PMHNP · Michigan
Supervision Agreement for Psychiatric Mental Health Nurse Practitioners in Michigan
Yes, a written supervising-physician agreement is required. Michigan does not name a specific instrument.
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`.
What the supervision must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
Available remotely (no on-site requirement)
Same standard as general NPs.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Annually
Same annual review requirement as general NPs (Mich. Admin. Code R 338.2411).
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.
Written agreement
Required
Same as general NP — unconditional delegation/collaborative practice agreement requirement.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry.
What a supervising physician costs here
Typical monthly cost in Michigan
$500 – $700
Estimate for one Psychiatric Mental Health Nurse Practitioner. This state's rules add a restrictive-tier premium.
About Michigan's rules
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.
Other clinicians in Michigan: see the state overview.