CRNA · Connecticut
Supervision Agreement for Certified Registered Nurse Anesthetists in Connecticut
Yes, a written supervising-physician agreement is required. Connecticut does not name a specific instrument.
CRNAs are licensed as APRNs and reach independent practice via the same 3-year/2,000-hour threshold as any APRN (§20-87a(3)). But §20-87a(2)(A)'s carve-out requiring a physically present directing physician when an AANA-certified APRN prescribes/administers medical therapeutics 'during surgery' is incorporated by cross-reference into the independent-practice grant — whether it survives independence is unconfirmed; treat as an open item.
Independent practice requires: ≥3 years licensed and practicing as an APRN; ≥2,000 hours performing advanced-practice nursing activities in collaboration with a physician (§20-87a(3)).
What the supervision must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
prescribing or administering medical therapeutics during surgery: On-site presence required
The physician medically directing the prescriptive/anesthesia activity must be physically present in the institution, clinic, or other setting where the surgery is performed (§20-87a(2)(A)) — the only on-site proximity requirement found anywhere in this CT dataset. See independentPractice.notes on whether it survives reaching independent-practice status.
all other settings, before the independent-practice threshold: Available remotely (no on-site requirement)
Same general collaboration-availability standard as other APRNs — no mile/minute radius codified (§20-87a(2)(A)).
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
Subject to the surgery on-site physician-presence carve-out above when administering during surgery.
Written agreement
Required
Required only during the pre-independence collaboration period, same as the general `np` entry — except the surgery-specific on-site requirement noted above may persist regardless of independence status.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional Service Corporation under § 33-182a — APRNs are an independently eligible licensee category and may wholly own a PSC without physician participation.
Legal sources for these rules (3)
What a supervising physician costs here
Typical monthly cost in Connecticut
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. This state's proximity rules add a small premium.
About Connecticut's rules
NP, CNS, and CRNA are all licensed as a single 'advanced practice registered nurse' category (§20-94a) sharing an identical 3-year/2,000-hour collaboration-to-independence pathway (§20-87a); CT does not statutorily distinguish PMHNP or CNS scope from general NP. CNMs are licensed separately (Ch. 377), with no written collaborative-agreement requirement. No provider type below has a codified supervision ratio cap, chart-review percentage, or on-site proximity radius outside CRNA's surgery-specific carve-out.
Other clinicians in Connecticut: see the state overview.