Education Required for Addiction Counselor Credentialing

Oregon credentials three types of addiction counselors. A Certified Alcohol Drug Counselor (CADC) I requires a high school diploma, 150 hours of relevant education courses and 1,000 hours of supervised experience. A CADC II requires a bachelor’s degree, 300 hours of relevant education courses and 4,000 hours of supervised experience. A CADC III requires a graduate degree, completion of all education requirements of a CADC II education along with additional relevant courses and 6,000 hours supervised experience. Mental Health and Addiction Certification Board of Oregon and Addiction Counselor Certification Board of Oregon

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Licensed Professional Counselor Ability to Diagnose

Licensed professional counselors assess, diagnose and treat mental, emotional or behavioral disorders in individuals, couples, children, families, groups or organizations. Or. Rev. Stat. §675.705(7)

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Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 95 NPs in Oregon have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or experience an NP in Oregon may obtain a federal waiver to dispense buprenorphine-containing products. Or. Rev. Stat. §678.390

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Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 28 PAs in Oregon have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in Oregon may prescribe Schedule II-V controlled substances as agreed to in a practice agreement with a supervising physician. With proper training or appropriate experience a PA in Oregon 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. Or. Admin. Rules §847-050-0041

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Peer Support Specialist Certification or Credentialing Authority

The certification criteria for peer support specialists are established by the Oregon Health Authority. The standards for the certification of recovery mentors, including experience, training, and supervision requirements, are developed and administered by a third-party, non-profit certification provider. Or. Admin. R. 410-180-0300, et seq

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Authority to Sign POLST Forms

NPs are authorized to sign POLST forms. Or. Admin. Code §333-270-0030

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Practice Authority

Full independent practice authority. An NP is certified by the Board to independently assume responsibility and accountability for the care of clients. Or. Admin. Rules §851-050-0004

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Prescriptive Authority

Full independent prescriptive authority. An NP may prescribe drugs, devices and Schedules II-V controlled substances. The State Board may grant prescriptive authority after an NP completes an application. Or. Rev. Stat. §678.390

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Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. There are 12 specialty categories and populations that an NP may choose to practice with. Or. Admin. Rules §851-050-0005(9)

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Authority to perform ophthalmic procedures

Optometrists may use any means, other than invasive or laser surgery, for diagnosis and treatment of the human eye. They may remove lumps and bumps from the eye and its appendages. Or. Rev. Stat. §683

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Injectable Authority

Optometrists may use injectables for the treatment of eye abnormalities. Or. Rev. Stat. §683

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Prescription of controlled substances

Optometrists may prescribe Schedule II hydrocodone-combination drugs and Schedule III-V controlled substances. Or. Rev. Stat. §683.010

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Dental Hygienists with Direct Access

A dental hygienist may obtain an expanded practice permit and perform unsupervised services for patients in a variety of limited access settings. The dental hygienist has limited prescriptive authority and temporary restorations and local anesthesia may be provided. The dental hygienist must complete a certain number of supervised hours and educational requirements before receiving the permit. Or. Admin. Rules §818-035-0065

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Dental Therapists

A dental therapist may practice dental therapy only under the supervision of a dentist and pursuant to a collaborative agreement with the dentist that outlines the supervision logistics and requirements for the dental therapist’s practice. A dental therapist may perform and provide only those procedures and services authorized by the dentist and set out in the collaborative agreement. (Bill enacted in 2021. Statute not yet updated)

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Practice of Teledentistry

Oregon allows for the practice of teledenistry. Medicaid reimburses for teledentistry through multiple telehealth modalities, including live video and store-and-forward. Or. Admin. Rules §410-123-1265

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Administration of COVID-19 Vaccine

Oregon 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

Oregon does not allow pharmacists to modify prescriptions.

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Prescription of Hormonal Contraceptives

A pharmacist may prescribe and administer injectable hormonal contraceptives and prescribe and dispense self-administered hormonal contraceptives. A pharmacist must complete a training program approved by the State Board of Pharmacy that is related to prescribing injectable hormonal contraceptives and self-administered hormonal contraceptives. The pharmacist must also provide a self-screening risk assessment tool that the patient must use prior to the pharmacist’s prescribing the hormonal contraceptive and refer the patient to the patient’s primary care practitioner or women’s health care practitioner. Or. Rev. Stat. §689.689

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Prescription of Tobacco Cessation Aids

Pursuant to a statewide drug therapy management protocol and as adopted by rule of the board of pharmacy, a pharmacist may prescribe smoking cessation therapy. The board of pharmacy may establish a formulary of drugs and devices that a pharmacist may prescribe and dispense to a patient pursuant to a diagnosis by a health care practitioner. The formulary may include smoking cessation aids. Or. Rev. Stat. §689.645

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Supervision Requirements

Physician assistants must practice in collaboration with the appropriate health care provider as indicated by the condition of the patient, the standard of care and the physician assistant’s education, experience and competence. The degree of collaboration must be determined at the physician assistant’s primary location of practice. OAR 847-050

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Prescriptive Authority for Physician Assistants

A PA may prescribe drugs and Schedule II-V controlled substances. The PA may register with the Oregon Medical Board for authority to dispense drugs. OAR 847-050

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Scope of Practice Determination

The PA may perform medical services included in the collaborative agreement and that are within the PA’s education and training. OAR 847-050

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