Certified Registered Nurse Anesthetist 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 Registered Nurse Anesthetist
CRNAs may not practice independently in Maryland — a CRNA must notify the Board of Nursing of the name/license number of a collaborating physician or dentist before practicing, and Maryland is one of roughly 11 states granting CRNAs NO prescriptive authority at all (not merely restricted).
Proximity
nurse-anesthetist graduate practicing before national certification: On-site presence required
A CRNA graduate awaiting certification must practice under an anesthesiologist or CRNA who is on-site and immediately available.certified CRNA: Available remotely (no on-site requirement)
No on-site or fixed radius standard applies to a certified CRNA's collaborating physician or dentist beyond the initial notification-of-collaborator requirement; check COMAR 10.27.06 for the exact mechanics.
Chart review
Not codified — left to the practice agreement
Prescriptive authority
Covered by practice agreement · no controlled-substance authority
Maryland grants CRNAs NO prescriptive authority — they administer anesthesia-related drugs under standing orders/protocols and RN licensure rather than any independent or delegated DEA prescribing authority.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
Required
Unconditional — every CRNA must have a collaborating physician or dentist on file with the Board before practicing; there is no independent-practice pathway.$500–$800/mo
Estimated CRNA supervision cost in Maryland
Available Supervising Physicians in Maryland
Browse supervising physicians open to new collaborations near you.