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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

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

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Licensed Professional Counselor Ability to Diagnose

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

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Peer Support Specialist Certification or Credentialing Authority

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

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Advanced Practice Registered Nurses
Certified Nurse Midwife Practice and Prescriptive Authority

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

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Nurse Practitioner Practice and Prescriptive Authority

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

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Nurse Practitioner Authority to Sign POLST Forms

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

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Nurse Practitioner as a Primary Care Provider

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)

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Optometrists
Authority to Perform Ophthalmic Procedures

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

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Injectable Authority

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

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Prescription of Controlled Substances

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

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Oral Health Providers
Dental Hygienists with Direct Access

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

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Dental Therapists

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

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Practice of Teledentistry

Nevada does not explicitly allow for the practice of teledentistry.

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Pharmacists
Administration of COVID-19 Vaccine

Nevada 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

Nevada does not allow pharmacists to modify prescriptions.

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Prescription of Hormonal Contraceptives

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

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Prescription of Tobacco Cessation Aids

Nevada 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.

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)

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Number of PAs Supervised

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

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Chart Co-Signatures

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)

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Adaptable Proximity Requirements

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)

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Scope of Practice Determination

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

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