Oklahoma

Oklahoma credentials two types of addiction counselors. A Certified Alcohol and Drug Counselor requires, at minimum, a bachelor’s degree, 270 hours of relevant education courses and 4,000 hours of supervised work experience. A Licensed Alcohol and Drug Counselor requires a master’s degree, relevant education courses and 2,000 hours of supervised work experience. Okla. Stat. tit. 59 §59-1870 and Oklahoma Board of Licensed Alcohol and Drug Counselors

Licensed professional counselors facilitate human development and adjustment throughout the life span. Counselors prevent, diagnose or treat mental, emotional or behavioral disorders or associated distress that interfere with mental health and conduct assessments or diagnoses for the purpose of establishing treatment goals and objectives. Okla. Stat. §59-1902(3)

As of August 2018, 25 NPs in Oklahoma 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. Okla. Stat. §63-2-312

As of August 2018, 10 PAs in Oklahoma have received a federal waiver to treat opioid dependency with buprenorphine-containing products. An Oklahoma PA may prescribe Schedules II-V controlled substances under the direction of the supervising physician and approved by the state licensing board. Oklahoma PAs 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. Okla. Stat. tit. 59, §11.519.6(D)

The certification requirements for peer recovery support specialists are established by the state’s Department of Mental Health and Substance Abuse Services. The comprehensive certification standards include minimum qualifications, training, continuing education and employment requirements. Okla. Admin. Code § 450:53-1-1, et seq

Only physicians are authorized to sign POLST forms. Okla. Stat. tit. 63 §63-3105

A collaborative agreement is required between an NP and a supervising physician in order for the NP to prescribe drugs and other medical supplies. Okla. Nursing Practice Act §567.3a(6)

An advanced practice nurse who is recognized to prescribe by the Oklahoma Board of Nursing as an advanced registered nurse practitioner and is subject to medical direction by a supervising physician may prescribe and administer Schedule III-V controlled substances. Okla. Stat. §63-2-312

NPs are recognized in state policy as primary care providers. Primary care providers are limited to physicians, NPs, PAs, and Indian Health Service Facilities and Federally Qualified Health Center provider groups. Okla. Admin. Code §317:25-7-5

Optometrists may perform all procedures included in their full scope of practice, including laser surgery. Okla Stat. §59-581(a)

Optometrists may use pharmaceutical agents to treat eye abnormalities. Okla Stat. §59-581(a)

Optometrists may prescribe Schedule III-V controlled substances and Schedule II controlled substances containing hydrocodone combinations for a five-day supply. Okla Stat. §59-581(b)

A dental hygienist may provide services outside of the private dental office for a patient not examined by the dentist. The dentist must authorize care in writing and the dental hygienist must have at least two years of experience. Okla. Stat. Ann. §328.34

Statute does not identify dental therapists as an oral health provider.

Teledentistry means the remote delivery of dental patient care via telecommunications and other technology for the exchange of clinical information and images for dental consultation, preliminary treatment planning and patient monitoring. A dentist holding a valid dental license in Oklahoma may consult, diagnose and treat a patient of record via synchronous or asynchronous telecommunication between the patient and dentist. The dentist must record all activities relating to teledentistry in the patient record and must have an office location in Oklahoma available for follow-up treatment and maintenance of records. Okla. Stat. tit. 59 §328.3(34)

Oklahoma 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.

Oklahoma does not allow pharmacists to modify prescriptions.

Oklahoma does not allow pharmacists to prescribe hormonal contraceptives.

Oklahoma does not allow pharmacists to prescribe tobacco cessation aids.

The supervisory relationship is determined between the PA and supervising physician at the practice level. The supervising physician does not need to be present where services are provided by the PA, but must be readily available. Okla. Stat. tit. 59, §519.6

A PA may prescribe drugs, devices and Schedule II-V controlled substances under the direction of the supervising physician and approved by the State Board of Medical Licensure and Supervision. Okla. Stat. tit. 59 §519.6(D)

The supervising physician delegates medical services to a physician assistant through a practice agreement. Delegated services should be based on the education, training, skills and experience of the physician assistant. Okla. Stat. tit. 59, §519.2(3)