Education Required for Addiction Counselor Credentialing

Michigan credentials two types of addiction counselors. A Certified Alcohol and Drug Counselor requires a high school diploma, at minimum, 270 hours of relevant education courses and 6,000 hours of experience. A higher-level degree can substitute the number of hours (i.e. a person with a bachelor’s degree needs 4,000 hours). A Certified Advanced Alcohol and Drug Counselors requires a master’s degree, 180 hours of relevant education courses and 2,000 hours of experience. Mich. Admin. Code R 325.1301 – 1399 and Michigan Certification Board for Addiction Professionals

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Licensed Professional Counselor Ability to Diagnose

A licensed professional counselors may provide services to individuals, groups, families, organizations, or the general public involving the application of clinical counseling principles, methods, or procedures for the purpose of achieving social, personal, career, and emotional development and with the goal of promoting and enhancing healthy self-actualizing and satisfying lifestyles. Diagnostic ability is not outlined in statute. Mich. Comp. Laws §333.18101

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Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 77 NPs in Michigan 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 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. Mich. Comp. Laws §333.17211a

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Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 42 PAs in Michigan have received a federal waiver to treat opioid dependency with buprenorphine-containing products. In Michigan, Schedule II-V controlled substances may be prescribed by a PA who has a written practice agreement with a supervising physician. A Michigan PA with proper training or appropriate experience 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. Mich. Comp. Laws §333.17076

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Peer Support Specialist Certification or Credentialing Authority

The standards for the certification of peer recovery mentors, including experience, training, and supervision requirements, are developed and administered by a third-party, non-profit certification provider.

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Authority to Sign POLST Forms

NPs are authorized to sign physician orders for scope of treatment forms. (Newly added into rules. Awaiting link)

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Practice Authority

NPs may be delegated tasks and functions by a physician and must fall within the NP’s scope of practice. Mich. Comp. Laws §333.16215

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Prescriptive Authority

An NP may prescribe nonscheduled drugs without the delegation of a physician. The NP may prescribe Schedules II-V controlled substances if delegated by a physician. Mich. Comp. Laws §333.17211a

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Nurse Practitioner as a Primary Care Provider

NPs are not explicitly recognized in state policy as primary care providers.

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Authority to perform ophthalmic procedures

Optometrists may only examine, diagnose and treat conditions of the visual system. Michigan Comp. Laws §333.17401(1)

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Injectable Authority

Optometrists may not administer medication through injection. Michigan Comp. Laws §333.17401(1)(h)

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Prescription of controlled substances

Optometrists may prescribe Schedule III-V controlled substances and also Schedule II hydrocodone or hydrocodone combination medications. Michigan Comp. Laws §333.17401(1)

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Dental Hygienists with Direct Access

A dental hygienist may practice in a public or nonprofit entity or school or nursing home that administers a program of dental care to a dentally underserved population. They must have continuous availability of direct communication with a dentist and may provide the full scope of dental hygiene services allowed under general supervision. Mich. Comp. Laws §333.16625

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Dental Therapists

Effective March 27, 2019, dental therapists may practice in Michigan under the supervision of a dentist in a variety of settings including, but not limited to, correctional facilities, school-based health centers and federally qualified health centers.

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Practice of Teledentistry

Michigan does not explicitly allow for the practice of teledentistry.

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Administration of COVID-19 Vaccine

Michigan has not enacted legislation allowing pharmacists to administer the COVID-19 vaccine. However, the federal PREP Act does allow pharmacists to administer the COVID-19 vaccine through the duration of the public health emergency.

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Prescription Adaptation

Michigan does not allow pharmacists to modify prescriptions.

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Prescription of Hormonal Contraceptives

Michigan does not allow pharmacists to prescribe hormonal contraceptives.

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Prescription of Tobacco Cessation Aids

Michigan does not allow pharmacists to prescribe tobacco cessation aids.

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Supervision Requirements

A practice agreement is required between the physician assistant and a physician. Statute outlines the criteria included in the agreement. Mich. Comp. Laws §333.17047

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Prescriptive Authority for Physician Assistants

A PA who has a practice agreement with a physician may prescribe drugs and Schedule II-V controlled substances in accordance with procedures and protocols established by rule. Mich. Comp. Laws §333.17076

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Scope of Practice Determination

A PA may provide medical services under the supervision of a physician and only if the medical services are within the scope of practice of the supervising physician and delegated by the supervising physician. Mich. Comp. Laws §333.17076

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