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1 PDMP name: Agency Responsible: Agency Type: PDMP Website: PDMP Berberet, Craig - PMP Manager 401 N Fourth St, Rm 126 Springfield IL Office: (217) Fax: (217) PIL Department of Human Services Department of Health ASAP Versions Accepted ASAP 1995 ASAP 1997 ASAP 3/2005 ASAP 4/2007 ASAP 4-1/2010 ASAP 4-2/2011 Pharmacy in-state Pharmacy out-state/mail order Pharmacy out-state other Dispensing doctor Illinois Contact Information Office: Fax: Technological Capabilities Electronic data transmissio Fax data transmission Mail data transmission Media data transmission Required Data Transmitters Veterinarian Veterans Administration Indian Health Services Data Transmission Methods Allowed Other data transmission Other: Data Collection Entity: Vendor Vendor name: Atlantic Associates Inc. Data Storage Entity: Vendor Vendor name: Hanson Information Systems Report Generation Entity: In-House Vendor name: In-House Data Access Method: Web Portal/On-Line Statistics Data Collection, Storage, Generation and Access Data Access Entity: In-House Vendor name: In-House PDMP region: Statistics Year: 2014 DEA Registered Prescribers: 56,028 State population: 12,880,580 DEA Registered Dispensers: 2,362 North

2 Interstate data sharing PMPi Hub RxCheck Hub RxSentry Hub HIE method Other Hub Data Access via Health Information Exchang via Electronic Health Recor via Pharmacy Dispensing Syste Controlled Schedules Monitored Schedule II monitored Schedule III monitored Schedule IV monitored Schedule V monitored Data Collection and Dates Collection frequency: 1 Legislation enacted: 1961 PDMP operational 1968 Data Sharing List of states involved in sharing: AZ, CO, CT, IN, KS, KY, MI, MN, MS, NV, NM, ND, SD, TN, UT, VA, WI Impediments to data sharing: Exact Match Probablistic Match Policies and Procedures Monitor other authority Remove from Monitoring Web 24/7 Fax 24/7 Web Business Hours Fax Business Hours Other Patient Matching Other Substances Monitored Probablistic/Manual Matc Other Match for queries Data Request Methods and Hours of Operation Phone Business Hours Business Hours Mail Business Hours In-Person Business Hours Other Law/Rule Website: Law/Statute citation: IL Comp Statute 570/314.5; 570/316 to /320; 570/102; 570/507.2 Regulation/Rule citation: IL Admin Code Title to.30; ; ; ; ; to.211 Dr Shopper law/statute: 720 ILCS 570/314.5 Pill Mill law/statute: Pain Clinic law/statute: Disclosure law/statute: Data Retention Policy All Information Purged Data Retention Time: Record Retention Details: De-Identified Data Retention Details: Prescriber Information Purged Dispenser Information Purged Relevant Statutes and Rules Data Retention Patient Information Purged Drug Information Purged Retain De-Identified Data

3 Required Enrollment - Prescriber Required Enrollment - Dispenser Required PDMP Enrollment and/or PDMP Query Detai Select Data Fields Available Payment method captured Patient Identification captured Person dropping off captured Person picking up captured Ability to id prescriber specialty Prescriber: Dispenser: Regulatory Board: Law Enforcement: Attorney General: Researcher: Patient: Other: PDMP Required Enrollment and Patient Query Required Patient Query - Prescriber Required Patient Query - Dispenser Miscellaneous Capabilities and Policies Authority to release de-identified data Ability to de-identified data Authority to release for epidemiological or educational purposes Engaged in release for epidemiological or educational purposes Required Notification to consumers Mandated Use of Advisory Group Patient Access to Query List Requirements to Query PDMP A provider should have their DEA Number, NPI number, and license number, work contact information, phone number, address. Prescriber Access to Patient History Prescriber Access to Own History Dispenser Access to Patient History Dispenser Access to Own History PDMP Available Reports Available Reports to Selected Requestors Licensing Board Access to Patient History Licensing Board Access to Licensee History Law Enforcement Access to Patient History Law Enforcement Access to Prescriber History Law Enforcement Access to Dispenser History

4 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 Dispenser Delegate Patient Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Medical Examiner/Coroner Drug Court Licensing/Regulatory Board State Health Department Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Peer Review Committee Drug Treatment Provider Third-party Payer Researchers Other PDMP Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State

5 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 Dispenser Delegate Patient Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Medical Examiner/Coroner Drug Court Licensing/Regulatory Board State Health Department Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Peer Review Committee Drug Treatment Provider Third-party Payer Researchers Other PDMP Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State

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