Practice Fusion: Using an Electronic Health Record (EHR) to meet Maine state mandates for certified e-prescribing for controlled substances (EPCS).
Practice Fusion’s EPCS system:
- Surescripts certified for Electronic Prescribing of Controlled Substances (CII-CV)
- Fully integrated with your EHR and existing e-prescribing workflow
- Offers a streamlined process for fast identity verification
- Provides patient-specific formularies and Drug & Allergy interaction checks
- Automatically receive Electronic Prior Authorizations (ePA) for prescriptions
- Includes comprehensive reporting modules
L.D. 1646 Overview
Maine’s recently enacted law, L.D. 1646, An Act To Prevent Opiate Abuse by Strengthening the Controlled Substances Prescription Monitoring Program, requires that all prescribers register with Maine’s Prescription Monitoring Program (PMP) as of January 1, 2017. Under the Maine law, prescribers must also consult the PMP system prior to prescribing, or renewing a prescription for, an opioid or benzodiazepine medication.
Effective as of July 1, 2017 , L.D. 1646 also requires all prescriptions for opioid medications to be sent electronically by prescribers. Additionally, prescribers must adhere to the opioid dosage limits set forth in L.D. 1646, which are outlined here.
In March 2017, the Maine Department of Health and Human Services adopted 14-118 C.M.R. Chapter 11, which contains emergency rules governing the Maine PMP and the prescribing of opioids. These rules include additional requirements for, and exemptions regarding, opioid prescriptions as well as dosage limitations. Under the rules, there are 8 possible exemptions to the 100 Morphine Milligram Equivalent aggregate daily limit for opioid prescriptions for which a prescription or patient may qualify. Prescribers must include an exemption code (Exemption Code A-H) on the prescription if they are claiming any of the exemptions from the opioid prescription dosage limitations under L.D. 1646. In the Practice Fusion EHR, these exemption codes and ICD-10 codes can be entered in the Note to Pharmacy field for applicable prescriptions.
How to get ready for Maine’s L.D. 1646
Before you can activate EPCS, you will need to sign up for e-prescribing. The process is easy and only takes a few steps to complete.
DEA EPCS regulation requires your account to have at least one user that’s not the DEA-registered prescriber to have administrator-level permissions.
The new new Maine mandate requires prescribers to check prescription monitoring information prior to dispensing an opioid or benzodiazepine medication.
The new regulations establish limits on opioid prescribing and include a requirement to complete an approved opioid prescription training course.
Although the integration between Practice Fusion and the Maine PMP is not yet available, integrating Maine PMP data within an Electronic Health Record (EHR), like Practice Fusion, can help provide a streamlined clinical workflow for providers. An EHR that is integrated with the Maine PMP has the ability to automatically initiate a patient query, validate the provider’s credentials in the Maine PMP, and return the patient’s prescription record directly within the provider’s EHR. The integration would seamlessly fit into the clinical workflow and allow for near real-time presentation of Maine PMP data within the EHR.
e-Prescribing allows a prescriber to use an EHR to:
- Electronically access a patient’s prescription benefit.
- Electronically access a patient’s medication history.
- Electronically route the prescription to the patient’s choice of pharmacy.
e-Prescribing provides the following consumer benefits:
- More accurate prescriptions.
- Improved patient safety.
- Lower healthcare costs for everyone involved.
e-Prescribing provides the following provider benefits:
- Reduction in pharmacy staff time.
- Increase in patient compliance and filled prescriptions.
- Improved relations with patients.
e-Prescribing of controlled substances (EPCS) allows a prescriber to:
- e-Prescribe scheduled drugs right from your EHR.
- Use one workflow for all prescriptions.
- Minimize patient wait times at pharmacies.
- Reduce unnecessary office visits.