Education Required for Addiction Counselor Credentialing

Connecticut credentials two types of addiction counselors. A Certified Alcohol and Drug Counselor (CADC) requires a high school diploma, 300 hours of supervised practice, three years of supervised paid work experience or an unpaid internship working directly with alcohol and drug clients and completion of 360 hours of relevant coursework. A Licensed Alcohol and Drug Counselor requires a master’s degree or higher and all requirements of the CADC. Conn. Gen. Stat. §376b and Connecticut Department of Public Health

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Licensed Professional Counselor Ability to Diagnose

In Connecticut, licensed professional counselors (LPCs) are trained in the counseling of established principles of psycho-social development and behavioral science to the evaluation, assessment, analysis, diagnosis and treatment of emotional, behavioral or interpersonal dysfunction or difficulties that interfere with mental health and human development. LPCs may provide services to individuals and groups, marriage and family counseling, functional assessments for persons adjusting to a disability, appraisal, crisis intervention and consultations. Conn. Gen. Stat. §383c.20-195aa

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Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 140 NPs in Connecticut 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 full prescriptive authority can receive a federal waiver to dispense buprenorphine-containing products. An NP who is prescribing in collaboration with a physician may be able to receive a federal waiver with proper training or experience and when the collaborating physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Conn. Gen. Stat. §20-87a(3)

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Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 19 PAs in Connecticut have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in Connecticut may prescribe drugs and Schedules II-V controlled substances with physician supervision and delegation. With proper training or appropriate experience a PA in Connecticut 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. Conn. Gen. Stat. §20-12d

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Peer Support Specialist Certification or Credentialing Authority

In Connecticut, there are currently no statutory or regulatory standards for the certification of peer recovery support specialists. Instead, the Connecticut Department of Mental Health and Addiction Services recognizes the certification process of peer recovery support specialists by a third-party, non-profit certification provider.

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Authority to Sign POLST Forms

NPs are authorized to sign medical orders for life-sustaining treatment forms. Conn. Gen. Stat. §19a-580h

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Practice Authority

NPs practice under the licensure authority of the State Board of Nursing instead of a licensed physician. For the first three years after initial licensure, the NP must collaborate with a physician. The written agreement must address a reasonable and appropriate level of consultation and referral, coverage for the patient in the absence of such advanced practice registered nurse, a method to review patient outcomes and a method of disclosure of the relationship to the patient. After three years, the NP may practice independently. Conn. Gen. Stat. §20-87a(2)

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Prescriptive Authority

Written collaboration is required for three years after initial licensure addressing the level of Schedule II and III controlled substances that an NP is able to prescribe. The collaboration must include a method to review patient outcomes. After three years, the NP may prescribe independently. Conn. Gen. Stat. §20-87a(3)

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Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. A patient may designate a participating, in-network physician or a participating, in-network advanced practice registered nurse as their primary care provider. Conn. Gen. Stat. §38a-478d

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Authority to perform ophthalmic procedures

Optometrists may only examine, diagnose and treat conditions of the visual system including the removal of foreign bodies. Conn. Gen. Stat. §20-00-127(1)

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Injectable Authority

Optometrists may only administer an epinephrine autoinjector for treatment of anaphylaxis. Conn. Gen. Stat. §20-00-127(1)

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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. Conn. Gen. Stat. §20-00-127(1)

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Dental Hygienists with Direct Access

A dental hygienist with two years of experience may practice without supervision in institutions, public health facilities, group homes and schools. Conn. Gen. Stat. §20-126l

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Dental Therapists

Dental therapists must have a written collaborative management agreement with a dentist. Statute outlines what must be included in the agreement including practice settings and any limitations on services. Dental therapists may dispense and administer medications if outlined in the written practice agreement. (Statute not updated. Law is effective January 1, 2020)

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Practice of Teledentistry

A licensed dentist is included in the definition of a telehealth provider. A telehealth provider means any person who provides health care or other health services through the use of telehealth within such person’s scope of practice and in accordance with the standard of care applicable to such person’s profession. (Bill enacted July 31, 2020. Statute not yet updated)

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Administration of COVID-19 Vaccine

Connecticut 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

Connecticut does not allow pharmacists to modify prescriptions.

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Prescription of Hormonal Contraceptives

Connecticut does not allow pharmacists to prescribe hormonal contraceptives.

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Prescription of Tobacco Cessation Aids

Connecticut does not allow pharmacists to prescribe tobacco cessation aids.

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Supervision Requirements

Active and direct supervision by a physician is required. Supervision is determined on-site between the physician and the PA. Conn. Gen. Stat. §20-12c

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Prescriptive Authority for Physician Assistants

A PA may prescribe drugs and Schedules II-V controlled substances with physician supervision and delegation. Conn. Gen. Stat. §20-12d

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Scope of Practice Determination

The supervising physician may delegate tasks to the PA when the supervising physician is satisfied as to the ability and demonstrated competency of the physician assistant, such delegation is consistent with the health and welfare of the patient and in keeping with sound medical practice, such functions are performed under the oversight, control and direction of the supervising physician. Conn. Gen. Stat. §20-12d

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