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Nurse Practitioner Collaboration Requirements in Minnesota

A summary of Minnesota’s collaboration, agreement, filing, supervision, prescribing, and specialty rules for NPs and the physicians who collaborate with them.

minnesota np/pa collaboration laws
State Overview
Minnesota NP Collaboration Laws Overview
collaborating physician required

Collaborating Physician Required? Yes, temporarily

physician involvement

Physician Involvement: Low

NP collaborative agreement

Agreement Name: Collaborative agreement

proximity requirements

On-Site Requirements: None

chart reviews

Chart Review: Not required

controlled substances

Controlled Substances: Allowed, Schedule II – V

transition requirements

Reduced Supervision / Transition Requirements: Independent practice after 2,080 hours under a collaborative agreement

State Requirements Summary

Minnesota NP Collaboration Requirements Summary

 

Minnesota NPs need a collaborating clinician temporarily. A new NP must practice at least 2,080 hours under a collaborative agreement — with a physician or another APRN — in a hospital or integrated clinical setting, then may practice independently. The agreement is simply a mutually agreed plan for the working relationship; Minnesota requires no template, signatures, filing, meetings, or chart review.

 

Source: Minn. Stat. § 148.211(1c)

Collaboration Type

Type of Collaborative Relationship

 

Minnesota NPs need a collaborating clinician for the 2,080 hours it takes to qualify for independent practice. A new NP practices under a collaborative agreement with one or more physicians or APRNs in a hospital or integrated clinical setting, then practices independently. Involvement is minimal: the agreement is a mutually agreed plan for the working relationship, and the NP consults or collaborates as needed, with no ratio cap, meeting cadence, chart-review count, or on-site rule.

 

Source: Minn. Stat. § 148.211(1c)

 

What is an NP’s scope of practice in Minnesota?

 

Minnesota NPs (advanced practice registered nurses) practice within their role and, after an initial collaborative period, practice independently. A new NP works under a collaborative agreement for 2,080 hours; after that, no collaboration is required.

 

Do NPs need a collaborating physician in Minnesota?

 

Yes, a new NP must practice 2,080 hours under a collaborative agreement with one or more physicians or APRNs; after completing those hours, no collaborator is required.

 

Can NPs practice independently in Minnesota?

 

Yes, after 2,080 hours. An NP who completes at least 2,080 hours under a collaborative agreement — in a hospital or integrated clinical setting — may practice independently.

 

How many NPs can a physician supervise in Minnesota?

 

There is no limit. Minnesota sets no ratio cap on how many NPs a collaborator may work with.

 

Who can be a collaborating physician in Minnesota?

 

A collaborator may be one or more physicians or APRNs, and the NP and at least one collaborator must have experience caring for patients with the same or similar medical problems. A physician is not required — another APRN can serve.

 

Are there proximity or in-person requirements in Minnesota?

 

No, Minnesota sets no geographic or travel requirement, but the qualifying 2,080 hours must be completed in a hospital or integrated clinical setting where APRNs and physicians work together.

Agreements

Collaboration Agreement Requirements

 

Minnesota’s agreement is called a collaborative agreement (or collaborative management), and there is no state template. It need only be a mutually agreed plan for the overall working relationship between the NP and one or more physicians or APRNs that designates the scope of collaboration needed to manage patient care. Minnesota requires no set content beyond that, and no signatures, storage, backup, or review.

 

Source: Minn. Stat. § 148.211(1c)

 

What must be included in an NP collaborative agreement in Minnesota?

 

It must be a mutually agreed plan for the overall working relationship between the NP and one or more physicians or APRNs that designates the scope of collaboration needed to manage patient care. Minnesota sets no other required content.

 

What is the collaborative agreement called in Minnesota?

 

It is called a collaborative agreement (the statute also refers to collaborative management). Minnesota does not provide a template.

 

Who has to sign the collaborative agreement in Minnesota?

 

Minnesota sets no signature requirement for the collaborative agreement.

