Massachusetts. Contact Information. State Registrant Totals and Population. PDMP name: MA Prescription Monitoring Program

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1 Massachusetts PDMP name: MA Prescription Monitoring Program PDMP region: Agency responsible: Department of Public Health Agency type: Department of Health PDMP PDMP website: Enrollment website: Query website: Data upload website: Statistics website: Contact Information Johnson, David - Director PMP 99 Chauncy Street Boston MA Office: (617) Kelly, Rodd - PMP Administrator 99 Chauncy Street Boston MA Office: (617) Fax: (617) Fax: (617) East State Registrant Totals and Population Statistics year: 2017 DEA registered prescribers: 47,421 State population: 6,895,917 DEA registered dispensers: 1,156

2 Prescriber access to patient history Prescriber access to own history Prescriber access to patient query history Prescriber access to registrant query history PDMP Available Reports Dispenser access to patient history Dispenser access to own history Dispenser access to patient query history Dispenser access to registrant query history Licensing Board access to patient history Licensing Board access to licensee history Licensing Board access to patient query history Licensing Board access to registrant query history Summary data on/with patient reports Customized reports by user type Peer comparison reports PDMP annual reports Data dashboards Other types of reports: Law Enforcement access to patient history Law Enforcement access to prescriber history Law Enforcement access to dispenser history Law Enforcement access to patient query history Law Enforcement access to registrant query history Statewide statistics Lost/stolen prescription information Drug trend reports Geomapping of prescription data Prescriber report cards 2018 PDMP Budget and Staffing Source of Funding and Percent of Total State general fund Licensing fee Controlled substance registration fee Regulatory board fund Agreed settlement Harold Rogers grant CDC grant SAMHSA grant NASCSA grant Other funding Staff Category and Number of FTEs Total Staff: 2.00 # of employees - Operational: 3 # of employees - Technical: 1 # of employees - Analytical: 3 # of employees - Other: 1.5 Communications, Data Quality

3 Reporting frequency: 24 hours by statute/next business day by rule Policies and Procedures Legislation enacted: 1992 PDMP operational: 1994 Initial user access: Statute website: Statute citation: MA Gen Laws Chapter 94C 24A & 49; Chapter 66A 2 Regulation citation: MA Code Regs and.012; to.04 Dr shopper statute: MA Gen Laws Chapter 94C 33 Pill mill statute: Pain clinic statute: Key PDMP Dates Relevant Statutes and Rules Disclosure statute: MA Code Regs (3); Chapter 94c Section 38 Opioid guidelines: On-line access: 2011 Electronic reporting: 1994 Data Monitored or Accessible Reporting frequency for veterinarians: Require zero-reporting? Zero-reporting frequency: Daily Schedule II controlled substances Schedule III controlled substances Schedule IV controlled substances Schedule V controlled substances Authority to monitor other substances Gabapentin Removed from monitoring Naloxone administering information Collectors: Health Department Reporters: Emergency Medical Services, Substance Addiction and Bureau of Infectious Disease Naloxone dispensing information Collectors: Health Department, DPH Board of Registrant in Pharmacy collect data on naloxome dispensed at pharmacies. Reporters: DPH Board of Pharmacy Marijuana data Collectors: Health Department Reporters: Marijuana Dispensary Marijuana data available in PDMP Opioid-related drug overdoses or deaths Reporters: Registrant's disciplinary history/status Patient lock-in information Lost/stolen prescription drug reports Arrest/conviction data ARCOS data Drug manufacturers or distributors data Frequency of reporting: Access method: Data elements: Reciprocal agreements with external data sources:

4 Mandatory E-Prescribing (EPCS) Payment method captured Patient ID required to be presented to dispenser Patient ID captured ID of person dropping off captured ID of person picking up captured Ability to identify prescriber specialty Patient consent required before data release Required notification to patients Mandated use of advisory group Number of delegates allowed Frequency unsolicited alerts/reports generated: Monthly Delivery method for unsolicited alerts/reports: via dashboard Veterinarian access to owner's prescription history Criteria for veterinarian queries: Patient access to query list details: Requirements for patients to get own report: Required enrollment - Prescriber Required use - Prescriber Miscellaneous Capabilities and Policies Required PDMP Enrollment and Use Required enrollment - Dispenser Prescribers must register if they write a Schedule II or III opioid or prescribing a benzodiazepine medication for the first time to the patient. Required use - Dispenser Ability for users to set thresholds for alert notices Ability for users to do user-led alert notices Ability to search for multiple patients in one query Maximum number of patients in one query: Supervisor review/audit of delegate accounts Ability to de-identify data Authority to release de-identified data Authority to release for epi or educational purposes Engaged in release for epi or educational purposes Unsolicited alerts to practitioners not enrolled in PDMP Must provide a copy of drivers license or other valid ID Prescribers must look up patients each time they write a Schedule II or III opioid or when prescribing a benzodiazepine medication for the first time to the patient. Authority to enforce PDMP mandates: Regulatory/Licensing Board, PDMP, DEA has some authority

