COMAR 10.32.03.06. Collaboration Agreements—Core Duties

A. Before a physician assistant may perform medical acts, the physician assistant shall:

(1) Execute a collaboration agreement between the physician assistant and one or more patient care team physicians;

(2) Notify the Board in a manner approved by the Board of the executed collaboration agreement; and

(3) Maintain a copy of the executed collaboration agreement on file at the physician assistant’s primary practice location.

B. Collaboration Agreement Requirements.

(1) A collaboration agreement may only consist of one physician assistant and one or more patient care team physicians practicing at the same facility.

(2) A physician assistant shall have a separate collaboration agreement for each of the physician assistant’s employers.

(3) The physician assistant has the affirmative obligation to retain the collaboration agreement and all of the documentation pertaining to the collaboration agreement for 5 years after termination of the collaboration agreement for Board inspection.

C. Contents.

(1) The collaboration agreement shall include, at minimum:

(a) Each patient care team physician’s name and Maryland license number;

(b) A description of each patient care team physician’s qualifications to collaborate with a physician assistant;

(c) The practice specialty of each listed patient care team physician;

(d) The physician assistant’s name and Maryland license number;

(e) The primary location and settings where the physician assistant will practice;

(f) The employer of the physician assistant;

(g) A description of the settings where the physician assistant will practice;

(h) Any delegation of prescriptive authority and, if applicable, dispensing according to Regulation .08 of this chapter ; and

(i) Any other information deemed necessary by the Board to carry out the provisions of Health Occupations Article, Title 15, Annotated Code of Maryland .

(2) The collaboration agreement may include a description of any provisions established by the listed patient care team physicians that:

on of prescriptive authority and, if applicable, dispensing according to Regulation .08 of this chapter ; and

(i) Any other information deemed necessary by the Board to carry out the provisions of Health Occupations Article, Title 15, Annotated Code of Maryland .

(2) The collaboration agreement may include a description of any provisions established by the listed patient care team physicians that:

(a) Detail the practice of the physician assistant;

(b) Limit the physician assistant's scope of practice; or

(c) Specify office procedures.

D. The physician assistant shall attest that:

(1) All medical acts performed by the physician assistant shall be:

(a) Appropriate to the education, training, and experience of the physician assistant;

(b) Customary to the practice of a patient care team physician listed on the collaboration agreement; and

(c) Performed in a manner consistent with the collaboration agreement; and

(2) Any performance of an advanced duty in collaboration with a patient care team physician shall be in accordance with Health Occupations Article, §15-302 .1, Annotated Code of Maryland.

E. Each collaborating physician shall document their official acknowledgment of their understanding and status as a listed patient care team physician on the collaboration agreement with the physician assistant.

Cross References 10.32.03.16C