DIAGNOSTICS CLINICIAN APPROVAL
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1 DIAGNOSTICS CLINICIAN APPROVAL ALABAMA Authorized to order - MD s, DO s, DPM s, DC s, DDS Not authorized to order CNM s (Certified Nurse Midwive s), Licensed Acupuncturists, OMD s, Nutritionists, Dieticians, Pharmacists, NDs and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD Collaborative agreement: Nurse Practitioners ALASKA rev 8/24/11 DB Authorized to order - MD s, DO s, DPM s, DDS, DC s, Advanced Nurse Practitioners, ND s, Acupuncturists Not authorized to order Nutritionists, OMD s, and Dieticians must have an authorizing physician form on file in CSD Collaborative agreement: Physician Assistants ARIZONA Updated 10/2/13 DB Authorized to order - MD s, DO s, DPM s, DDS, DC s, Homeopath Physicians, ND s & NMD s, Licensed Nurse Practitioners Not authorized to order Optometrist, RD, LAc s, Nutritionists, OMD s, Acupuncturists, Pharmacists and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD. ARKANSAS updated 11/6/13 DB Authorized to order MD s, DO s, DPM s, DDS, DC s, Licensed Acupuncturists/OMD s, NP and Midwives Not authorized to order PA, Pharmacist, Dieticians, NDs and Nutritionists must have an authorizing physician form on file in CSD before ordering tests CALIFORNIA updated 9/30/14 DB Authorized to order MD s, DO s, DPM s, DC s, Licensed Acupuncturists/OMD s, DDS, ND s, LAc s, Registered Dieticians, Pharmacists, Psychologists, LNP s (Licensed Nurse Practitioner), CNM (Certified Nurse Midwife), LPA s (Licensed Physician Assistants), Optometrists (TPA Certified), Certified Clinical Nutritionist.
2 Not authorized to order - NTP (Nutritional Therapy Practitioner), CNC (Certified Nutrition Consultant) must have an authorizing physician form on file in CSD before ordering tests (confirmed 9/30/14) Note: FDN(Functional Diagnostic Nutritionist) is a certification course and not a degree. This designation is not eligible for PAF unless there is also a degree in a field related to healthcare. COLORADO Updated 12/4/14 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, ND s (Note: CO does not currently license, therefore the license would be from a state that does license ND s), LNP s (Licensed Nurse Practitioner) and LPA s (Licensed Physician Assistants), Registered Midwives, OD (eligible to order testing within scope of practice). Not authorized to order NCCA Licensed Acupuncturists, OMD s, Pharmacists, Nutritionists, Dieticians (Nutritionists and Acupuncturists verified 6/6/14. DB). CONNECTICUT updated 12/5/14 DB Authorized to order MD s, DO s, DPM s, DC s, ND s, DDS, DMD, NMW (Nurse Mid-Wife), LNP (Licensed Nurse Practitioner), Advance Practice Nurse Practitioners, OD (eligible to order testing within scope of practice). Not authorized to order RN s, LPA s (Licensed Physician Assistants), Acupuncturists, OMD s, Nutritionists, Dieticians and Pharmacists must have an authorizing physician form on file in CSD before ordering tests DELAWARE Authorized to order MD s, DO s, DPM s, DDS, DC s, Nurse Practitioners Not authorized to order ND s, Licensed Acupuncturists, OMD s, Nutritionists, Dieticians and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD FLORIDA updated 6/27/14 DB Authorized to order MD s, DPM s, ND s, DC s, DO s, DDS, OMD s, Nurse Midwives, Licensed Acupuncturists, Optometrist Not authorized to order Pharmacists, Nutritionists, Dieticians, LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD Collaborative agreement: Nurse Practitioners
3 GEORGIA updated 5/14/10 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, Licensed Dietitians if it is in their scope of practice Not authorized to order Acupuncturists, Pharmacists, OMD s, Nutritionists, Nathuropaths, RN s, LNP s (Licensed Nurse Practitioners) and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD Collaborative agreement: Nurse Practitioners HAWAII Authorized to order MD s, DO s, DPM s, ND s, DC s, DDS, LNP s (Licensed Nurse Practitioners) Not authorized to order Licensed Acupuncturists, Nutritionists, Dieticians, OMD (DOM), LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD Pharmacists (may order only drug therapy related tests). IDAHO Updated 5/3/12 DB Authorized to order MD s, DO s, DPM s, ND s, DDS, DC s, Optometrists, Licensed Nurse Practitioners. Not authorized to order- Nutritionists, OMD s, Dieticians, Pharmacists, Licensed Acupuncturists, and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD ILLINOIS Authorized to order - MD s, DO s, DPM s, DC s, DDS, Doctor of Naprapath (similar to Chiro), LNP s (Licensed Nurse Practitioners) Not authorized to order Nutritionists, Dieticians, OMD s, Pharmacists, Licensed Acupuncturists, ND s, and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD INDIANA Updated 3/16/12 DB
