Physician duties · CNM · Connecticut
Signing for a Certified Nurse-Midwife in Connecticut: what the physician takes on
No agreement is required, so the terms are whatever you both negotiate. Certified Nurse-Midwives practice independently in Connecticut, so any agreement is voluntary.
CNMs are licensed separately from the general APRN pathway (Ch. 377, based on RN licensure plus AMCB certification, not §20-94a) and are not subject to §20-87a's 3-year/2,000-hour collaboration-to-independence framework. §20-86b requires only clinical relationships with obstetrician-gynecologists for consultation, collaborative management, or referral 'as indicated by' patient health status — not a contractual collaborative-practice agreement.
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
§20-86b requires only that CNMs practice within a health care system or birth center and maintain clinical relationships with OB/GYNs for consultation/referral as clinically indicated — no proximity, radius, or on-site standard is codified.
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
CT law contemplates CNM prescribing — §20-101c allows a 'collaborating physician' name to appear on a CNM's prescription forms — but this research pass found no CNM-specific statute stating which controlled-substance schedules a CNM may prescribe. Treat controlledSubstancesAllowed here as a reasonable inference from AMCB-certified scope, not a confirmed statutory schedule limit — verify with the Board of Examiners for Nursing before relying on this for compliance decisions.
Written agreement
Not required
Unconditional — CNMs need only maintain clinical consultation/referral relationships with obstetrician-gynecologists (§20-86b), not a written collaborative agreement of the kind required for NP/CNS/CRNA licensure under §20-87a.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional Service Corporation under § 33-182a — nurses (which includes CNM) are an independently eligible licensee category and may wholly own a PSC without physician participation.
This ownership pathway is unaffected by the consultation/referral relationship requirement above — that requirement governs clinical practice, not entity ownership.
What physicians charge for this role
Typical monthly compensation in Connecticut
$500 – $600
Estimate for one Certified Nurse-Midwife. Standard-tier state.
About Connecticut's rules
NP, CNS, and CRNA are all licensed as a single 'advanced practice registered nurse' category (§20-94a) sharing an identical 3-year/2,000-hour collaboration-to-independence pathway (§20-87a); CT does not statutorily distinguish PMHNP or CNS scope from general NP. CNMs are licensed separately (Ch. 377), with no written collaborative-agreement requirement. No provider type below has a codified supervision ratio cap, chart-review percentage, or on-site proximity radius outside CRNA's surgery-specific carve-out.
Other clinicians in Connecticut: see the state overview.