A summary of Montana’s collaboration, agreement, filing, supervision, prescribing, and specialty rules for NPs and the physicians who collaborate with them.
Collaborating Physician Required? No
Agreement Name: N/A
On-Site Requirements: N/A
Chart Review: N/A
Controlled Substances: N/A
Montana NP Collaboration Requirements Summary
Nurse practitioners in Montana are not required to have a collaborating physician.
Montana grants NPs full practice authority: they may evaluate patients, diagnose, order and interpret tests, and start and manage treatment under their own license with no collaborative agreement, no board filing rules, and no physician supervision.
Because Montana sets no collaboration requirement, there is no agreement to write or sign, and no ongoing chart review or oversight obligations tied to a physician.
Type of Collaborative Relationship
Montana does not require nurse practitioners to work with a collaborating physician. NPs have full practice authority and may evaluate, diagnose, order and interpret tests, and manage treatment under their own license. There is no supervising or collaborating physician, no oversight ratio, and no proximity requirement.
What is an NP’s scope of practice in Montana?
Montana nurse practitioners have full practice authority. They can evaluate patients, diagnose, order and interpret tests, and start and manage treatment under their own license, without physician oversight.
Do NPs need a collaborating physician in Montana?
No. Montana does not require NPs to have a collaborating physician.
Can NPs practice independently in Montana?
Yes. Montana grants NPs full practice authority, so they may practice without a collaborating or supervising physician.
How many NPs can a physician supervise in Montana?
Not applicable. Montana does not require physician supervision of NPs, so there is no supervision ratio.
Who can be a collaborating physician in Montana?
Not applicable. Montana does not require a collaborating physician, so there are no physician qualifications to meet.
Are there proximity or in-person requirements in Montana?
No. Because Montana does not require a collaborating or supervising physician, there are no proximity, distance, or in-person presence requirements.
Collaboration Agreement Requirements
Montana does not require a written collaborative agreement for NPs. Because no agreement exists, there is no required content, no signatures, no renewal cycle, and no backup-physician requirement.
What must be included in an NP collaborative agreement in Montana?
Not applicable. Montana does not require a collaborative agreement, so there is no required content.
What is the collaborative agreement called in Montana?
Not applicable. Montana does not use or require a collaborative agreement for NPs.
Who has to sign the collaborative agreement in Montana?
Not applicable. No collaborative agreement is required, so no signatures are required.
How often must the agreement be reviewed or renewed in Montana?
Not applicable. No collaborative agreement is required, so there is nothing to review or renew.
Is a backup physician required in Montana?
No. Montana does not require a backup or covering physician.
Board Filing Requirements
Montana does not require NPs to file a collaborative agreement or any physician-linked documentation to practice. An NP with an active Montana license may practice on their own authority.
Do you have to file the collaborative agreement with the board in Montana?
No. Montana does not require a collaborative agreement, so there is nothing to file.
Can an NP start practicing as soon as they file in Montana?
Yes. There is no physician-related filing to complete first — an NP with an active Montana NP license may begin practicing on their own authority.
What are the termination and notice requirements in Montana?
Not applicable. Because there is no collaborative relationship to end, Montana sets no termination or notice requirements tied to a collaborating physician.
Collaboration Compliance
Montana imposes no ongoing physician-oversight obligations on NPs — no required meetings, no chart review, and no collaboration recordkeeping.
How many charts must a collaborating physician review in Montana?
None. Montana does not require physician chart review of NP care.
How often must an NP and collaborating physician meet in Montana?
Not applicable. Montana does not require meetings between an NP and a physician.
How long must collaboration records be kept in Montana?
Not applicable. Because no collaboration is required, Montana sets no collaboration-record retention requirement.
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