Review of Prescription Drug Monitoring Programs in the Unite(5)

investigation

?Executive Office of Health and Human Services for the purpose

of identifying suspected fraud or abuse of the Mass Health

program

?Practitioner or pharmacist

?Individual requesting his/her own prescription information-

individual does not have direct access to database ?No current online

system

?If no approval

needed by the

medical review

group-1-3days

?If approval needed

by medical review

group-up to3weeks

?Lag time of14-28

days

Michigan?Professional licensing board

?Practitioner or pharmacist

?State operated Medicaid program

?Employee or agent of the department

?State,federal,or municipal employee or agent whose duty is to

enforce the laws of the state or the United States relating to

drugs

?Court order

?Officials for a drug related criminal investigation ?Pharmacists and

physicians-online

within minutes

?Fax requests within

1-2days

?Data uploaded bi-

weekly

?Lag time of14days

Minnesota?Pharmacists and practitioners

?Individual requesting his/her own prescription information-

individual does not have direct access to the database

?Professional licensing boards

?Personnel of the board engaged in the collection of controlled

substance prescription information

?Authorized personnel or vendor under contract with the board

who are engaged in the design,implementation,or operation,

and maintenance of the electronic reporting system

?Federal,state,and local law enforcement authorities involved

in an investigation

?Personnel of the Medicaid assistance program Program not yet

implemented

Program not yet

implemented

Mississippi?Pharmacists and practitioners

?Federal and state law enforcement agencies

?Professional licensing boards ?If request is screened,average response time is2 hours

Nevada?Practitioners authorized to write prescriptions

?Upon the lawful order of a court of competent jurisdiction

?Individual requesting his/her own prescription information-

individual does not have direct access to the database

?Board and Division to identify any suspected fraudulent or

illegal activity related to the dispensing of controlled substances ?Pharmacists and physicians-online within seconds

New Jersey?Practitioner authorized to prescribe controlled substances

?Pharmacist authorized to dispense controlled substances

?Professional licensing boards

?State,federal,or municipal law enforcement officer involved in

an investigation

?Designated representative of a state Medicaid program who

certify that they are engaged in a bona fide investigation of a

designated practitioner or patient

?Grand jury subpoena

?Authorized personnel of the division or vendor or contractor

responsible for establishing and maintaining the program

PDMPs of other states with which the Division has established

an interoperability agreement Program not yet

implemented

Program not yet

implemented

New Mexico?Persons authorized to prescribe or dispense controlled

substances ?System is manual

?Requests take5

Page16of28

?Individual requesting his/her own prescription information-

individual does not have direct access to the database ?Professional licensing boards

?Professional licensing authorities of other states if their

licensees practice in the state

Local,state,and federal law enforcement or prosecutorial

officials engaged in an ongoing investigation

?Human Services Department regarding Medicaid program

recipients

?Metropolitan,district,state,or federal court under grand jury

subpoena or criminal court order

?Personnel of the board for purposes of administration minutes-1hour to be

returned ?Federal grant

applied for and may

have an online system within1-2 years

*New York?Practitioners to notify him/her that a person under his/her treatment with a controlled substance prescription may also

have a controlled substance prescription from another

practitioner

?Professional licensing boards ?Currently

developing an online practitioner

notification program

North Carolina?Persons authorized to prescribe or dispense controlled

substances

?Individual who requests his/her own prescription information-

individual does not have direct access to the database

?Special Agents of the North Carolina Bureau of Investigations

who are involved in an ongoing investigation

?Primary monitoring authorities for other states involved in an

ongoing investigation

?Court pursuant to a lawful court order in a criminal action

?Division of Medical Assistance for purposes of administering

the State Medical Assistance Plan

?Professional licensing boards ?Pharmacists and

physicians-online

within seconds

?Data entered bi-

weekly

?Lag time of14days

North Dakota?Practitioners and pharmacists

?Individual who requests his/her own prescription information-

individual does not have direct access to the database

?Professional licensing boards

?Local,state,and federal law enforcement or prosecutorial

official engaged in an investigation

?Department of Human Services for purposes regarding the

utilization of controlled substances by a Medicaid recipient

?Workforce safety and insurance for purposes regarding the

utilization of controlled substances by a claimant

?Judicial authorities under grand jury subpoena or court order

?Public or private entities for statistical,research,or educational

purposes

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