Psychiatric Mental Health Nurse Practitioner 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.

Psychiatric Mental Health Nurse Practitioner

Supervision required

Michigan's Public Health Code does not carve out a separate framework for psychiatric-mental-health NPs — PMHNPs follow the same delegation-based regime as any other NP specialty certification (MCL 333.17201). This entry exists for its own page/URL/calculator weight, not a legal distinction from `np`.


Proximity

Available remotely (no on-site requirement)

Same standard as general NPs.

Chart review

Not codified — left to the practice agreement

Prescriptive authority

Separate prescribing terms required · controlled substances permitted

Same statutory framework as general NPs (Mich. Admin. Code R 338.2411) — PMHNP prescribing in practice skews toward Schedule II stimulants and Schedule IV benzodiazepines/hypnotics more heavily than general primary-care NP prescribing, reflected in calculatorWeights below.

Practice ownership (CPOM)

Licensee-only ownership required — Same as the general `np` entry.

Supervision ratio

Not codified — left to the practice agreement

Meeting cadence

Annually

Same annual review requirement as general NPs (Mich. Admin. Code R 338.2411).

Written agreement

Required

Same as general NP — unconditional delegation/collaborative practice agreement requirement.

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Estimated PMHNP supervision cost in Michigan

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