State Overview: Idaho

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

Idaho credentials three types of addiction counselors. A Certified Alcohol/Drug Counselor (CADC) 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 4,000 hours). An Advanced Certified Alcohol/Drug Counselor (ACADC) requires a master's degree, 180 hours of relevant education and 2,000 hours of experience. A Master Addiction Counselor (MAC) requires a master's degree and meet the requirements of the National Counselor Certification. Idaho Admin. Code §16.07.17 and Idaho Board of Alcohol/Drug Counselor Certification

In Idaho, licensed professional counselors (LPCs) use the application of mental health, psychological, and human development principles to facilitate human development and adjustment throughout the life span. Counselors also assess and treat mental, emotional or behavioral disorders and associated distresses which interfere with mental health. LPCs also conduct assessments for the purpose of establishing treatment goals and objectives, and plan, implement and evaluate treatment plans using counseling treatment interventions. Diagnostic ability is not outlined in statue. Idaho Code §54-3401(10)

The Idaho Department of Health and Welfare has established training and credentialing standards for peer support specialists and family support partners. The certification process for peer support specialists and family support partners is administered by a third-party, behavioral healthcare provider. The standards and requirements for the certification of peer recovery coaches are developed and administered by a third-party, non-profit certification provider. Idaho Admin. Code §16.07.19.000

Full independent practice and prescriptive authority.

An NM is a licensed independent practitioner who shall practice consistent with the definition of advanced practice registered nursing, recognized national standards, and the standards set forth by the Board of Nursing rules. Idaho Admin. Code §24.34.01

An NM may prescribe legend drugs and Schedules II-V controlled substances and must comply with applicable state and federal laws. Idaho Admin. Code §24.34.01

Full independent practice and prescriptive authority.

A NP is a licensed independent practitioner who shall practice consistent with the definition of advanced practice registered nursing, recognized national standards, and the standards set forth by the Board of Nursing rules. Idaho Admin. Code §24.34.01

An NP may prescribe legend drugs and Schedules II-V controlled substance and must comply with applicable state and federal laws. Idaho Admin. Code §24.34.01

NPs may discuss and sign portable orders for life-sustaining treatment agreements with patients and patient representatives. Idaho Code §39-4512

NPs are recognized in state policy as primary care providers. A population focus is the section of the population which the NP has targeted to practice within. The categories of population focuses are family/individual across the life span, adult-gerontology, women's health/gender-related, neonatal, pediatrics and psychiatric-mental health. Idaho Admin. Code §24.34.01

Full independent practice and prescriptive authority.

Idaho opted out of the CRNA federal supervision requirement in 2002.

A CRNA is a licensed independent practitioner who shall practice consistent with the definition of advanced practice registered nursing, recognized national standards, and the standards set forth by the Idaho Board of Nursing rules. Idaho Admin. Code §24.34.01 and  Idaho Admin. Code §54-1402.

A CRNA may prescribe legend drugs and Schedules II-V controlled substances and must comply with applicable state and federal laws. Idaho Admin. Code §24.34.01

Optometrists may perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye, including lumps and bumps. Idaho Code §54-1501

Optometrists may administer all pharmaceutical agents for the diagnosis and treatment of eye diseases, including epinephrine auto-injections to counter anaphylaxis. Idaho Code §54-1501

Optometrists may prescribe all medications for use in the treatment of the human eye and/or eyelid, all over-the-counter agents and other therapeutic pharmaceutical agents approved by the Board of Optometry if they have obtained a certificate to prescribe, administer and dispense pharmaceutical agents. Idaho Admin. Code §24.10.01(02)(a)

Dental hygienists can practice outside a private setting and provide services in hospitals, long-term care facilities, public health facilities, health or migrant clinics or other board-approved settings if the supervising dentist authorizes the services and the dental hygienist meets additional requirements. Idaho Code §54-903 and Idaho Code §54-904

Dental therapists provide preventative treatment and preventative services in schools or long-term care facilities in incorporated cities that are within or bordering tribal reservations. Dental therapists practice under the general supervision of a dentist and may dispense and administer medications as authorized by the supervising dentist. Idaho Code §54-902A

Dentists and dental hygienists may provide teledentistry services. Dentists who provide any teledentistry services must physically practice within 75 miles of the patient's location. Idaho Admin. Code §24.31.01

Idaho has not enacted legislation allowing pharmacists to administer the COVID-19 vaccine. However, the federal PREP Act allowed pharmacists to administer the COVID-19 vaccine through the duration of the public health emergency.

A pharmacist can modify a prescription quantity, dosage form, or complete missing information. Idaho Admin. Code §24.36.01

A written protocol for hormonal contraception drug therapy must be approved by the Board of Pharmacy. Idaho Code §54-17

A pharmacist must complete a training course in the subject area of tobacco cessation drug therapy and must include instruction in specific content areas. A written protocol for tobacco cessation drug therapy must be approved by the Board of Pharmacy. Idaho Code §54-1704

Collaboration allowed with a physician for practice and prescriptive authority.

A PA shall collaborate with, consult with, or refer to the appropriate member of the facility health care team as indicated by: the condition of the patient; the education, experience and competence of the physician assistant; and the community standard of care. The degree and nature of collaboration shall be determined by the facility or practice in which the PA works and shall be set forth in facility bylaws or procedures for facilities that have credentialing and privileging systems or in a written collaborative practice agreement for all other facilities and practices. Idaho Code § 54-1807A(2)-(4)

Idaho does not currently have provisions related to the number of PAs a physician can supervise.

Idaho does not currently have any provisions related to chart review and co-chart signatures.

Statute does not explicitly allow adaptable proximity.

The degree and nature of collaboration shall be determined by the facility or practice in which the physician assistant works and shall be set forth in facility bylaws or procedures for facilities that have credentialing and privileging systems or in a written collaborative practice agreement for all other facilities and practices. Idaho Code §54-1807A(2)