Explanation

In reduced practice authority states, the collaborative agreement between the PMHNP and a physician is a legal requirement for the PMHNP to practice and prescribe. This is not a formality — it is a prerequisite for the PMHNP's practice authority. When the collaborating physician retires, dies, or otherwise becomes unavailable, the collaborative agreement is no longer valid, and the PMHNP may lose legal authority to practice and prescribe. The PMHNP should urgently establish a new collaborative agreement and consult the state board of nursing regarding any grace period or interim provisions that may allow limited continuation of practice while a new agreement is being established.

Key Takeaway

In reduced or restricted practice states, the collaborative agreement is a legal requirement.