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Manage nursing licenses with prescriptive authority or autonomous registration
Manage nursing licenses with prescriptive authority or autonomous registration

Medallion’s Licensing tab allows you to request new licenses and add existing licenses for your providers.

Updated over 3 months ago

When requesting or adding an Advanced Practice Registered Nursing license for a provider, you may wish to include prescriptive authority or autonomous registration as part of the license.

Note: Only Advanced Practice Registered Nursing (APRN) licenses are eligible for prescriptive authority and autonomous registration. NP, CNM, and PMHNP are the only licenses in the APRN category.

Definitions

  • Prescriptive authority (Rx auth): The legal right to prescribe medications.

    • Each state handles prescriptive authority differently during the license application process. You can use Medallion to apply for licenses with prescriptive authority in almost all U.S. states and territories. Each state uses one of the following three methods for granting prescriptive authority:

      1. Included in state license: All advanced practice nursing licenses include prescriptive authority.

      2. Separate license: Prescriptive authority requires a separate application in addition to the state license application.

      3. Optional as part of state license (“checkbox”): Prescriptive authority is an option that can be selected during the application process. If selected, this approval is part of the same application as the state license.

  • Autonomous Registration (Auton Reg): The application process to obtain the ability to practice within the scope of an Advanced Practice Registered Nurse without physician supervision.

    • Currently, Medallion only supports autonomous registration applications in a few states. For updated information on which states are supported, consult the table below.

    • For all supported states, a separate license application is required.

  • Advanced Practice Registered Nursing (APRN) licenses: Medallion considers NP, CNM, and PMHNP licenses as eligible for prescriptive authority and/or autonomous registration.

Currently supported applications

As of August 2024, the types of applications Medallion supports are:

Rx auth included in state license

AL; CT; DE; FL; IA; ID; IN; KS; MD; ME; MI; MN; MO; MS; NC; NE; NH; NJ; NY; OR; RI; SD; UT; VA; VT; WI; DC

Rx auth optional as part of state license (“checkbox”)

AK; AZ; CA; HI; ND; NM; NV; TX; WA; WY

Rx auth requires separate license

AR; CO; KY; LA; MT; OK; PA; SC; WV

Rx auth NOT supported by Medallion

GA; IL; MA; TN; GU; PR; VI; MP; AS

Autonomous Registration supported by Medallion

AR; CA; CT; DE; FL; IL; NY; VA

Step-by-step guides

Request a new APRN license with Rx Auth in an Rx included state

  1. In the Requests tab of the Licenses dashboard, click Request > New License.

  2. Select a request owner for your request. This field determines whether fulfillment of the request is managed by Medallion’s team or your team.

  3. Select the provider for whom you want to set up a license from the Provider dropdown menu.

  4. Under State Licenses, select your desired License Type from the dropdown menu.

  5. Select the state in which you want to set up a license from the States dropdown menu.

  6. If you want to set up new APRN licenses for additional states in the same request, follow the instructions for setting up a new APRN license for each state, starting from step 6.

  7. Click Submit Request.

Example:

Request a new APRN license with Rx Auth in a checkbox license state

  1. In the Requests tab of the Licenses dashboard, click Request > New License.

  2. Select a request owner for your request. This field determines whether fulfillment of the request is managed by Medallion’s team or your team.

  3. Select the provider for whom you want to set up a license from the Provider dropdown menu.

  4. Under State Licenses, select your desired License Type from the dropdown menu.

  5. Select the state in which you want to set up a license from the States dropdown menu.

  6. Select the state in which you want to set up a license from the Prescriptive authority (Rx auth) states dropdown menu.

  7. If you want to set up new APRN licenses for additional states in the same request, follow the instructions for setting up a new APRN license for each state, starting from step 6.

  8. Click Submit Request.

Example:


Request a new APRN license with Rx Auth in a separate application state

  1. In the Requests tab of the Licenses dashboard, click Request > New License.

  2. Select a request owner for your request. This field determines whether fulfillment of the request is managed by Medallion’s team or your team.

  3. Select the provider for whom you want to set up a license from the Provider dropdown menu.

  4. Under State Licenses, select your desired License Type from the dropdown menu.

  5. Select the state in which you want to set up a license from the States dropdown menu.

  6. Select the state in which you want to set up a license from the Prescriptive authority (Rx auth) states dropdown menu. Note that this adds a new application to your request on the right side of the Request New License window.

  7. If you want to set up new APRN licenses for additional states in the same request, follow the instructions for setting up a new APRN license for each state, starting from step 6.

  8. Click Submit Request.

Example:

Request an APRN license with Autonomous Registration

  1. In the Requests tab of the Licenses dashboard, click Request > New License.

  2. Select a request owner for your request. This field determines whether fulfillment of the request is managed by Medallion’s team or your team.

  3. Select the provider for whom you want to set up a license from the Provider dropdown menu.

  4. Under State Licenses, select your desired License Type from the dropdown menu.

  5. Select the state in which you want to set up a license from the States dropdown menu.

  6. Select the state in which you want to set up a license from the Autonomous Registration (Auton Reg) states dropdown menu. Note that this adds a new application to your request on the right side of the Request New License window.

  7. If you want to set up new APRN licenses for additional states in the same request, follow the instructions for setting up a new APRN license for each state, starting from step 6.

  8. Click Submit Request.

Example:

Edit an existing service request

Note: You can only edit requests for which you are the request owner; you cannot edit requests owned by Medallion.

To edit an existing service request:

  1. In the Requests tab of the Licenses dashboard, find the request you wish to edit and hover over the button for that request on the right-hand side of the table, then click Edit request.

  2. Make any necessary changes to the request fields, if applicable.

  3. Add any issued licenses, if applicable, by clicking + Add License. For more information on adding existing licenses, consult the “Add an existing license” instructions below, starting at step 2.

  4. Click Save.

Example:

Add prescriptive authority to an existing service request (in a checkbox state)

Note: You can only edit requests for which you are the request owner; you cannot edit requests owned by Medallion.

To add Rx auth to an existing service request:

  1. In the Requests tab of the Licenses dashboard, find the request you wish to edit and hover over the button for that request on the right-hand side of the table, then click Edit request.

  2. Select the Add Rx Auth checkbox.

  3. Click Save.

Note: You can only add Rx auth in the service request before the status changes to Application Submitted.

Example:

Add an existing license

  1. In the Existing Licenses tab of the Licenses dashboard, click Add Existing License.

  2. Select the provider for whom you want to add an existing license from the Provider dropdown menu.

  3. Select the State, License Type, and Specification for the existing license from their respective dropdown menus.

  4. If the selected state is a checkbox state, select the Includes Rx Auth checkbox if the license you are adding includes prescriptive authority.

    1. Please note that if the selected state is an Rx auth included state, this is reflected as a note rather than a checkbox. If the state is a separate license state, you must add the Rx auth license separately.

  5. Select the existing license’s status from the Status dropdown menu.

  6. Add the License Number, Issue Date (if applicable), and Expiration Date for the existing license in their respective fields.

  7. Upload a copy of the existing state license by clicking Upload file and choosing the correct file from your computer.

  8. Click Save.

Example:

Edit an existing license

  1. In the Existing Licenses tab of the Licenses dashboard, find the license you wish to edit and hover over the button for that license on the right-hand side of the table, then click Edit.

  2. Make any necessary changes to the license fields, if applicable.

  3. Click Save.

Example:

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