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Behavioral Health Providers
Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products

Prior authorization requirements are up to the discretion of the state Medicaid program or insurance company.

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Education Required for Addiction Counselor Credentialing

Hawaii credentials one type of addiction counselor. A Certified Substance Abuse Counselor requires a high school diploma, 270 hours of relevant education and 6,000 hours of experience. A higher-level degree can substitute the number of hours (i.e. a person with a bachelor's degree needs 2,000 hours). Hawaii Admin. Rules §11-177.1 and Hawaii Department of Health, Alcohol and Drug Abuse Division

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Licensed Professional Counselor Ability to Diagnose

A licensed mental health counselor may provide professional counseling services to individuals, families, or groups. Services may include the assessment, diagnosis, and treatment of, and counseling for, mental and emotional disorders, substance abuse and conduct disorders defined in the approved diagnostic and statistical manual for mental disorders. Hawaii Rev. Stat. §453D-1

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Peer Support Specialist Certification or Credentialing Authority

The certification standards and procedures for peer specialists are developed and administered by the state's Adult Mental Health Division Office of Consumer Affairs. The standards include requirements for peer specialist qualifications, core competencies, training and examination, renewal, revocation and supervision.

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Advanced Practice Registered Nurses
Certified Nurse Midwife Practice and Prescriptive Authority

Full independent practice and prescriptive authority.

CNMs provide independent management of women's health care, focusing particularly on pregnancy, childbirth, the postpartum period, care of the newborn, and the family planning and gynecological needs of women and practice in accordance with the standards for the practice of nurse midwifery of the American College of Nurse Midwives, unless otherwise indicated by the board.

If meeting all requirements of the board, CNMs have prescriptive authority to prescribe including Schedules II-V controlled substances. Hawaii Admin. Rules §16-89

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Nurse Practitioner Practice and Prescriptive Authority

Full independent practice and prescriptive authority.

NPs may practice independently from physicians and practice under licensure authority of the State Board of Nursing. Hawaii Admin. Rules §16-89-2

NPs are authorized to independently prescribe prescription drugs and Schedules II-V controlled substances. Medical devices may be prescribed if within the NP's specialty. Hawaii Admin. Rules §16-89-122

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Nurse Practitioner Authority to Sign POLST Forms

Any health care provider, including NPs, who is licensed, certified or otherwise authorized by law to provide health care, may sign POLST forms. Hawaii Rev. Stat. §327K-2

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Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. A health insurance company may recognize a participating NP as a primary care provider if a patient's insurance policy requires the selection of a primary care provider. Hawaii Rev. Stat. §431:10A-125

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Optometrists
Authority to Perform Ophthalmic Procedures

Optometrists may only examine, diagnose and treat conditions of the visual system. Hawaii Rev. Stat. §459‑1

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Injectable Authority

Optometrists may only administer an epinephrine autoinjector for treatment of anaphylaxis. Hawaii Rev. Stat. §459‑7.4

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Prescription of Controlled Substances

Optometrists may not prescribe controlled substances. Hawaii Rev. Stat. §459‑7.4

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Oral Health Providers
Dental Hygienists with Direct Access

Hawaii does not allow dental hygienists to practice with direct access.

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Dental Therapists

Statute does not identify dental therapists as an oral health provider.

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Practice of Teledentistry

Hawaii does not explicitly allow for the practice of teledentistry.

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Pharmacists
Administration of COVID-19 Vaccine

Hawaii 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

Hawaii does not allow pharmacists to modify prescriptions.

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Prescription of Hormonal Contraceptives

A written protocol for hormonal contraception drug therapy must be approved by the Board of Pharmacy. Hawaii Rev. Stat. §461

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Prescription of Tobacco Cessation Aids

Hawaii does not allow pharmacists to prescribe tobacco cessation aids.

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Physician Assistants
Physician Assistant Practice and Prescriptive Authority

Supervision by a physician required for practice and prescriptive authority.

The board shall establish the degree of supervision required by the supervising physician, osteopathic physician, or group of physicians when a PA performs a service within the practice of medicine.

PA means a person who is registered under this chapter to administer, prescribe, or dispense a controlled substance under the authority and supervision of a physician. Hawaii Rev. Stat. § 453-5.3(f)

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Number of PAs Supervised

Statute limits the number of PAs a physician may supervise.

The supervising physician or osteopathic physician shall supervise no more than four PAs at any one time. Hawaii Rev. Stat. § 16-85-49(a)(7)

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Chart Co-Signatures

Chart co-signatures are required by statute to practice or prescribe as a PA.

Each PA and supervising physician, osteopathic physician, or group of physicians shall establish written guidelines for the review of medical records as appropriate to the specific practice.

The supervising physician, osteopathic physician, or group of physicians shall review medical records as required by this subsection; provided that:

  1. When supervising a PA with less than one year of practice experience, the supervising physician, osteopathic physician, or group of physicians shall:
    1. For the first six months of supervision, review 50% of the medical records within 30 days of the patient visit;
    2. For the next six months of supervision, review 25% of the medical records within 30 days of the patient visit;
  2. When supervising a PA with more than one year of practice experience as a licensed physician assistant, the supervising physician, osteopathic physician, or group of physicians shall:
    1. Establish a process for the regular review of a sample of medical records of patients seen by the PA, including a sample of controlled substance records, if available;
    2. For at least 30 minutes each month, perform an audit and review of the medical record.

Hawaii Rev. Stat. § 453-5.3(g)

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Adaptable Proximity Requirements

Statute allows adaptable proximity.

The direction and control shall not be construed in every case to require the personal presence of the supervising and controlling physician or osteopathic physician. Hawaii Rev. Stat. § 453-2(b)(5)

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Scope of Practice Determination

The supervising physician determines of PA's scope of practice in a written document developed on-site. Hawaii Admin. Rules §16-85-49.1

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