Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products

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Education Required for Addiction Counselor Credentialing

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Licensed Professional Counselor Ability to Diagnose

No data available for licensed professional counselors ability to diagnose.

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Peer Support Specialist Certification or Credentialing Authority

No data available for the certification of peer support specialists.

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Certified Nurse Midwife Practice Authority

Physician relationship required for practice and prescriptive authority.

The nurse midwife must have a written protocol with an obstetrician-gynecologist. The nurse-midwife may:

  1. Manage the medical care of the normal obstetrical patient.
  2. Perform superficial minor surgical procedures.
  3. Manage the normal obstretrical patient during labor and delivery to include amniotomy, episiotorny and repair.
  4. Initiate and perform local anesthetic procedures and order the necessary anesthetic agents to perform the procedures.
  5. Perform postpartum examination.
  6. Provide gynecological cares for the essentially normal woman.
  7. Prescribe appropriate medications.
  8. Provide family planning services. A.S.A.C. §31.0445
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Nurse Practitioner Practice Authority

Physician relationship required for practice and prescriptive authority.

NPs are required to work in general collaboration with a physician. The physician is not required to be physically present when services are performed but must be available for consultation. A.S.A.C. §31.0402

NPs are authorized to prescribe medications in general collaboration with a physician. A.S.A.C. §31.0402

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Nurse Practitioner Authority to Sign POLST Forms

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Nurse Practitioner as a Primary Care Provider

NPs are not explicitly recognized in administrative code as primary care providers.

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Authority to perform ophthalmic procedures

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Injectable Authority

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Prescription of controlled substances

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Dental Hygienists with Direct Access

American Samoa does not allow dental hygienists to practice with direct access.

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Dental Therapists

Dental therapists may perform certain diagnostic, restorative and therapeutic dental procedures under supervision of a dentist. The physical presence of a dentist is not required when a dental therapist performs these procedures. A.S.A.C. §31.0402

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Practice of Teledentistry

No information available.

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Administration of COVID-19 Vaccine

Information is not currently available.

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Prescription Adaptation

No information available.

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Prescription of Hormonal Contraceptives

No information available.

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Prescription of Tobacco Cessation Aids

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Supervision Requirements (Practice and Prescriptive Authority)

“Practice by physician assistants” means the performance, in general collaboration with a licensed physician or osteopath, of acts of medical diagnosis and treatment, prescription, preventive health care, and other functions which are authorized by the board. AM. SAMOA. ADMIN. CODE § 31.0403(l)

“General collaboration” means that each collaborator is available to the other collaborator for consultation either in person or by a communication device, but need not be physically present on the premises at the time the actions are performed. AM. SAMOA. ADMIN. CODE § 31.0402(c)

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Number of PAs Supervised

American Samoa does not currently have any provisions related to the number of PAs a physician can supervise or collaborate with.

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Chart Co-Signatures

American Samoa does not currently have provisions related to chart review or co-chart signatures.

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Adaptable Proximity Requirements

“General collaboration” means that each collaborator is available to the other collaborator for consultation either in person or by a communication device, but need not be physically present on the premises at the time the actions are performed. AM. SAMOA. ADMIN. CODE § 31.0402(c)

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Scope of Practice Determination

The American Samoa Health Services Regulatory Board authorizes a PAs scope of practice. A.S.A.C. §31.0402

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