A summary of New York’s collaboration, agreement, filing, supervision, prescribing, and specialty rules for PAs and the physicians who collaborate with them.
Collaborating Physician Required? Yes
Physician Involvement: Low
Agreement Name: None
On-Site Requirements: None
Chart Review: No requirement
Controlled Substances: Allowed, Schedules II–V, once the PA is registered with the federal DEA. PAs must also register with the New York Department of Health to be issued official state prescription forms.
Reduced Supervision / Transition Requirements: None
New York PA Collaboration Requirements Summary
New York requires PAs to practice under a supervising physician, but physician involvement is light and there is no independent PA practice. The physician remains medically responsible for the PA’s care, yet New York sets no written agreement, no on-site or availability rule, and no chart-review or meeting requirement — the main ongoing duty is that the PA keeps records showing supervision exists. PAs cannot practice independently, and the state sets no hours- or years-based path to reduced supervision. This page covers New York’s rules on supervision, the collaborative agreement, board filing, ongoing compliance, prescribing, and specialty and telehealth requirements.
Source: N.Y. Comp. Codes R. & Regs. tit. 10, § 94.2
Type of Collaborative Relationship
New York requires PAs to practice under a supervising physician, but physician involvement is light — there is no written agreement, meeting, or availability requirement. There is no route to independent practice and no hours-based path to reduced supervision. The supervising physician remains medically responsible for the PA’s services.
Source: N.Y. Comp. Codes R. & Regs. tit. 10, § 94.2(c), (d)
What is a PA’s scope of practice in New York?
A PA’s scope of practice in New York is the medical services performed under the direction of a supervising physician, who remains medically responsible for that care. New York does not require a separate written scope document; the PA works within the physician’s direction.
Do PAs need a collaborating physician in New York?
Yes. Every PA in New York must practice under a supervising physician; there is no independent practice.
Can PAs practice independently in New York?
No. New York requires a supervising physician who remains medically responsible for the PA’s services; there is no independent practice option for PAs.
How many PAs can a physician collaborate with in New York?
In private practice, a physician may supervise up to four PAs (plus up to two registered specialist assistants). In a hospital, correctional facility, or facility licensed under Public Health Law Article 28, the limit rises to six.
Who can be a collaborating physician in New York?
A supervising physician must be licensed to practice medicine in New York.
Are there proximity or in-person requirements in New York?
No. New York sets no on-site, proximity, geographic, or travel requirement for supervision.
Collaboration Agreement Requirements
New York does not require a written collaborative agreement between a PA and a supervising physician. There is no state template, no required content, no signature requirement, and no review schedule — the relationship runs on physician supervision rather than a formal written agreement.
Source: N.Y. Comp. Codes R. & Regs. tit. 10, § 94.2
What must be included in a PA collaborative agreement in New York?
New York does not require a written collaborative agreement, so it sets no required content. The PA practices under physician supervision without a state-mandated written agreement.
What is the collaborative agreement called in New York?
New York has no named collaborative agreement, because it does not require one.
Who has to sign the collaborative agreement in New York?
No signature is required, because New York does not mandate a written collaborative agreement.
How often must the agreement be reviewed or renewed in New York?
New York sets no review or renewal requirement, because there is no required written agreement.
Is a backup physician required in New York?
No, New York does not require a backup physician.
Board Filing Requirements
New York does not require any collaborative agreement or supervision arrangement to be filed with the state. Physicians are not required to notify the State Education Department which PAs they supervise, and there are no additional documents, recurring filings, or termination notices.
Source: N.Y. Comp. Codes R. & Regs. tit. 10, § 94.2
Do you have to file the collaborative agreement with the board in New York?
No. New York does not require any collaborative agreement to be filed, and physicians need not notify the State Education Department which PAs they supervise.
Can a PA start practicing as soon as they file in New York?
There is no filing step in New York, so this does not apply. A licensed PA practices under a supervising physician without filing an agreement.
What are the termination and notice requirements in New York?
New York requires no termination or notice filing when a supervision arrangement ends.
Collaboration Compliance
New York’s ongoing compliance is light: there is no required meeting cadence, availability standard, chart review, or co-signature. The one standing duty is that the PA must keep records showing that continuous physician supervision exists.
Source: N.Y. Comp. Codes R. & Regs. tit. 10, § 94.2(a)
How many charts must a collaborating physician review in New York?
New York sets no chart-review requirement and does not require a physician to review or co-sign the PA’s charts.
How often must a PA and collaborating physician meet in New York?
New York sets no meeting cadence or availability requirement.
How long must collaboration records be kept in New York?
New York does not set a fixed retention period, but the PA must keep records documenting that continuous physician supervision exists.
Prescribing Rules
PAs in New York may prescribe drugs, including controlled substances in Schedules II through V, once registered with the federal DEA. PAs must also register with the New York Department of Health to be issued official state prescription forms. Prescribing is done under a supervising physician who remains medically responsible.
Source: N.Y. Comp. Codes R. & Regs. tit. 10, § 94.2(e)
Can a PA prescribe controlled substances in New York?
Yes. Once registered with the federal DEA, a PA may prescribe controlled substances in Schedules II through V.
Can a PA prescribe Schedule II drugs in New York?
Yes. New York PAs may prescribe Schedule II controlled substances once registered with the DEA.
What schedule drugs can a PA prescribe in New York?
PAs may prescribe controlled substances in Schedules II, III, IV, and V, along with non-controlled drugs, once registered with the DEA.
Does a PA need a DEA license in New York?
Yes, a PA needs a federal DEA registration to prescribe controlled substances. New York does not add a separate state controlled-substance registration, but a PA must register with the New York Department of Health to be issued official state prescription forms.
Can a PA prescribe independently (without physician sign-off) in New York?
No. A PA prescribes under a supervising physician who remains medically responsible for the PA’s care, so prescribing is not independent.
Specialty & Telehealth Requirements
New York sets no telehealth-specific requirement for PAs, but it does have specialty rules for registered specialist assistants. Those specialist categories carry a tighter supervision limit than general PAs.
Source: N.Y. Comp. Codes R. & Regs. tit. 10, § 94.2(g)
Are there telehealth or telemedicine requirements for PAs in New York?
No, New York sets no specific telehealth or telemedicine requirement for PAs.
Are there specialty-specific requirements for PAs in New York?
Yes. New York recognizes registered specialist assistants — in orthopedics, urology, acupuncture, and radiology — and a physician may supervise no more than two of them at a time, a tighter limit than for general PAs.
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