Certified Registered Nurse Anesthetist Cheat Sheet for Michigan
Requirements for Supervising Physician agreements in Michigan, plus a free agreement builder tailored to Michigan law.
Provider supervision requirements in Michigan
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.
Michigan has no independent-practice pathway for NPs, CNMs, CNSs, or PAs — specialty certification alone never grants autonomous practice, and delegated authority is renewable/revocable rather than a one-time threshold. CRNAs may deliver anesthesia care independently within the perioperative period but must still maintain a collaborating physician/dentist/podiatrist relationship. A PA-only PLLC has been prohibited since 2010.
Certified Registered Nurse Anesthetist
A CRNA does not require the same formal delegation/supervision structure as other delegated practitioners and may deliver anesthesia care independently within the perioperative/periobstetrical/periprocedural period, but must still maintain a collaboration relationship with at least one qualified physician, dentist, or podiatrist — there is no pathway to full independence from that relationship.
Proximity
Available remotely (no on-site requirement)
MCL 333.17210's collaboration requirement does not impose an on-site or fixed mile or minute radius; the entry follows Michigan's general statutory supervision and collaboration standard.Chart review
Not codified — left to the practice agreement
Prescriptive authority
Covered by practice agreement · controlled substances permitted
Limited to pharmacological agents (including controlled substances) administered as anesthetic/analgesic services WITHIN the facility where the service is performed, and only during the perioperative, periobstetrical, or periprocedural period — does not extend to general outpatient prescribing.Practice ownership (CPOM)
Licensee-only ownership required — As for NPs: no ownership pathway set out; Michigan generally prohibits nonphysician-owned medical-practice entities
Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Required
A collaborating physician/dentist/podiatrist relationship is required, but Michigan's CRNA framework does not require the same kind of formal written delegation agreement used for PA/NP — coded True to reflect that a collaborating practitioner relationship must exist, while flagging that its exact documentation form differs from the PA/NP practice agreement.Legal sources
$500–$800/mo
Estimated CRNA supervision cost in Michigan
Available Supervising Physicians in Michigan
Browse supervising physicians open to new collaborations near you.