Idaho. Contact Information. Fax: (208) Statistics. Technological Capabilities

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1 PDMP name: Agency Responsible: Agency Type: PDMP Website: PDMP Idaho Board of Pharmacy Pharmacy Board Anderson, Teresa - Program Information Coordinator 1199 Shoreline Ln, Ste 303 Boise ID Office: (208) Fax: (208) IPMP teresa.anderson@bop.idaho.gov 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 Idaho Contact Information Adams, Alex - Executive Director 1199 Shoreline Ln, Ste 303 Boise ID Office: (208) Fax: (208) Technological Capabilities Electronic data transmissio Fax data transmission Mail data transmission Media data transmission Required Data Transmitters Veterinarian Veterans Administration Indian Health Services Data Collection Entity: Vendor Vendor name: Appriss Data Storage Entity: Vendor Vendor name: Appriss Report Generation Entity: In-House Vendor name: In-House Data Access Method: Web Portal/On-Line Statistics alex.adams@bop.idaho.gov Data Transmission Methods Allowed Other data transmission Other: Data Collection, Storage, Generation and Access Data Access Entity: Vendor Vendor name: Appriss PDMP region: Statistics Year: 2014 DEA Registered Prescribers: 7,550 State population: 1,634,464 DEA Registered Dispensers: 313 West

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: 1967 PDMP operational 1967 Data Sharing List of states involved in sharing: AZ, CO, IN, MI, MN, NV, NM, ND, OH, UT 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 Relevant Statutes and Rules Law/Rule Website: Law/Statute citation: ID Code ; A; 9-340C Regulation/Rule citation: ID Admin Code Dr Shopper law/statute: Pill Mill law/statute: Pain Clinic law/statute: Disclosure law/statute: ID Code Data Retention Policy All Information Purged Data Retention Time: Record Retention Details: 2 years De-Identified Data Retention Details: Prescriber Information Purged Dispenser Information Purged 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 PDMP Required Enrollment and Patient Query Required Patient Query - Prescriber Required Patient Query - Dispenser Select Data Fields Available Payment method captured Patient Identification captured Person dropping off captured Person picking up captured Ability to id prescriber specialty 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 The patient is required to submit a request form, either by a notarized form if mailed to our office, or by coming in to the office with positive government issued I.D. Prescriber: Dispenser: Regulatory Board: Law Enforcement: Attorney General: Researcher: Patient: Other: Requirements to Query PDMP Must have an ID license to access online PMP. To register, provider should have DEA number, license number, and ID controlled substance registration number. Idaho requires a paper form. We then verify the information through Board license verification sites, a DEA download and our own Controlled Substance licensing program. 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