Department of Health (MDH) has made access to patient controlled dangerous
substance (CDS) prescription information collected by the PDMP available at
no-cost to physicians, nurse practitioners, pharmacists and others who provide medical
care to an individual with whom they have an existing treatment relationship.
Providers can now register with CRISP to get access to PDMP data to support patient care. See
the Clinical Resources section for information on educational and training resources
designed to assist providers with safe and effective use of CDS prescription
drugs in patient care.
For more information
about healthcare provider access, please see the Frequently Asked Questions
1. Can any healthcare
provider access PDMP data?
In general, healthcare
providers may register to access their patients’ controlled substance
prescription information for treatment purposes. The specific user role
assigned to a provider will depend on the type of practitioner or practice
including prescribers, pharmacists, and delegates, must register with CRISP to access PDMP data. Once
registered, providers may access their patients’ controlled substance
prescription history through the CRISP health information exchange (HIE) query
3. What is CRISP?
CRISP is Maryland’s
designated statewide health information exchange (HIE). CRISP is a
not-for-profit organization charged with electronically connecting healthcare
providers across the region. DHMH has partnered with CRISP to make controlled
substance prescription information collected by the PDMP available to
healthcare providers in real-time, at the point-of-care. Practitioners that
register for HIE query portal accounts with CRISP may receive access to PDMP
data as well as an array of other patient clinical information, including
hospital admission, discharge and transfer records, labs and radiology reports,
operative notes, etc. This information is presented in a user-configurable and
easy-to-use web-based interface. For more information, please visit CRISP’s website.
4. Is the CRISP HIE
the only way I can access PDMP data?
CRISP is the
authorized entity for clinical users to access PDMP data. All registered
providers can access PDMP data through the CRISP portal. Some providers may
also have access to PDMP data through one or more electronic integrations
between CRISP and a hospital or facility’s EHR. Finally some providers may
access PDMP data through an authorized 3rd party vendor.
To facilitate access to
the portal, CRISP is making “single sign-on (SSO)” integration available for
eligible users of electronic health records (EHR) and other health information
systems. SSO allows your EHR log in credentials to be automatically “passed” to
the CRISP HIE, eliminating the need to log in to the HIE web portal separately.
Patient information can also be passed in a similar manner, eliminating
the need to again enter patient search criteria (e.g. patient name and date of
birth) in the HIE web portal. This reduces the number of clicks and amount of
typing required and allows you to access data with a single click.
If your organization
would like to set up single sign-on for CRISP/PDMP, please contact CRISP
at email@example.com or 1-877-95-CRISP for more information.
5. Do I have to sign
the CRISP Participation Agreement to get access to PDMP data?
that want to query patient clinical information (labs, radiology, reports,
etc.) available through CRISP. If you would like access to this information in
addition to PDMP data, then a PA will need to be signed. If you are a
hospital based provider, your hospital has likely already signed the PA which
covers your access to CRISP. However, you will still need to register with
CRISP and complete all required training in order to receive your own user
account. If you work in a group practice or are a sole practitioner that has
not previously received access to CRISP, an authorized representative of your
practice will be required to sign the PA.
If you would only like
access to PDMP data and not the other clinical data available through CRISP,
you will simply need to sign a short Memorandum of Understanding (MOU).
For more information,
contact CRISP at firstname.lastname@example.org or 877-952-7477
6. Is there a fee to
access PDMP data through CRISP?
No. Provider access to
PDMP data through the CRISP HIE is free of charge.
7. Can my office staff
access PDMP data on my behalf?
Healthcare providers, or "delegators", who are authorized by law to prescribe or dispense controlled substances may delegate any staff member, licensed or unlicensed, who
is employed by or under contract with the same practice as the prescriber or
pharmacist to access PDMP data on their behalf (see “Can any healthcare
provider access PDMP data?” above). These delegate practitioners will be
provided with their own user accounts with unique usernames and passwords. Delegates, such as office staff,
may only access the PDMP data in order to provide it to a delegating prescriber
prohibit the sharing of usernames and passwords. Providers may not allow anyone
else to access PDMP data using their username and password.
8. How current is PDMP
The PDMP requires
dispensers to report within 1 business day of dispensing a CDS prescription
drug. Data processing may add additional time before the information is
available for query.
9. When is PDMP data
available for query?
PDMP data is available
for online query by registered users 24 hours per day, 7 days per week.
10. Do I have to
inform my patients that I’m going to query their prescription information?
No. However, in
accordance with COMAR 10.47.07.05B, providers that intend to access PDMP data
should consider informing their patients by means of posting a sign or
providing written notice. See “How does HIPAA relate to the PDMP?” below for
additional information regarding patient privacy issues.
