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TRANSCRIPT
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Printed: 07-09-2021
AlabamaPDMP region: South
Agency responsible: Alabama Department of Public Health
Agency type: Department of Health
PDMP website: http://www.alabamapublichealth.gov/PDMP
PDMP email: [email protected]
Bishop, Nancy - State Pharmacy Director
201 Monroe Street, Ste 1010
Montgomery AL 36130-3017
Office: (334) 206-3014
Fax: (334) 206-0363
Email: [email protected]
Walker, Vicki - PDMP Administrator
201 Monroe Street, Ste 1010
Montgomery AL 36130-3017
Office: (334) 206-3378
Fax: (334) 206-0363
Email: [email protected]
PDMP Name: Prescription Drug Monitoring Program
Contact Information
Enrollment website: https://alabama.pmpaware.net
Query website: https://alabama.pmpaware.net
Data upload website: https://pmpclearinghouse.net
Statistics website:
State Registrant Totals and PopulationStatistics year: 2020 DEA registered prescribers: 18,491
DEA registered dispensers: 1,336State population: 5,030,053
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PDMP Budget and Staffing
Source(s) of Funding
State general fund
Licensing fee
Controlled substance registration fee
Regulatory board fund
BJA grant
NASCSA grant
SAMHSA grant
Agreed settlement
Other funding
2021
CDC grant
# of employees - Operational: 1
# of employees - Technical: 0
# of employees - Analytical/Epidemiological: 0
# of employees - Other: 0
Staff Category and Number of FTEs Total Staff: 0.00
CMS grant
PDMP Available ReportsPrescriber access to patient historyPrescriber access to own history
Dispenser access to patient historyDispenser access to own history
Licensing Board access to patient historyLicensing Board access to licensee history
Law Enforcement access to patient historyLaw Enforcement access to prescriber historyLaw Enforcement access to dispenser history
Prescriber access to patient query historyPrescriber access to registrant query history
Dispenser access to patient query historyDispenser access to registrant query history
Licensing Board access to patient query historyLicensing Board access to registrant query history
Law Enforcement access to patient query historyLaw Enforcement access to registrant query history
Summary data on/with patient reportsCustomized reports by user typePeer comparison reportsPDMP annual reports
Other types of reports:
Data dashboards
Statewide statisticsLost/stolen prescription information
Drug trend reportsGeomapping of prescription data
Prescriber report cards
Patient access to own query history
Evaluation Reports for Public, Legislature, etc.
Opioid Dashboard link:
Clinical AlertsRisk ScoresMME CalculationsOverdose ReportsMultiple Provider Episodes
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Policies and Procedures
Legislation Enacted: 05-13-2005 PDMP Operational: 01-01-2006
Statute citation: AL Code §§20-2-210 to 220; §20-2-91Regulation citation: AL Admin Code 420-7-2-.11 to .13; 540-X-4-.04; 540-X-12-.16; 930-X-1-.11 to .13Dr shopper statute: AL Code § 13A-12-320Pill mill statute:Pain clinic statute: AL Code §§ 34-24-600 to 610
Relevant Statutes and RulesStatute website: http://www.alabamapublichealth.gov/PDMP
Disclosure statute: AL Code §20-2-216
Key PDMP Dates
On-line access: 06-28-2007Electronic reporting: 01-01-2006Initial user access: 06-28-2007
Opioid guidelines: https://www.albme.org/csfaq.html
Required notification to patients of Query
Mandated use of advisory group
Payment method captured
Patient ID capturedID of person (other than patient) dropping off captureID of person (other than patient) picking up capture
Ability to identify prescriber specialty
Authority to release de-identified dataAbility to de-identify data
Authority to release for epidemiological or educational purposesEngaged in release for epidemiological or educational purposes
Miscellaneous Capabilities and Policies
Patient ID required to be presented to dispenser
Patient consent required before data release
Ability for users to set thresholds for alert noticesAbility for users to do user-led alert notices
Ability to search for multiple patients in one queryMaximum number of patients in one query: indefinite
Supervisor review/audit of delegate accountsNumber of delegates allowed: 2
Unsolicited alerts to practitioners not enrolled in PDM
Mandatory E-Prescribing (EPCS)
Data collection frequency: Daily
ICD-10 Codes CollectedDeceased Patient FieldHIPAA Covered Entity Identifiable Data to State Health Department
Identifiable Data to local Health Department
