- Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products
State law or statute prohibits or limits the use of prior authorization for buprenorphine containing products by either the state Medicaid plan or private insurance companies.
Health benefit plans must cover a five-day emergency supply of medications for treatment of drug and alcohol dependencies, including medications for opioid use disorder and naloxone, without prior authorization. DEL. CODE ANN. tit. 18, §§ 3343(b)(2)(a)
Carriers may not impose prior authorization requirements on buprenorphine, naltrexone, naloxone and buprenorphine/ naloxone. DEL. CODE ANN. tit. 18, §§ 3571X(d)(1)
Medicaid plans must cover a 72-hour emergency supply of medications for the treatment of drug and alcohol dependencies, including medications for OUD and naloxone, without prior authorization. DEL. CODE ANN. tit. 31, § 525(b)(2)
- Learn more about Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products
- Education Required for Addiction Counselor Credentialing
Delaware credentials two types of addiction counselors. A Certified Alcohol and Drug Counselor requires at minimum a high school diploma 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). A Licensed Chemical Dependency Professional requires a master’s degree and 3,200 hours as a substance abuse counselor. Del. Code Ann. tit. 24, §3040 – §3045, 24 Del. Reg. §3000, Delaware Certification Board and Delaware Board of Mental Health and Chemical Dependency Professionals Licensing
- Learn more about Education Required for Addiction Counselor Credentialing
- Licensed Professional Counselor Ability to Diagnose
A licensed professional counselor of mental health are trained clinical counseling principles, methods or procedures including the diagnosis and treatment of mental and emotional disorders to assist individuals in achieving more effective personal and social adjustment. Del. Code Ann. §24-3031(4)
- Learn more about Licensed Professional Counselor Ability to Diagnose
- Peer Support Specialist Certification or Credentialing Authority
There are currently no statutory or regulatory standards for the certification of peer recovery support specialists. Instead, the state recognizes the certification process of peer recovery support specialists by a third-party, non-profit certification provider.
- Learn more about Peer Support Specialist Certification or Credentialing Authority
- Certified Nurse Midwife Practice Authority
Full independent practice and prescriptive authority.
An APRN, including an NM, is granted full-practice and prescriptive authority upon the issuance of an APRN license. Advanced practice nursing is an expanded scope of nursing licensed as an independent licensed practitioner in a role and population focus approved by the Board of Nursing and includes the RN scope of practice. Del. Code Ann. §24-1935
- Learn more about Certified Nurse Midwife Practice Authority
- Nurse Practitioner Practice Authority
Full independent practice and prescriptive authority.
An APRN, including an NP, is granted full-practice and prescriptive authority upon the issuance of an APRN license. Advanced practice nursing is an expanded scope of nursing licensed as an independent licensed practitioner in a role and population focus approved by the Board of Nursing and includes the RN scope of practice. Del. Code Ann. §24-1935
- Learn more about Nurse Practitioner Practice Authority
- Nurse Practitioner Authority to Sign POLST Forms
Health care providers (including NPs) may sign medical orders for scope of treatment. Del. Code Title 16 §2501a
- Learn more about Nurse Practitioner Authority to Sign POLST Forms
- Nurse Practitioner as a Primary Care Provider
NPs are recognized in state policy as primary care providers. The NP designation is received after graduation from a master’s program or from an accredited post-basic NP certificate program of at least one academic year in length in a nurse practitioner specialty such as acute care, adult, family, geriatric, pediatric or women’s health, etc. Del. Admin. Code §24-1900.84
- Learn more about Nurse Practitioner as a Primary Care Provider
- Authority to perform ophthalmic procedures
Optometrists may only examine, diagnose and treat conditions of the visual system including the removal of foreign bodies. Del. Code. Ann. tit. 24, §2101(a)
- Learn more about Authority to perform ophthalmic procedures
- Injectable Authority
Optometrists may only administer an epinephrine autoinjector for treatment of anaphylaxis. Del. Code. Ann. tit.24, §2101(a)(3)
- Learn more about Injectable Authority
- Prescription of controlled substances
Optometrists may prescribe Schedule III-V controlled substances and also Schedule II hydrocodone or hydrocodone combination medications. Del. Code. Ann. tit. 24, §2101(a)(3)
- Learn more about Prescription of controlled substances
- Dental Hygienists with Direct Access
Delaware does not allow dental hygienists to practice with direct access.
