Education Required for Addiction Counselor Credentialing

Vermont credentials two types of addiction counselors. An Alcohol and Drug Counselor requires a bachelor’s degree, 270 hours of relevant education courses and 4,000 hours of supervised experience. A Licensed Alcohol and Drug Counselor requires a master’s degree, completion of relevant education courses and 2,000 hours of supervised experience. 26 Vt. Stat. Ann. §3236 and Vermont Alcohol and Drug Certification Board

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Licensed Professional Counselor Ability to Diagnose

Clinical mental health counselors diagnose and treat mental conditions or psychiatric disabilities and emotional disorders. Counselors use psychoeducational techniques aimed at the prevention of such conditions or disabilities and provide consultations to individuals, couples, families, groups, organizations and communities. 26 V.S.A. §3261

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Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 26 NPs in Vermont 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 in independent practice can receive a federal waiver to dispense buprenorphine-containing products. An NP who is prescribing while in collaborative practice with a physician may be able to receive a federal waiver with proper training or experience and as long as the collaborating physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Vt. Stat. Ann. §26-28-1613 and Vt. Stat. Ann. §26.1572

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Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 7 PAs in Vermont have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in Vermont may prescribe drugs to the extent delegated by a supervising. With proper training or appropriate experience a PA in Vermont 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. Vt. Stat. Ann. tit. 26, §1735a(d)

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Peer Support Specialist Certification or Credentialing Authority

There are currently no statutory or regulatory standards for the certification of peer support service providers.

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Authority to Sign POLST Forms

NPs are authorized to sign clinician orders for life-sustaining treatment forms. Vt. Stat. Ann. tit. 18 §9708

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Practice Authority

Before full independent practice authority, NPs with fewer than 2,400 hours and 2 years of nursing practice must be in a collaborative practice agreement with a physician. Vt. Stat. Ann. §26-28-1613

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Prescriptive Authority

NPs may independently prescribe medical, therapeutic, or corrective measures under administrative rules adopted by the Board. Vt. Stat. Ann. §26.1572

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Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. NPs providing primary care may be primary care providers of record. Vt. Board of Nursing Rules §8.5(a)

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Authority to perform ophthalmic procedures

Optometrists may examine, diagnose and treat abnormalities of the eye, including foreign body removal. Vt. Stat. Ann. §28-1703

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Injectable Authority

Optometrists may administer pharmaceutical agents. Vt. Stat. Ann. §28-1703

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Prescription of controlled substances

Optometrists may prescribe Schedule III-V controlled substances.

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Dental Hygienists with Direct Access

A dental hygienist may provide services in a school or institution under a general supervision agreement with a dentist. The physical presence of the dentist is not required at the practice site of the dental hygienist, but the agreement stipulates that the dentist must review all patient records. The dental hygienist must have three years licensed clinical practice experience. Vermont Board of Dental Examiners Rules 10.2

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Dental Therapists

Dental therapists must practice under the general supervision of a dentist. May prescribe drugs and Schedule V controlled substances. A collaborative agreement is required and must outline practice settings, limitations on services, protocols for prescribing medications, among other items. Vt. Stat. Ann. §26-12 Subchapter 3A

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Practice of Teledentistry

Vermont does not explicitly allow for the practice of teledentistry.

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Administration of COVID-19 Vaccine

Vermont 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

Vermont does not allow pharmacists to modify prescriptions.

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Prescription of Hormonal Contraceptives

Vermont does not allow pharmacists to prescribe hormonal contraceptives.

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Prescription of Tobacco Cessation Aids

Vermont does not allow pharmacists to prescribe tobacco cessation aids.

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Supervision Requirements

A physician assistant must enter into a written practice agreement with a physician who practices in the a specialty similar or related to the physician assistant’s area of specialty. This agreement shall include processes for physician communication (must be accessible for consultation by telephone or electronic means at all times when a PA is practicing), availability, decision making and periodic joint evaluation of services. The agreement should also specify the extent of collaboration required between the PA and other health care professionals. Vt. Stat. Ann. tit. 26, §1735a

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Prescriptive Authority for Physician Assistants

A PA may prescribe drugs and devices to the extent delegated by the supervising physician. Vt. Stat. Ann. tit. 26, §1735a(d)

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Scope of Practice Determination

The delegation agreement must identify the PA’s scope of practice and that the delegation of medical care is appropriate to the PA’s level of competence. All medical care must be delegated by the supervising physician. Vt. Stat. Ann. tit. 26, §1735a

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