American Association of Oral and Maxillofacial Surgeons Oral and maxillofacial surgeons:
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Delaware enables independent CRNA practice

Gov. John Carney (D) of Delaware has informed CMS of the state’s decision to allow CRNAs to opt-out of physician supervision in hospitals, critical access hospitals, rural emergency hospitals and ambulatory surgical centers. This development positions Delaware as the 25th state to embrace the “opt-out” policy, thereby enabling CRNAs to practice independently in the specified locations.

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