- 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 plans may not impose prior authorization on “an oral therapy prescription used to treat opioid use disorder.” MONT. CODE ANN. § 33-32-215(8)
- Learn more about Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products
- Education Required for Addiction Counselor Credentialing
Montana credentials one type of addiction counselor. A Licensed Addiction Counselor requires, at minimum, an associate degree, 300 hours of relevant education courses and 1,000 hours of supervised practice. Mont. Code Ann. §37-35 and Montana Board of Behavioral Health
- Learn more about Education Required for Addiction Counselor Credentialing
- Licensed Professional Counselor Ability to Diagnose
Licensed clinical professional counselors conduct assessments and diagnoses for the purpose of establishing treatment goals and objectives. They may also plan, implement, and evaluate treatment plans that use treatment interventions to facilitate human development and to identify and remediate mental, emotional, or behavioral disorders and associated distresses that interfere with mental health. Mont. Code Ann. §37-23-102(3)
- Learn more about Licensed Professional Counselor Ability to Diagnose
- Peer Support Specialist Certification or Credentialing Authority
The certification requirements for behavioral health peer support specialists were recently proposed by the state’s Board of Behavioral Health. The proposed certification standards include minimum qualifications, training, continuing education, and employment requirements. MCA 37-38-202
- Learn more about Peer Support Specialist Certification or Credentialing Authority
- Certified Nurse Midwife Practice Authority
Full independent practice and prescriptive authority.
Advanced practice registered nursing practice, including NMs, is an independent and/or collaborative practice and may include establishing medical and nursing diagnoses, treating, and managing patients with acute and chronic illnesses and diseases as well as providing initial, ongoing and comprehensive care. Mont. Admin. Rules §24.159.1406
Drugs, devices and Schedules III-V controlled substances may be prescribed. Schedule II controlled substances may be phoned into a pharmacist in an emergency situation. Mont. Admin. Rules §24-159-1464
- Learn more about Certified Nurse Midwife Practice Authority
- Nurse Practitioner Practice Authority
Full independent practice and prescriptive authority.
NP practice means the independent and/or collaborative management of primary and/or acute health care of individuals, families and communities across settings. Mont. Admin. Rules §24.159.1470
Drugs, devices and Schedules III-V controlled substances may be prescribed. Schedule II controlled substances may be phoned into a pharmacist in an emergency situation. Mont. Admin. Rules §24-159.1463 and Mont. Admin. Rules §24-159-1464
- Learn more about Nurse Practitioner Practice Authority
- Nurse Practitioner Authority to Sign POLST Forms
NPs are authorized to sign POLST forms. Mont. Admin. Code §37.10.101
- 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. NP practice means the independent and/or collaborative management of primary and/or acute health care of individuals, families and communities across settings. The NP is certified in acute or primary care and in the population focus of adult/geriatric, pediatric, neonatal, family/individual health across the life span, women’s/gender-related, and/or psychiatric/mental health. Mont. Admin. Rules §24.159.1470
- Learn more about Nurse Practitioner as a Primary Care Provider
- Authority to perform ophthalmic procedures
Optometrists may only perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye. Additional allowable procedures may be authorized by statute and/or rule. Mont. Code Ann. §37-10-101 and Mont. Admin. Rules §24.168.421
- Learn more about Authority to perform ophthalmic procedures
- Injectable Authority
Optometrists may administer all pharmaceutical agents for the diagnosis and treatment of eye diseases, including epinephrine auto-injections to counter anaphylaxis. Mont. Code Ann. §37-10-101
- 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. Mont. Code Ann. §37-10-101 and Mont. Code Ann. §37-10-304
- Learn more about Prescription of controlled substances
- Dental Hygienists with Direct Access
A dental hygienist may obtain a limited access permit under public health supervision in a variety of settings. The dental hygienist may provide services without the authorization of a dentist provided they follow protocols established by the board and refers any patients needing further dental treatment and must meet experience requirements. Mont. Code Ann. §37-4-405
- Learn more about Dental Hygienists with Direct Access
- Dental Therapists
Dental health aide therapists assist with dental education and primary or preventive dental care in a practice setting operated by the Indian health service or a tribal health program. Mont. Code Ann. §53-6-101
- Learn more about Dental Therapists
- Practice of Teledentistry
Montana allows for private payer reimbursement of dental services provided through telehealth. Mont. Code Ann. §33-22-138 and Mont. Code Ann. §37-4
- Learn more about Practice of Teledentistry
- Administration of COVID-19 Vaccine
Montana 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
Montana does not allow pharmacists to modify prescriptions.
