21 NCAC 33 .0116             COLLABORATIVE PROVIDER AGREEMENT

(a)  A CNM with less than 24 months and 4,000 hours of practice as a CNM is required to have a written collaborative provider agreement to practice midwifery. The collaborative provider agreement shall:

(1)           be agreed upon, signed, and dated by both the collaborating provider and the CNM, and maintained in each provider site;

(2)           be reviewed by the CNM and collaborating provider at least annually, to ensure that the CNM and collaborating provider continue to practice under the terms of the agreement, and determine whether any changes to the agreement are necessary. This review shall be acknowledged by a dated signature sheet, signed by both the collaborating provider and the CNM, appended to the collaborative provider agreement, and available for inspection by the Committee;

(3)           include mutually agreed upon written clinical practice guidelines for the drugs, devices, medical treatments, tests, and procedures that may be prescribed, ordered, and performed by the CNM, which are within the scope of practice for the CNM pursuant to Rule .0112 of this Section; and

(4)           include a pre-determined plan for emergency services in accordance with G.S. 90-178.4(a2).

(b)  The collaborating provider and the CNM shall be available to each other as needed for consultation by in-person communication or telecommunication.

(c)  The CNM shall maintain copies of all collaborative provider agreements executed within the previous five years and make available to the Committee upon request.

History Note:        Authority G.S. 90-18.8; 90-178.3; 90-178.4; 90-178.5;

Temporary Adoption Eff. October 1, 2023;

Temporary Adoption Exp. Eff. July 12, 2024;

Eff. October 1, 2024.