- Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products
State law or statute prohibits or limits the use of prior authorization for buprenorphine containing products by either the state Medicaid plan or private insurance companies.
Plans may not require prior authorization for outpatient prescription drugs to treat SUD. W. VA. CODE § 33-15-4r(k)
- Education Required for Addiction Counselor Credentialing
West Virginia credentials two types of addiction counselors. An Alcohol and Drug Counselor requires a high school diploma, completion of 270 hours of relevant education courses and three years of experience. An Advanced Alcohol and Drug Counselor requires a master’s degree, completion of 180 hours of relevant education courses and three years of experience. W. Va. Code §16-5Y and West Virginia Certification Board for Addiction & Prevention Professionals
- Licensed Professional Counselor Ability to Diagnose
Licensed professional counselors may assess, diagnose and develop a treatment plan for patients. The goal of these procedures is the prevention or elimination of symptomatic, maladaptive or undesired behavior, cognitions or emotions to integrate a wellness, preventative, pathology and multicultural model of human behavior. W.Va. Code §30-31-3(c)
- Peer Support Specialist Certification or Credentialing Authority
The standards and requirements for certification of a peer recovery specialists are developed and administered by a third-party, non-profit certification provider.
- Certified Nurse Midwife Practice Authority
Full practice authority but transition to independent prescribing period required.
An NM is required to have a three-year transition to practice period before they are authorized to independently prescribe legend and Schedule III-V controlled substances. They may only prescribe Schedule II narcotics in a three-day supply. W. Va. Code §30-7-1; W. Va. Code §30-7-15b
- Nurse Practitioner Practice Authority
Full practice authority but transition to independent prescribing period required.
An NP is required to have a three-year transition to practice period before they are authorized to independently prescribe legend and Schedule III-V controlled substances. They may only prescribe Schedule II narcotics in a three-day supply. W. Va. Code §30-7-1; W. Va. Code §30-7-15b
- Nurse Practitioner Authority to Sign POLST Forms
NPs are authorized to sign physician orders for scope of treatment forms. W. Va. Code §16-30-25
- Nurse Practitioner as a Primary Care Provider
NPs are recognized in state policy as primary care providers. Primary care provider means a person who may be chosen or designated in lieu of a primary care physician, who will be responsible for coordinating the health care of the subscriber, including necessary referrals to other providers, and includes an advanced nurse practitioner. W. Va. Code §33-25A-2(19)
- Authority to perform ophthalmic procedures
Optometrists may examine, diagnose and treat any visual defect or abnormal condition of the eye, including removal of foreign bodies. Additional allowable procedures are outlined in statute. W. Va. Code §30-8-9
- Injectable Authority
Optometrists may administer epinephrine by injection to treat emergency cases of anaphylaxis or anaphylactic shock. Additional pharmaceutical agents by injection may be included in the rules for legislative approval. W. Va. Code §30-8-9 and W. Va. Code §30-8-15
- Prescription of controlled substances
Optometrists may prescribe Schedule III-V controlled substances and Schedule II controlled substances containing hydrocodone combinations. W. Va. Code §30-8-9
- Dental Hygienists with Direct Access
A public health dental hygienist may provide services under the general supervision of a dentist and without the patient’s prior examination by a dentist in certain public settings (e.g., hospitals, schools, jails, community clinics, long-term care facilities, group homes, public health facilities, and homebound settings). The public health dental hygienist must have 2 years and 3,000 hours of practice experience and with the supervising dentist submit an annual report to the state board of dental examiners. A dental hygienist may apply fluoride, prepare an oral screening, and provide dental health education and nutritional counseling with no supervision of a licensed dentist. W. Va. Code §30-4-11
- Dental Therapists
Dental therapists are not recognized in state policy as an oral health provider.
- Practice of Teledentistry
West Virginia does allow for the practice of teledentistry. Statute not yet updated.
- Administration of COVID-19 Vaccine
West Virginia 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.
