The short answer for Mississippi. Physician, or an NP under an approved, filed collaborative agreement.
A good faith exam is a clinical evaluation by a licensed provider, before treatment, establishing that the treatment is appropriate for that patient. What differs between states is who is allowed to perform it, whether it may happen remotely, and what has to be documented. This page sets out what we have verified for Mississippi against primary sources, and says so plainly where a question is unsettled.
Who may perform the good faith exam in Mississippi
Physician, or an NP under an approved, filed collaborative agreement.
Medical director. A collaborating physician within 75 MILES of the primary practice location, practising in Mississippi at least 20 hours a week or 80 hours a month.
Delegation and supervision. Quality-assurance chart review of 10% or 20 charts, whichever is fewer, per quarter, documented. The agreement must be written, signed, filed with the Board of Nursing, retained on site and available for inspection at any time.
The gate that catches operators in Mississippi
TELEMEDICINE HOURS ARE EXPRESSLY EXCLUDED from the 20-hour count. A national network leaning on remote coverage does not meet it.
Mississippi is not requiring availability. It is requiring a physician with a real, physical Mississippi practice, and the physician’s specialty has to be compatible with the NP’s.
What makes the exam defensible
Nobody is ever asked to produce a good faith exam on a good day. The request arrives after a complication, a board complaint, an insurance audit or a buyer’s diligence. Five things decide whether what you hand over helps you:
- A qualified practitioner, permitted in that state, actually performed it.
- A real evaluation happened — history, indications, contraindications, and a decision.
- The treatment plan and the order are specific: drug or device, site, dose or settings.
- Informed consent was taken and recorded before treatment, not after.
- The record still exists, unaltered and retrievable, two years later when somebody asks.
Only the first of those is state-specific. The other four fail in exactly the same way in Mississippi as everywhere else, and they are where most exam processes actually break — not on the licence question, but on documentation nobody kept.
How Mississippi sits on structure
Corporate practice of medicine. Restricted in practice through the collaboration rules rather than an ownership bar alone.
The exam and the structure are separate questions and they fail separately. A perfectly documented exam performed inside an entity that may not lawfully deliver the service is still a problem, and a clean entity does not save a rubber-stamped exam. See medical direction in Mississippi for the structure side.
What MDside provides in Mississippi
- Mississippi-licensed physicians performing the exam themselves — not a queue of signatures.
- A written evaluation, treatment plan and order per patient, in a record you keep and can export.
- Protocols and delegation written to Mississippi, matched to the services actually on your menu.
- A named Mississippi medical director doing the work, where your structure needs one.
- 503A and 503B pharmacy relationships and in-house lab draws where the treatment calls for them.
Book a call and we will read your current exam process against the five tests above, in Mississippi and any other state you operate in. The review is free and you are not obliged to use us for the fix.
Read the detail on Mississippi
Frequently asked questions
Who can perform a good faith exam in Mississippi?
Physician, or an NP under an approved, filed collaborative agreement.
Can the exam be done by telehealth in Mississippi?
That depends on the state rule above and on the treatment. Where we have verified a restriction it is stated on this page; where the position is unsettled we say so rather than guess, and we confirm it with the board before you build a remote funnel.
Does Mississippi require a physician medical director?
A collaborating physician within 75 MILES of the primary practice location, practising in Mississippi at least 20 hours a week or 80 hours a month.
What happens if the exam is not documented?
The exam effectively did not happen. In a complaint, an audit or a sale, an undocumented evaluation is treated as no evaluation — which is why the record, not the call, is the thing you are actually buying.
Primary sources for Mississippi: Mississippi Board of Nursing collaborative practice rules (75-mile radius; 20 hrs/week or 80/month; quarterly QA review). Last reviewed 2026-09-03. Corrections are welcome and get made: contact us.
General information about good faith exams and practice structure in Mississippi, not legal advice. Requirements differ by state and change often. Confirm your obligations with healthcare counsel licensed in Mississippi.