Collaboration laws were built over decades and layered onto evolving clinical models and state-specific priorities. No two states look alike. As organizations grow — entering new states, onboarding more providers, navigating transition-to-independence pathways — the complexity compounds.
Zivian is the leader in simplifying this complexity for healthcare organizations deploying NP and PA workforces across the U.S.
See below for a state-by-state list of collaboration rules for NPs and PAs.
Nevada
South Dakota
Vermont
Washington
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachussets
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming