<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.32.03.06" title_num="10" subtitle_num="32" chapter_num="03" heading="Collaboration Agreements—Core Duties.">
  <paragraph num="A.">
    <text>Before a physician assistant may perform medical acts, the physician assistant shall:</text>
    <paragraph num="(1)">
      <text>Execute a collaboration agreement between the physician assistant and one or more patient care team physicians;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Notify the Board in a manner approved by the Board of the executed collaboration agreement; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Maintain a copy of the executed collaboration agreement on file at the physician assistant’s primary practice location.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Collaboration Agreement Requirements.</text>
    <paragraph num="(1)">
      <text>A collaboration agreement may only consist of one physician assistant and one or more patient care team physicians practicing at the same facility.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A physician assistant shall have a separate collaboration agreement for each of the physician assistant’s employers.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>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.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Contents.</text>
    <paragraph num="(1)">
      <text>The collaboration agreement shall include, at minimum:</text>
      <paragraph num="(a)">
        <text>Each patient care team physician’s name and Maryland license number;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A description of each patient care team physician’s qualifications to collaborate with a physician assistant;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The practice specialty of each listed patient care team physician;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The physician assistant’s name and Maryland license number;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The primary location and settings where the physician assistant will practice;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The employer of the physician assistant;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>A description of the settings where the physician assistant will practice;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Any delegation of prescriptive authority and, if applicable, dispensing according to Regulation .08 of this chapter; and</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Any other information deemed necessary by the Board to carry out the provisions of Health Occupations Article, Title 15, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The collaboration agreement may include a description of any provisions established by the listed patient care team physicians that:</text>
      <paragraph num="(a)">
        <text>Detail the practice of the physician assistant;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Limit the physician assistant's scope of practice; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Specify office procedures.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The physician assistant shall attest that:</text>
    <paragraph num="(1)">
      <text>All medical acts performed by the physician assistant shall be:</text>
      <paragraph num="(a)">
        <text>Appropriate to the education, training, and experience of the physician assistant;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Customary to the practice of a patient care team physician listed on the collaboration agreement; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Performed in a manner consistent with the collaboration agreement; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>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.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>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.</text>
  </paragraph>
</regulation>