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   RE: e rx controlled substances
 From: Peter Liepmann
 To: Member Forum
 Posted: 11-27-2017 18:44
 Message: A low volume practice might be able to swing a waiver.. and I'd definitely charge patients for their share of the $50/month fee....
Try talking with your state senator or assembly person's office, too.  Having them endorse your request would certainly help...

E-Prescribing Waivers

For Prescribers
State of Maine licensed practitioners may apply for a waiver from electronically prescribing opioid medications under the following circumstances:

  1. Technological limitations not reasonably within the control of the practitioner
  2. Other exceptional circumstances not reasonably within the control of the practitioner

Process for Submitting a Waiver

  1. Waivers must be requested from the Office of Substance Abuse and Mental Health Services (SAMHS) Prescription Monitoring Program (PMP).
  2. Waiver applications must include allof the following. (Please note: Incomplete applications will not be processed. Incomplete applications will be sent back to the applicant with a letter indicating the reason for deferral.)
    1. Reason for request
    2. Current electronic prescribing capabilities
    3. Steps that are being taken to meet the e-prescribing mandate
    4. Date when electronic prescribing capabilities are expected to be fully functional
    5. Practitioner's signature
  3. Responses to waiver requests will be made no later than sixty (60) days from the date a completed application is received by SAMHS PMP. You will not be penalized for non-compliance to the e-prescribing requirement of PL 488 if your completed application has been received by SAMHS PMP and remains under review after July 1, 2017.
  4. Applicants will receive a verification certificate upon receipt and approval of waiver applications that should be included with all written opioid prescriptions sent to pharmacies.
  5. Waivers may be granted depending on the circumstances for a period determined appropriate by the office not to exceed twelve (12) months.
  6. A practitioner may resubmit a waiver application if e-prescribing capabilities are not achieved within the given timeframe.
  7. Complaint will be filed with the Maine Board of Licensure in Medicine for practitioners not in compliance with the PMP e-prescribing requirements.

Please email the completed form and supporting documentation to with "Prescriber Electronic Prescribing Waiver Request" in the subject line.

Or, mail to:

Department of Health and Human Services
Office of Substance Abuse and Mental Health Services
Prescription Monitoring Program
11 State House Station, 41 Anthony Avenue
Augusta, ME 04330-0011


Peter Liepmann MD FAAFP MBA
My mission is to fix US health care
Bakersfield CA
Original Message:
Sent: 11-26-2017 20:56
From: Jean Antonucci
Subject: e rx controlled substances

so Maine now requires e-rx for controlled substances.. Sigh 50.00 a month to the EMR vendor. But tonight I find out that it is a federal DEA rule that you must have an administrator on your emr approve you to do this( can IMPs do this for each other??). Practice Fusion says "sole practitioners may find this challenging.IS ANYONE PAYING ATTENTION?? WHERE is the AAFP? I have been prescribing controlled substances for yrs but cannot do it through the computer- for which there is no evidence anyway- AND I must pay to prescribe- but I have to have an administrator in my practice give me permission?? WHEN oh when will we stand up and unionize??

Jean Antonucci

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