ASBN - Collaborative Practice
Guidelines for Collaborative Practice Agreements
An Advanced Practice Registered Nurse (APRN) with Prescriptive Authority must have a current updated Collaborative Practice Agreement (CPA) on file with the Board of Nursing. APRNs should keep their original CPA and submit a copy (PDF) to the Arkansas State Board of Nursing (ASBN) through the Arkansas Nurse Portal message center. The APRN is responsible for ensuring this requirement is met. After review of any new CPA, the APRN will be contacted through the Nurse Portal that the CPA has been approved or it has been denied and the reason for the denial. You may NOT practice under a CPA until you receive an approval letter.
The APRN must notify the Board in writing within seven (7) days after the CPA is terminated. If the Board does not have a current CPA on file, the APRN’s Prescriptive Authority will be inactivated. When a new CPA has been approved by Board staff, Prescriptive Authority is reactivated.
The Collaborative Practice Agreement must meet the following criteria:
- Must be complete and legible.
- The collaborating physician must have a current AR license to practice under the Medical Practice Act, § 17-95-201. The collaborating physician must also have an unrestricted DEA registration number for APRNs who prescribe controlled substances.
- The collaborating physician must have training within the scope, specialty, or expertise of the APRN’s practice/specialty.
- Must include a statement that “APRN’s prescribing will be limited to the area of educational preparation and certification.”
- Provision addressing availability of the collaborating physician for consultation and/or referral.
- Method of management of the collaborative practice (include a statement regarding protocols for Prescriptive Authority)
- Plans for coverage of the health care needs of the patient in the emergency absence of the APRN or collaborating physician.
- Provision for quality assurance (attach a separate Quality Assurance Plan that has been signed by the APRN and the collaborating physician).
- Signatures with dates of both the APRN and the collaborating physician.
- If signatures are on a separate sheet from the agreement, a statement indicating that there is mutual agreement to the terms and conditions of the CPA must be included on the signature page (so that it is clear what the signature indicates).
- License numbers and certification specialties of both the APRN and the collaborating physician.
- Address and phone number of the APRN’s and physician’s practice site(s).
- The APRN and collaborative physician must both initial the requested category of controlled substances.
In order to be eligible for the prescribing waiver, the APRN must complete at least 24 hours of initial training which is offered through organizations such as American Association of Nurse Practitioners (www.aanp.org). Substance Abuse and Mental Health Services Administration (SAMHSA) offers a free eight hour Data-waiver course for treatment of opioid use disorder.
Upon completion of the training, the APRN must submit a copy of the CE, a new collaborative practice agreement (CPA) to the ASBN with language indicating you are requesting the DATA Waiver, and supply evidence that your collaborating physician also has a DATA waiver. The ASBN will notify the Drug Enforcement Administration (DEA) once the criteria is met and the DEA will then assign a special identification number to be included on all buprenorphine prescriptions for opioid dependency treatment. This is in addition to the APRN’s regular DEA number.
In order to qualify, the Arkansas APRN must:
- Have completed the 24 hours of required training,
- Hold prescriptive authority through the Arkansas State Board of Nursing,
- Have a collaborative practice agreement with a practicing physician who is licensed under the Arkansas Medical Practices Act and holds a Data 2000-waiver,
- Have a collaborative practice agreement with required language regarding the waiver;
- Hold an active, unrestricted DEA registration,
- Only prescribe to populations included in the APRN’s area of education and certification,
- Address medication assisted treatment for opioid use disorder in prescribing protocols.
ASBN will then forward to DEA the required documents indicating eligibility.
Submit a copy of the waiver to the Arkansas Nurse Portal message center – choose APRN prescriptive authority.
In summary, submit to the ASBN a copy of the 24 hours CE training, CPA with DATA Waiver language, Quality Assurance Plan, and evidence that your collaborating physician has obtained a DATA Waiver from the DEA. Be sure to add this to your prescriptive protocols. Once obtained, you must forward a copy of the DEA Certificate to the ASBN for your file.