PA · Idaho

Collaborative Drug Therapy Management for Physician Assistants in Idaho

Yes, a written agreement with a physician is required before you prescribe and adjust drug therapy. Idaho calls it a Supervisory Practice Agreement.

Practice authoritySupervision required
Written agreementAgreement required
What Idaho calls itSupervisory Practice Agreement
Agreement familySupervising Physician
Research date2026-09-03 · clauses 2026-09-03

No independent-practice pathway exists for PAs in Idaho — a written collaborative practice agreement with one or more physicians is required for as long as the PA practices (Idaho Code § 54-1807A).

What the physician relationship 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)

The degree and nature of collaboration is set by the facility/practice in facility bylaws or a written collaborative practice agreement — no fixed mile/minute radius or on-site requirement is codified (Idaho Code § 54-1807A).

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

Separate prescribing terms required · controlled substances permitted

Prescriptive scope is addressed in the collaborative practice agreement or facility bylaws; Idaho statute does not state a PA-specific schedule limit.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — Following the Idaho Board of Medicine's March 2016 disavowal of corporate-practice-of-medicine enforcement, a PA may generally hold equity in a standard LLC/corporation alongside physicians, NPs, or even non-licensees, so long as licensed professionals actually deliver the care through employment/contract with the entity.

Sources for the supervision rules (2)
The document: Supervisory Practice Agreement
What an Idaho Supervisory Practice Agreement must contain, who governs it and who signs: read the Supervisory Practice Agreement page on practiceagreement.com.

What a collaborating physician costs here

Typical monthly cost in Idaho

$500$700

Estimate for one Physician Assistant. Standard-tier state.

About Idaho's rules

Idaho APRNs (NP, CRNA, CNM, CNS) have full independent practice authority. The Idaho Board of Medicine formally disavowed corporate-practice-of-medicine enforcement in March 2016, so physicians, NPs, PAs and non-licensees may generally co-own a standard business entity as long as licensed professionals deliver the care.

Other clinicians in Idaho: see the state overview.

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