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.

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Education Required for Addiction Counselor Credentialing

Idaho credentials three types of addiction counselors. A Certified Alcohol/Drug Counselor (CADC) 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 4,000 hours). An Advanced Certified Alcohol/Drug Counselor (ACADC) requires a master’s degree, 180 hours of relevant education and 2,000 hours of experience. A Master Addiction Counselor (MAC) requires a master’s degree and meet the requirements of the National Counselor Certification. Idaho Admin. Code §16.07.17 and Idaho Board of Alcohol/Drug Counselor Certification

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Licensed Professional Counselor Ability to Diagnose

In Idaho, licensed professional counselors (LPCs) use the application of mental health, psychological, and human development principles to facilitate human development and adjustment throughout the life span. Counselors also assess and treat mental, emotional or behavioral disorders and associated distresses which interfere with mental health. LPCs also conduct assessments for the purpose of establishing treatment goals and objectives, and plan, implement and evaluate treatment plans using counseling treatment interventions. Diagnostic ability is not outlined in statue. Idaho Stat. §54-3401(10)

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Peer Support Specialist Certification or Credentialing Authority

The Idaho Department of Health and Welfare has established training and credentialing standards for peer support specialists and family support partners. The certification process for peer support specialists and family support partners is administered by a third-party, behavioral healthcare provider. The standards and requirements for the certification of peer recovery coaches are developed and administered by a third-party, non-profit certification provider. Idaho Admin. Code §16.07.19.000

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Certified Nurse Midwife Practice Authority

Full independent practice and prescriptive authority.

An NM is a licensed independent practitioner who shall practice consistent with the definition of advanced practice registered nursing, recognized national standards, and the standards set forth by the Board of Nursing rules. Idaho Admin. Code §24.34.01

An NM may prescribe legend drugs and Schedules II-V controlled substances and must comply with applicable state and federal laws. Idaho Admin. Code §24.34.01

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Nurse Practitioner Practice Authority

Full independent practice and prescriptive authority.

A NP is a licensed independent practitioner who shall practice consistent with the definition of advanced practice registered nursing, recognized national standards, and the standards set forth by the Board of Nursing rules. Idaho Admin. Code §24.34.01

An NP may prescribe legend drugs and Schedules II-V controlled substance and must comply with applicable state and federal laws. Idaho Admin. Code §24.34.01

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Nurse Practitioner Authority to Sign POLST Forms

NPs may discuss and sign portable orders for life-sustaining treatment agreements with patients and patient representatives. Idaho Code §39-4512

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Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. A population focus is the section of the population which the NP has targeted to practice within. The categories of population focuses are family/individual across the life span, adult-gerontology, women’s health/gender-related, neonatal, pediatrics and psychiatric-mental health. Idaho Admin. Code §24.34.01

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Authority to perform ophthalmic procedures

Optometrists may perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye, including lumps and bumps. Idaho Stat. §54-1501

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Injectable Authority

Optometrists may administer all pharmaceutical agents for the diagnosis and treatment of eye diseases, including epinephrine auto-injections to counter anaphylaxis. Idaho Stat. §54-1501

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Prescription of controlled substances

Optometrists may prescribe all medications for use in the treatment of the human eye and/or eyelid, all over-the-counter agents and other therapeutic pharmaceutical agents approved by the Board of Optometry if they have obtained a certificate to prescribe, administer and dispense pharmaceutical agents. Idaho Admin. Code §24.10.01(02)(a)

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Dental Hygienists with Direct Access

Dental hygienists can practice outside a private setting and provide services in hospitals, long-term care facilities, public health facilities, health or migrant clinics or other board-approved settings if the supervising dentist authorizes the services and the dental hygienist meets additional requirements. Idaho Stat. §54-903 and Idaho Stat. §54-904

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Dental Therapists

Dental therapists provide preventative treatment and preventative services in schools or long-term care facilities in incorporated cities that are within or bordering tribal reservations. Dental therapists practice under the general supervision of a dentist and may dispense and administer medications as authorized by the supervising dentist. Idaho Stat. §54-902A

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Practice of Teledentistry

Dentists and dental hygienists may provide teledentistry services. Dentists who provide any teledentistry services must physically practice within 75 miles of the patient’s location. Idaho Admin. Code §24.31.01

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Administration of COVID-19 Vaccine

Idaho 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

A pharmacist can modify a prescription quantity, dosage form, or complete missing information. Idaho Admin. Code §24.36.01

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Prescription of Hormonal Contraceptives

A written protocol for hormonal contraception drug therapy must be approved by the Board of Pharmacy. Idaho Stat. §54-17

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Prescription of Tobacco Cessation Aids

A pharmacist must complete a training course in the subject area of tobacco cessation drug therapy and must include instruction in specific content areas. A written protocol for tobacco cessation drug therapy must be approved by the Board of Pharmacy. Idaho Stat. §54-1704

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Supervision Requirements (Practice and Prescriptive Authority)

Collaboration allowed with a physician for practice and prescriptive authority.

A PA shall collaborate with, consult with, or refer to the appropriate member of the facility health care team as indicated by: the condition of the patient; the education, experience and competence of the physician assistant; and the community standard of care. The degree and nature of collaboration shall be determined by the facility or practice in which the PA works and shall be set forth in facility bylaws or procedures for facilities that have credentialing and privileging systems or in a written collaborative practice agreement for all other facilities and practices. IDAHO CODE § 54-1807A(2)-(4)

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Number of PAs Supervised

Idaho does not currently have provisions related to the number of PAs a physician can supervise.

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Chart Co-Signatures

Idaho does not currently have any provisions related to chart review and co-chart signatures.

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Adaptable Proximity Requirements

Statute does not explicitly allow adaptable proximity.

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Scope of Practice Determination

The degree and nature of collaboration shall be determined by the facility or practice in which the physician assistant works and shall be set forth in facility bylaws or procedures for facilities that have credentialing and privileging systems or in a written collaborative practice agreement for all other facilities and practices. Idaho Stat. §54-1807A(2)

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