- Learn more about Dental Hygienists with Direct Access
- Dental Therapists
Statute does not identify dental therapists as an oral health provider.
- Learn more about Dental Therapists
- Practice of Teledentistry
Delaware allows for the practice of teledentistry and private payer reimbursement of dental services provided through telehealth. Del. Code Ann. Title 24 §1101, Del. Code Ann. Title 18 §3370 and Del. Code Ann. Title 18 §3571R
- Learn more about Practice of Teledentistry
- Administration of COVID-19 Vaccine
Delaware 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.
- Learn more about Administration of COVID-19 Vaccine
- Prescription Adaptation
Delaware does not allow pharmacists to modify prescriptions.
- Learn more about Prescription Adaptation
- Prescription of Hormonal Contraceptives
A pharmacist must complete an approved training program related to dispensing and administering contraceptives under the standing order and dispense the contraceptive or dispense and administer the injectable hormonal contraceptive as soon as practicable after the pharmacist determines that the patient meets the requirements under the standing order. Del. Code Ann. §3003O
- Learn more about Prescription of Hormonal Contraceptives
- Prescription of Tobacco Cessation Aids
Delaware does not allow pharmacists to prescribe tobacco cessation aids.
- Learn more about Prescription of Tobacco Cessation Aids
- Supervision Requirements (Practice and Prescriptive Authority)
Collaboration allowed with a physician for practice and prescriptive authority.
“Collaboration or “collaborating” means a process in which the physician who oversees patient services and the PA jointly contribute to the health care and medical evaluation and treatment or management of patients with each performing actions he or she is individually licensed for and has the education, training and experience to perform. The collaborating physician must be available for consultation with the PA during the time of the patient encounter with the PA, if necessary to provide advice on the ongoing care of the patient. DEL. CODE ANN. tit. 24, § 1770A(2)
PA practice includes medical acts of diagnosis and the prescription of therapeutic drugs and treatments; and referral of patients to specialists as needed. This includes Schedule II-V controlled substances. DEL. CODE ANN. Tit. 24, § 1773(a)(2)(d)-(e)
- Learn more about Supervision Requirements (Practice and Prescriptive Authority)
- Number of PAs Supervised
Statute limits the number of PAs a physician may supervise.
A collaborating physician may not at any given time collaborate with more than 4 PAs, unless a regulation of the board increases or decreases the number. DEL. CODE ANN. tit. 24, § 1771(f) & (h)
- Learn more about Number of PAs Supervised
- Chart Co-Signatures
Delaware does not currently have any provisions related to chart review or co-signatures.
- Learn more about Chart Co-Signatures
- Adaptable Proximity Requirements
Statute allows adaptable proximity.
The constant physical presence of the collaborating physician is not required on-site in the practice setting, provided that the collaborating physician is readily accessible by some form of electronic communication. DEL. CODE ANN. tit. 24, § 1770A(2)
- Learn more about Adaptable Proximity Requirements
- Scope of Practice Determination
A physician assistant’s scope of practice is determined between the PA and the collaborating physician. Del. Code Ann. §24-1771
- Learn more about Scope of Practice Determination
Most Recent Delaware SOP Legislative Search Results
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DE
H 141 : Advanced Practice Registered Nurses
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Aligns the Delaware Board of Nursing statute with the Advanced…
Subject: NP Practice Authority, NP Prescriptive Authority -
DE
S 105 : Pharmacists Dispensing and Administering Contraceptives
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Allows pharmacists to administer or dispense contraceptives under a standing…
Subject: Pharmacist Prescription of Hormonal Contraceptives -
DE
H 33 : Physician Assistants
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Changes the relationship between physicians and physician assistants from supervisory…
Subject: PA Prescriptive Authority, PA SOP Determination, PA Supervision Requirements -
DE
H 28 : Practice of Dental Hygiene
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Allow for dental hygienists to travel to certain facilities and…
Subject: Dental Hygienist Direct Access -
DE
H 28 : Practice of Dental Hygiene
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Allow for dental hygienists to travel to certain facilities and…
Subject: Dental Hygienist Direct Access
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