5 Automatic enrollment with license renewal or application Enrollment method: Online enrollment Prescriber account criteria: Dispenser account criteria: Regulatory Board account criteria: Law Enforcement account criteria: Active investigation Subpoena Court order/approval PDMP Accounts Prescribers must have a DEA Registration number, State Board License, and a Massachusetts Controlled Substances Registration number to register Pharmacist must have a MA Board of Pharmacy license All Regulatory Agency/licensing board staff must have completed the training course administered by the MA PMP All law enforcement (LE) staff must have completed the LE training course Law Enforcement Requirements Probable cause Search warrant Proper need/upon request Other: Must have cases number that is entered into MA Online PMP data field. Law Enforcement Access Methods On-line/web portal Written request Other method: Minimum data elements: first name, last name, exact DOB Partial data elements: Optional data elements: Data retention policy All information purged Record retention details: De-Identified data retention details: Training website: Prescriber Dispenser Law Enforcement Regulatory Board Available Training Prescriber information purged Dispenser information purged Attorney General Patient Researcher Criteria to Query PDMP Min of first 3 characters of both the first and last name Data Retention PDMP Requestor Training Prescriber Dispenser Law Enforcement Regulatory Board Patient information purged Drug information purged Training Required Before PDMP Use Attorney General Patient Researcher Other Retain de-identified data Retention time:

6 ASAP Versions Accepted ASAP 1995 ASAP 1997 ASAP 3/2005 ASAP 4/2007 ASAP 4-1/2010 ASAP 4-2/2011 Technological Capabilities Electronic data transmission Fax data transmission Other Data Transmission Methods Allowed Mail data transmission Media data transmission Pharmacy in-state Pharmacy out-state/mail order Pharmacy out-state/other Dispensing doctor Veterinarian Veterans Administration Indian Health Services Other: Required Data Transmitters Data collection entity: Vendor Vendor name: Appriss Data storage entity: In-House Vendor name: In-House Report generation entity: In-House Vendor name: In-House Data access entity: In-House Vendor name: In-House Data access method: Web Portal/On-Line Data Collection, Storage, Generation and Access Interstate Data Sharing PMPi Hub RxCheck Hub HIE method Department of Defense Jurisdictions engaged Al, AK, AZ, AR, CO, CT, DE, DC, GA, ID, IL, IN, KS, LA, ME, MN, NV, NH, NJ, NM, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, VT, WV Impediments: Currently developing MOUs (KY, CT and others) to share data through Hub; IT group sets priorities and timelines for this project via Health Information Exchange via Electronic Health Record via Pharmacy Dispensing System Data Integration Impediments Technical, Policy Impediments: Technical Impediments: Technical Exact match Probablistic match Probablistic/manual match Certified as CMS Specialized Registry Require information on e-prescriptions User-friendly interfaces Patient Matching Other match method for queries Wild card searching available. First 5 letters of first name plus asterisk and first 2 letters of last name plus asterisk. Miscellaneous Data analysis software Online user guides/educational materials

7 Healthcare Regulatory Law Enforcement Public and Private Insurers Other Requestors and Reports Authorized to Generate Requestor Type Prescriber Dispenser/Business (i.e., pharmacy) Dispenser/Person (i.e., pharmacist) Midlevel - Physician Assistant Midlevel - Nurse Practitioner Prescriber Delegate (licensed) Dispenser Delegate (licensed) Prescriber Delegate (unlicensed) Dispenser Delegate (unlicensed) Medical Residents Interns Medical Facility/Institution Patient Drug Treatment Provider Licensing/Regulatory Board State Health Department Peer Review Committee Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Medical Examiner/Coroner Drug Court Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Third-party Payer Researchers Marijuana Dispensary Other PDMP Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State

8 Healthcare Regulatory Law Enforcement Public and Private Insurers Other Requestors and Reports Being Generated Requestor Type Prescriber Dispenser/Business (i.e., pharmacy) Dispenser/Person (i.e., pharmacist) Midlevel - Physician Assistant Midlevel - Nurse Practitioner Prescriber Delegate (licensed) Dispenser Delegate (licensed) Prescriber Delegate (unlicensed) Dispenser Delegate (unlicensed) Medical Residents Interns Medical Facility/Institution Patient Drug Treatment Provider Licensing/Regulatory Board State Health Department Peer Review Committee Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Medical Examiner/Coroner Drug Court Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Third-party Payer Researchers Marijuana Dispensary Other PDMP Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State

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