4 Authorized to order - MD s, DO s, DPM s, DDS, DC s, LNP s (Licensed Nurse Practitioners), Nurse Midwives. Not authorized to order- Acupuncturists, OMD s, Nutritionists, Dieticians, ND s, Pharmacist, LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD Collaborative agreement: Physician Assistant (need a copy of Supervising Physician agreement) IOWA Updated 4/4/14 DB Authorized to order - - MD s, DO s, DPM s, DDS, DC s, Nurse Practitioners (ARNP), CNM (Certified Nurse Midwife) Not authorized to order Licensed Acupuncturists OMD s, Nutritionists, Dieticians, Pharmacists, ND s, and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD Collaborative agreement: Physician Assistant (need a copy of Supervising Physician agreement) KANSAS Authorized to order MD s, DO s, DPMs, DDS, DC s, ND s, LNP s (Licensed Nurse Practitioners) Not authorized to order OMD s, Nutritionists, Dieticians and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD Licensed Acupuncturists must practice under supervision of a MD,DO or DC. Pharmacists cannot order and cannot have an authorizing physician agreement. KENTUCKY Authorized to order MD s, DO s, DPM s, DC s, DDS, Nurse Practitioners Not authorized to order- ND s, OMD s, Nutritionists, Dieticians, Pharmacists, Acupuncturists, and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD LOUISIANA Updated 3/31/11 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, Nurse Practitioners, PsyD (Medical Psychologist)
5 Not authorized to order Nutritionists, ND s, Licensed Acupuncturists, OMD s, Dieticians, and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD MAINE updated 7/22/09 Authorized to order MD s, DO s, DPM s, ND s, DC s, DDS, Certified Nurse Midwives, Nurse Practitioners, NCCA Licensed Acupuncturists Not authorized to order: OMD s, Nutritionists, Dieticians, Pharmacists, LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD before ordering tests. MARYLAND Updated 10/21/13 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, Nurse Midwife certified by MD Board of Nursing, LNP s (Licensed Nurse Practitioners), ND s, LDN (Licensed Dietician Nutritionist) Not authorized to order Licensed Acupuncturists, OMD s and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD MASSACHUSETTS Updated 5/15/12 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, Nurse Practitioners, CNM (Nurse Midwife), Certified Nurse Anesthetist. Not authorized to order Lac s (Licensed Acupuncturist) must have authorizing doctor registered in Mass. OMD s, Nutritionists, Dieticians, ND, LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD Collaborative agreement: Pharmacist MICHIGAN updated 7/27/09 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, LNP s (Licensed Nurse Practitioners) and LPA s (Licensed Physician Assistants), Licensed Pharmacists Not authorized to order Licensed Acupuncturists/OMD s, ND s, Nutritionists, Dieticians, PhD, and Psychologist must have an authorizing physician form on file in CSD MINNESOTA updated 6/24/11 DB
6 Authorized to order MD s, DO s, DPM s, DDS, DC s, ND s, LNP s (Licensed Nurse Practitioners), CNM (Certified Nurse Midwife) *OD is authorized to order testing specific to the diagnosis and treatment of a condition of the eye. Not authorized to order Licensed Acupuncturists, OMD s, Nutritionists, Dieticians, PsyD s and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD MISSISSIPPI updated 3/10/10 DB Authorized to order MD s, DO s, DPM s, DDS, DC s, Pharmacists, LNP s (Licensed Nurse Practitioners) Not authorized to order- Dieticians, Nutritionists, ND s, and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD, Acupuncturists/OMD (note: an Acupuncturist