Wyoming PA Collaboration Requirements Summary

Wyoming does not require a collaborating physician for a fully licensed PA. Supervision applies only to PAs practicing on a temporary license who have not yet passed an approved national certifying examination, and it ends automatically once the PA passes that exam. While supervision is in place, it is a formal, Board-approved arrangement: the supervising physician (or an experienced supervising PA) files a supervision plan, the Board must approve it before the PA works, and the supervisor accepts full responsibility for the PA’s professional actions. This page covers Wyoming’s rules on collaboration, the supervision agreement, board filing, ongoing compliance, prescribing, and specialty and telehealth requirements.

Source: Wyo. Stat. 33-26-504(c)

Type of Collaborative Relationship

Wyoming PAs practice independently once fully licensed, with supervision required only during the temporary-license period before a PA passes an approved national certifying examination. During that period the supervisor must be approved by the Board in advance and takes full responsibility for the PA’s professional actions. The transition is automatic — there is no hour or year threshold, only the exam.

Source: Wyo. Stat. 33-26-504(c)

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

For a PA who requires supervision, the scope is set by the Board-approved supervision plan. That plan gives a detailed description of the medical practice and the PA’s duties within the supervisor’s scope of practice. Wyoming’s master rules do not set out a separate scope-of-practice list for fully licensed PAs.

Do PAs need a collaborating physician in Wyoming?

Only PAs on a temporary license who have not passed an approved national certifying examination. A fully licensed PA does not need a collaborating physician.

Can PAs practice independently in Wyoming?

Yes, once fully licensed. A PA who has passed the NCCPA or another approved national certifying examination practices without a supervising physician, and any Board-approved supervision agreement is deemed terminated at that point.

How many PAs can a physician collaborate with in Wyoming?

Wyoming sets no limit. There is no cap on the number of PAs a physician or supervising PA may supervise.

Who can be a collaborating physician in Wyoming?

A Wyoming-licensed physician approved by the Board, or a PA with at least five years of licensed experience who is approved by the Board. Wyoming is unusual in allowing an experienced PA to serve as the supervisor. Approval must come before the supervised PA begins practicing.

Are there proximity or in-person requirements in Wyoming?

No — Wyoming sets no proximity, travel, or in-person requirement. The supervision plan must state the method of supervision the supervisor will use, which may be in person, by phone, or by video, but the state does not mandate any particular one.

Collaboration Agreement Requirements

Wyoming’s written agreement is a supervision plan submitted on a Board-provided form as part of the Physician Assistant Supervisor Application. It must identify the supervisor and describe both the PA’s duties and how supervision will happen. The supervising physician or supervising PA signs it, a backup supervisor is required, and there is no on-site storage requirement or fixed review schedule.

Source: Wyo. Admin. Code 052.00001.5(6)(c)

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

The agreement must include the supervisor’s name, degree, license number, medical specialty if any, and practice address and telephone number. It must also give a detailed description of the medical practice and the PA’s duties, and state the method or methods of supervision that will be used.

What is the collaborative agreement called in Wyoming?

It is called a supervision plan, submitted as a supervising agreement on the Board’s Physician Assistant Supervisor Application.

Who has to sign the collaborative agreement in Wyoming?

The supervising physician or supervising PA signs. The Board’s application form does not require the supervised PA’s signature.

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

Wyoming sets no fixed review or renewal schedule. A revised supervision plan must be submitted to the Board for approval before the parties change a plan the Board has already approved.

Is a backup physician required in Wyoming?

Yes, a backup supervisor is required as part of the Board’s supervisor application.

Board Filing Requirements

Wyoming requires the supervising physician or supervising PA to file the supervision plan with the Board, and the PA may not work under that supervision until the Board approves it. Filing is repeated whenever the supervisor changes or the plan is amended. Notice of any change in practice location or supervisory status is due within 30 days.

Source: Wyo. Admin. Code 052.00001.5(8)(e-g)

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

Yes. The supervising physician or supervising PA submits the supervision plan as part of the Board’s supervisor application. No additional documents are required to be filed.

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

No — Board approval is required first. A PA is prohibited from working under a supervisor’s supervision without approval, and the Board indicates approval generally takes about 10 business days.

What are the termination and notice requirements in Wyoming?

The supervisor must notify the Board of any change in the PA’s practice location or supervisory status within 30 days of the effective date. Separately, a Board-approved supervision agreement is deemed terminated once the PA passes the NCCPA or another approved national certifying examination. A new filing is required if the PA changes supervisors, changes job situations or locations, or leaves the state and returns.

Collaboration Compliance

Wyoming’s only ongoing compliance obligation is recordkeeping: the supervisor and the supervised PA must keep documentation showing they are complying with the supervision plan. The state sets no meeting cadence, no availability standard, no chart review requirement, no chart co-signature requirement, and no extra oversight for controlled substances.

Source: Wyo. Admin. Code 052.00001.5(20)(d)

How many charts must a collaborating physician review in Wyoming?

None — Wyoming sets no chart review requirement. There is also no requirement for the supervisor to co-sign the PA’s charts.

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

Wyoming sets no meeting requirement. There is no required meeting cadence and no availability standard, though the supervision plan itself must describe the method of supervision that will be used.

How long must collaboration records be kept in Wyoming?

Wyoming sets no retention period. The supervisor and the PA must maintain documentation demonstrating compliance with the supervision plan, but the rules do not state how long it must be kept.

Prescribing Rules

Wyoming adds no PA-specific prescribing requirements. The state sets no additional conditions on prescriptive authority, no additional conditions on controlled-substance prescriptive authority, no state controlled-substance registration, and no prescription pad requirements. Federal DEA rules still govern controlled-substance prescribing.

Can a PA prescribe controlled substances in Wyoming?

Wyoming imposes no additional state requirements on PA controlled-substance prescribing. There is no state credential, no extra approval step, and no heightened oversight tied to controlled substances.

Can a PA prescribe Schedule II drugs in Wyoming?

Wyoming sets no schedule-specific restriction on PA prescribing. The state’s PA rules do not single out Schedule II or impose limits on it.

What schedule drugs can a PA prescribe in Wyoming?

Wyoming does not set schedule-by-schedule limits, quantity limits, or day-supply limits on PA prescribing. Prescribing is governed by federal DEA rules rather than added state restrictions.

Does a PA need a DEA license in Wyoming?

Wyoming does not require a separate state controlled-substance registration. Federal DEA registration requirements still apply to anyone prescribing controlled substances.

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

Yes. Wyoming requires no physician co-signature, formulary approval, or consultation before a PA prescribes.

Specialty & Telehealth Requirements

Wyoming’s master PA rules do not set out telehealth-specific or specialty-specific requirements for PAs. The state’s general supervision, agreement, filing, and compliance rules apply the same way across practice settings and specialties. Note that the supervision plan may name video or telephone as the method of supervision, which is a supervision method rather than a telehealth practice rule.

Source: Wyo. Admin. Code 052.00001.5(6)(c)

Are there telehealth or telemedicine requirements for PAs in Wyoming?

Wyoming’s PA rules do not set out telehealth or telemedicine requirements for PAs. The general supervision and agreement rules apply.

Are there specialty-specific requirements for PAs in Wyoming?

Wyoming’s PA rules do not set out specialty-specific requirements. The same supervision, agreement, filing, and compliance rules apply across specialties.