Evidence status: CURRENT MULTI-PROFESSION SCOPE RECORD. Indiana’s chronic-opioid agreement framework is replicated across several prescriber categories.
Physicians
844 IAC 5-6 governs physicians and requires the signed Treatment Agreement when the rule’s chronic-opioid thresholds are met.
Physician assistants
844 IAC 2.2-3 contains parallel opioid-prescribing requirements for physician assistants. Section 5 requires the PA and patient to review and sign a Treatment Agreement with the same core subjects: treatment goals, consent to medically necessary monitoring, prescribing policies, disclosure of controlled substances and alcohol use, permission for random pill counts, and reasons therapy may change or stop.
Advanced practice nurses
848 IAC 5-4 contains parallel chronic-pain opioid requirements for advanced practice nurses with prescriptive authority. Section 5 likewise requires a signed Treatment Agreement and chart retention.
Podiatrists
845 IAC 2-1 applies parallel opioid-prescribing standards to podiatrists. Section 5 requires a Treatment Agreement with the same basic minimum terms.
Why prescriber scope matters
The contract concept is similar across these rules, but the governing professional board and rule citation differ. A clinic may use one shared agreement while the underlying legal authority depends on the prescriber’s license.
Primary sources
- Medical Licensing Board — physician rule
- 844 IAC 2.2-3-5 — physician assistants
- 848 IAC 5-4-5 — advanced practice nurses
- 845 IAC 2-1-5 — podiatrists
Reviewed: October 4, 2026.
Evidence boundary: This page maps professional scope. Exact applicability still depends on each professional rule’s trigger thresholds, exemptions, and scope provisions.