Michigan

Michigan credentials two types of addiction counselors. A Certified Alcohol and Drug Counselor requires a high school diploma, at minimum, 270 hours of relevant education courses 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 Certified Advanced Alcohol and Drug Counselors requires a master’s degree, 180 hours of relevant education courses and 2,000 hours of experience. Mich. Admin. Code R 325.1301 – 1399 and Michigan Certification Board for Addiction Professionals

A licensed professional counselors may provide services to individuals, groups, families, organizations, or the general public including psychotherapy, psychoeducational counseling, counseling techniques and diagnosing the problem. This includes the application of basic counseling and psychotherapy skills and theories in the counseling process for the purposes of establishing and maintaining the counseling relationship; diagnosing the problem; formulating a preventative, treatment, or rehabilitative plan; and facilitating appropriate interventions. Mich. Comp. Laws §333.18101

As of August 2018, 77 NPs in Michigan 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 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. Mich. Comp. Laws §333.17211a

As of August 2018, 42 PAs in Michigan have received a federal waiver to treat opioid dependency with buprenorphine-containing products. In Michigan, Schedule II-V controlled substances may be prescribed by a PA who has a written practice agreement with a supervising physician. A Michigan PA with proper training or appropriate experience 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. Mich. Comp. Laws §333.17076

The standards for the certification of peer recovery mentors, including experience, training, and supervision requirements, are developed and administered by a third-party, non-profit certification provider.

NPs are authorized to sign physician orders for scope of treatment forms.

The practice of nursing includes systematic application of substantial specialized knowledge and skill, derived from the biological, physical, and behavioral sciences, to the care, treatment, counsel, and health teaching of individuals who are experiencing changes in the normal health processes or who require assistance in the maintenance of health and the prevention or management of illness, injury, or disability. Michigan statute does not explicitly require collaboration with a physician but a collaborative agreement is required in order to be reimbursed by the state Medicaid program. Mich. Comp. Laws §333.17201

An NP may prescribe nonscheduled drugs without the delegation of a physician. The NP may prescribe Schedules II-V controlled substances if delegated by a physician. Mich. Comp. Laws §333.17211a

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

Optometrists may only examine, diagnose and treat conditions of the visual system. Michigan Comp. Laws §333.17401(1)

Optometrists may not administer medication through injection. Michigan Comp. Laws §333.17401(1)(h)

Optometrists may prescribe Schedule III-V controlled substances and also Schedule II hydrocodone or hydrocodone combination medications. Michigan Comp. Laws §333.17401(1)

A dental hygienist may practice in a public or nonprofit entity or school or nursing home that administers a program of dental care to a dentally underserved population. They must have continuous availability of direct communication with a dentist and may provide the full scope of dental hygiene services allowed under general supervision. Mich. Comp. Laws §333.16625

Dental therapists may practice in Michigan under the supervision of a dentist in a variety of settings including, but not limited to, correctional facilities, school-based health centers and federally qualified health centers. Mich. Comp. Laws §333.16655

Michigan does not explicitly allow for the practice of teledentistry.

Michigan 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.

Michigan does not allow pharmacists to modify prescriptions.

Michigan does not allow pharmacists to prescribe hormonal contraceptives.

Michigan does not allow pharmacists to prescribe tobacco cessation aids.

A practice agreement is required between the physician assistant and a physician. Statute outlines the criteria included in the agreement. Mich. Comp. Laws §333.17047

A PA who has a practice agreement with a physician may prescribe drugs and Schedule II-V controlled substances in accordance with procedures and protocols established by rule. Mich. Comp. Laws §333.17076

A PA may provide medical services under the supervision of a physician and only if the medical services are within the scope of practice of the supervising physician and delegated by the supervising physician. Mich. Comp. Laws §333.17076