Education & Advocacy for Texas APRNs


Texas laws on APRN prescriptive authority.

Managed Care

Becoming a managed care provider.

Rule Updates

APRNs must know rules regulating their practices.

APRN Guide

Must-have publications for APRNs in Texas.

Texas Medicaid Program: Basic Informa...


What is Medicaid?  Medicaid is jointly funded by Federal and State governments to assist states in providing medical and long-term care assistance to people who meet certain eligibility criteria. Within broad national guidelines established by Federal statutes and Center for Medicare & Medicaid Services (CMS) regulations and policies, each State (1) establishes its own eligibility […]

Medicare – Basic Information fo...

medicare rules texas nurse practitioners

In 1965, the Social Security Act established the Medicare and Medicaid Programs. Medicare is a federal health insurance program that provides coverage to over 55 million Americans including: People age 65 or older Some people under age 65 with disabilities People with End-Stage Renal Disease (ESRD) Medicare coverage is divided into coverage got hospitalization (Part A), outpatient […]

Is an APRN or PA Hospital Facility-Ba...

Hospital building

Follow this algorithm to determine if all or part of an APRN’s or PA’s practice is hospital facility-based for purposes of delegating prescriptive authority. If the APRN’s or PA’s clinical responsibilities include both ambulatory care and hospital settings, go through the algorithm separately for each aspect of the job in which the APRN or PA […]

Texas Controlled Substances Registrat...

Controlled Substances Warning Label

The Texas Controlled Substances Registration (CSR) is issued by the Texas Department of Public Safety (DPS). It is, therefore, commonly referred to as a DPS permit or CSR. For decades, Texas has required any person prescribing, purchasing or supplying controlled substances (CSs) in the state to have a Texas CSR, in addition to the federal […]

Texas Register Reports

Texas Register

CNAP staff reviews the Texas Register each week, and reports items of direct interest to APRNs. Check this page regularly to identify proposed or adopted rules that affect your practice. Also check notices for any state agency meetings that you might want to attend in your area. Below are some rules and notices that may […]

Rules and Regulations

law books

Why Are Rules & Regulation Important to APRNs? Most APRNs understand why changing legislation to remove practice barriers is important, but far fewer understand the role that regulation plays in achieving this goal. Without regular participation in the regulatory process by APRNs and the organizations that represent them, state agencies often overlook APRNs as potential providers […]

What is an APRN?


APRNs are registered nurses with advanced education in one of four APRN roles. They include clinical nurse specialists, nurse anesthetists, nurse-midwives, and nurse practitioners. APRNs are licensed by each state’s board of nursing. The Texas Board of Nursing licenses over 20,000 APRNs. APRNs are educated at the graduate level (master or doctoral degree), and are always […]

Prescribing in Texas

medical-prescription-1539455-639x479 (1)

Overview of APRN Prescriptive Privileges in Texas Updated February 2014 There are two primary limitations on prescriptive authority for Advanced Practice Registered Nurses (APRNs) in Texas. Prescriptive Authority must be delegated by a physician through a written document prescribed by law; and Certain limitations apply to prescribing Controlled Substances (CSs). Site-Based and Distance Restrictions Eliminated […]

Getting Reimbursed


Reimbursement: General Information Reimbursement is a central issue for Advanced Practice Registered Nurses (APRNs). Getting paid for the services an APRN provides is essential to staying in business or staying employed. However, many health care institutions and insurers are caught in a quagmire of policies created only to credential and reimburse physicians. APRNs will not […]

CNAP History

history of cnap

CNAP’s Beginnings Initial discussions regarding formation of a coalition of Texas advanced nursing practice nursing organizations occurred during summer 1991, after the third party reimbursement bill introduced in the 1991 Legislative Session died in committee.  It became clear to many of those involved in APN organizations that more resources had to be dedicated to advanced […]