- Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products
Prior authorization requirements are up to the discretion of the state Medicaid program or insurance company.
- Learn more about Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products
- Education Required for Addiction Counselor Credentialing
Hawaii credentials one type of addiction counselor. A Certified Substance Abuse Counselor requires a high school diploma, 270 hours of relevant education 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 2,000 hours). Hawaii Admin. Rules §11-177.1 and Hawaii Department of Health, Alcohol and Drug Abuse Division
- Learn more about Education Required for Addiction Counselor Credentialing
- Licensed Professional Counselor Ability to Diagnose
A licensed mental health counselor may provide professional counseling services to individuals, families, or groups. Services may include the assessment, diagnosis, and treatment of, and counseling for, mental and emotional disorders, substance abuse and conduct disorders defined in the approved diagnostic and statistical manual for mental disorders. Hawaii Rev. Stat. §453D-1
- Learn more about Licensed Professional Counselor Ability to Diagnose
- Peer Support Specialist Certification or Credentialing Authority
The certification standards and procedures for peer specialists are developed and administered by the state’s Adult Mental Health Division Office of Consumer Affairs. The standards include requirements for peer specialist qualifications, core competencies, training and examination, renewal, revocation and supervision.
- Learn more about Peer Support Specialist Certification or Credentialing Authority
- Certified Nurse Midwife Practice Authority
Full independent practice and prescriptive authority.
CNMs provide independent management of women’s health care, focusing particularly on pregnancy, childbirth, the postpartum period, care of the newborn, and the family planning and gynecological needs of women and practice in accordance with the standards for the practice of nurse midwifery of the American College of Nurse Midwives, unless otherwise indicated by the board.
If meeting all requirements of the board, CNMs have prescriptive authority to prescribe including Schedules II-V controlled substances. Hawaii Admin. Rules §16-89
- Learn more about Certified Nurse Midwife Practice Authority
- Nurse Practitioner Practice Authority
Full independent practice and prescriptive authority.
NPs may practice independently from physicians and practice under licensure authority of the State Board of Nursing. Hawaii Admin. Rules §16-89-2
NPs are authorized to independently prescribe prescription drugs and Schedules II-V controlled substances. Medical devices may be prescribed if within the NP’s specialty. Hawaii Admin. Rules §16-89-122
- Learn more about Nurse Practitioner Practice Authority
- Nurse Practitioner Authority to Sign POLST Forms
Any health care provider, including NPs, who is licensed, certified or otherwise authorized by law to provide health care, may sign POLST forms. Hawaii Rev. Stat. §327K-2
- 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. A health insurance company may recognize a participating NP as a primary care provider if a patient’s insurance policy requires the selection of a primary care provider. Hawaii Rev. Stat. §431:10A-125
- 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. Hawaii Rev. Stat. §459‑1
- Learn more about Authority to perform ophthalmic procedures
- Injectable Authority
Optometrists may only administer an epinephrine autoinjector for treatment of anaphylaxis. Hawaii Rev. Stat. §459‑7.4
- Learn more about Injectable Authority
- Prescription of controlled substances
Optometrists may not prescribe controlled substances. Hawaii Rev. Stat. §459‑7.4
- Learn more about Prescription of controlled substances
- Dental Hygienists with Direct Access
Hawaii 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
Hawaii does not explicitly allow for the practice of teledentistry.
- Learn more about Practice of Teledentistry
- Administration of COVID-19 Vaccine
Hawaii 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
Hawaii does not allow pharmacists to modify prescriptions.
- Learn more about Prescription Adaptation
- Prescription of Hormonal Contraceptives
A written protocol for hormonal contraception drug therapy must be approved by the Board of Pharmacy. Hawaii Rev. Stat. §461
- Learn more about Prescription of Hormonal Contraceptives
- Prescription of Tobacco Cessation Aids
Hawaii does not allow pharmacists to prescribe tobacco cessation aids.
- Learn more about Prescription of Tobacco Cessation Aids
- Supervision Requirements (Practice and Prescriptive Authority)
Supervision by a physician required for practice and prescriptive authority.
The board shall establish the degree of supervision required by the supervising physician, osteopathic physician, or group of physicians when a PA performs a service within the practice of medicine.
PA means a person who is registered under this chapter to administer, prescribe, or dispense a controlled substance under the authority and supervision of a physician. HAW. REV. STAT. § 453-5.3(f)
- Learn more about Supervision Requirements (Practice and Prescriptive Authority)
- Number of PAs Supervised
Statute limits the number of PAs a physician may supervise.
The supervising physician or osteopathic physician shall supervise no more than four PAs at any one time. HAW. CODE R. § 16-85-49(a)(7)
- Learn more about Number of PAs Supervised
- Chart Co-Signatures
Chart co-signatures are required by statute to practice or prescribe as a PA.
Each PA and supervising physician, osteopathic physician, or group of physicians shall establish written guidelines for the review of medical records as appropriate to the specific practice.
The supervising physician, osteopathic physician, or group of physicians shall review medical records as required by this subsection; provided that:
- When supervising a PA with less than one year of practice experience, the supervising physician, osteopathic physician, or group of physicians shall:
- For the first six months of supervision, review 50% of the medical records within 30 days of the patient visit;
- For the next six months of supervision, review 25% of the medical records within 30 days of the patient visit;
- When supervising a PA with more than one year of practice experience as a licensed physician assistant, the supervising physician, osteopathic physician, or group of physicians shall:
- Establish a process for the regular review of a sample of medical records of patients seen by the PA, including a sample of controlled substance records, if available;
- For at least 30 minutes each month, perform an audit and review of the medical record.
- When supervising a PA with less than one year of practice experience, the supervising physician, osteopathic physician, or group of physicians shall:
- Learn more about Chart Co-Signatures
- Adaptable Proximity Requirements
Statute allows adaptable proximity.
The direction and control shall not be construed in every case to require the personal presence of the supervising and controlling physician or osteopathic physician. HAW. REV. STAT. § 453-2(b)(5)
- Learn more about Adaptable Proximity Requirements
- Scope of Practice Determination
The supervising physician determines of PA’s scope of practice in a written document developed on-site. Hawaii Admin. Rules §16-85-49.1
- Learn more about Scope of Practice Determination
Most Recent Hawaii SOP Legislative Search Results
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HI
H 1451 : Advanced Practice Registered Nurses
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Improves patient access to medical care and services, authorizes advanced…
Subject: CNM Practice and Prescriptive Authority, NP Practice Authority, NP Prescriptive Authority -
HI
S 1038 : Telehealth Services Reimbursement
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Allows temporarily for the reimbursement for services provided through an…
Subject: Teledentistry -
HI
S 899 : Kupuna Caucus
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(Kupuna Caucus Bill Package) Authorizes advanced practice registered nurses to…
Subject: NP Practice Authority, NP Prescriptive Authority -
HI
H 693 : Telehealth Services Reimbursement
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Clarifies reimbursement for services provided through telehealth via an interactive…
Subject: Teledentistry -
HI
S 684 : Medicaid Requirements
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Conforms existing Medicaid requirements to health insurers, mutual benefit societies,…
Subject: Teledentistry
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