Nurse Practitioner Collaborative Agreement Michigan

A practice agreement is required between the medical assistant and the doctor. The statute defines the criteria set out in the agreement. Me. Comp. Laws 333.17047 The biggest challenge in this struggle is to understand to physician groups that we are not competing with them; As PN, we are members of a health team, which includes our fellow physicians and other health care professionals that the patient may need. As a team, we must work together to improve the health of our patients. On May 1, 2019, the Medical Services Administration of the Michigan Department of Health and Human Services (“MDHHS”), which manages the Michigan Medicaid program, issued MSA 19-10 (the “Bulletin”), which contains new general information on the registration, billing and reimbursement of a clinical nurse (“CNS”). CNS is a relatively new category of special certifications available to a registered nurse (“RN”) in Michigan (click here to access MSA 19-10). The registration and coverage rules of the CNS Medicaid essentially reflect those that apply to a nurse practitioner (“NP”), a long-standing specialized certification for RNA in Michigan. NPNs, NSC members and certified specialized nurses (“CNMs”) fall into the Category of Advanced Practice Registered Nurse or APRN, which have an expanded scope of independent practice as a result of recent changes to the Michigan Public Health Code (“Code”).

There are many people who oppose the extension of full practice for NPs. Physician organizations are probably the loudest. I think WADA has an official position on its website. All that matters is the political atmosphere in the state of Michigan, which actually has the ears of legislators. Most evidence indicates that nurses provide safe care, particularly experienced NPNs; I have a colleague from Columbia named Lusine Poghosyan, who studies nurse Napraktiker`s work environments, and one thing she saw was that the PNn reported that their doctors [supervisors] were going to be more supervised first, but then they would develop a good working relationship, and the NP would feel essentially independent. Experienced NPPs — those who have been in practice for a long time — are very capable of working independently, but the question is really what to do with new graduates. I think it is a lobbying campaign and a political compromise. Personally, I think it might be politically useful to be prepared to have a supervisory phase before a full range of exercises occur. For example, New York State allows the entire practice, but only after a certain number of hours of supervised care. It seems to be a nice compromise. Another thing to think about is the residency programs for nurse practitioners. A lot of people don`t know much about them.

I have a document that we hope will be published soon to help people understand what they are offering. This is an important reflection: after a residency or another phase of training, can we implement the full practice that will allow people to feel comfortable, that the new graduates are ready to be independent? Comprehensive practical authority in the state of Michigan would not only improve access to care for the state`s citizens, but would also allow all nurses to ensure the quality of care patients expect and deserve.