Education Required for Addiction Counselor Credentialing

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 4,000 hours of supervised experience. A Clinical Substance Abuse Counselor requires, at minimum, an associate degree and 7,000 hours of experience. With a qualifying associate degree, the counselor needs 6,000 hours. A higher-level degree can substitute the number of hours (i.e. a person with a master’s degree needs 3,000 hours). Wis. Stat. Ann. §440.88, Wis. Admin. Code §SPS 161.02 and Wisconsin Department of Safety and Professional Services

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Licensed Professional Counselor Ability to Diagnose

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)

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Number of Nurse Practitioners Prescribing Buprenorphine

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)

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Number of Physician Assistants Prescribing Buprenorphine

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)

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Peer Support Specialist Certification or Credentialing Authority

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

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Practice 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)

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Prescriptive Authority

NPs may prescribe Schedule II-V controlled substances if delegated under a collaboration agreement. Wis. Admin. Code §N8.06(2)

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Nurse Practitioner as a Primary Care Provider

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

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Authority to perform ophthalmic procedures

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

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Injectable Authority

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

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Prescription of controlled substances

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

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Dental Hygienists with Direct Access

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

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Dental Therapists

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

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Practice of Teledentistry

Wisconsin does not explicitly allow for the practice of teledentistry.

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Administration of COVID-19 Vaccine

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

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Prescription Adaptation

Wisconsin does not allow pharmacists to modify prescriptions.

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Prescription of Hormonal Contraceptives

Wisconsin does not allow pharmacists to prescribe hormonal contraceptives.

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Prescription of Tobacco Cessation Aids

Wisconsin does not allow pharmacists to prescribe tobacco cessation aids.

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Supervision Requirements

Supervision is required between a physician and a PA. The physician must be readily available at all times for consultation with the PA. Wis. Admin. Code §8.10

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Prescriptive Authority for Physician Assistants

May prescribe drugs with supervision by a physician and the physician must annually review the PA’s prescriptive practices. Wis. Admin. Code §8.07(2)(i)

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Scope of Practice Determination

A PA’s scope of practice is limited to the medical care outlined in statute. A PA’s practice may not exceed educational training and may not exceed the scope of practice of the supervising physician. Wis. Admin. Code §8-07

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