Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.4
Certified Registered Nurse Anesthetists
10.2.3.4 – Certified Registered Nurse Anesthetists
(Rev. 10800; Issued: 05-20-21; Effective: 06-22-21; Implementation: 06-22-21)
Federal regulations at 42 CFR § 410.69(b)(1) through (4) state that a Certified Registered
Nurse Anesthetists (CRNA) is a registered nurse who:
(1) Is licensed as a registered professional nurse by the state in which the nurse
practices;
(2) Meets any licensure requirements the state imposes with respect to non-
physician anesthetists;
(3) Has graduated from a nurse anesthesia educational program that meets the
standards of the Council on Accreditation of Nurse Anesthesia Programs, or
such other accreditation organization as may be designated by the Secretary;
and
(4) Meets the following criteria:
(i)
Has passed a certification examination of the Council on Certification of Nurse
Anesthetists, the Council on Recertification of Nurse Anesthetists, or any other
certification organization that may be designated by the Secretary; or
(ii)
Is a graduate of a program described in § 410.69(b)(3) and within 24 months
after that graduation meets the requirements of § 410.69(b)(4)(i).
For more information on CRNAs, refer to:
• Section 1861(bb) of the Social Security Act
• Pub. 100-04, chapter 12, section 140.1