PMHNP · Vermont
Supervision Agreement for Psychiatric Mental Health Nurse Practitioners in Vermont
Yes, a written supervising-physician agreement is required. Vermont does not name a specific instrument.
Vermont's Board of Nursing rules list clinical nurse specialists in psychiatric-mental-health nursing as one of the four APRN roles sharing the identical § 1614 transition-to-practice threshold as general NPs — no separate PMHNP-specific rule was found.
Independent practice requires: ≥2 years and ≥2,400 hours of practice under a collaborative agreement (≥1,600 hours over ≥12 months if adding a second APRN certification).
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
below the 2,400-hour/2-year transition-to-practice threshold: Available remotely (no on-site requirement)
Same standard as general NPs — no codified mile/minute radius; collaborating provider may be a physician or another qualified APRN of the same role/population focus.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
Same statutory framework as general NPs — no PMHNP-specific schedule restriction found. Psychiatric prescribing in practice skews toward Schedule II stimulants and Schedule IV benzodiazepines/hypnotics more heavily than general NP practice — reflected in calculatorWeights, not a different legal limit.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — Professional Corporation under 11 V.S.A. ch. 4; Vermont's statute doesn't distinguish PMHNPs from other APRN population foci for ownership purposes.
Legal sources for these rules (2)
What a supervising physician costs here
Typical monthly cost in Vermont
$500 – $600
Estimate for one Psychiatric Mental Health Nurse Practitioner. Standard-tier state.
About Vermont's rules
H.583 (signed June 15, 2026, eff. July 1, 2026) newly restricts private-equity/hedge-fund control and requires majority physician ownership/governance of medical practices — a major shift from Vermont's historically permissive, no-common-law-CPOM stance. All 4 APRN roles (NP, CRNA, CNM, CNS/PMHNP) share one 2,400-hour/2-year transition-to-practice threshold (26 V.S.A. § 1614) — treat as newly in effect and monitor implementing guidance.
Other clinicians in Vermont: see the state overview.