CRNA · Michigan
Supervision Agreement for Certified Registered Nurse Anesthetists in Michigan
Yes, a written supervising-physician agreement is required. Michigan does not name a specific instrument.
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.
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
Available remotely (no on-site requirement)
MCL 333.17210's collaboration requirement was not confirmed to impose an on-site or fixed mile/minute radius in this pass — coded as TELECOMMUNICATION consistent with Michigan's general statutory supervision/collaboration standard, but this specific point wasn't independently verified against the CRNA-specific rule text.
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
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.
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.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Not independently confirmed in this pass — treat CRNA practice-entity ownership as an open item consistent with Michigan's general prohibition on nonphysician-owned medical-practice entities.
Legal sources for these rules (3)
- MCL 333.17210 — Registered professional nurse; specialty certification as nurse anesthetist
- Mich. Admin. Code R 338.2411 — CRNAs are expressly excluded from the general NP/CNM/CNS controlled-substance delegation rulesecondary
- Michigan Bar — Advanced Practice Practitioners in Michigan (APRN/CRNA/PA scope white paper)secondary
What a supervising physician costs here
Typical monthly cost in Michigan
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
About Michigan's rules
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.
Other clinicians in Michigan: see the state overview.