- Prescription Adaptation
West Virginia does not allow pharmacists to modify prescriptions.
- Prescription of Hormonal Contraceptives
A pharmacist may dispense a self-administered hormonal contraceptive pursuant to a standing prescription drug order, in accordance with dispensing guidelines and to a patient who is 18 years old or older. The pharmacist must complete a board-approved training program on self-administered hormonal contraceptives. The pharmacist must notify the patient’s primary care provider (if provided) and provide patient counseling at the time of dispensing. W. Va. Code §16-58
- Prescription of Tobacco Cessation Aids
The Commissioner of the Bureau for Public Health or designee can prescribe on a statewide basis permitting pharmacists to initiate and dispense a noncontrolled prescription, over-the-counter, or other professional tobacco cessation therapy to a patient who is 18 years old or older. The Board of Pharmacy shall approve a training program or programs to be eligible to participate in the utilization of the standing prescription drug order for tobacco cessation therapy by a pharmacist. A pharmacist who dispenses a tobacco cessation therapy must follow the Tobacco Cessation Therapy Protocol, approved by the Commissioner of the Bureau for Public Health and the Boards of Pharmacy and Medicine, before dispensing the tobacco cessation therapy. The protocol includes, but is not limited to, criteria for identifying individuals eligible to receive tobacco cessation therapy, procedures for initiation and monitoring of therapies and follow-up care. W. Va. Code §16-56
- Supervision Requirements (Practice and Prescriptive Authority)
Collaboration allowed with a physician for practice and prescriptive authority.
A PA may not practice independently of a collaborating physician. W. VA. CODE ANN. § 30-3E-9(a)
A license issued to a PA by the appropriate state licensing board shall authorize the PA to perform medical acts commensurate with their education, training and experience and which they are competent to perform, consistent with the rules of the boards. Medical acts include prescribing, dispensing and administering of controlled substances, prescription drugs or medical devices. A PA with an active practice notification may perform medical acts and/or procedures in collaboration with physicians which are consistent with the PA’s education, training and experience, the collaborating physician’s scope of practice, and any credentialing requirements of the health care facility where the PA holds an active practice notification. W. VA. CODE ANN. § 30-3E-12
A PA may not prescribe a Schedule I controlled substance. A PA may prescribe up to a three-day supply of a Schedule II narcotic. There are no other limitations on the prescribing authority of a PA. W. VA. CODE ANN. § 30-3E-3(a)(7),(c)
- Number of PAs Supervised
West Virginia does not currently have any provisions related to the number of PAs a physician can supervise or collaborate with.
- Chart Co-Signatures
West Virginia does not currently have any provisions related to chart review or chart co-signatures.
- Adaptable Proximity Requirements
Statute allows adaptable proximity.
“Collaboration” means overseeing the activities of the medical services rendered by a physician assistant. Constant physical presence of the collaborating physician is not required as long as the collaborating physician and PA are, or can be, easily in contact with one another by telecommunication. Collaboration does not require the personal presence of the collaborating physician at the place or places where services are rendered. W. VA. CODE ANN. § 30-3E-1
- Scope of Practice Determination
A physician assistant may provide medical services consistent with their education, training, and experience. This may occur in any health care setting, both hospital and outpatient in accordance with their practice notification. W. Va. Code §30-3E-12
Most Recent West Virginia SOP Legislative Search Results
H 3141 : Practice of Dentistry
Relates to the practice of dentistry, provides for updated definitions,…
Subject: Dental Hygienist Direct Access
S 650 : Physician Assistants to Own Practice
Relates to physician assistants owning a practice, establishes grounds for…
Subject: Other Physician Assistant Bills
S 524 : Family Planning Services
Relates to family planning services.
Subject: Pharmacist Prescription of Hormonal Contraceptives
H 2962 : Dental Practice
Updates the requirements for a license to practice dentistry and…
H 2707 : Advanced Practice Registered Nurses
Relates to prescriptive authority for advanced practice registered nurses.
Subject: NP Prescriptive Authority
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