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
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 setting.
2. How do I get access
to PDMP data?
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
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 firstname.lastname@example.org or
1-877-95-CRISP for more information.
5. Do I have to sign the CRISP Participation Agreement to get
access to PDMP data?
for healthcare providers 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 email@example.com or
6. Is there a fee to access PDMP data through CRISP?
No. Provider access to PDMP data through the CRISP HIE is free
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 or pharmacists.
passwords. Providers may not allow anyone else to access PDMP data using their
username and password.
Delegator Fact Sheet and the CRISP Delegator Dashboard User Guide
Delegate Fact Sheet and the ULP PDMP Search Guide for Delegates
8. How current is PDMP data?
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 firstname.lastname@example.org or 1-877-95-CRISP (27477) for
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
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 email@example.com or call
410-402-8686 during regular business hours.
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
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 firstname.lastname@example.org or call
410-402-8686 during regular business hours.
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 email@example.com or
18. Why isn’t the “sig” information (instructions for use) from
the prescription available in the PDMP data?
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
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 purposes.
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 InsurancePortability and Accountability Act Privacy Rule and Prescription DrugMonitoring Programs.”
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 for more information about
the PDMP reporting requirement.
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 firstname.lastname@example.org or call 877-952-7477. If you have
general questions about the PDMP, contact MDH program administration
at email@example.com or
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464