may NOT practice under the supervision of an MD or DO) MONTANA updated 7/22/09 DB Authorized to order MD s, DO s, DPM s, DC s, ND s, DDS, NCCA Licensed Acupuncturists/OMD s, Licensed Nurse Practitioners Not authorized to order- Nutritionists, Dieticians, Pharmacists, and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD NEBRASKA updated 3/10/10 DB Authorized to order MD s, DO s, DPM s, DC s, Nutritionists, DDS, LNP s(licensed Nurse Practitioners) Not authorized to order- ND s, OMD s, Dieticians, Pharmacists, and LPA s (Licensed Physician Assistant) must have an authorizing physician form on file in CSD Licensed Acupuncturists/OMD (note: MDs and DOs can NOT supervise Acu/OMDs). NEVADA updated 12/4/13 DB Authorized to order - MD s, DO s, DPM s, DC s, DDS, Licensed Acupuncturists /OMD s, NP s (Nurse Practitioner)
7 Not authorized to order- ND s, Nutritionists, Dieticians, Pharmacists, and LPA s (Licensed Physician Assistant) or PA-C (Physician Assistant Certified) must have an authorizing physician form on file in CSD NEW HAMPSHIRE updated: 7/23/09 DB Authorized to order MD s, DO s, DPM s, DDS, ND s, DC s, and ARNP s Not authorized to order- Nutritionists, Dieticians and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD Acupuncturists/OMD s (note: MD supervision is not allowed). Pharmacists may only have a collaborative agreement with an MD is a hospital or hospice setting. NEW JERSEY updated 12/16/14 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, Advanced Nurse Practitioners, LPA s (Licensed Physician Assistants) Not authorized to order Naturopathic Physicians, Licensed Acupuncturists, OMD s, Nutritionists and Dieticians are not licensed in the state of NJ to order tests. Pharmacists. Optometrists / Therapeutic Optometrists all must have an authorizing physician form on file in CSD NEW MEXICO updated 12/16/14 DB Authorized to order MD s, DO s, DPM s, DC s, OMD s/ Licensed Acupuncturists, DOM/Doctors of Oriental Medicine, DDS, Nurse Practitioners, Certified Nurse Midwife, Psychologist, CNS (Clinical Nurse Specialist), OD (Optometrist) Not authorized to order- ND s, Pharmacists, Nutritionists, Dieticians, LPA s (Licensed Physician Assistants) have an authorizing physician form on file in CSD before ordering tests NEW YORK updated 9/24/14 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, CNM s (Certified Nurse Midwives), LNP s (Licensed Nurse Practitioners) Not authorized to order- Licensed Acupuncturists/OMDs, ND s, Pharmacists, Nutritionists, Dieticians, LPA s (Licensed Physician Assistants) and Certified Health Coach must have an authorizing physician form on file in CSD.
8 NORTH CAROLINA updated 7/23/09 DB Authorized to order MD s, DPM s, DO s, DC s, DDS, LNP s (Licensed Nurse Practitioners), LPA s (Licensed Physician Assistants), OD (authorized to order testing specific to the diagnosis and treatment of a condition of the eye) Not authorized to order ND s, Licensed Acupuncturist/ OMD must have an authorizing physician form on file in CSD Nutritionists, Dieticians, Pharmacists NORTH DAKOTA updated 10/23/12 DB Authorized to order MD s, DO s, DPM s, DDS, DC s, LNP s (Licensed Nurse Practitioners),ND. Not authorized to order- Pharmacists, Nutritionists, Dieticians, Licensed Acupuncturists/OMD s, and LPA s (Licensed Physician Assistants) must have an authorizing physician form on file in CSD OHIO updated 12/22/14 DB Authorized to order MD s, DO s, DPM s, DDS, DC s, LNP s (Licensed Nurse Practitioners), CNM (Certified Nurse Midwife), and LPA s (Licensed Physician Assistants), Optometrist (statutes are specific to treating the visual system. Not authorized to order - ND s, Nutritionists, Dieticians Acupuncturists/ OMD s, Pharmacists OKLAHOMA updated 7/24/09 DB Authorized to order MD s, DO s, DPM s, DDS, DC s Not authorized to order Nutritionists, ND s, Dieticians, Pharmacists, LPA s (Licensed Physician Assistants) must have an authorizing physician on file in CSD Acupuncturists/ OMD s (note: may NOT be supervised by a physician). Collaborative agreement: Nurse Practitioners OREGON Updated 7/26/13 DB Authorized to order MD s, DO s, DPM s, DC s, ND s, Pharmacists, DDS, Certified Nurse Practitioners, Licensed and Certified Midwife, Optometrist.