11. What if I’ve
forgotten my user name or password?
Contact CRISP at email@example.com or 1-877-95-CRISP (27477) for login
12. What is the best
way to perform a query?
You can search for a
patient as broadly or as specifically as you would like. The only search fields
that are required to search the data are the last name field and date of birth.
13. Can a patient
opt-out of having his or her PDMP data accessible through the CRISP HIE?
No. The patient
opt-out available for other CRISP clinical information does not apply to
provider access to patient prescription records collected by the PDMP. State
law requires that providers have access to PDMP data.
14. Why can’t I find
any prescription information on my patient?
The patient may not
have any filled CDS prescriptions. If you believe this is in error, please
contact the PDMP at firstname.lastname@example.org or call 410-402-8686 during regular
15. Why does my
patient have two (or more) separate records with different ID numbers?
As prescription data
is reported to the PDMP by many different dispensers, information about a
particular patient may be recorded, stored and reported by dispensers
differently. For example, one pharmacy may record the patient as “Jon Smith”
and another as “Jonathan Smith,” or one pharmacy may have a different, outdated
address on file for a patient with the same exact name. CRISP employs powerful
patient matching technology to help ensure that clinical information about the
right patient is returned to system users as accurately as possible. However,
sometimes information about a unique patient has not been consolidated into a
single record because the available information about that patient was not
sufficient to form a strong match. In these situations, some of the patient’s
prescription (or other clinical) information may be in one record and the rest
in others. This may change over time as more information becomes available in
order to create a match between previously distinct records.
16. Why aren’t
prescriptions I’ve written showing up in my patient’s record?
If you do not see a
record of prescriptions you have written, first confirm with the patient and/or
the pharmacy that the prescription was actually dispensed. If it was dispensed,
confirm that it was not dispensed within the past day. It is
possible that the pharmacy has not yet reported the dispensing to the PDMP.
If you are certain
that the prescription was dispensed more than a day prior, contact
the PDMP at email@example.com or call 410-402-8686 during regular
17. What can I do if I
think the dispensing pharmacy made an error in a reported prescription record?
Please contact the
dispensing pharmacy directly to verify 1) that the drug was properly dispensed
pursuant to your prescription and 2) that the information reported to the PDMP
was an accurate record of the dispensing. If incorrect information was reported
to the PDMP, please notify the PDMP administrator by email at firstname.lastname@example.org or call 410-402-8686.
18. Why isn’t the
“sig” information (instructions for use) from the prescription available in the
The PDMP does not
collect this information. In general, pharmacies do not record the “sig”
information from prescriptions in the dispensing records in their pharmacy
management systems. Therefore, this information is not stored in an electronic
format that can be reported to the PDMP.
19. Can I share PDMP
data with other healthcare providers?
The release of PDMP
data by a prescriber or dispenser to a licensed healthcare professional solely
for treatment purposes in a manner otherwise consistent with State and federal
law is not a violation of the PDMP law. Program regulations specify that re-disclosure of PDMP
data is allowable for treatment purposes only.
20. How do HIPAA and
other health privacy laws affect the PDMP?
MDH has provided
prescription data collected by the PDMP to healthcare providers to support
their ability to provide safe and effective treatment to their patients. Access
to PDMP data should be considered in a manner similar to accessing other
protected health information (PHI) or confidential medical records for treatment
The federal Health
Insurance Portability and Accountability Act’s (HIPAA) Privacy Rule contains a
number of exceptions that allow states to exercise authority in the areas of
public health, oversight of health care operations, law enforcement and others.
Maryland’s PDMP law establishes a program with data collection and disclosure
requirements that are in line with these exceptions. For a more detailed
analysis of HIPAA applicability to PDMP operations, see the National Alliance for Model State Drug Law’s “Health
Insurance Portability and Accountability Act Privacy Rule and Prescription Drug
NOTE: The linked
document above is included for reference purposes only and does not constitute
an official legal opinion of MDH
21. I’m a healthcare
practitioner that also dispenses controlled substances to my patients. Do I
need to report this dispensing?
Yes. Please see
the Dispensers section and the Dispenser’s Implementation Guide for more information about the PDMP
22. Who should I
contact for more information?
If you have specific
questions about CRISP registration or access to PDMP data through the CRISP HIE
query portal, contact CRISP at email@example.com or call 877-952-7477. If you have
general questions about the PDMP, contact MDH program administration
at firstname.lastname@example.org or call 410-402-8686.
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464