Supervising Physician Cheat Sheet for Michigan
Requirements for Supervising Physician agreements in Michigan, plus a free agreement builder tailored to Michigan law.
Provider supervision requirements in Michigan
Updated 2026-09-03
Provided for educational and research purposes only — this is not legal advice. Laws and regulations change frequently, and this content may contain errors or omissions. Always confirm current requirements with a licensed attorney before relying on this for compliance decisions.
Michigan has no independent-practice pathway for NPs, CNMs, CNSs, or PAs — specialty certification alone never grants autonomous practice, and delegated authority is renewable/revocable rather than a one-time threshold. CRNAs may deliver anesthesia care independently within the perioperative period but must still maintain a collaborating physician/dentist/podiatrist relationship. A PA-only PLLC has been prohibited since 2010.
Physician Assistant
No independent-practice or experience-based autonomy pathway exists for PAs in Michigan — a written practice agreement with a participating physician is required for as long as the PA practices (MCL 333.17047-333.17048).
Proximity
Available remotely (no on-site requirement)
Michigan's statutory 'supervision' standard (as applied to delegated practitioners generally) requires continuous availability of direct communication and regularly scheduled record review/consultation — no on-site or fixed mile/minute radius is codified for PAs.Chart review
Not codified — left to the practice agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
The practice agreement must define delegated duties, excluding any task the PA or physician is not qualified to perform. The Board of Medicine may prohibit or restrict delegation of, or require higher supervision for, services that pose serious risk or require extensive training. Requires DEA registration; schedule-level limits are not spelled out.Practice ownership (CPOM)
Licensee-only ownership required — Professional Service Corporation or Professional LLC — a PA who is a shareholder/member must disclose whether any physicians (MD/DO/DPM) are also shareholders/members. Since July 19, 2010, PAs may NOT organize a PLLC with only PAs as members — some physician/podiatrist involvement in ownership is required (MCL 333.17048).
This ownership question is legally distinct from the clinical practice agreement above.Supervision ratio
Up to 4 at a time
A physician who is a sole practitioner, or who practices in a group and treats patients on an outpatient basis, may not supervise more than 4 PAs at one time (MCL 333.17048). The statute does not extend this cap to hospital-based settings the way the outpatient text is worded — confirm applicability before assuming it's universal.Meeting cadence
Not codified — left to the practice agreement
Written agreement
Required
$600–$900/mo
Estimated PA supervision cost in Michigan
Available Supervising Physicians in Michigan
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