- 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
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
- Learn more about Education Required for Addiction Counselor Credentialing
- Licensed Professional Counselor Ability to Diagnose
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
- Learn more about Licensed Professional Counselor Ability to Diagnose
- Peer Support Specialist Certification or Credentialing Authority
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.
- Learn more about Peer Support Specialist Certification or Credentialing Authority
- Certified Nurse Midwife Practice Authority
Physician relationship required in order to prescribe.
An NM 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
- Learn more about Certified Nurse Midwife Practice Authority
- Nurse Practitioner Practice Authority
Physician relationship required for Medicaid reimbursement.
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
- Learn more about Nurse Practitioner Practice Authority
- Nurse Practitioner Authority to Sign POLST Forms
NPs are authorized to sign physician orders for scope of treatment forms.
- Learn more about Nurse Practitioner Authority to Sign POLST Forms
- Nurse Practitioner as a Primary Care Provider
NPs are not explicitly recognized in state policy as primary care providers.
- 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. Michigan Comp. Laws §333.17401(1)
- Learn more about Authority to perform ophthalmic procedures
- Injectable Authority
Optometrists may not administer medication through injection. Michigan Comp. Laws §333.17401(1)(h)
- 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. Michigan Comp. Laws §333.17401(1)
- Learn more about Prescription of controlled substances
- Dental Hygienists with Direct Access
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
- Learn more about Dental Hygienists with Direct Access
- Dental Therapists
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
- Learn more about Dental Therapists
- Practice of Teledentistry
Michigan does not explicitly allow for the practice of teledentistry.
- Learn more about Practice of Teledentistry
- Administration of COVID-19 Vaccine
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.
- Learn more about Administration of COVID-19 Vaccine
- Prescription Adaptation
Michigan does not allow pharmacists to modify prescriptions.
- Learn more about Prescription Adaptation
- Prescription of Hormonal Contraceptives
Michigan allows pharmacists to prescribe hormonal contraceptives.
The Michigan Licensing and Regulatory Affairs division clarified that under Michigan Public Code (MCL 333.17707(3)) as long as listed requirements are met, licensed physicians may choose to delegate to licensed pharmacists the authority to prescribe self-administered, hormonal contraceptives, as pharmacists are “otherwise qualified by education, training or experience” to carry out that function.
Requirements include:
- Only MDs and DOs licensed in Michigan may delegate.
- Those who are delegated authority must be pharmacists licensed in Michigan with a PharmD degree.
- Only the authority to prescribe self-administered, hormonal contraceptives may be delegated.
- A pharmacist must complete training regarding prescribing self-administered, hormonal contraceptives.
- This delegation requires “adequate supervision by the delegating licensee.” This must include all the
following (as provided in MCL 333.16109(2)):- Continuous availability of direct communication in person or by radio, telephone, or
telecommunication between the MD/DO and the pharmacist. - The MD/DO being available on a regularly scheduled basis to review the pharmacist’s records and
practice, to consult with the pharmacist, and to further educate the pharmacist in the performance of
the delegated functions. - The MD/DO providing predetermined procedures and drug protocol.
- Continuous availability of direct communication in person or by radio, telephone, or
- All prescriptions issued by a pharmacist must indicate the name of the delegating MD/DO.
- The scope of the delegation, including predetermined procedures and drug protocol, should be memorialized in a written delegation agreement. A sample agreement template is available on LARA’s website.
Delegation of Limited Prescriptive Authority to Licensed Pharmacists
- Learn more about Prescription of Hormonal Contraceptives
- Prescription of Tobacco Cessation Aids
Michigan 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.
A PA shall not engage in the practice as a physician’s assistant except under the terms of a practice agreement that meets the requirements of this section. MICH. COMP. LAWS § 333.17047
A PA who is a party to a practice agreement may prescribe a drug in accordance with procedures and protocols for the prescription established by rule of the department in consultation with the appropriate board. A PA may prescribe a drug, including a controlled substance that is included in schedules II to V. MICH. COMP. LAWS § 333.17076(2),(3)
- Learn more about Supervision Requirements (Practice and Prescriptive Authority)
- Number of PAs Supervised
Statute does not limit the number of PAs a physician may supervise.
The number of PAs in a practice agreement with a participating physician and the number of individuals to whom a physician has delegated the authority to perform acts, tasks or functions are subject to section 16221. [Duties and violations] MICH. COMP. LAWS § 333.17047(3)
- Learn more about Number of PAs Supervised
- Chart Co-Signatures
Chart co-signatures may be determined at the practice level.
Notwithstanding any law or rule to the contrary, a physician is not required to countersign orders written in a patient’s clinical record by a physician’s assistant with whom the physician has a practice agreement. […] MICH. COMP. LAWS § 333.17049(2)
- Learn more about Chart Co-Signatures
- Adaptable Proximity Requirements
Statute allows adaptable proximity.
A practice agreement must specify a process between the PA and participating physician for communication, availability, and decision making when providing medical treatment to a patient. The process must utilize the knowledge and skills of the PA and participating physician based on their education, training, and experience. A protocol for designating an alternative physician for consultation in situations in which the participating physician is not available for consultation. MICH. COMP. LAWS § 333.17047
- Learn more about Adaptable Proximity Requirements
- Scope of Practice Determination
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
- Learn more about Scope of Practice Determination
Most Recent Michigan SOP Legislative Search Results
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MI
H 4472 : Health Occupations
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Modifies practice agreements for physicians assistants to include physician or…
Subject: PA SOP Determination, PA Supervision Requirements -
MI
H 4310 : Department of Health and Human Services Appropriations
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Provides appropriations for a specified fiscal year.
Subject: Community Health Workers -
MI
S 279 : Health Occupations Nurse Practitioners
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Modifies scope of practice of registered professional nurses who hold…
Subject: NP Practice Authority, NP Prescriptive Authority -
MI
S 219 : Vaccines and Laboratory Tests
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Allows pharmacists to order and administer vaccines and laboratory tests…
Subject: Pharmacist Prescription Adaptation -
MI
S 190 : Health and Human Services Appropriations
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Provides for 2023-24 fiscal year appropriations to the Department of…
Subject: Community Health Workers
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