CRNA · Mississippi

Collaborative Practice Agreement for Certified Registered Nurse Anesthetists in Mississippi

Yes, a written physician agreement is required. Mississippi does not name a specific instrument.

Practice authoritySupervision required
Written agreementAgreement required
What Mississippi calls itNo named instrument
Research date2026-09-03

CRNAs practice per Board-approved practice guidelines (not an individualized mutual protocol) covering pre-anesthesia evaluation through post-anesthesia care. Uniquely among MS APRN roles, a CRNA may collaborate with a dentist instead of a physician (§ 73-15-20(7)(b)).

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

Available remotely (no on-site requirement)

No CRNA-specific proximity/mileage rule found — same 'reliable communication' standard as general NP.

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

This is facility-based administration under anesthesia practice guidelines, not general outpatient prescribing.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Licensee-only ownership required — Same as the general `np` entry — no CRNA-specific ownership rule found.

Legal sources for these rules (2)
  • Miss. Code Ann. § 73-15-20(7)(d) — CRNA practice guidelines
  • Mississippi Admin. Code Title 30, Part 2840, Ch. 1, Rule 1.5.C.4(b)

What a collaborating physician costs here

Typical monthly cost in Mississippi

$500$600

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

About Mississippi's rules

Mississippi has no independent-practice pathway for NPs/APRNs — a collaborative relationship plus Board-approved written protocol is required for the life of the license. Multiple 2025-2026 NP full-practice-authority bills (H.B. 813, H.B. 98, S.B. 2178) remain unconfirmed as enacted — re-verify § 73-15-20 each session.

Other clinicians in Mississippi: see the state overview.