Psychiatric Mental Health Nurse Practitioner 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.
Psychiatric Mental Health Nurse Practitioner
Independent practice requires: Same 18-month first-time-NP mentorship as general NPs — see that entry; Maryland's Nurse Practice Act doesn't set a separate threshold for the psychiatric-mental-health population focus.
PMHNPs follow the same 2015 Full Practice Authority Act framework as any other NP population focus (Health Occ. § 8-508; COMAR 10.27.07). This entry exists for its own page/URL/calculator weight, not a legal distinction from `np`.
Proximity
first-time NP (never certified in any state) during the 18-month mentorship: Available remotely (no on-site requirement)
Same mentorship standard as general NPs.after the 18-month mentorship, or any NP already certified in another state: No proximity requirement
No physician availability/proximity standard applies once independent.
Chart review
Not codified — left to the practice agreement
Prescriptive authority
Covered by practice agreement · controlled substances permitted
Same statutory scope as general NPs (Schedule II-V). PMHNP prescribing in practice skews toward Schedule II stimulants and Schedule IV benzodiazepines/hypnotics more heavily than general primary-care NP prescribing — not a different legal limit, reflected in calculatorWeights below.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
Same as general NP — no written agreement required at any point.Legal sources
COMAR 10.27.07 — Practice of the Nurse Practitioner
$550–$850/mo
Estimated PMHNP supervision cost in Maryland
Available Supervising Physicians in Maryland
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