PMHNP · Hawaii
Collaborative Practice Agreement for Psychiatric Mental Health Nurse Practitioners in Hawaii
No. Psychiatric Mental Health Nurse Practitioners practice independently here. Hawaii does not require one.
Hawaii's Nurse Practice Act doesn't carve out a separate framework for psychiatric-mental-health NPs — PMHNPs follow the same fully independent APRN regime as any other NP (HRS § 457-8.5). This entry exists for its own page/URL/calculator weight, not a legal distinction.
What the collaboration must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
Same standard as general NPs — no physician relationship required (HRS § 457-8.5).
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
Same separate-application framework as general NPs (HRS § 457-8.6). PMHNP prescribing in practice skews toward Schedule II stimulants and Schedule IV benzodiazepines more heavily than general primary-care NP practice — not a different legal limit, reflected in calculatorWeights rather than this rule.
Written agreement
Not required
Unconditional — same as the general `np` entry.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — professional corporation under HRS § 415A-9; non-licensees may not hold equity.
Legal sources for these rules (2)
What a collaborating physician costs here
Typical monthly cost in Hawaii
$500 – $600
Estimate for one Psychiatric Mental Health Nurse Practitioner. Standard-tier state.
About Hawaii's rules
Hawaii grants APRNs (NP/CRNA/CNM/CNS) full independent practice with no collaborative-agreement requirement (HRS § 457-8.5); prescriptive authority is a separate application, not automatic. Hawaii has no general corporate-practice-of-medicine statute — HRS § 415A-9 requires professional-corporation shareholders to be licensed, but doesn't clearly resolve multi-discipline (e.g. physician+APRN) ownership.
Other clinicians in Hawaii: see the state overview.