9 Not authorized to order - Licensed Acupuncturists, OMD s Nutritionists, Dieticians, LPA s (Licensed Physician Assistants) must have an authorizing physician on file in CSD before ordering tests. PENNSYLVANIA Updated 5/28/13 DB Authorized to order- MD s, DO s, DPM s, DC s, DDS, OD (Optometrist) Not authorized to order ND s, Nutritionists, Dieticians, CNM (Certified Nurse Midwives), Lac/OMD, and LPA s (Licensed Physician Assistants) must have an authorizing physician on file in CSD Pharmacists cannot order tests unless they have written authorization from a licensed physician and work in an institutional setting. Collaborative agreement: Nurse Practitioners RHODE ISLAND Authorized to order MD s, DO s, DPM s, DC, DDS, LNP s (Licensed Nurse Practitioners) Not authorized to order- Nutritionists, Dieticians, ND s, OMD s, Pharmacists, Acupuncturists, and LPA s (Licensed Physician Assistants) must have an authorizing physician on file in CSD SOUTH CAROLINA Updated 11/5/13 DB Authorized to order MD s, DO s, DPM s, DDS, DC s, LNP s (Licensed Nurse Practitioners), Nurse Midwife Not authorized to order- ND s, Nutritionists, Dieticians, Pharmacists, and LPA s (Licensed Physician Assistants) must have an authorizing physician on file in CSD Needs Verification: LAc SOUTH DAKOTA Authorized to order MD s, DO s, DPM s, DC s, DDS, LNP s (Licensed Nurse Practitioners) Not authorized to order- Nutritionists, Dieticians, Acupuncturists/OMD s, Pharmacists, ND s and LPA s (Licensed Physician Assistants) must have an authorizing physician on file in CSD
10 TENNESSEE updated 11/1/13 DB Authorized to order MD s, DO s, DPM s, DDS, DC s, Nurse Practitioner (or APN) Not authorized to order Nutritionists, ND s, Pharmacists, Dieticians, LPA s (Licensed Physician Assistants), Lac and OMD must have an authorizing physician on file in CSD before ordering tests. TEXAS updated 12/19/14 DB Authorized to order MD s, DO s, DPM s, DDS, DC s, Licensed Midwives, Nurse Practitioners, CRNA (Certified Registered Nurse Anesthetist), Pharm D s, Acupuncturists and OD is authorized to order testing specific to the diagnosis and treatment of a condition of the eye. Not authorized to order ND, Nutritionists, Dieticians must have an authorizing physician on file in CSD Collaborative agreement: Physician Assistants US VIRGIN ISLANDS updated 9/9/10 DB Authorized to order MD s, DO s, ND s, DC s UTAH updated 7/24/09 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, ND s, Nurse Practitioners (APRN) Not authorized to order Dieticians, Pharmacists, Nutritionists, Licensed Acupuncturists/OMDs, LPA s (Licensed Physicians Assistants) must have an authorizing physician on file in CSD VERMONT Authorized to order MD s, DO s, DPM s, DC s, Licensed Acupuncturists/OMDs, DDS, ND s, Nurse Midwife, LNP s (Licensed Nurse Practitioners) Not authorized to order- Pharmacists, Dieticians, Nutritionists, and LPA s (Licensed Physician s Assistants) must have an authorizing physician on file in CSD
11 VIRGINIA Updated 7/30/12 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, Licensed Acupuncturists/OMD s, LNP s (Licensed Nurse Practitioners), CPM (Certified Professional Midwife). Not authorized to order Pharmacists, Nutritionists, Dieticians, ND and LPA s (Licensed Physician s Assistants) must have an authorizing physician on file in CSD WASHINGTON updated 4/25/06 LB See list in Doc Repos: Corporate Documents folder, "who can order lab tests in WA" WASHINGTON, D.C. updated 1/49/15 DB Note that HCP license may be from Maryland, Virginia or Washington DC Authorized to order MD s, DO s, DPM s, DDS, DC, Naturopathic physicians, Nurse Practitioners Not authorized to order PA (Physician Assistant), NCCA Licensed Acupuncturists/OMD s, Nutritionists, and Dieticians must have an authorizing physician on file in CSD before ordering tests. WEST VIRGINIA Updated 11/7/11 DB Authorized to order MD s, DO s, DPM s, DC s, DDS, LNP s (Licensed Nurse Practitioners) Not authorized to order- ND s, Nutritionists, OD (Optometrist), Dieticians, Licensed Acupuncturists/OMDs, and LPA s (Licensed Physician Assistant) must have an authorizing physician on file in CSD Collaborative agreement: Nurse Midwife WISCONSIN updated 7/24/13 DB Authorized to order MD s, DO s, DPM s, DDS, DC s, Optometrists (if in scope of practice), APNP Not authorized to order- Physician Assistant, ND s, Licensed Acupuncturists/OMDs, Nutritionist, Dieticians, and Pharmacists must have an authorizing physician on file in CSD
12 WYOMING Authorized to order MD s, DO s, DPM s, DDS, DC s, LNP s (Licensed Nurse Practitioners) Not authorized to order- Licensed Acupuncturists,, OMD s, Nutritionists, Dieticians, Pharmacists, ND s, and LPA s (Licensed Physician Assistant) must have an authorizing physician on file in CSD GUAM Added 7/23/12 Authorized to order MD s, DO s, DC, LNP s (Licensed Nurse Practitioners), RD (Dietician) Not authorized to order- Nutritionists PUERTO RICO Added 3/14/13 Authorized to order MD s, DO s, ND (Naturopathic Doctor)
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