Practice Agreement
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Practice Agreement · PA

West Virginia Practice Notification for Physician Assistants

Required. The Practice Notification is the written instrument West Virginia law names for a Physician Assistant working with a physician. Below: the board that governs it, what it must contain, and the terms it has to carry.

Practice authoritySupervision required
Written agreementAgreement required
What West Virginia calls itPractice Notification
Governing boardWest Virginia Board of Medicine and the West Virginia Board of Pharmacy
Agreement familyDelegation of Services
Research date2026-09-03 · clauses 2026-09-03

Under current law, PAs 'shall practice in collaboration with physicians' with no experience/hours-based exit (W. Va. Code St. R. § 24-2-8). SB 956 (2026), which would eliminate this entirely and let PAs own practices, was still moving through the House as of this research pass — its final status could not be confirmed; verify before assuming it's in effect.

What a West Virginia Practice Notification must contain

Governed by the West Virginia Board of Medicine and the West Virginia Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.

  1. The Physician Assistant ("PA") may not begin practice with the Physician until the applicable board has issued written notice that a practice notification filed under W. Va. Code § 30-3E-10a is complete and active. West Virginia law does not fix a numerical limit on the number of Physician Assistants one physician may supervise.

  2. The Physician shall provide the applicable board written notice within ten (10) days of the termination of the practice notification; failure to do so constitutes unprofessional conduct.

  3. The Practice Notification on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.

Statutes and rules cited

  1. W. Va. Code §§ 30-5-18, 30-5-19; W. Va. Code St. R. tit. 11, ser. 8 (Boards of Medicine, Osteopathic Medicine, and Pharmacy Joint Rule for Collaborative Pharmacy Practice)board guidance

    West Virginia Board of Pharmacy's own description of the collaborative pharmacy practice notification process, eligibility, and scope limits.

Terms it has to carry

Ratio, proximity, chart review, meeting and prescribing terms the agreement has to carry, from the state's supervision rules.

Proximity

Available remotely (no on-site requirement)

'Constant physical presence of the collaborating physician is not required as long as the collaborating physician and physician assistant are, or can be, easily in contact with one another' — no codified mile/minute radius located.

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

Prescriptive scope is set by the collaboration agreement/practice notification filed with the Board of Medicine; a specific schedule-level numeric limit for PAs (distinct from the APRN 3-day-Schedule-II rule noted under `np`) was not confirmed in this research pass.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Licensee-only ownership required — Authorized Medical Corporation under W. Va. Code § 30-3-15 — requires 100% physician/podiatric-physician shareholder ownership; PAs may be EMPLOYEES of such a corporation but, under current law, may not hold shares. (SB 956, if it becomes law, would add PAs as eligible shareholders — not yet confirmed in effect; see state-level notes.)

Legal sources for these rules (4)
How the relationship works day to day
Who has to be where, how often you meet, and what the physician costs: Physician Assistant in West Virginia on collaborativeagreement.com.

About West Virginia's rules

code.wvlegislature.gov would not serve statute text during this research pass (anomalous redirect, not followed) — sourcing below leans on WV Board of Nursing/Medicine/Pharmacy materials and secondary sources; confidence is lower than for states with direct statute access. SB 956 (2026), which would let PAs own practices and end mandatory collaboration, had NOT confirmed final passage/signature as of this research pass — treat PA entries below as the current, not the pending, law.

Other clinicians in West Virginia: see the state overview.