Query of Prescription Drug Monitoring Program (PDMP)

Measure description

For at least one Schedule II opioid or Schedule III or IV drug electronically prescribed using certified electronic health record (EHR) technology (CEHRT) during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a PDMP for prescription drug history.

Reporting requirements

The MIPS eligible clinician must attest “Yes” to conducting a query of a PDMP for at least one Schedule II opioid or Schedule III or IV drug electronically prescribed using CEHRT.

Definition of terms and additional information

Prescription – The authorization by a MIPS eligible clinician to a pharmacist to dispense a drug that the pharmacist wouldn’t dispense to the patient without such authorization.

Permissible prescriptions – All drugs meeting the current definition of a prescription as the authorization by a MIPS eligible clinician to dispense a drug that wouldn’t be dispensed without such authorization and may include electronic prescriptions of controlled substances where creation of an electronic prescription for the medication is feasible using CEHRT and where allowable by state and local law.

Opioids – Opioids listed as Schedule II controlled substances under 21 CFR 1308.12.

PDMP – An electronic database that tracks prescriptions of controlled substances at the State level.

Exclusions

Any MIPS eligible clinician who:

1. Is unable to electronically prescribe Schedule II opioids and Schedule III and IV drugs in accordance with applicable law during the performance period.
2. Doesn’t electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.

Scoring Information

• Required for MIPS Promoting Interoperability Performance Category Score: Yes
• Measure Score: 10
• Eligible for Bonus Score: No