Education Required for Addiction Counselor Credentialing

The District of Columbia credentials two types of addiction counselors. A Certified Addiction Counselor I requires an associate degree and 500 hours of supervised experience. A Certified Addiction Counselor II requires a bachelor’s degree and 180 of supervised experience. D.C. Mun. Reg. Chapter 87 and District of Columbia Board of Professional Counseling Licensing

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Licensed Professional Counselor Ability to Diagnose

In the District of Columbia, licensed professional counselors (LPCs) conduct assessments for the purpose of determining treatment goals and objectives and assist clients through a professional relationship to achieve effective mental, emotional, physical, social, educational or career development and adjustment throughout the life span. Diagnostic ability is not outlined in statute. D.C. Municipal Regs. §17-6699

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Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 25 NPs in the District of Columbia have received a federal waiver to treat opioid dependency with buprenorphine. Consistent with their prescriptive authority and with proper training or experience an NP in the District of Columbia may obtain a federal waiver to dispense buprenorphine. D.C. Municipal Regs. §17-5909 and D.C. Municipal Regs. §17-5999.1

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Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 4 PAs in the District of Columbia have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in the District of Columbia may prescribe Schedule II-V controlled substances as delegated by a supervising physician. With proper training or appropriate experience a PA in the District of Columbia 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. D.C. Municipal Regs. tit. 17, § 4912

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Peer Support Specialist Certification or Credentialing Authority

The certification standards for peer specialists are established by the municipal government. The municipal regulations include requirements for peer specialist qualifications, core competencies, training and examination, continuing education, revocation, and supervision. D.C. Mun. Regs. tit. 22, § A73, et seq

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Practice Authority

Full independent practice authority. An NP trained in an educational program and certified by a recognized national certification organization to provide healthcare services who, when functioning within the authorized scope of practice, is qualified to assume primary responsibility for the care of patients. D.C. Municipal Regs. §17-5999.1

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Prescriptive Authority

An NP may independently prescribe prescription drugs and Schedules II-V controlled substances. Prescriptions for drugs must comply with all applicable District of Columbia and federal laws. D.C. Municipal Regs. §17-5909

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Nurse Practitioner as a Primary Care Provider

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

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Authority to perform ophthalmic procedures

Optometrists may only examine, diagnose and treat conditions of the visual system. D.C. Code Ann. §3–1201.02(10)(A)

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Injectable Authority

Optometrists may only administer an epinephrine autoinjector for treatment of anaphylaxis. D.C. Code Ann. §3–1201.02(10)(A)

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Prescription of controlled substances

Optometrists may not prescribe controlled substances. D.C. Code Ann. §3–1201.02(10)(A)

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Dental Hygienists with Direct Access

The District of Columbia 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

The District of Columbia does not explicitly allow for the practice of teledentistry.

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Administration of COVID-19 Vaccine

The District of Columbia 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

The District of Columbia does not allow pharmacists to modify prescriptions.

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Prescription of Hormonal Contraceptives

A pharmacist must complete a training course in the subject area of hormonal contraception drug therapy and must include instruction in specific content areas. A written protocol for hormonal contraception drug therapy must be approved by the Board of Pharmacy. Code of The District of Columbia §3–1202.08

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Prescription of Tobacco Cessation Aids

The District of Columbia does not allow pharmacists to prescribe tobacco cessation aids.

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Supervision Requirements

A written delegation is required between a PA and the supervising physician. For each delegation agreement, the PA and the physician are each responsible for determining the terms and boundaries of the agreement, for updating the delegation agreement, and for overall quality assurance oversight. D.C. Municipal Regs. §17-4914

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Prescriptive Authority for Physician Assistants

A PA may prescribe drugs, devices and Schedules II-V controlled substances delegated by the supervising physician. D.C. Municipal Regs. §17-4912

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Scope of Practice Determination

A written delegation agreement between the supervising physician and the physician assistant (PA) delegates functions, practice sites and supervisors.  The PA may perform health care tasks delegated by the supervising physician that are within the PA’s skills.  D.C. Municipal Regs. §17-4911, D.C. Municipal Regs. §17-4915

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