CRNA · Delaware
Collaborative Practice Agreement for Certified Registered Nurse Anesthetists in Delaware
Yes, a written physician agreement is required. Delaware does not name a specific instrument.
Delaware opted out of the CMS Medicare physician-supervision requirement for CRNA anesthesia services and treats CRNAs as one of its four APRN roles subject to the same 2-year/4,000-hour transition rule as NPs — this application to CRNAs specifically is inferred from the generic APRN statute, not independently confirmed role-by-role; verify with the Board of Nursing.
Independent practice requires: ≥2 years of collaborative practice; ≥4,000 hours of clinical practice with a physician or experienced APRN.
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
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
CRNAs administer anesthesia-related drugs as part of their APRN scope; Delaware statute doesn't set a CRNA-specific controlled-substance schedule restriction in this research pass.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional (service) corporation under 8 Del.C. Ch. 6, owned by nursing licensees; non-licensees may not hold equity.
Legal sources for these rules (2)
What a collaborating physician costs here
Typical monthly cost in Delaware
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
About Delaware's rules
Delaware grants full independent practice to APRNs (NP/CRNA/CNM/CNS) after a uniform 2-year/4,000-hour transition period (24 Del.C. § 1906(20); 24 DE Admin. Code 1900 § 8.0) — this research pass treats that rule as applying identically across all four APRN roles; confirm role-specific nuance with the Board of Nursing before relying on it. PAs have no independent-practice pathway.
Other clinicians in Delaware: see the state overview.