Response to post about non-credentialed providers - US
Steve Fletcher
Description
Collection
Title:
Response to post about non-credentialed providers - US
Creator:
Steve Fletcher
Date:
4/16/2018
Text:
On April 14, 2018 Darya Shahrokhi, CPO posed multiple questions about who can provide custom O&P care in the US and about supervision and privileging of non-credentialed caregivers. This message will attempt to answer some of their questions.
Let me begin by stating that this is not legal advice. For legal advice one should consult with a healthcare attorney. The following is ABC's perspective on these questions. To answer the question, who can provide custom made O&P services requires a location. In the US, since there is no Federal law that specifies who can legally practice O&P, each state has the authority to establish those rules. Currently 15 states have some form of licensing requirement with a few more having some type of certification or accreditation requirement. Here is the link to the Licensure Map on ABC's website: <URL Redacted>
Other healthcare providers (OTs, PTs, etc...) are governed by their own practice act or licensure statute. If their practice act states that they can provide O&P, they are permitted to do so. In the 15 states that have O&P licensure, the typical statutory language states that the O&P law does not prevent other licensed healthcare professionals from providing care within their own practice act.
The second question related to privileging of non-credentialed caregivers. ABC's current Scope of Practice rules allows for privileging of non-certified staff. In September 2017 the ABC board of directors revised the Scope of Practice by eliminating the ability to privilege non-credentialed caregivers. This change takes effect January 1, 2019. You can read about the specific changes here: <URL Redacted>
Scroll down to pages 24-26 to see the Addendum detailing the upcoming changes.
I hope this is helpful.
Steve Fletcher, CPO, LPO
Director, Clinical Resources
American Board for Certification in Orthotics, Prosthetics and Pedorthics
330 John Carlyle Street, Suite 210
Alexandria, VA 22314
703-836-7114, ext. 216
703-836-0838 fax
<Email Address Redacted> <mailto:<Email Address Redacted>>
[fletcher badge]< <URL Redacted>>
www.abcop.org< https://urldefense.proofpoint.com/v2/url?u=http-3A__www.abcop.org_&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=G2N4NyCXpCvbHgzMIcPqYEw5F6pUtaoSQ9UKoSHOdys&e= >
[Visit ABC on Facebook]< https://urldefense.proofpoint.com/v2/url?u=http-3A__www.facebook.com_ABCOPP&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=96LrFNENm0uD17b0I7h4zScLUU35SMTRYIG8JNxEAfQ&e= >[ https://urldefense.proofpoint.com/v2/url?u=http-3A__jamestabor.com_wp-2Dcontent_uploads_2010_01_twitter-2Dbutton.png&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=qSVxuRamf0DSCDOXuM_35LE1m4Mc3Cfcecdm_Or57qc&e=] < https://urldefense.proofpoint.com/v2/url?u=http-3A__www.twitter.com_ABCOPtweet&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=Q1pc9zhtZSfgwBMS7bC0UhZgsniWTn8jQJPdbsTNFi4&e= > [ https://urldefense.proofpoint.com/v2/url?u=http-3A__www.abcop.org_PublishingImages_LinkedIn-5Flogo-5Fv2.png&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=m1IkPLWm485Yorv7ji2OMkRIAgUJ85bn_mwcW45hdT4&e=] < https://urldefense.proofpoint.com/v2/url?u=http-3A__www.linkedin.com_company_american-2Dboard-2Dfor-2Dcertification-2Din-2Dorthotics-2Dprosthetics-2D-26-2Dpedorthics-2Dinc-2D-3Ftrk-3Dhb-5Ftab-5Fcompy-5Fid-5F2911251&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=LwbsVllTHj2W2Urx_-PN2_gwwsNxAH07UNyQ_qb5CF8&e= >
Let me begin by stating that this is not legal advice. For legal advice one should consult with a healthcare attorney. The following is ABC's perspective on these questions. To answer the question, who can provide custom made O&P services requires a location. In the US, since there is no Federal law that specifies who can legally practice O&P, each state has the authority to establish those rules. Currently 15 states have some form of licensing requirement with a few more having some type of certification or accreditation requirement. Here is the link to the Licensure Map on ABC's website: <URL Redacted>
Other healthcare providers (OTs, PTs, etc...) are governed by their own practice act or licensure statute. If their practice act states that they can provide O&P, they are permitted to do so. In the 15 states that have O&P licensure, the typical statutory language states that the O&P law does not prevent other licensed healthcare professionals from providing care within their own practice act.
The second question related to privileging of non-credentialed caregivers. ABC's current Scope of Practice rules allows for privileging of non-certified staff. In September 2017 the ABC board of directors revised the Scope of Practice by eliminating the ability to privilege non-credentialed caregivers. This change takes effect January 1, 2019. You can read about the specific changes here: <URL Redacted>
Scroll down to pages 24-26 to see the Addendum detailing the upcoming changes.
I hope this is helpful.
Steve Fletcher, CPO, LPO
Director, Clinical Resources
American Board for Certification in Orthotics, Prosthetics and Pedorthics
330 John Carlyle Street, Suite 210
Alexandria, VA 22314
703-836-7114, ext. 216
703-836-0838 fax
<Email Address Redacted> <mailto:<Email Address Redacted>>
[fletcher badge]< <URL Redacted>>
www.abcop.org< https://urldefense.proofpoint.com/v2/url?u=http-3A__www.abcop.org_&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=G2N4NyCXpCvbHgzMIcPqYEw5F6pUtaoSQ9UKoSHOdys&e= >
[Visit ABC on Facebook]< https://urldefense.proofpoint.com/v2/url?u=http-3A__www.facebook.com_ABCOPP&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=96LrFNENm0uD17b0I7h4zScLUU35SMTRYIG8JNxEAfQ&e= >[ https://urldefense.proofpoint.com/v2/url?u=http-3A__jamestabor.com_wp-2Dcontent_uploads_2010_01_twitter-2Dbutton.png&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=qSVxuRamf0DSCDOXuM_35LE1m4Mc3Cfcecdm_Or57qc&e=] < https://urldefense.proofpoint.com/v2/url?u=http-3A__www.twitter.com_ABCOPtweet&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=Q1pc9zhtZSfgwBMS7bC0UhZgsniWTn8jQJPdbsTNFi4&e= > [ https://urldefense.proofpoint.com/v2/url?u=http-3A__www.abcop.org_PublishingImages_LinkedIn-5Flogo-5Fv2.png&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=m1IkPLWm485Yorv7ji2OMkRIAgUJ85bn_mwcW45hdT4&e=] < https://urldefense.proofpoint.com/v2/url?u=http-3A__www.linkedin.com_company_american-2Dboard-2Dfor-2Dcertification-2Din-2Dorthotics-2Dprosthetics-2D-26-2Dpedorthics-2Dinc-2D-3Ftrk-3Dhb-5Ftab-5Fcompy-5Fid-5F2911251&d=DwIFAg&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=E741ju1f7wgFV-uJA2aYxwSZKYFHeAwFI-49cWbG9xo&s=LwbsVllTHj2W2Urx_-PN2_gwwsNxAH07UNyQ_qb5CF8&e= >
Citation
Steve Fletcher, “Response to post about non-credentialed providers - US,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/208885.