Patient Notification of Breach
Patient Breach Notification Method:Patient Breach Notification Method Other:
Patient Breach Notification Written
PDMP Effectiveness Study
Zero-reporting Zero-reporting frequency: Daily
Frequency unsolicited alerts/reports generated: MonthlyDelivery method for unsolicited alerts/reports: Mailed out
Interstate Data Sharing: 2012
E-prescribing required substances:
E-prescribing exemptions/waivers:
Certified as CMS Specialized RegistryUser-friendly web interfaceData analysis softwareOnline user guides/educational materials
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PDMP User Training
Prescriber Dispenser Law Enforcement Regulatory Board
Attorney General Patient Researcher
Prescriber Dispenser Law Enforcement Regulatory Board
Attorney General Patient Researcher Other
Training website: http://www.alabamapublichealth.gov/pdmp/database-instruction-manuals.html
Available Training Training Required Before PDMP Use
Data retention policyRetention time:5 years plus current yearAll information purged
Patient information purgedPrescriber information purgedDispenser information purged Drug information purged
Retain de-identified data
Data Retention
Record retention details:
De-Identified data retention details:
PDMP Accounts
Automatic enrollment with license renewal or applicationEnrollment method: Application process is online. Physicians with matching criteria are automatically approved. Others are
approved upon verification of license and other required criteriaPrescriber account criteria: Must be licensed to prescribe, dispense, or administer controlled substances in
Alabama or practicing at a federal facility located in AlabamaDispenser account criteria: Must be licensed by the Alabama Board of Pharmacy or a prescriber designated as a
dispenser by the regulatory board or practicing at a federal facility located in Alabama
Regulatory Board account criteria: Authorized representatives of certifying boards whose licensees qualify for access to the PDMP.
Law Enforcement account criteria: State and local law enforcement authorities as authorized under Section 20-2-91 and federal law enforcement authorities
Active investigation
Subpoena
Court order/approval
Probable cause
Search warrant
Proper need/upon request
Other:
On-line/web portal
Written request
Other method:
Law Enforcement Requirements Law Enforcement Access Methods
Minimum data elements: Last name , first name, date of birthPartial data elements: minimum 3 characters in nameOptional data elements: Date of birth range of 6 moths, 1 year, or 2 years, gender, statewide or county, social security
number, driver license number, up to three alias names, up to three addresses
Criteria to Query PDMP
Patient access to query list details:Requirements for patients to get own report:Non-healthcare users allowed online accounts: Licensing/regulatory Board investigators, law enforcement investigators
(federal, state, local)
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Veterinarian access to owner's prescription historyCriteria for veterinarian queries: Animal Owner's name
Required use - Prescriber Required use - DispenserLicensees of the Board of Medical Examiners must check the PDMP twice a year if the MME is greater than 30. If MME is greater than 90, the PDMP must be checked with every prescription. Exemptions to the query requirements: (1) nursing home patients; (2) hospice patients, where the prescription indicates hospice on the physical prescription; (3) when treating a patient for active, malignant pain; or (4) intra-operative patient care. For the purpose of preventing controlled substance diversion, abuse, misuse, addiction, and doctor-shopping, the Board of Podiatry sets forth the following requirements for the use of Alabama’s Prescription Drug Monitoring Program (PDMP): (a) For the controlled substance prescriptions totaling 30 MME or less per day, podiatrists are expected to use the PDMP in the manner consistent with good clinical practice. (b) When prescribing a patient, controlled substances of more than 30 MME per day, podiatrists shall review that patient’s prescribing history through the PDMP at least two (2) times per year, and each podiatrist is responsible for documenting the use of risk and abuse mitigation strategies in the patient’s medical record. (c) Podiatrists shall query the PDMP to review a patient’s prescribing history every time a prescription for more than 90 MME per day is written, on the same day the prescription is written.
