Maryland nurse practitioners practice under a collaborative agreement requirement, with the Maryland Board of Nursing overseeing CRNP licensure. The collaborative agreement must be documented and available to payers upon request, though Maryland has been gradually modernizing its NP oversight requirements. CareFirst BlueCross BlueShield and Aetna both require collaborative agreement documentation in NP credentialing applications. Maryland Medical Assistance MCOs credential NPs with physician oversight documentation. Maryland's proximity to Washington, D.C. creates significant federal employee health benefit demand for NP services. The state's telehealth reimbursement parity laws support NP telehealth practice, particularly for rural Maryland counties on the Eastern Shore. Maryland has discussed transitioning to full practice authority, but collaborative agreements remain required under current law. Arctic Health prepares complete Maryland NP credentialing packages with collaborative agreement documentation.
Maryland Medical Board
Nurse Practitioner Requirements in Maryland
Estimated Timeline
Top Payers for Nurse Practitioner in Maryland
Frequently Asked Questions
Does Maryland still require collaborative agreements for NPs?
Yes. Maryland requires CRNPs to maintain collaborative agreements. Payers require collaborative agreement documentation as part of the credentialing application.
Can Maryland NPs practice independently if they have a collaborative agreement?
CRNPs can practice in various settings with the appropriate collaborative agreement in place. The structure of the agreement varies by practice setting and patient population.
Reviewed by Arctic Health Team , Credentialing Specialists
Last reviewed: September 2026
Information on this page reflects our experience as of September 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.