Certified Nurse-Midwife Cheat Sheet for Maryland
Requirements for Supervising Physician agreements in Maryland, plus a free agreement builder tailored to Maryland law.
Provider supervision requirements in Maryland
Updated 2026-09-03
Provided for educational and research purposes only — this is not legal advice. Laws and regulations change frequently, and this content may contain errors or omissions. Always confirm current requirements with a licensed attorney before relying on this for compliance decisions.
Maryland's APRN categories are not uniform: CRNPs and CNMs gained full practice authority in 2015 (after an 18-month new-graduate mentorship), CRNAs remain fully supervised with no prescriptive authority at all (Maryland is one of about 11 states granting CRNAs none), and only the psychiatric-mental-health population focus of CNS practice is independent. Maryland does not recognize PLLCs; professional entities use physician-only professional corporations, so multi-disciplinary ownership questions remain open.
Certified Nurse-Midwife
Maryland's full practice authority extends to CNMs alongside CRNPs — a CNM independently manages clients within their clinical practice guidelines and 'may consult or collaborate with a physician or other health care provider as needed' rather than as a mandatory precondition to practice.
Proximity
No proximity requirement
No mandatory physician availability/proximity standard — collaboration is clinician-directed and as-needed, not a fixed requirement.Chart review
Not codified — left to the practice agreement
Prescriptive authority
Covered by practice agreement · controlled substances permitted
Requires Maryland CDS registration and federal DEA registration; beyond the general 30-day Schedule II–III dispensing cap, schedule-level limits are not spelled out.Practice ownership (CPOM)
Licensee-only ownership required — As for NPs: physician-only professional corporations; PLLCs not recognized
Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Not required
Unconditional — consultation/collaboration is described as needed/permissive, not a required written agreement, per COMAR 10.27.05.$500–$700/mo
Estimated CNM supervision cost in Maryland
Available Supervising Physicians in Maryland
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