State flag Maine Scope of Practice Policy: State Profile

Maine scope of practice laws allow for the licensing of dental hygienists, dental therapists, nurse practitioners and physician assistants. Dental hygienists may provide their services under the general or direct supervision of a licensed dentist depending upon the activity being performed. After attaining certain educational and experience levels, a dental hygienist may become an independent… More »

Maine SOP Legislation

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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

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

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)

Dental Hygienists with Direct Access

A dental hygienist may practice independently without supervision by a dentist after educational and experience requirements are met. Me. Rev. Stat. Ann. tit. 32 §18345 and Me. Rev. Stat. Ann. tit. 32 §18375.

Dental Hygienists with Prescriptive Authority

Dental hygienists may prescribe, dispense, or administer anti-cavity toothpastes or topical gels with 1.1% of less sodium fluoride and oral rinses with 0.05%, 0.2%, 0.44% or 0.5% sodium fluoride, as well as chlorhexidine gluconate oral rinse. Me. Rev. Stat. Ann. tit. 32 §18374.

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.

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

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

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