Idaho PA Collaboration Requirements Summary

Idaho requires every PA to collaborate with at least one Idaho-licensed physician under a collaborative practice agreement, but the ongoing obligations are among the lightest in the country. The PA is responsible for the care they provide, and Idaho sets no chart review, meeting cadence, on-site presence, or physician availability requirement. Nothing is filed with the board — the agreement stays between the parties — and there is no termination notice requirement. What the agreement must do is identify the parties, define the PA’s authorized scope of practice, and state that the PA will collaborate with, consult with, or refer to a physician when the patient’s condition, the PA’s own competence, or the community standard of care calls for it. This page covers Idaho’s rules on the collaborative relationship, the collaborative practice agreement, board filing, ongoing compliance, prescribing, and specialty and telehealth requirements.

Source: I.C. 54-1807A(2)

Type of Collaborative Relationship

Idaho requires a PA to collaborate with one or more Idaho-licensed physicians, and that relationship is documented in a collaborative practice agreement. Physician involvement is low by design: Idaho makes the PA responsible for the care the PA provides, and it sets no on-site, meeting, or chart review requirements. Because oversight starts low, there is no experience-based path to reduced supervision — the requirements are the same at every stage of a PA’s career.

Source: I.C. 54-1807A(2)

What is a PA’s scope of practice in Idaho?

A PA’s scope in Idaho is the authorized scope of practice written into the collaborative practice agreement. The agreement sets that scope for each licensed PA or graduate PA it covers, and the PA is responsible for the care they provide within it.

Do PAs need a collaborating physician in Idaho?

Yes. Idaho requires a PA to collaborate with one or more physicians licensed in the state, under a collaborative practice agreement.

Can PAs practice independently in Idaho?

No, a collaborative practice agreement with at least one Idaho-licensed physician is required. That said, Idaho’s model is closer to independent practice than most states: the PA is responsible for their own care decisions, and there is no required physician presence, chart review, or meeting schedule.

How many PAs can a physician collaborate with in Idaho?

Idaho sets no limit on the number of PAs a physician may collaborate with. The Board notes that a physician should still weigh their duties around collaboration, consultation, and referral when deciding how many PAs and graduate PAs to enter agreements with.

Who can be a collaborating physician in Idaho?

Any physician licensed in Idaho. Idaho sets no additional experience, specialty, or continuing education requirement for the collaborating physician.

Are there proximity or in-person requirements in Idaho?

No, Idaho sets no distance, travel, or on-site presence requirement. Idaho also sets no standard for how quickly or by what means the collaborating physician must be reachable.

Collaboration Agreement Requirements

Idaho’s written agreement is called a collaborative practice agreement, and it must identify the parties, set out the authorized scope of practice for each licensed PA or graduate PA it covers, and include any monitoring parameters if those are needed. It must also state that the PA will collaborate with, consult with, or refer to the collaborating physician or another appropriate physician when the patient’s condition, the PA’s education, experience, and competence, or the community standard of care calls for it. Idaho provides no template, requires no signatures, sets no storage requirement, and sets no review or renewal schedule.

Source: IDAPA 24.33.02(200)(01)

What must be included in a PA collaborative agreement in Idaho?

Three required elements plus one required statement: the parties to the agreement, the authorized scope of practice for each PA or graduate PA covered, monitoring parameters if necessary, and a statement that the PA must collaborate with, consult with, or refer to a physician. That last requirement is triggered by the patient’s condition, the PA’s education, experience, and competence, and the community standard of care. Idaho does not provide a state template.

What is the collaborative agreement called in Idaho?

It is called a collaborative practice agreement. The same agreement structure covers both licensed PAs and graduate PAs.

Who has to sign the collaborative agreement in Idaho?

Idaho sets no signature requirement for the collaborative practice agreement.

How often must the agreement be reviewed or renewed in Idaho?

Idaho sets no review or renewal schedule for the collaborative practice agreement.

Is a backup physician required in Idaho?

