirements for the substance of the agreement?
There is no requirement.
Where must the agreement be stored?
There is no requirement.
Does the agreement need to be filed with the state?
There is no requirement.
Are there requirements to file the agreement after the initial filing (e.g., for updates or on a specified frequency)?
There is no requirement.
Who must sign the agreement?
There is no requirement.
How often must the agreement be reviewed / reauthorized?
There is no requirement.
What are the qualifications for the collaborating provider (licensure, same scope, active practice in state, etc.)?
The collaborating provider must be a physician or a dentist.
What are the qualifications for the NP?
To prescribe, the NP must be granted a certificate from the board of nursing to issue prescription orders.
Is an alternate collaborating physician required?
There is no requirement.
Collaboration Requirements
Are there ratios / limits on the number of NPs that a collaborator may supervise or enter into collaboration agreements?
There is no requirement.
Is there an express requirement to review a certain number / percentage of charts?
There is no requirement.
Is there a requirement to meet and, if so, how often?
There is no requirement.
Are there proximity requirements (e.g., between the NP/collaborator or practice site)?
There is no requirement.
Are there location-specific requirements (e.g., that collaborator must go to practice site at some frequency)?
There is no requirement.
Is remote supervision allowed / are there limitations on remote supervision?
Remote supervision is allowed. The collaborative relationship is a process in which an NP is working with a physician or dentist, in each other's presence when necessary, to deliver health care services within the scope of the practitioner's training, education, and experience.
Additional Filing Requirements
Outside of filing the collaboration agreement, must the physician and/or NP file any separate forms?
Every NP who is certified to issue prescription orders must annually submit to the board evidence that he or she has malpractice liability insurance coverage in the minimum amounts required by the rules of the board.
Prescription Requirements and Controlled Substance Prescribing
What are the prescription requirements?
No Schedule II controlled substance prescribing is allowed, except for:
Use as an adjunct to opioid analgesic compounds for the treatment of cancer-related pain.
Treatment of narcolepsy.
Treatment of hyperkinesis, including attention deficit hyperactivity disorder.
Treatment of drug-induced brain dysfunction.
Treatment of epilepsy.
Treatment of depression shown to be refractory to other therapeutic modalities.
No prescribing, ordering, dispensing or administering any anabolic steroid for the purpose of enhancing athletic performance or for other nonmedical purpose.
What are the requirements for controlled substance prescribing?
See the prescribing requirements above.
Find a Collaborating Physician in Wisconsin with Zivian Health
Zivian handles all the challenges of compliance so that you can stay focused on providing great patient care.
If you are in need of a collaborating physician in Wisconsin, contact us today!
Sources
Wis. Admin. Code § N 8.02
Wis. Admin. Code § N 8.10
Wis. Stat. § 441.16
