Michigan
PMHNP Practice Requirements In Michigan: Scope, Prescribing & Collaboration
Short answer: AANP lists Michigan as restricted practice, so a PMHNP may prescribe nonscheduled drugs independently but may prescribe Schedule 2 through 5 controlled substances only as a delegated act of a physician, with both names and both DEA numbers on every controlled substance prescription (MCL 333.17211a). That delegation lasts the whole career, and a MAPS report is required before prescribing more than a 3 day supply of any controlled substance (MCL 333.7303a(4)).
Michigan PMHNP Rules At A Glance
| Topic | Michigan Rule |
|---|---|
| Practice authority | Restricted practice. A nurse practitioner holds a specialty certification from the Board of Nursing (MCL 333.17210(1)(c)) and may independently prescribe a nonscheduled prescription drug (MCL 333.17211a(1)(a)), but controlled substances require physician delegation. |
| Physician agreement | Physician delegation for controlled substances. Schedules 2 through 5 may be prescribed only as a delegated act of a physician, with the APRN’s and the physician’s names and DEA registration numbers on the prescription (MCL 333.17211a(1)(b), (2)). |
| Physician limit | No NP to physician ratio appears in the sections governing NP prescribing or delegation (MCL 333.17211a, 333.17212, 333.16215). Delegation runs under the general rule that delegated acts fall within the physician’s scope and are performed under supervision (MCL 333.16215(1)). |
| Controlled substances | Schedules 2 through 5 only under delegation; nonscheduled drugs and complimentary starter doses without delegation (MCL 333.17211a; 333.17212(2)). Michigan has no hours based path to prescribing controlled substances on your own. |
| PDMP | Register with MAPS before prescribing any controlled substance, and obtain and review a MAPS report before prescribing more than a 3 day supply (MCL 333.7303a(4), (5)). Hospital, freestanding surgical facility, and hospice exceptions apply. |
| Regulator | Michigan Board of Nursing within the Department of Licensing and Regulatory Affairs (michigan.gov/lara). Prescribing and delegation rules sit in the Public Health Code, Part 172, with MAPS in Article 7. |
Updated October 5, 2026
Practice Authority
Michigan Practice-Authority Category (Restricted Practice)
Verified against AANP on September 26, 2026. Earlier versions of this page listed Michigan as reduced practice.
The American Association of Nurse Practitioners (AANP) classifies Michigan as a restricted practice state. That means a Michigan PMHNP works under a physician’s supervision or delegation for at least some elements of practice, including aspects of prescribing, and the requirement lasts for the whole career rather than a set transition period.
Collaboration
Is A Collaborative Or Supervisory Agreement Required?
Michigan generally requires a nurse practitioner to practice within a relationship with a physician for certain functions, including elements of prescribing. State rule sets what the agreement must contain, how it’s documented and how often it’s reviewed.
Prescriptive Authority
Prescriptive Authority And Controlled Substances
Prescriptive authority in Michigan comes once you meet the state’s requirements, and it can include controlled substances when the conditions are met. You’ll also need a separate federal DEA registration for those, and some carry additional conditions. State law and board rule set the scope and documentation. The U.S. Drug Enforcement Administration covers the federal side.
Next Step
Credentialing Is A Separate Track
None of this gets you paid on its own. Credentialing in Michigan is a separate track with its own payer rules, Medicaid program and enrollment timelines, and the Michigan credentialing and payer enrollment page covers it in detail. For the national view, see our PMHNP credentialing guide.
Going out on your own? Our guide on how to start a PMHNP practice covers licensure, collaboration and enrollment in the order they have to happen. If you’re pricing the move, start with what PMHNP credentialing costs and what it costs to start a PMHNP practice.
Already credentialed and moving to your own Tax ID? Payer Transition moves five commercial payer contracts you already hold for $2,250 per provider. Starting from zero, First Practice Launch sets up the payers, EHR, portals and billing together for $6,000, or four monthly payments of $1,500.
FAQ
Frequently Asked Questions
Can A PMHNP Practice Independently In Michigan?
Only partly. You may diagnose, treat, and prescribe nonscheduled drugs without physician delegation (MCL 333.17211a(1)(a)), but any controlled substance prescription must be a delegated act of a physician for your whole career. That’s why AANP classifies Michigan as restricted practice. Bills to change this have been introduced but had not become law as of October 2026.
Do I Need A Collaborating Physician In Michigan?
Yes, for controlled substances. A physician must delegate the prescribing of Schedule 2 through 5 drugs to you, and both of your names and DEA numbers go on each prescription (MCL 333.17211a(2)). For nonscheduled medications you don’t need delegation. Most PMHNP practices need the physician relationship because stimulants and benzodiazepines are controlled.
Can A PMHNP Prescribe Adderall In Michigan?
Yes, but only as a delegated act of a physician. Adderall is a Schedule 2 drug, so the prescription must carry the APRN’s and the delegating physician’s names and DEA registration numbers (MCL 333.17211a(1)(b), (2)). You must also be registered with MAPS and pull a MAPS report before prescribing more than a 3 day supply (MCL 333.7303a(4), (5)).
This is general information, not legal advice. It applies the general nurse practitioner rules in Michigan to PMHNPs. Rules change, so check with the Michigan Board of Nursing and the AANP State Practice Environment map before you act on it. Last reviewed: September 26, 2026.
Keep Reading
Related PMHNP Resources
Scope By State
Compare requirements on our PMHNP scope of practice by state overview.
Start A Practice
See the full sequence in how to start a PMHNP practice.
Credentialing
See what we handle on our PMHNP credentialing page, or the PMHNP hub.
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