Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products

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Education Required for Addiction Counselor Credentialing

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Licensed Professional Counselor Ability to Diagnose

No data available for licensed professional counselors ability to diagnose.

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Peer Support Specialist Certification or Credentialing Authority

No data available for the certification of peer support specialists.

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Certified Nurse Midwife Practice Authority

Physician relationship required for practice and prescriptive authority.

NMs must have a written collaborative agreement with a physician. The agreement must specify the procedures requiring the physician’s presence when performed. The physical presence of a physician is not required at all times and methods of communication must be available for consultation between the NP and physician. 27 V.I.C. §101a

NMs may prescribe drugs, devices and Schedules IV-V controlled substances to the extent established by the Virgin Islands Board of Nurse Licensure. A NM’s prescription orders must be periodically reviewed by the collaborating physician. 27 V.I.C. §101a

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Nurse Practitioner Practice Authority

Physician relationship required for practice and prescriptive authority.

NPs must have a written collaborative agreement with a physician. The agreement must specify the procedures requiring the physician’s presence when performed. The physical presence of a physician is not required at all times and methods of communication must be available for consultation between the NP and physician. 27 V.I.C. §101a

NPs may prescribe drugs, devices and Schedules IV-V controlled substances to the extent established by the Virgin Islands Board of Nurse Licensure. An NP’s prescription orders must be periodically reviewed by the collaborating physician. 27 V.I.C. §101a

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Nurse Practitioner Authority to Sign POLST Forms

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Nurse Practitioner as a Primary Care Provider

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

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Authority to perform ophthalmic procedures

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Injectable Authority

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Prescription of controlled substances

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Dental Hygienists with Direct Access

The U.S. Virgin Islands do not allow dental hygienists to practice with direct access.

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Dental Therapists

Dental therapists are not recognized as an oral health provider.

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Practice of Teledentistry

No information available.

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Administration of COVID-19 Vaccine

Information not currently available.

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Prescription Adaptation

No information available.

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Prescription of Hormonal Contraceptives

No information available.

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Prescription of Tobacco Cessation Aids

No information available.

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Supervision Requirements (Practice and Prescriptive Authority)

Supervision with a physician required for practice and prescriptive authority.

Physician assistants practice medicine with physician supervision, as provided in section 50j. Physician assistants may perform those duties and responsibilities, including the ordering, prescribing and dispensing and administering of drugs and medical devices that are delegated by their supervising physician or physicians.

Physician assistants may provide any medical service that is delegated by the supervising physician when the service is within the physician assistant’s skills, forms a component of the physician’s scope of practice, and is provided with supervision. V.I. CODE ANN. tit. 27, § 50h

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Number of PAs Supervised

In the Virgin Islands a physician is not permitted to supervise more than three physician assistants at any one time. V.I. CODE ANN. tit. 27, § 50j(a)

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Chart Co-Signatures

The Virgin Islands does not currently have any provisions related to chart review or chart co-signatures.

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Adaptable Proximity Requirements

Statute allows adaptable proximity.

Supervision shall be continuous but shall not be construed as necessarily requiring the physical presence of the supervising physician at the time and place that the services are rendered. A supervising physician must be present on the island where the physician assistant service is being rendered to constitute continuous supervision. If the supervising physician is not present on the island where the physician assistant services are being rendered then the supervisory responsibility may be delegated by that physician to another physician with whom a supervisory agreement with the physician assistant is in place. V.I. CODE ANN. tit. 27, § 50j

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Scope of Practice Determination

PAs perform duties and responsibilities delegated by their supervising physician. 27 V.I.C. §50h

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