Wisconsin

Wisconsin credentials two types of addiction counselors. A Substance Abuse Counselor requires, at minimum, a high school diploma, completion of 360 hours of relevant education courses and 3,000 hours of supervised experience. A Clinical Substance Abuse Counselor requires, at minimum, an associate degree and 5,000 hours of experience. A higher-level degree can substitute the number of hours. Wis. Stat. Ann. §440.88, Wis. Admin. Code §SPS 161.02 and Wisconsin Department of Safety and Professional Services

Professional counselors provide services that integrate a wellness, pathology and multicultural model of human behavior to assist an individual, couple, family, group of individuals, organization, institution or community to achieve mental, emotional, physical, social, moral, educational, spiritual, vocational or career development and adjustment through the life span. Diagnostic ability is not outlined in statute. Wis. Stat. §457.01(6)

As of August 2018, 46 NPs in Wisconsin 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. Wis. Admin. Code §N8.06(2)

As of August 2018, 14 PAs in Wisconsin have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A Wisconsin PA may prescribe controlled under the supervision of a supervising physician. Wisconsin 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. Wis. Admin. Code §8.07(2)(i)

The administration and process for the certification of peer specialists is administered and processed by a third-party, non-profit certification provider.

Physician relationship required for practice and prescriptive authority.

NMs must work in a collaborative relationship with a physician. The collaborative relationship is a process in which an NP is working with a physician, in each other’s presence when necessary, to deliver health care services within the scope of the practitioner’s training, education and experience. Wis. Admin. Code §N8.10(7)

NMs may prescribe Schedule II-V controlled substances if delegated under a collaboration agreement. May not prescribe, dispense or administer any amphetamine, sympathomimetic amine drug or compound designated as a Schedule II controlled substance. Wis. Admin. Code §N8.06

Physician relationship required for practice and prescriptive authority.

NPs must work in a collaborative relationship with a physician. The collaborative relationship is a process in which an NP is working with a physician, in each other’s presence when necessary, to deliver health care services within the scope of the practitioner’s training, education and experience. Wis. Admin. Code §N8.10(7)

NPs may prescribe Schedule II-V controlled substances if delegated under a collaboration agreement. May not prescribe, dispense or administer any amphetamine, sympathomimetic amine drug or compound designated as a Schedule II controlled substance. Wis. Admin. Code §N8.06

Wisconsin does not have laws or regulations around POLST. NPs are authorized to sign provider orders for scope of treatment forms. Please see the form for more information.

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

Optometrists may examine, diagnose and treat abnormalities of the eye, including foreign body removal. Wis. Admin. Code §449.01

Optometrists may administer any therapeutic pharmaceutical agent. Wis. Admin. Code §449.18

Optometrists may prescribe Schedule III-V controlled substances and Schedule II controlled substances containing hydrocodone combinations. Wis. Stat. §961.39

Statute does not require the presence or supervision by a dentist in a public or private school, a dental or dental hygiene school or a facility owned by a local health department where the dental hygienist is practicing. Wis. Stat. Ann. §447.06

Dental therapists are not recognized in state policy as an oral health provider.

Wisconsin does not explicitly allow for the practice of teledentistry.

Pharmacists may administer vaccines to people older than the age of 6 once they have successfully completed 12 hours in a course of study and training, approved by the Accreditation Council for Pharmacy Education or the board, in vaccination storage, protocols, administration technique, emergency procedures and record keeping. A pharmacist may administer a vaccine to a person who is younger than 6 if the vaccine is administered pursuant to a prescription order issued within 29 days and has successfully completed a course of instruction approved by the Accreditation Council for Pharmacy Education or the board that includes the administration of vaccines to children younger than 6. Wis. Stat. §450.035

Wisconsin does not allow pharmacists to modify prescriptions.

Wisconsin does not allow pharmacists to prescribe hormonal contraceptives.

Wisconsin does not allow pharmacists to prescribe tobacco cessation aids.

A physician assistant must practice pursuant to one of the following:

a. the physician assistant practices pursuant to an employment arrangement. Under this option, the physician assistant is not required to enter into a written collaborative agreement with a physician but an employer is allowed to require one.

b. the physician assistant enters into a written collaborative agreement with a physician.

The collaborating physician shall remain reasonably available for consultation via telecommunications or other electronic means. A physician is not required to be physically present at the location where the physician assistant practices. Wis. Emergency Rules PA 3.01

A physician assistant may order, prescribe, procure, dispense, and administer prescription drugs, medical devices, services, and supplies. Wis. Emergency Rules PA 3.01

A PA is pursuant to a written collaborative agreement which outlines the scope of practice of the physician assistant. Wis. Emergency Rules PA 3.01