Required enrollment - Prescriber Required enrollment - DispenserRequired PDMP Enrollment and Use
Before renewing an Alabama Controlled Substances Certificate, the applicant shall have a current registration to access the Controlled Substances Prescription Database established and maintained by the Alabama Department of Public Health; medical director of pain management clinic
Authority to enforce PDMP mandates: Regulatory/Licensing Board
Enrollment Effective Date(s): March 24, 2010 (regulation); May 8, 2013 (statute)
Use Effective Date(s): March 9, 2017; April, 30, 2020
Compliance Process for Enrollment Mandates
Compliance Process for Use Mandates
Veterinarian Policies
Reporting method:
Animal reporting specifications same as human patientAnimal v. Human Patient Reporting Differences:
Data Fields:Reporting description:
Reporting Mandate ComplianceCompliance Details:Reporting Mandate Actions:
Reporting Issues:Reporting Miscellaneous Information:
Enrollment Description: Veterinarians cannot access PDMP data but can voluntarily report to the PDMP.
Enrollment Mandate Criteria:Enrollment Mandate Compliance
Compliance Details:Use Description: Veterinarians are not permitted by statute/rule/policy to queryUse Criteria:
Use Mandate ComplianceCompliance Details:
Veterinary Icon on PDMP Report
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Data Monitored or AccessibleSchedule II Schedule III Schedule IV Schedule V
Authority to monitor other substance
Removed from monitoring
Codeine cough syrups Anabolic steroids Butalbital products and combinations Chlordiazepoxide and combinations Tianeptine
Drug-related Arrests
Data Location:
Data on PDMP Report
Reciprocity
Data Collectors:Data Reporters:Monitor Trends/Inform Policy
Drug-related Convictions
Data Location:
Data on PDMP Report
Reciprocity
Data Collectors:Data Reporters:Monitor Trends/Inform Policy
Child Welfare Case Information
Data Location:
Data on PDMP Report
Reciprocity
Data Collectors:Data Reporters:Monitor Trends/Inform Policy
Criminal Court Case Information
Data Location:
Data on PDMP Report
Reciprocity
Data Collectors:Data Reporters:Monitor Trends/Inform Policy
Drug Court Case Information
Data Location:
Data on PDMP Report
Reciprocity
Data Collectors:Data Reporters:Monitor Trends/Inform Policy
Medical Marijuana Dispensings
Data Location:
Data on PDMP Report
Reciprocity
Data Collectors:Data Reporters:Monitor Trends/Inform Policy
Data Fields:Authorized Users:
Data Fields:Authorized Users:
Data Fields:Authorized Users:
Data Fields:Authorized Users:
Data Fields:Authorized Users:
Data Fields:Authorized Users:
Monitor Trends/Inform Policy Data Reporters:Data Collectors:
Reciprocity
Data on PDMP Report
Data Location:
Risk Ratings_Urine Drug Screens
Data Fields:
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Authorized Users:
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Data Monitored or Accessible (cont'd)
Monitor Trends/Inform Policy
Description:
Data Reporters:Data Collectors:
Reciprocity
Data on PDMP Report
Data Location:
Other Information
Monitor Trends/Inform Policy Data Reporters:Data Collectors:
Reciprocity
Data on PDMP Report
Data Location:
Overdoses - Non-fatal Information
Monitor Trends/Inform Policy Data Reporters:Data Collectors:
Reciprocity
Data on PDMP Report
Data Location:
Overdoses - Fatal Information
Capture/access registrant's disciplinary history/statusCapture/access patient lock-in informationCapture/access lost/stolen prescription drug reportsARCOS data available
Pharmaceutical Manufacturers/Distributors Sales
Data Location:
Data on PDMP Report
Reciprocity
Data Collectors:Data Reporters:Monitor Trends/Inform Policy
Sales data access method:Frequency of sales data upload:Sales data elements available:
Naloxone/Narcan Administrations
Data Location:
Data on PDMP Report
Reciprocity
Data Collectors:Data Reporters:Monitor Trends/Inform Policy
Naloxone/Narcan DispensingsData on PDMP Report
ReciprocityMonitor Trends/Inform Policy
Data Location:
Data Collectors:Data Reporters:
Data Fields:Authorized Users:
Data Fields:Authorized Users:
Data Fields:Authorized Users:
Data Fields:Authorized Users:
Data Fields:Authorized Users:
Data Fields:Authorized Users:
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Technological Capabilities
ASAP 4-1/2010