- Learn more about Prescription Adaptation
- Prescription of Hormonal Contraceptives
Montana does not allow pharmacists to prescribe hormonal contraceptives.
- Learn more about Prescription of Hormonal Contraceptives
- Prescription of Tobacco Cessation Aids
Montana does not allow pharmacists to prescribe tobacco cessation aids.
- Learn more about Prescription of Tobacco Cessation Aids
- Supervision Requirements (Practice and Prescriptive Authority)
Supervision or collaboration not required for practice or prescriptive authority.
A PA with fewer than 8,000 hours of post graduate clinical experience shall practice medicine with a collaborative agreement between the PA and one or more collaborating providers who may be a licensed physician; or licensed PA with more than 8,000 hours of postgraduate clinical experience. A licensed PA actively practicing for 8,000 is exempt from the collaborative agreement. The PA shall continue to collaborate and consult with other members of the healthcare team as appropriate. MONT. CODE ANN. § 37-20-203
A PA may prescribe, dispense and administer drugs. The prescribing and dispensing authority may include the following: Prescribing, dispensing and administration of Schedule III drugs, Schedule IV and Schedule V drugs. Schedule II may be authorized for limited periods not to exceed 34 days. MONT. CODE ANN. § 37-20-404 *HB 313 recently passed—statute not yet updated.*
- Learn more about Supervision Requirements (Practice and Prescriptive Authority)
- Number of PAs Supervised
Supervision is no longer required for physician assistants with 8,000 or more hours of clinical practice. HB 313 did not address how many PAs a physician may enter into a collaborative practice agreement with. *statute is not yet updated*
- Learn more about Number of PAs Supervised
- Chart Co-Signatures
Chart co-signatures may be determined at the practice level.
A physician assistant with less than 8,000 hours of clinical experience shall have a collaborative agreement which describes how collaboration will occur and describe methods for evaluating the physician assistant’s competency, knowledge and skills. After 8,000 hours the PA will be exempt from the collaborative agreement requirement.
MONT. CODE ANN. § 37-20-203 *HB 313 recently passed – statute not yet updated*
- Learn more about Chart Co-Signatures
- Adaptable Proximity Requirements
Statute allows adaptable proximity.
MONT. CODE ANN. § 37-20-403(2) *HB 313 recently passed – statute not yet updated*
- Learn more about Adaptable Proximity Requirements
- Scope of Practice Determination
A physician assistant with less than 8,000 hours of clinical experience shall have a collaborative agreement which describes how collaboration will occur and describe methods for evaluating the physician assistant’s competency, knowledge and skills. After 8,000 hours the PA will be exempt from the collaborative agreement requirement.
MONT. CODE ANN. § 37-20-203 *HB 313 recently passed – statute not yet updated*
- Learn more about Scope of Practice Determination
Most Recent Montana SOP Legislative Search Results
-
MT
D 1345 : Physician Assistant Practice Laws
–
Revises physician assistant practice laws, relates to health care services,…
Subject: PA SOP Determination, PA Supervision Requirements -
MT
H 810 : Advanced Practice Registered Nurses
–
Requires supervision for certain advanced practice registered nurses, relates to…
Subject: CNM Practice and Prescriptive Authority, NP Practice Authority, NP Prescriptive Authority -
MT
D 393 : Board of Behavioral Health
–
Revises laws related to the board of behavioral health, relates…
Subject: Peer Support Specialists -
MT
S 198 : Behavioral Health Peer Support Specialists
–
Provides for licensure credentialing of certain behavioral health peer support…
Subject: Peer Support Specialists -
MT
H 152 : Professional and Occupational Licensure
–
Relates to professional and occupational licensing by the Department of…
Subject: Optometrist Injectable Authority, Optometrist Authority to Perform Ophthalmic Procedures
Click a state for more information.
Mobile users can use this dropdown of states if the map is too small.