Psychiatric Mental Health Nurse Practitioner Cheat Sheet for Missouri
Requirements for Supervising Physician agreements in Missouri, plus a free agreement builder tailored to Missouri law.
Provider supervision requirements in Missouri
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.
PA/APRN collaboration is governed by nearly-identical §§ 334.104/334.735: a 6-FTE combined ratio cap, 10%/20% chart-review every 14 days, biweekly physician presence, and a 120-hour controlled-substance Rx cap. A pre-2024 numeric 75-mile proximity rule was reportedly rescinded by both boards — current text uses an undefined 'geographic proximity' standard; verify with counsel before relying on any specific mileage figure.
Psychiatric Mental Health Nurse Practitioner
PMHNP is not a distinct statutory category — Missouri's unified APRN license (§ 335.016) and § 334.104 collaborative-practice framework treat 'Certified Nurse Practitioner' as one category regardless of national-certification specialty. All rules are identical to the general `np` entry above.
Proximity
Available remotely (no on-site requirement)
Same undefined 'geographic proximity' standard as general NP (§ 334.104).Chart review
10% of charts · As needed (every 14 days)
Same 10%/20% structure as general NP.Prescriptive authority
Separate prescribing terms required · controlled substances permitted
Same Schedule III-V/hydrocodone framework as general NP. The collaborating physician must be 'actively engaged in a practice comparable in scope, specialty, or expertise' for controlled-substance delegation — in practice this likely means a PMHNP's collaborating physician needs psychiatric experience, though this is a general statutory requirement, not a PMHNP-specific statute.Practice ownership (CPOM)
Licensee-only ownership required — Same as the general `np` entry — no PMHNP-specific ownership rule found.
Supervision ratio
Up to 6 at a time (combined cap across provider types)
Same 6-FTE combined cap as general NP/PA.Meeting cadence
As needed
Same biweekly-presence standard as general NP.Written agreement
Required
$800–$1,200/mo
Estimated PMHNP supervision cost in Missouri
Available Supervising Physicians in Missouri
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