Education Required for Addiction Counselor Credentialing

Maine credentials two types of addiction counselors. A Certified Alcohol and Drug Counselor requires a high school diploma, 30 semester hours of relevant coursework and 4,000 hours of experience. A Licensed Alcohol and Drug Counselor credential can be achieved with a CADC credential and 2,000 more hours of experience. If individuals do not have a qualifying degree or only have a high school, they need 6,000 hours experience. 32 M.R.S.A. §81-6203 and Maine Board of Alcohol and Drug Counselors

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Licensed Professional Counselor Ability to Diagnose

Licensed professional counselors (LPCs) are explicitly prohibited from diagnosing patients. LPCs practice the principles and procedures of counseling to assist those served in achieving more effective personal, emotional, social, educational and vocational development and adjustment. Me. Code of Regs. §02.514 Chapter 2.1

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Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 73 NPs in Maine have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or appropriate experience an NP in independent practice can receive a federal waiver to dispense buprenorphine-containing products. An NP who is prescribing while supervised by a physician may be able to receive a federal waiver with proper training or experience and when the collaborating physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. 32 M.R.S.A. §2102 and Me. Code of Regs. §02.380.008 Section 7

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Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 10 PAs in Maine have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in Maine may prescribe drugs and Schedules II-V controlled substances if outlined by a written practice agreement and delegated to do so by a supervising physician. With proper training or appropriate experience a PA in Maine can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Maine Rules §02-373 Chap. 2, Section 3

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Peer Support Specialist Certification or Credentialing Authority

The certification standards and procedures for intentional peer support specialists are developed and administered by the state’s Office of Substance Abuse and Mental Health Services. The standards for intentional peer support specialists include minimum qualifications, training, continuing education and employment requirements.

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Practice Authority

Before independent practice authority is granted, an NP must practice for at least 24 months under the supervision of a licensed physician. 32 M.R.S.A. §2102

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Prescriptive Authority

NPs may prescribe prescription drugs and Schedules II-V controlled substances once registered with the U.S. Drug Enforcement Administration. Me. Code of Regs. §02.380.008 Section 7

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Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. Primary care provider means a physician, or a nurse practitioner or physician assistant under the supervision of a physician, under contract with a managed care plan to supervise, coordinate and provide initial and basic care to plan patients, maintain continuity of patient care, and initiate patient referrals for specialist care. Me. Code of Regs. §02.031.850.5(FF)

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Authority to perform ophthalmic procedures

Optometrists may only examine, diagnose and treat conditions of the visual system. Maine Rev. Stat. Ann. tit. 32, §2411(1)

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Injectable Authority

Optometrists may only administer an epinephrine autoinjector for treatment of anaphylaxis. Maine Rev. Stat. Ann. tit. 32, §2411(5)

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Prescription of controlled substances

Optometrists may prescribe Schedule III-V controlled substances. Maine Rev. Stat. Ann. tit. 32, §2411(5)

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Dental Hygienists with Direct Access

After attaining certain educational and experience levels, a dental hygienist may become an independent practice dental hygienist and practice without the supervision of a dentist. Under Maine scope of practice law, a public health dental hygienist practices in a public health setting and under a supervision agreement with a dentist. Me. Rev. Stat. Ann. tit. 32 §18345 and Me. Rev. Stat. Ann. tit. 32 §18375.

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Dental Therapists

Dental therapists must practice under the direct supervision of a dentist in limited practice settings. A written practice agreement must outline the services that the dental hygiene therapist is authorized to perform under direct supervision. The practice agreement must also outline the protocols for administering and dispensing medications. Me. Rev. Stat. Ann. tit. 32 §18377.

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Practice of Teledentistry

Teledentistry means the use of interactive, real-time visual, audio or other electronic media for the purposes of education, assessment, examination, diagnosis, treatment planning, consultation and directing the delivery of treatment by individuals licensed under this chapter and includes synchronous encounters, asynchronous encounters, remote patient monitoring and mobile oral health care in accordance with practice guidelines specified in rules adopted by the board. (Bill enacted in 2021. Statute not yet updated)

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Administration of COVID-19 Vaccine

Pharmacists may administer and order the COVID-19 vaccine to a person 3 years of age or older. 32 MRSA §13831, sub-§2-A (Effective March 25, 2021. Statute not updated)

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Prescription Adaptation

Pharmacists may modify prescriptions with therapeutically equivalent drugs or interchangeable biological product. The pharmacist must inform the patient of the substitution and enter the medication change into the electronic records system within five days of dispensing. 32 M.R.S.A. §13781

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Prescription of Hormonal Contraceptives

Maine does not allow pharmacists to prescribe hormonal contraceptives.

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Prescription of Tobacco Cessation Aids

Pharmacists may prescribe nicotine replacement products pursuant to a written protocol approved by the Board of Pharmacy. 32 M.R.S.A. §3702-A-28

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Supervision Requirements

A written supervision agreement is required between the physician and the PA. The agreement must outline the requirements set forth in statute and the physician and the PA may determine how each requirement is accomplished. Maine Rules §02-373 Chap. 2, Sec. 4

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Prescriptive Authority for Physician Assistants

A PA may prescribe drugs, devices and Schedules II-V controlled substances if delegated by the supervising physician and outlined in the written agreement. Maine Rules §02-373 Chap. 2, Section 3

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Scope of Practice Determination

A written supervision agreement outlines the PA’s scope of practice and practice setting. Delegated medical services must be within the scope of practice of the supervising physician. Maine Rules §02-373 Chap. 2, Sec. 3

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