Tools for Opioid Prescribing & Pain Management Agreements
This section of the toolkit is designed for providers who are prescribing opioid medications to their patients based on the patient’s functional goals in addition to the failure of non-pharmacologic or non-opioid treatment options. This section will walk you through the Michigan legal requirements of informed consent and establishing a bona fide patient-provider relationship using a pain management agreement.
Establishing a “Bona Fide” Patient-Provider Relationship
As required by Public Act 247 of 2017, Michigan prescribers must be in a bona fide prescriber-patient relationship prior to prescribing Schedule 2-5 controlled substances for more than 7 days. As stated in the Public Act 101 of 2018, the effective date for the bona fide prescriber-patient relationship is required by 3/31/19.
Please refer to the Public Act 249 of 2017 for sanctions for failing to comply with the new MAPS usage mandates, failure to establish bona fide prescriber-patient relationships, and failure to inform patients regarding the risks associated with prescription opioid drugs.
Patient-Provider Pain Management Agreement
A pain management agreement is designed to establish a bona fide patient-provider relationship. This agreement can be used for ongoing use of opiate (Narcotic) medication(s) aimed to protect the patient’s access to controlled substances and protect the physician’s ability to prescribe.
Download a Michigan specific sample Word template now:
Michigan Automated Prescription System (MAPS)
Opioid Start Talking Form (MUST BE INCLUDED IN A PATIENT’S MEDICAL RECORD)
- As required by Public Act (PA) 246 of 2017, the start talking form is designed to satisfy new patient education and parental consent regulations regarding opioid prescriptions starting on 6/1/18.
- This form must be completed and saved to the patient’s medical record only when prescribing an Opioid drug.
Download the Word template version of the form now:
- For patients who do not want to be prescribed opioids, consider a nonopioid directive, available on the LARA website under “Additional Resources”
- Download the Word template version of the form now:
Please see below for additional sample patient-provider agreement templates that can be used to establish a patient-provider bona fide relationship.
- This commentary responds to a case and examines pragmatic concerns about operating a busy outpatient practice in compliance with new laws that regulate opioid prescribing.
- Download this patient-provider agreement to better inform your patient on their medication, getting help, and obtaining prescriptions.
- Download this example patient agreement from the National Institute on Drug Abuse (NIDA) to use to educate patients about lowering risks when prescribed opioid medications.
- Download this sample personal decision guide to be completed between the patient and provider to explore treatment decisions based on the patient’s knowledge, values, and certainty–Available in French, Swedish, Dutch, Danish, Norwegian, Spanish, German, Japanese, and Mandarin Chinese.