State Overview: Nevada

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

Nevada credentials one type of addiction counselor. A Clinical Alcohol and Drug Abuse Counselor requires at least a master's degree, completion of relevant education courses and 3,000 hours of supervised practice. Nev. Rev. Stat. §641C and Nevada State Board of Examiners for Alcohol, Drug, and Gambling Counselors

Clinical professional counselors may provide treatment, assessment and counseling to individuals or groups to achieve mental, emotional, physical and social development and adjustment. Counseling interventions include preventing, diagnosing and treating mental, emotional or behavioral disorders and associated distresses that interfere with mental health. Nev. Rev. Stat. §641A.065

The Nevada Certification Board administers the certification and regulation of peer recovery support specialists and peer recovery support specialist supervisors. Nev. Rev. Stat. §449.01566

Full independent practice authority but transition to independent prescribing for Schedule II authority.

A CNM may prescribe controlled substances Schedule III-V if they are within their scope of practice. An CNM must have a regulated relationship with a physician for prescribing Schedule II controlled substances for 2,000 hours or two years. The CNM must pass an exam administered by the State Board of Nursing and must receive certification from State Board of Pharmacy. Nev. Rev. Stat. §632.237 and Nev. Admin. Code §632.259 and Nev. Admin. Code §632.2595

Full independent practice authority but transition to independent prescribing for Schedule II authority.

An NP may prescribe controlled substances Schedule III-V if they are within the NP's scope of practice. An NP must have a regulated relationship with a physician for prescribing Schedule II controlled substances for 2,000 hours or two years. The NP must pass an exam administered by the State Board of Nursing and must receive certification from State Board of Pharmacy. Nev. Rev. Stat. §632.237 and Nev. Admin. Code §632.259 and Nev. Admin. Code §632.2595

NPs are authorized to sign POLST forms. Nev. Rev. Stat. §449A.551

NPs are recognized in state policy as primary care providers. An NP who wishes to obtain a license to practice as an advanced practice registered nurse must request that the State Board of Nursing issue the license to specify the role of the applicant and the population of focus of the applicant within that specific role. The State Board of Nursing recognizes the following populations of focus: 1) women's health or gender-specific health; 2) family health and caring for a patient across the life span of the patient; 3) mental health; 4) adult health; 5) gerontology; 6) pediatrics; 7) neonatal; and 8) any other population of focus approved by the board. Nev. Admin. Code §632.2597(5)

Physician relationship required for practice and prescriptive authority.

A CRNA is certified by the nursing board to perform anesthesia care and administer anesthetic agents under the care of a licensed physician, dentist or podiatric physician. Nev. Rev. Stat. §632.014 and Nev. Rev. Stat. §632.120

Under the supervision of a licensed physician, dentist or podiatric physician, a CRNA may order, prescribe, possess and administer controlled substances, poisons, dangerous drugs and devices to treat a patient under the care of a licensed physician in authorized circumstances, like in a critical access hospital in preparation for surgery or childbirth, during surgery or childbirth and while a patient recovers from surgery. Nev. Rev. Stat. §632.2397

Optometrists may only perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye. Nev. Rev. Stat. §636.025

Optometrists may not administer medication through injection. Nev. Rev. Stat. §636.025(2a)

Optometrists may prescribe Schedule III-V controlled substances. Nev. Rev. Stat. §636.0215

A dental hygienist may obtain approval to work as a public health dental hygienist in schools, community centers, hospitals, nursing homes and other such locations as the state dental health officer deems appropriate without supervision. They must submit a protocol to describe the methods a dental hygienist will use to provide services. Nev. Rev. Stat. §631.287

Dental therapists practice under a written agreement with a supervising dentist. The agreement must include the services, procedures, the practice settings for those services and procedures and the dispensing and administration of medications. Nev. Rev. Stat. §631.3122

Nevada does not explicitly allow for the practice of teledentistry.

Nevada 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.

Nevada does not allow pharmacists to modify prescriptions.

A pharmacist may dispense a self-administered hormonal contraceptive regardless of whether the patient has obtained a prescription from a practitioner. The pharmacist must provide the risk assessment questionnaire  to a patient who requests a self-administered hormonal contraceptive before dispensing the self-administered hormonal contraceptive to the patient. Additional required documentation is outlined in statute. Nev. Rev. Stat. §639.28078

Nevada does not allow pharmacists to prescribe tobacco cessation aids.

Supervision by a physician required for practice and prescriptive authority.

A PA may perform such medical services as the PA is authorized to perform by his or her supervising physician. Nev. Rev. Stat. §630.271(1)

A PA may, if authorized by the board, possess, administer, prescribe or dispense controlled substances, or possess, administer, prescribe or dispense poisons, dangerous drugs or devices in or out of the presence of the supervising physician. Nev. Rev. Stat. §639.1373(1)-(2),(5)

Statute limits the number of PAs a physician may supervise.

A physician shall not simultaneously: (a) Supervise more than three PAs; (b) Collaborate with more than three advanced practice registered nurses; or (c) Supervise or collaborate with a combination of more than three PAs and advanced practice registered nurses. Nev. Admin. Code §630.495

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

A physician who supervises a PA shall develop and carry out a program to ensure the quality of care provided by a PA. The program must include, without limitation: […] (b) A review and initialing of selected charts. Nev. Admin. Code §630.370(2),(5)(b)

Statute does not allow adaptable proximity.

Unless the PA is performing medical services, the supervising physician must be available at all times that his or her PA is performing medical services to consult with his or her assistant. Those consultations may be indirect, including, without limitation, by telephone. Nev. Admin. Code §630.370(2)-(7)

Medical services provided by a PA must be within the scope of practice of the supervising physician and commensurate with the education, training, experience and level of competence of the PA. Nev. Admin. Code §630.360