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APNs with a graduate degree do not need to be nationally certified for Rx authority to be granted. The BON has legal authority to establish rules, and with the approval of the BOM, to permit Rx authority for APNs. ARNPs are authorized to practice independently within their specific role and population focus, and collaborative practice agreements are not required by the BON. Authorized ARNPs are granted full, independent Rx authority within their specific role and population focus, including Schedules II-V controlled substances. APRNs, with the exception of CRNAs, are legally authorized to prescribe medications, including Schedules II-V controlled substances pursuant to a collaborative practice agreement and written protocol. APNs with Rx authority are authorized to prescribe Schedules III and IV controlled substances for the purpose of weight reduction or to control obesity (Indiana Code 35-48-3-11) after certain conditions are met, which was prohibited under this code until 2015. Additionally, IC 25-1-9-6.8 requires practitioners to follow the most recent guidelines adopted by the American Academy of Pediatrics or American Academy of Child and Adolescent Psychiatry when prescribing stimulant medications for attention-deficit disorder or attention-deficit hyperactivity disorder. Obtain Indiana State Controlled Substances Registration before obtaining a federal DEA number. Indiana is considered an “any willing provider” state backed by current law.

ARNPs are statutorily recognized as primary care providers; however, state law does not contain “any willing provider” language. CNPs, CNSs, and CRNAs function in collaborative relationships with physicians and other healthcare professionals in the delivery of primary healthcare services. The Independent Practice of Midwifery Act in 2016 authorizes CNMs to practice without a collaborative agreement when such services are limited to those associated with a normal, uncomplicated pregnancy and delivery. CNMs may prescribe drugs and devices without a collaborative practice agreement when the service is associated with family planning services, including treatment or referral of a male partner for STIs, initial care of the newborn, and a normal, uncomplicated pregnancy and delivery. Results in the public service members cannot be used by the forms. MCOs are not mandated to offer ARNP coverage unless there is a contract or other agreement to provide the service. Payment of necessary medical or surgical care and treatment is provided to an ARNP in third-party reimbursement if the policy or contract would pay for the care and treatment when provided by a physician or DO. May be provided in-home or in a residential care setting such as an assisted living facility or nursing home. APRNs make independent decisions about the nursing needs of patients and interdependent decisions with physicians in carrying out health regimens for patients; however, the physical presence of a physician is not required when care is given by the APRN.

APRNs must register with the DEA. The prescription order must be signed by the APRN and include the name of the physician and APRN. A master's degree, doctorate, or postmaster's certificate as an APRN and national board certification are required to enter practice in Kentucky. APRN applicants in all categories require a master's degree or higher in nursing, and national board certification is not required to enter practice in Kansas (except for RNAs). In hospitals, APNs are authorized to practice in collaboration with a licensed practitioner as evidenced by a practice agreement; by privileges granted by the governing board of a hospital licensed under IC 16-21 (hospitals) with the advice of the medical staff that sets forth the manner in which the APN and licensed practitioner will cooperate, coordinate, and consult with each other; or by privileges granted by the governing body of a hospital operated under IC 12-24-1 (state hospitals) that set forth the manner in which the APN and licensed practitioner will cooperate, coordinate, and consult with each other.

Written CPAs must be approved by the BON and include the manner in which the APN and licensed physician will cooperate, coordinate, and consult with each other in the provision of healthcare, and the specifics of the licensed physician's reasonable and timely review of the APN's Rx practices, including the provision for a minimum weekly review of 5% random chart sampling. APRNs practice autonomously within their relative SOPs; however, they must practice in accordance with the SOP of the national certifying organization as adopted by the BON in regulation (collaborative agreement is required for certain Rx authority; see detail below). APRNs are statutorily defined as CNPs, CNSs, CNMs, and CRNAs. CRNAs are not required to obtain Rx authority to administer anesthesia. APNs requesting authority to prescribe controlled substances must apply for. Additionally, the APN must submit proof of collaboration with a “licensed practitioner” (licensed physician, dentist, podiatrist, or osteopath) in the form of a written CPA. The BON may issue authorization to prescribe legend drugs and controlled substances if the qualified APN submits proof of successful completion of a graduate-level pharmacology course consisting of at least 2 accredited semester hours. The Kentucky BON grants APRNs authority to practice and regulates their practice.