New York Scope of Practice Policy: State Profile

New York credentials one type of addiction counselor. A Credentialed Alcoholism and Substance Abuse Counselors requires, at minimum, a high school diploma, 350 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). N.Y. Mental Hygiene Law §19.07 and New York State Office of Alcoholism and Substance Abuse Services Credentialing Unit

Mental health counselors evaluate, assess, treat, disorders of behavior, character, development, emotion, personality or relationships by the use of verbal or behavioral methods with individuals, couples, families or groups in private practice, group, or organized settings. The use of assessment instruments and mental health counseling allows counselors to identify, evaluate and treat dysfunctions and disorders for purposes of providing appropriate mental health counseling services. Diagnostic ability is not outlined in statute. N.Y. Education Law §8402

As of August 2018, 378 NPs in New York 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 NPs can receive a federal waiver to dispense buprenorphine-containing products, as long as the collaborating or supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. N.Y. Education Law §6902.3(ii)

As of August 2018, 124 PAs in New York have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A New York PA may prescribe Schedules II-V controlled substances as delegated by a supervising physician and within the PA’s scope of practice. New York PAs with proper training or appropriate experience can receive a federal waiver to dispense buprenorphine-containing products, as long as the collaborating or supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. N.Y. Pub. Health Law §3702(3)

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

Collaboration with a licensed physician is required. Written protocols must be developed and the protocol must include explicit provisions for the resolution of any disagreement between the physician and the NP regarding diagnosis and treatment of patients. N.Y. Education Law §6902.3

An NP may prescribe drugs and devices in accordance with the practice agreement with the collaborating physician. The NP must complete educational requirements related to pharmacology before being issued a certificate. N.Y. Education Law §6902.3(ii)

NPs are recognized in state policy as primary care providers. A primary care provider means a physician or nurse practitioner providing primary care to and management of medical and health care services of a patient. N.Y. Comp. Codes R. & Regs. tit. 18, §360-10.3

A dental hygienist can initiate care in public or private settings. A dentist must authorize procedures and be available for consultation, diagnosis and evaluation. N.Y. Education Law §6606 N.Y. Rules §61.9

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

Licensed dentists may provide teledentistry services and may be reimbursed by Medicaid. New York Public Health Law §2999-CC

Supervision by a physician is required and must be continuous, but doesn’t necessarily require the physical presence of the physician where services are performed. N.Y. Education Law §6542(2)

A PA may prescribe Schedules II-V controlled substances if acting under the delegation of the supervising physician and within the scope of their practice. N.Y. Pub. Health Law §3702(3)

The PA may perform medical services and acts that are delegated by the supervising physician and are within the scope of practice of the physician. N.Y. Education Law §6542(1)