CRNA · Idaho

Supervision Agreement for Certified Registered Nurse Anesthetists in Idaho

No. Certified Registered Nurse Anesthetists practice independently here. Idaho does not require one.

Practice authorityIndependent practice
Written agreementNo agreement required
What Idaho calls itNo instrument required
Research date2026-09-03

Idaho licenses CRNAs as APRNs with the same fully independent status as NP/CNM/CNS (IDAPA 24.34.01); Idaho opted CRNAs out of the CMS Medicare physician-supervision requirement for anesthesia services.

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

No proximity requirement

No supervising-physician relationship required for clinical practice (IDAPA 24.34.01).

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

CRNA prescribing is scoped in practice to the periprocedural/anesthesia context; a CRNA-specific schedule restriction was not confirmed in this research pass.

Written agreement

Not required

Unconditional for clinical practice — same as the general `np` entry.

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — Same as the general `np` entry — post-2016 CPOM disavowal permits broad ownership flexibility.

Legal sources for these rules (1)

What a supervising physician costs here

Typical monthly cost in Idaho

$500$600

Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.

About Idaho's rules

Idaho APRNs (NP/CRNA/CNM/CNS) have full independent practice authority. The Idaho Board of Medicine formally disavowed corporate-practice-of-medicine enforcement in March 2016 — physicians, NPs, PAs, and (per this research pass) even non-licensees may generally co-own a standard business entity, so long as licensed professionals actually deliver the care.

Other clinicians in Idaho: see the state overview.