
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.