Mississippi has the most demanding collaboration regime in our coverage, and it is demanding in ways that cannot be solved remotely.
Under the Mississippi State Board of Medical Licensure’s collaboration rules, a collaborative agreement must be written, signed by both parties, filed with the Board of Nursing and retained at the practice site, available for Board inspection at any time. The physician must be in a compatible practice — same specialty, or treating the same patient population — and the arrangement is approved by the State Board of Medical Licensure.
What Mississippi actually requires
- A collaborating physician within 75 miles of the primary practice location.
- That physician practising in Mississippi a minimum of 20 hours per week or 80 hours per month. Telemedicine hours are expressly excluded from that count.
- Quality assurance chart review of 10% or 20 charts, whichever is fewer, per quarter, documented.
- A written, signed agreement filed with the Board of Nursing, retained on site, and available for inspection at any time.
- Compatibility between the physician’s practice and the nurse practitioner’s — same specialty or same patient population.
Who may do what in Mississippi
| Licence | What they may do |
|---|---|
| MD or DO | Independent; the collaborating physician, subject to the 75-mile and hours requirements |
| Nurse practitioner | Under an approved, filed collaborative agreement |
| Physician assistant | Under the applicable supervision framework |
| Registered nurse | Within RN scope, under a valid order |
| Telemedicine-only physician | Does not satisfy the 20 hours per week requirement — those hours do not count |
The telemedicine exclusion is the clause to read twice. Mississippi is not merely requiring availability; it is requiring a physician with a real, physical Mississippi practice. A national network model that leans on remote coverage does not meet it, and saying so up front saves everyone a wasted month.
What MDside provides in Mississippi
- A Mississippi-licensed MD or DO as medical director, doing the work rather than lending a name.
- Collaborating physicians with genuine Mississippi practice hours, because the statute counts them and excludes telemedicine.
- The professional entity and management agreement built to Mississippi rather than to a national template.
- Licensed physicians for the good faith exams behind prescriptions and injectables.
- 503A and 503B pharmacy relationships and lab draws.
See what is included, or book a call and tell us which states you operate in.
Read the detail on Mississippi
Frequently asked questions
How far can a Mississippi collaborating physician be?
Within 75 miles of the primary practice location.
Do telemedicine hours count toward the requirement?
No. The collaborating physician must practise in Mississippi at least 20 hours per week or 80 hours per month, and telemedicine hours are expressly excluded.
What chart review is required?
Quality assurance review of 10% of charts or 20 charts, whichever is fewer, each quarter.
Where is the agreement filed?
It is written, signed by both parties, filed with the Board of Nursing, retained at the practice site, and available for Board inspection at any time.
General information about Mississippi practice structure and med spa regulation, not legal advice. Statutes, board rules and scope-of-practice requirements change. Confirm your obligations with healthcare counsel licensed in Mississippi.