CNM · Alaska
Collaborative Practice Agreement for Certified Nurse-Midwives in Alaska
No. Certified Nurse-Midwives practice independently here. Alaska does not require one.
CNM is one of Alaska's four statutory APRN roles (AS 08.68.850(1)), same 12 AAC 44 Article 4 framework as NP/CRNA/CNS. Distinct from Alaska's separately licensed 'direct-entry midwife' (AS 08.65, a different board and license) — do not conflate the two.
What the collaboration 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 exists.
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
Separate prescribing terms required · controlled substances permitted
Same APRN controlled-substance framework as general NP (12 AAC 44.440/.445).
Written agreement
Not required
Unconditional — same posture as general NP.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — AS 10.45 Professional Corporation Act.
Legal sources for these rules (2)
- AS 08.68.850(1) — Definitions (Advanced Practice Registered Nurse)
- 12 AAC 44.430 — Scope of Practice by National Certifying Body
What a collaborating physician costs here
Typical monthly cost in Alaska
$500 – $600
Estimate for one Certified Nurse-Midwife. Standard-tier state.
About Alaska's rules
All four APRN roles (NP, CRNA, CNM, CNS) share one statutory framework (AS 08.68.850, 12 AAC 44) with FULL independent practice and no collaborative agreement. PA law is mid-transition: SB 89 would add a 4,000-hour conditional pathway effective ~Sept. 16, 2026, but its enrolled text couldn't be verified — current codified law (below) still requires a standing collaborative plan with no experience-based exit.
Other clinicians in Alaska: see the state overview.