State flag South Dakota Scope of Practice Policy: State Profile

Education Required for Addiction Counselor Credentialing

South Dakota credentials two types of addiction counselors. A Certified Addiction Counselor requires, at minimum, a high school diploma, 27 hours of related education courses and 8,000 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 Licensed Addiction Counselor requires a graduate degree, 21 semester hours of relevant education courses and 2,000 hours of experience. S.D. Codified Laws Ann. §36-34 and South Dakota Board of Addiction Professionals

Licensed Professional Counselor Ability to Diagnose

Licensed professional counselors diagnose and treat mental, emotional or behavioral disorders and associated distresses that interfere with mental health. Counselors also conduct assessments and diagnoses for the purpose of planning, implementation and evaluation of treatment plans and interventions. S.D. Codified Laws §36-32-1(5)

Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, six NPs in South Dakota 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 with independent practice authority can receive a federal waiver to dispense buprenorphine-containing products. An NP who is practicing under the supervision of a physician may be able to receive a federal waiver with proper training or experience and as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. S.D. Codified Laws Ann. §36-9A-1 and S.D. Codified Laws Ann. § 36-9A-12

Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 1 PA in South Dakota has received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in South Dakota may prescribe Schedule II-V controlled substances if outlined in a practice agreement and supervised by a physician. With proper training or appropriate experience a PA in South 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. S.D. Codified Laws Ann. §36-4A-26.1

Peer Support Specialist Certification or Credentialing Authority

There are currently no statutory or regulatory standards for the certification of peer support service providers.

Practice Authority

Before allowed full independent practice authority, NPs must complete 1,040 practice hours under physician supervision. S.D. Codified Laws Ann. §36-9A-1.

Prescriptive Authority

NPs may prescribe drugs, devices and Schedules II-V controlled substances. S.D. Codified Laws Ann. § 36-9A-12

Nurse Practitioner as a Primary Care Provider

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

Dental Hygienists with Direct Access

A dental hygienist may perform preventive and therapeutic services under the collaborative supervision of a dentist if the dental hygienist has practiced for two of the past three years, enters into a collaborative agreement with the dentist, and has additional skills and knowledge (e.g., how to respond to dental emergencies, how to manage childhood caries, etc.). Collaborative supervision may be provided to patients in a school, nursing facility, Head Start program, nonprofit mobile dental clinic, community health center, or government program who have been evaluated by a dentist within the previous thirteen months. S.D. Rules 20:43:10

Dental Therapists

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

Practice of Teledentistry

South Dakota allows for teledentistry services delivered through store-and-forward. S.D. Codified Laws §36-6A-1(31)

Supervision Requirements

Supervision is outlined in the practice agreement and approved by the State Medical Board. The physician and the PA must meet twice a month to discuss patient care. S.D. Admin. Rules §20:52:01:03.01

Prescriptive Authority for Physician Assistants

A PA may prescribe drugs and Schedules II-V controlled substances if outlined in the practice agreement and is provided with supervision. S.D. Codified Laws Ann. §36-4A-26.1

Scope of Practice Determination

A written agreement developed by the supervising physician and the PA is required outlining the delegated activities which the PA may perform. S.D. Admin. Rules §20:52:01:03

South Dakota SOP Legislation

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