No, Idaho sets no backup or alternate physician requirement. The agreement does have to state that the PA will consult with or refer to another appropriate physician when the situation calls for it.

Board Filing Requirements

Idaho requires no board filing for the collaborative relationship. The collaborative practice agreement is not submitted to the board, no additional documents are required, there is no recurring filing, and no notice is required when the relationship ends. The agreement takes effect between the parties without board involvement.

Do you have to file the collaborative agreement with the board in Idaho?

No. Idaho does not require the collaborative practice agreement to be filed with the board, and no additional documents are required to be filed for the collaborative relationship.

Can a PA start practicing as soon as they file in Idaho?

There is nothing to file for the collaborative relationship, so no waiting period applies. A PA needs an Idaho license and a collaborative practice agreement in place with at least one Idaho-licensed physician.

What are the termination and notice requirements in Idaho?

Idaho sets no termination or notice requirement when a collaborative relationship ends.

Collaboration Compliance

Idaho sets no fixed ongoing compliance obligations — no chart review, no meeting cadence, no co-signature, no availability standard, and no records retention period. The one continuing duty is the professional one written into every agreement: the PA must collaborate with, consult with, or refer to the collaborating physician or another appropriate physician when the patient’s condition, the PA’s own competence, or the community standard of care calls for it.

Source: I.C. 54-1807A(3)

How many charts must a collaborating physician review in Idaho?

None — Idaho requires no chart review. There is also no chart co-signature requirement and no supervision documentation requirement.

How often must a PA and collaborating physician meet in Idaho?

Idaho sets no required meeting cadence. What is required is that the PA collaborate with, consult with, or refer to a physician as the patient’s condition, the PA’s competence, and the community standard of care indicate.

How long must collaboration records be kept in Idaho?

Idaho sets no retention period for collaboration records and requires no supervision documentation.

Prescribing Rules

Idaho’s master regulatory data records no state-specific prescribing requirements for PAs. There is no additional credential to obtain, no state controlled-substance registration, no heightened oversight for controlled substances, and no prescription form requirements. What a PA may prescribe follows from the authorized scope of practice set in the collaborative practice agreement.

Can a PA prescribe controlled substances in Idaho?

Idaho’s master regulatory data sets no additional state requirements for PA controlled-substance prescribing. There is no extra credential, no state registration, and no heightened oversight requirement tied to controlled substances.

Can a PA prescribe Schedule II drugs in Idaho?

Idaho’s master regulatory data does not address drug schedules individually for PAs. Prescribing authority follows from the authorized scope of practice set in the collaborative practice agreement.

What schedule drugs can a PA prescribe in Idaho?

Idaho’s master regulatory data sets no schedule-by-schedule limits on PA prescribing. The collaborative practice agreement defines the PA’s authorized scope of practice, which is where prescribing authority is established.

Does a PA need a DEA license in Idaho?

Idaho imposes no state controlled-substance registration requirement on PAs. Federal DEA registration requirements apply independently of state law and are not addressed in Idaho’s rules. Idaho sets no prescription form or prescription pad requirements.

Can a PA prescribe independently (without physician sign-off) in Idaho?

Idaho requires no physician sign-off, co-signature, or prescription-level review. Prescribing must stay within the authorized scope of practice in the collaborative practice agreement, and the PA’s duty to consult with or refer to a physician applies when the patient’s condition or the PA’s competence calls for it.

Specialty & Telehealth Requirements

Idaho’s master regulatory data does not address telehealth-specific or specialty-specific requirements for PAs. The standard collaboration and agreement rules apply across settings and specialties.

Are there telehealth or telemedicine requirements for PAs in Idaho?

Idaho sets no telehealth-specific requirement for PAs in the master regulatory data. Idaho also sets no in-person or proximity requirement that telehealth would need an exemption from.

Are there specialty-specific requirements for PAs in Idaho?

Idaho sets no specialty-specific requirements for PAs in the master regulatory data. The collaborative practice agreement may include monitoring parameters where the parties find them necessary.