ASAP 4-2/2011
ASAP Versions Accepted
Electronic data transmissionFax data transmission
Mail data transmissionMedia data transmission
Other
Data Transmission Methods Allowed
Pharmacy in-state
Pharmacy out-state/mail order
Dispensing doctor
Pharmacy out-state/other
Veterinarian Veterans Administration Indian Health Services
Other:
Required Data Transmitters
Data collection entity: Vendor Vendor name: ApprissData storage entity: Vendor Vendor name: ApprissReport generation entity: Vendor Vendor name: Appriss
Data access method: Web Portal/On-LineData access entity: Vendor Vendor name: Appriss
Data Collection, Storage, Generation and Access
PMPi Hub
RxCheck HubHIE method
Interstate Data Sharing
Data Integration
Patient Matching
Exact matchProbablistic match
Department of DefensePharmacy in-state/mail order transmitters
Long-term Care Facility PharmacyCorrectional Facility Pharmacy Tribal Pharmacy
Method Jurisdictions Engaged
AZ, AR, CO, CT, DE, DC, FL, GA, ID, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, NV, NY, NC, ND, OH, OK, PA, PR, RI, SC, SD, TN, TX, VA, WA and MHSGA, IL, KY, MD, PA, SC, WA
Referential matchDeterministic match
Manual match
Access to patient matching algorithmsMatching data elements:Matching metrics available:Internal matching barriers: Lack of understanding of the matching process, Limited
data elements used in matching process, Lack of insight into matching methodology in use
Interstate matching barriers: Lack of understanding of the matching process, Lack of insight into matching methodology in use
ASAP 4-2a/2016
ASAP 4-2b/2019
RxCheck Integration AllowedState HIE in place
HIE IntegrationEHR IntegrationPDS Integration
50-74%10-24%
% ProvidersIntegrated
PMPiPMPi
Integration Hub Data allowed to be downloaded/stored
Data allowed to be manipulated for analysis
Data incorporate interstate data
HIE Cost Model:
EHR Cost Model:
PDS Cost Model:
Paid by Feds Paid by State Paid by Facility Paid by Provider
Per User
Per User
VHA VISTA integration HL7 FHIR connectivity HL7 FHIR expected connectivity: Unknown
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Other match method
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Requestors and Reports Authorized to GenerateSolicited Reports Unsolicited ReportsRequestor Type In-State Out-of-State In-State Out-of-State
PrescriberDispenser/Business (i.e., pharmacy)Dispenser/Person (i.e., pharmacist)Midlevel - Physician AssistantMidlevel - Nurse Practitioner
Law Enforcement - FederalLaw Enforcement - StateLaw Enforcement - Local
Licensing/Regulatory Board
Medicaid Fraud and AbuseMedicaid Drug Utilization and ReviewMedicareWorkers Compensation - StateWorkers Compensation - Insurance
Prosecutorial Authority
Third-party Payer
Correctional Supervision
Other PDMP
Patient
Peer Review Committee
Drug Court
Researchers
Drug Treatment Provider
State Health Department
Prescriber Delegate (licensed)Dispenser Delegate (licensed)
VA Prescriber DelegateVA Pharmacist DelegateVA Pharmacist
Medical Examiner/Coroner
Prescriber Delegate (unlicensed)Dispenser Delegate (unlicensed)Medical ResidentsInternsMedical Facility/Institution
Marijuana Dispensary
Healthcare
Regulatory
Law Enforcement
Public and Private Insurers
Other
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Solicited Reports Unsolicited ReportsRequestor Type In-State Out-of-State In-State Out-of-StatePrescriberDispenser/Business (i.e., pharmacy)Dispenser/Person (i.e., pharmacist)Midlevel - Physician AssistantMidlevel - Nurse Practitioner
Law Enforcement - FederalLaw Enforcement - StateLaw Enforcement - Local
Licensing/Regulatory Board
Medicaid Fraud and AbuseMedicaid Drug Utilization and ReviewMedicareWorkers Compensation - StateWorkers Compensation - Insurance
Prosecutorial Authority
Third-party Payer
Correctional Supervision
Other PDMP
Patient
Peer Review Committee
Drug Court
Researchers
Drug Treatment Provider
State Health Department
Prescriber Delegate (licensed)Dispenser Delegate (licensed)
VA Prescriber DelegateVA Pharmacist DelegateVA Pharmacist
Medical Examiner/Coroner
Prescriber Delegate (unlicensed)Dispenser Delegate (unlicensed)Medical ResidentsInternsMedical Facility/Institution
Marijuana Dispensary
Healthcare
Regulatory
Law Enforcement
Public and Private Insurers
Other
Requestors and Reports Being Generated