Page 14 - Part 2 Collaborating with Advanced Practice Providers - An Overview of State Rules

SVMIC Collaborating with Advanced Practice Providers

Remote Practice Site

State specific rules for oversight of APPs at a remote practice location

are as follows:

Alabama

If the CRNP is at a remote site without the physician’s presence, the
written protocol must clearly specify the circumstances and provide

written verification of the availability of an approved physician. The

supervising physician must be present with the CRNP, not less than 10%

of the CRNP’s scheduled hours, if the CRNP has less than two (2) years

(4,000 hours) of collaborative practice experience since initial
certification or in the collaborating physician’s practice specialty. For a

CRNP who has more than two (2) years (4,000 hours) of collaborative

practice experience, he or she and the supervising physician must meet

no less than quarterly and must visit each remote practice site not less

than twice annually. A pre-approved physician may be present in lieu of
the collaborating physician.

Arkansas

The supervising physician must be available for immediate telephone
contact.

Georgia
The delegating physician must document and maintain a record of

onsite observation and a review of medical records on a quarterly basis

to monitor the quality of care being provided to the patients.

Kentucky

Physician assistants may practice in separate locations as long as the

supervising physician is continuously available via telecommunication

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