Certified Registered Nurse Anesthetist Cheat Sheet for Oklahoma
Requirements for Supervising Physician agreements in Oklahoma, plus a free agreement builder tailored to Oklahoma law.
Provider supervision requirements in Oklahoma
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.
HB 2298 (APRNs) and HB 2584 (PAs), both 2025 and effective Nov. 1, 2025, created new hours-based independent-practice pathways in a state with no prior pathway for either. Being this recent, secondary sources conflict on whether a 6-provider physician-ratio cap (OAC 435:10-13-2) still applies post-reform — flagged per-provider below rather than guessed. Oklahoma has no corporate-practice-of-medicine doctrine (Okla. A.G. Op. 77-168).
Certified Registered Nurse Anesthetist
Oklahoma opted out of the CMS Medicare physician-supervision condition for CRNAs (confirmed on multiple state-by-state CRNA-supervision trackers). The full classification here rests on concordant secondary sources rather than a primary citation to the state practice act.
Proximity
Not codified — left to the practice agreement
Chart review
Not codified — left to the practice agreement
Prescriptive authority
Covered by practice agreement · controlled substances permitted
CRNA prescribing in practice is largely anesthesia-related drugs administered under standing orders or protocols; schedule-specific limits are not spelled out for CRNAs (contrast the Schedule I–II exclusion for NPs and PAs above).Practice ownership (CPOM)
Non-licensee ownership permitted — Same as the general CPOM note above — Oklahoma has no CPOM doctrine.
Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Not required
Shown as not required based on Oklahoma's CMS opt-out status; confirm against the state practice act before relying on it.$450–$650/mo
Estimated CRNA supervision cost in Oklahoma
Available Supervising Physicians in Oklahoma
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