Open your own prescribing practice, with every registration in order.

Who it's for

• Psychiatric mental health NPs opening a medication-management practice, with or without therapy.
• Family NPs and physicians opening a primary care or addiction medicine practice.
• Clinicians leaving a group or a telehealth platform who want their own NPI, contracts and patients.

Opening with therapists too? The Group Practice Launch credentials several clinicians under one group.

Everything included

• Everything in Solo Practice Launch: Complete
• DEA registration and prescription monitoring program sign-up
• Prescriptive authority (delegation) set-up checklist where your state requires it
• E-prescribing with controlled substances (EPCS) set up in Cima
• Lab ordering and CLIA waiver if you'll test in the office
• Credentialing with 8 insurance plans, including Medicare and Medicaid
• 90 days of support after opening

E-prescribing inside Cima EHR is being connected now. On your call we'll tell you exactly where it stands and, if it isn't live by your opening date, how you'll prescribe in the meantime.

What prescribing adds in Texas

• Prescriptive authority (NPs). Texas APRNs prescribe under a prescriptive authority agreement with a delegating physician (Texas Occupations Code chapter 157), with prescriptive authority through the Texas Board of Nursing. We give you the set-up checklist; your attorney reviews the agreement and any fee paid to the physician. Physicians skip this step.
• Ownership. Texas has a strong corporate practice of medicine doctrine. Who may own a practice that employs or contracts with physicians is a question for your health-care attorney before anything is signed.
• DEA. You need a DEA registration at a practice address in each state where you prescribe controlled substances. Texas ended its separate state controlled-substance registration in 2016, so in Texas the DEA registration is the one you need (DEA Diversion Control).
• The Texas PMP. Texas prescribers must check the prescription monitoring program before prescribing opioids, benzodiazepines, barbiturates or carisoprodol. You register with PMP AWARxE through the Texas State Board of Pharmacy.
• Electronic prescriptions. Texas, many other states and Medicare Part D require controlled-substance prescriptions to be sent electronically, with few exceptions. EPCS needs identity proofing and two-factor sign-in for each prescriber.
• Labs. In-office tests such as instant drug screens need a CLIA certificate of waiver. Open an account with a reference lab for confirmations, and never accept money, staff or perks from a lab in return for sending tests.

Price and how it's paid

When	Share	Amount
At signing	50%	$2,475
When the insurance applications are submitted	50%	$2,475
Total	100%	$4,950

If you need more

• More insurance plans: 8 plans are included; each extra plan is $175.
• Keeping credentials current after opening: $49 per clinician a month (CAQH re-attestation, renewals, recredentialing and revalidation).
• Started with a launch roadmap session? Its $395 is credited in full toward this package if you sign within 30 days.

Typical timeline

Prescribing adds steps that run in order (agreement, then DEA, then PMP and e-prescribing), so on our Texas roadmap a prescriber practice opens in about 15 weeks, a few weeks later than a therapy practice. Insurance plans start on their own effective dates.

Step	Typical timing
Kickoff and your dated roadmap	Week 1
Individual NPI for each clinician	Weeks 1–2
Business formed with the Texas Secretary of State (you or your attorney file)	Week 4
HIPAA policies and client forms adopted	Weeks 4–6
Prescriptive authority agreement in place (nurse practitioners)	Weeks 5–9
CAQH profile built and attested	Weeks 6–7
Cima EHR set up with your forms and fees	Weeks 7–8
Insurance applications filed, then followed up every 2 weeks	Months 2–5
DEA registration	Weeks 9–13
E-prescribing, including controlled substances	Weeks 14–15
You open and see your first patient	Week 16
Each plan's effective date confirmed	Month 6
Billing each plan from its effective date	Month 6

From the kickoff, on the earliest path through our 70-step Texas roadmap. Agencies and insurance plans set their own pace, so treat these as typical, not promised.

What you pay separately

Step	Fee and who charges it
File the certificate of formation with the Texas Secretary of State	$300 filing fee (Texas Secretary of State)
File an assumed name certificate if you'll use another name	$25 filing fee (Texas Secretary of State) (changes; we check the current fee)
Get an EIN from the IRS	Free
Register with the DEA	$888 for 3 years (DEA)
Get a CLIA certificate of waiver for in-office tests	Small fee every two years; check CMS's current fee (changes; we check the current fee)
Enroll in Medicare (PECOS)	No application fee for individual clinicians or clinician groups

• Your delegating physician's fee (NPs), set in an agreement your attorney reviews.
• Malpractice with prescribing coverage, general liability and cyber.
• Your attorney and CPA, rent, lab supplies, and Cima EHR after the included months.

What's not included

• Finding a delegating physician or negotiating that agreement. We tell you what it must cover; you and your attorney settle it.
• Filing your entity with the Texas Secretary of State (you or your attorney file it).
• Plans beyond eight ($175 per plan).
• Legal, tax or clinical advice, and any guarantee of a registration, contract or rate.

Questions

Can I apply for my DEA registration before I have an office?

No. The DEA registers you at a practice address in the state where you prescribe, so the office comes first. That's why the lease is early on your roadmap.

Which Medicaid plans are included?

Medicaid is among the eight: your Texas Medicaid enrollment through TMHP, then the Medicaid managed care plans you choose in your service area. Most Texas Medicaid clients are in managed care, and each plan has its own application and contract.

I'm a PMHNP. Can I also do therapy visits?

Yes, within your license and the codes each plan pays you for. We set your fee schedule for both kinds of visit.

Do I need a CLIA waiver?

Only if you'll run tests in the office, such as instant drug screens. If you send every sample to a lab, skip it.

Is the fee tied to how many patients I see?

No. It's flat, written in the proposal, and never a share of revenue or patient volume.