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New CPA regulations to go into effect 08-28-08

August 26, 2008

CPA Requirements 
SB 724 also imposes requirements on all CPAs involving 
APRNs; 
not just those with controlled substance prescriptive 
authority. By 
August 28, 2008, all CPAs involving APRNs should be modifi 
ed to 
include the following: 
1. Complete names, home and business addresses, zip codes, 
and telephone 
numbers of the collaborating physician and the APRN; 
2. A list of all other offi ces or locations besides those 
listed in where the 
collaborating physician authorizes the APRN to prescribe; 
3. A required posting at every offi ce where the APRN is 
authorized 
to prescribe and a prominently displayed disclosure 
statement 
informing patients that they may be seen by an APRN and 
have 
the right to see the collaborating physician; 
4. All specialty or board certifi cations of the 
collaborating physician 
and all certifi cations of the APRN; 
5. Th e manner of collaboration between the collaborating 
physician 
and the APRN, including how they will: 
(a) Engage in collaborative practice consistent with each 
professional’s skill, training, education, and competence; 
(b) Maintain geographic proximity; and 
(c) Provide coverage during absence, incapacity, infi 
rmity, or 
emergency by the collaborating physician; 
6. A list of all other written practice agreements of the 
collaborating 
physician and the APRN; 
7. The duration of the written practice agreement between 
the 
collaborating physician and the APRN; and 
8. A description of the time and manner of the 
collaborating 
physician’s review of the APRN’s prescribing practices. Th 
 
description must include provisions that the APRN shall 
submit 
documentation of the APRN’s prescribing practices to the 
collaborating physician within fourteen days. Th e 
documentation 
must include, but not be limited to, a random sample review 
by 
the collaborating physician of at least twenty percent of 
the charts 
and medications prescribed by the APRN. 
 
Missouri Nurse, 
Edition 1, 2008