Indiana

Indiana credentials two types of addiction counselors. A Licensed Addiction Counselor requires a bachelor’s degree with relevant education and two years of post-degree experience. A Licensed Clinical Addiction Counselor requires a master’s or doctoral degree with relevant education and two years of post-degree experience. Ind. Code §25-23.6-10.5 and Indiana Professional Licensing Agency

Licensed mental health counselors use counseling to provide a mental health diagnosis and treat emotional and mental problems and conditions in a variety of settings, including mental and physical health facilities, child and family service agencies, or private practice, and including the use of accepted evaluation classifications. Ind. Code §25-23.6-1-7.5

As of August 2018, 136 NPs in Indiana have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or appropriate experience an NP can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. 848 IAC §5-1-1

As of August 2018, 15 PAs in Indiana have received a federal waiver to treat opioid dependency with buprenorphine-containing products. In Indiana, Schedule II-V controlled substances may be prescribed by a PA as delegated by a supervising physician. An Indiana PA with proper training or appropriate experience can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Ind. Code §25-27.5-5-4

The standards and requirements for the certification of recovery specialists and peer addiction recovery coaches (I and II) are developed and administered by third-party, non-profit certification providers.

Physician relationship required for practice and prescriptive authority.

A collaboration agreement is required that sets forth the manner in which the NP and the supervising physician will cooperate, coordinate and consult with each other in the provision of health care to patients. Provisions must include the type of collaboration and timely review of prescribing practices. A nurse midwife shall perform as an independent and interdependent member of the health care team. Ind. Code §25-23-1-19.4

An APRN may be authorized to prescribe legend drugs, including controlled substances if the APRN submits an application to the board, submits proof of holding an active, unrestricted license, has completed a graduate level pharmacology course (at least two semester hours) and has submitted proof of the collaboration agreement.  848 Ind. Admin. Code §3-3-1; 848 Ind. Admin. Code §5-1-1

Physician relationship required for practice and prescriptive authority.

A collaboration agreement is required that sets forth the manner in which the NP and the supervising physician will cooperate, coordinate and consult with each other in the provision of health care to patients. Provisions must include the type of collaboration and timely review of prescribing practices. 848 Ind. Admin. Code §5-1-1(7)

An NP may prescribe prescription drugs and Schedules II-V controlled substances if outlined in the written collaboration agreement and after certain requirements are met. 848 Ind. Admin. Code §5-1-1

In addition to physicians, NPs may sign physician order for scope of treatment forms. Ind. Code Ann. §16-36-6

NPs are not explicitly recognized in state policy as primary care providers.

Optometrists may only perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye. Additional allowable procedures may be authorized by statute and/or rule. Ind. Code §25-24-1-4

Optometrists may administer all pharmaceutical agents for the diagnosis and treatment of eye diseases, including epinephrine auto-injections to counter anaphylaxis. Ind. Code §25-24-3-9

Optometrists may not prescribe controlled substances. Ind. Code §25-24-3-16.5

A dental hygienist may practice in any setting or facility that is documented in the dental hygienist’s access practice agreement. Ind. Code §25-13-1-10

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

Indiana does not explicitly allow for the practice of teledentistry.

A pharmacist may administer the COVID-19 vaccine immunization under a drug order, prescription, or according to a protocol approved by a physician. Ind. Code §25-26-13-31.2

Pharmacists may modify prescriptions after obtaining consent from the patient. The pharmacist may modify the quantity, dosage and complete missing information. Ind. Code §25-26-13-25

Indiana does not allow pharmacists to prescribe hormonal contraceptives.

Indiana allows for pharmacists to screen, prescribe and dispense appropriate medication for smoking cessation. The individual must be 18 years or older,  ready to quit based on individual assessment and not determined to be high-risk after a health screening. Indiana Standing Order for Tobacco Cessation Products

A physician assistant may perform, under a collaborative agreement, the duties and responsibilities that are delegated by the collaborating physician and that are within the collaborating physician’s scope of practice, including prescribing and dispensing drugs and medical devices. Ind. Code §25-27.5-2

A PA may prescribe drugs, devices and Schedules II-V controlled substances when delegated by the supervising physician. Ind. Code §25-27.5-5-4

A collaborating physician or physician designee has the authority to delegate, as the physician determines is appropriate, those tasks or services the physician assistant typically performs and is qualified to perform. Ind. Code §25-27.5-1-2