State flag Tennessee Scope of Practice Policy: State Profile

Education Required for Addiction Counselor Credentialing

Tennessee credentials two types of addiction counselors. A Licensed Alcohol and Drug Counselor (LADC) I requires, at minimum, a high school diploma, 270 hours of relevant education courses and 6,000 hours of supervised experience. A LADC II must have a bachelor’s degree in behavioral health or a master’s degree in any field and complete 4,000 hours of supervised experience. Tenn. Code Ann. §68-24-601 and Tennessee Board of Alcohol and Drug Abuse Counselors

Licensed Professional Counselor Ability to Diagnose

Licensed professional counselors (LPCs) provide services to individuals, groups, organizations, or the general public. Counselors prevent, diagnose and treat mental, emotional or behavioral disorders and associated disorders that interfere with mental health. LPCs also conduct assessments and diagnoses for the purpose of establishing treatment goals and objectives and plan, implement and evaluate treatment plans. Tenn. Gen. Rules §0450-01-.01(30)

Number of Nurse Practitioners Prescribing Buprenorphine

While NPs in Tennessee are not authorized to prescribe buprenorphine-containing products to treat opioid use disorder, there is one NP who does possess a DEA waiver.  Tenn. Code Ann. § 53-11-311

Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, no PAs in Tennessee have received a federal waiver to treat opioid dependency with buprenorphine-containing products. In Tennessee, PAs are not permitted to prescribe buprenorphine-containing products to treat opioid use disorder. Licensed physicians are the only healthcare providers authorized to dispense buprenorphine-containing products for medication-assisted treatment. Tenn. Code Ann. § 53-11-311

Peer Support Specialist Certification or Credentialing Authority

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

Practice Authority

Physician supervision is required. The physician has control and responsibility for prescriptive services rendered by the NP. Tenn. Code Ann. §63-7-123

Prescriptive Authority

NPs may prescribe Schedules II-V controlled substances upon receiving a certificate of fitness from the State Board of Nursing and adoption of physician supervisory rules. Schedules II-IV may only be prescribed after consultation with the physician. Tenn. Code Ann. §63-7-123

Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. Primary care providers are health care professionals capable of providing a wide variety of basic health services. Primary care providers include practitioners of family, general or internal medicine; pediatricians and obstetricians; nurse practitioners; midwives; and physician assistants in general or family practice. Tenn. Admin. Code §1200-13-13.01(98)

Dental Hygienists with Direct Access

Pursuant to a written protocol, dental hygienists may provide preventive services, as outlined by law or regulation, to patients in nursing homes, skilled care facilities, nonprofit clinics and public health programs, under the general supervision of a dentist. Dental hygienists may apply dental sealants or topical fluoride under the direction of a state or local health department without a dentist’s initial evaluation under a protocol established by the state or a metropolitan health department. No supervision is required for dental hygienists participating in preventive oral health education events and free health screenings. Tenn. Code Ann. §63-5-109

Dental Therapists

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

Practice of Teledentistry

Tennessee allows for the practice of teledentistry through live video and store-and-forward modalities. Tenn. Code Ann. §63-5-108(16)

Supervision Requirements

A written protocol is required between a PA and a supervising physician. The Board of Medical Examiners regulates the supervising physician’s review of the information in the charts of patients examined by the PA. Tenn. Code Ann. §63-19-106

Prescriptive Authority for Physician Assistants

A PA may prescribe drugs and Schedules II-V controlled substances if delegated by the supervising physician. Tenn. Code Ann. §63-19-107(2)

Scope of Practice Determination

The range of services that a PA may provide is determined in the written protocol. A PA may only perform those tasks that are within the PA’s skills and competence and within the usual scope of practice of the supervising physician. Tenn. Code Ann. §63-19-106

Tennessee SOP Legislation

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