How many CE hours do Indiana NPs need for prescriptive authority renewal?
The answer depends on whether this is the NP's first renewal of prescriptive authority. For standard renewal (second renewal or later, or following any lapse), IC § 25-23-1-19.7(b) requires 30 contact hours within the two years immediately preceding renewal, including at least 8 hours of pharmacology. For a first renewal when prescriptive authority was granted at least 12 months before expiration, the requirement is 15 contact hours including at least 4 hours of pharmacology under IC § 25-23-1-19.7(a)(2). For a first renewal when authority was granted less than 12 months before expiration, no CE is required. NPs renewing a Controlled Substance Registration (CSR) must also complete 2 hours of opioid prescribing CE, which counts toward the pharmacology requirement. Be aware that the administrative rule 848 IAC 5-1-3 states 8 pharmacology hours without distinguishing first-renewal applicants — the statute controls, but NPs should contact INBON to confirm how the board processes first-renewal applications.
Does Indiana require a collaborative agreement for NP prescribing?
Yes. Indiana requires NPs seeking or renewing prescriptive authority to maintain a current written collaborative practice agreement with a licensed practitioner. The agreement requirements are set out in 848 IAC 5-1-1(a)(7) and include contact information for both parties, office locations authorized for prescribing, certification documentation, chart-sampling requirements (at least a 5% random sample of charts and prescribed medications), and regular prescribing practice reviews. The collaborative agreement must be submitted as part of the prescriptive authority renewal application under 848 IAC 5-1-3(e)(2). Indiana does not have independent prescriptive authority for NPs — the collaborative agreement is a condition of both initial and renewal prescriptive authority, not a transitional requirement.
Is Indiana in the APRN Compact?
No. Indiana is not a member of the APRN Compact, which is a separate agreement from the Nursing Licensure Compact (NLC). Indiana is an NLC member state, meaning Indiana RNs (including those who are also NPs) may be eligible for a multistate RN license. However, the APRN Compact — which would allow NPs to hold a single multistate APRN license valid in member states — does not include Indiana. NPs who wish to practice as APRNs in Indiana must hold a state-specific Indiana APRN license and, if prescribing, a separate Indiana prescriptive authority permit. NPs practicing in multiple states should consult each state's APRN licensing requirements individually, as compact reciprocity for APRN practice is not available in Indiana.