CRNA · Oklahoma
Supervision Agreement for Certified Registered Nurse Anesthetists in Oklahoma
No. Certified Registered Nurse Anesthetists practice independently here. Oklahoma does not require one.
Oklahoma opted out of the CMS Medicare physician-supervision condition for CRNAs (confirmed on multiple state-by-state CRNA-supervision trackers). This research pass could not independently confirm the underlying state statute/rule text for CRNA practice specifically — the FULL classification here rests on concordant secondary sources rather than a primary citation, unlike most other entries in this state's dataset.
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
Not codified — left to the agreement
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 in practice is largely anesthesia-related drugs administered under standing orders/protocols; schedule-specific limits were not confirmed for CRNAs specifically in this research pass (contrast the confirmed Schedule I–II exclusion for NP/PA above).
Written agreement
Not required
Coded as not required based on Oklahoma's confirmed CMS opt-out status, but the underlying state practice act text was not independently reviewed in this pass — verify before relying on this for a compliance decision.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — Same as the general CPOM note above — Oklahoma has no CPOM doctrine.
Legal sources for these rules (1)
What a supervising physician costs here
Typical monthly cost in Oklahoma
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
About Oklahoma's rules
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).
Other clinicians in Oklahoma: see the state overview.