 

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

 

Minnesota sets no review or renewal requirement for the collaborative agreement.

 

Is a backup physician required in Minnesota?

 

No, Minnesota does not require a backup physician.

Board Filing

Board Filing Requirements

 

Minnesota does not require the collaborative agreement to be filed, and there are no recurring filing or termination-notice requirements. The one filing obligation is at the transition to independent practice: the NP submits an attestation (written evidence) to the Board that they completed the 2,080 hours under a collaborative agreement.

 

Source: Minn. Stat. § 148.211(1c)

 

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

 

No. Minnesota does not require the collaborative agreement to be filed.

 

Can an NP start practicing as soon as they file in Minnesota?

 

Minnesota does not tie the start of practice to filing an agreement — there is nothing to file. A new NP practices under a collaborative agreement while accruing the 2,080 hours, then attests to completing them.

 

What are the termination and notice requirements in Minnesota?

 

Minnesota sets no termination-notice requirement. To move to independent practice, the NP submits written evidence (an attestation) to the Board that they completed the 2,080 hours under a collaborative agreement.

 

Compliance

Collaboration Compliance

 

Minnesota imposes almost no ongoing collaboration mechanics. There is no required meeting cadence, chart review, chart co-signing, or documentation; the NP simply consults, collaborates, or refers to other providers as the patient’s needs warrant.

 

Source: Minn. Stat. § 148.171(11)(6)

 

How many charts must a collaborating physician review in Minnesota?

 

No fixed number — Minnesota does not require chart review or chart co-signing.

 

How often must an NP and collaborating physician meet in Minnesota?

 

No set cadence — Minnesota does not require scheduled meetings. The NP consults or collaborates with a physician or other provider as needed for patient care.

 

How long must collaboration records be kept in Minnesota?

 

Minnesota sets no recordkeeping or retention requirement for the collaboration.

Prescribing

Prescribing Rules

 

Minnesota NPs may prescribe, including controlled substances, and must comply with federal DEA requirements and file all of their DEA registrations and numbers with the Board. Minnesota’s materials do not set out a separate state controlled-substance registration or a schedule-by-schedule breakdown.

 

Source: Minn. Stat. § 148.235(7b)

 

Can an NP prescribe controlled substances in Minnesota?

 

Yes. Minnesota NPs may prescribe controlled substances in compliance with federal DEA requirements, and must file all of their DEA registrations and numbers with the Board.

 

Can an NP prescribe Schedule II drugs in Minnesota?

 

Yes, NPs in Minnesota may prescribe controlled substances in compliance with federal DEA requirements.

 

What schedule drugs can an NP prescribe in Minnesota?

 

NPs in Minnesota may prescribe Schedule II – V drugs in accordance with federal DEA requirements.

 

Does an NP need a DEA license in Minnesota?

 

Yes, for controlled substances. Minnesota explicitly requires NPs to comply with federal DEA requirements and to file all of their DEA registrations and numbers with the Board; no separate state controlled-substance registration is required.

 

Can an NP prescribe independently in Minnesota?

 

Yes. Minnesota does not require a collaborator to co-sign prescriptions, and after completing the 2,080-hour collaborative period the NP prescribes independently. During that period, the NP prescribes under their own authority within the collaborative agreement.

Specialty & Telehealth

Specialty & Telehealth Requirements

 

Minnesota sets no telehealth-specific collaboration requirements, and its one specialty-specific rule applies to CRNAs providing pain therapy (a prescribing agreement and verification form).

 

Source: Minn. Stat. § 148.211(1c)

 

Are there telehealth or telemedicine requirements for NPs in Minnesota?

 

No, Minnesota sets no telehealth-specific collaboration requirements.

 

Are there specialty-specific requirements for NPs in Minnesota?

 

One applies to CRNAs, not NPs generally — a CRNA providing pain therapy must have a prescribing agreement and submit a verification form. Minnesota sets no other specialty-specific collaboration requirements.

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