When prescribing a controlled substance that is an opioid, Michigan prescribers must provide specified information such as the dangers and risks of using opioids and obtain a patient's signature (or the parent or guardian if a minor). Questions have arisen regarding the frequency of the education and signed acknowledgement, especially in situations involving refills or dosing adjustments. The Michigan Department of Licensing and Regulatory Affairs (LARA) and The Michigan Department of Health and Human Services (MDHHS) address these inquiries in their updated FAQs Document.
The following related FAQ is found on page six of the LARA/MDHHS document:
How often must practitioners provide opioid education to patients as required in Public Act 246 of 2017?
- Practitioners should provide patients with the required opioid information prior to issuing the first prescription, in a course of treatment, for a controlled substance that is an opioid. Continuation of the established previous therapy does not require a new form.
- This requirement applies to both minors and adult patients who are being prescribed an opioid beginning June 1, 2018. If a minor or adult patient is currently receiving any opioid prior to June 1, 2018 this form would not need to be completed for that specific prescription, as the requirements do not apply retroactively.
- If a practitioner has a patient on an opioid on or after June 1, 2018, and the patient needs a refill of the same prescription the form would not need to be completed again. If the prescriber starts to treat the patient with a new opioid the form would need to be signed and saved in the patient file.
- When changing the dosage of the same opioid prescription, in a course of treatment, the form would not need to be signed and saved in the patient file.
If you have additional questions, please visit MSMS.org/BeAWARE for resources related to the new prescribing laws, as well as links to key information such as prescribing guidelines, disposal recommendations, regulatory agencies, educational resources, statistics and reports, treatment locators, information for patients, and much more.