Education Required for Addiction Counselor Credentialing

North Dakota credentials one type of addiction counselor. A Licensed Addiction Counselor requires, at minimum, a bachelor’s degree in addictions or a related field and 1,400 hours clinical training. N.D. Cent. Code §43-45 and North Dakota State Board of Addiction Counseling Examiners

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Licensed Professional Counselor Ability to Diagnose

Professional counselors assist individuals, couples, families, and groups in achieving more effective emotional, mental, marital, family, and social or educational development and adjustment. Counselors prevent, assess and treat emotional, mental or behavioral disorder and distress that interferes with mental health. Diagnostic ability is not outlined in statute. N.D. Cent. Code §43-47-01

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Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 14 NPs in North Dakota have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or experience an NP in North Dakota may obtain a federal waiver to dispense buprenorphine-containing products. N.D. Admin. Code §54-05-03.1-10

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Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 7 PAs in North Dakota have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in North Dakota may dispense medications as authorized by guidelines determined with a supervising physician. With proper training or appropriate experience a PA in North Dakota 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. N.D. Admin. Code 50-03-01-07.1

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Peer Support Specialist Certification or Credentialing Authority

The certification standards and procedures for peer specialists were developed and administered by the state’s Division of Mental Health and Substance Abuse. The standards include requirements for experience, training, examination and continued education.

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Practice Authority

Full independent practice authority. The Board of Nursing shall authorize advanced nursing practice to a registered nurse who has submitted evidence of advanced knowledge, skills, and abilities in a defined area of nursing practice. Individuals are licensed as advanced practice registered nurses. N.D. Admin. Code §54-05-03.1-01

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Prescriptive Authority

Full independent prescriptive authority. The NP may prescribe drugs, devices and controlled substances. N.D. Admin. Code §54-05-03.1-10

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Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. The medical assistance program recognizes physician assistants and NPs as primary care providers with the same rights and responsibilities given primary care physicians under the medical assistance program. N.D. Cent. Code §50-24.1-32

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Authority to perform ophthalmic procedures

Optometrists may only perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye. Additional allowable procedures may be authorized by statute and/or rule. N.D. Cent. Code §43-13-01

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Injectable Authority

Optometrists may use topically administered and prescribed pharmaceutical agents for treatment of eye disorders or diseases and locally administered pharmaceutical agents for primary eye care procedures. N.D. Cent. Code §43-13-01

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Prescription of controlled substances

Optometrists may prescribe Schedule III-V controlled substances. N.D. Admin. Code §56-02-05-08

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Dental Hygienists with Direct Access

North Dakota does not allow dental hygienists to practice with direct access.

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Dental Therapists

Statute does not identify dental therapists as an oral health provider.

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Practice of Teledentistry

North Dakota Medicaid reimburses for teledentistry services delivered through live video. North Dakota Department of Human Services

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Administration of COVID-19 Vaccine

North Dakota 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

North Dakota does not allow pharmacists to modify prescriptions.

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Prescription of Hormonal Contraceptives

North Dakota does not allow pharmacists to prescribe hormonal contraceptives.

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Prescription of Tobacco Cessation Aids

North Dakota does not allow pharmacists to prescribe tobacco cessation aids.

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Supervision Requirements

A physician assistant may collaborate with an appropriate member of their health care team. The degree of collaboration must be determined at the practice site. N.D. Cent. Code §43-17-02.1

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Prescriptive Authority for Physician Assistants

A PA may dispense medications which the PA is authorized to prescribe that are within the guidelines of the supervising physician. N.D. Admin. Code 50-03-01-07.1

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Scope of Practice Determination

A PA’s scope of practice is determined between the supervising physician and the PA and must be appropriate to the PA’s level of competence. N.D. Admin. Code §50-03-01-06

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