News Post

May 31, 2017

IG Inspections issues report on Opioid Drug Utilization

The IG Inspections Division has published its first inspection report — Opioid Drug Utilization: Texas Medicaid Efforts to Reduce Prescription Opioid Abuse and Overutilization. Opioids are controlled substances commonly prescribed for the relief of pain. Their use, however, comes with significant risk.

The inspection identified issues related to pharmacy point-of-sale edits and made recommendations to address the issues. The inspection also identified an issue related to prescriber use of the Prescription Monitoring Program (PMP) database and made recommendations to address that issue. IG also recommended that recommendations of the federal Centers for Disease Control be incorporated into specific edits. The HHS Medicaid and CHIP Services Department agreed with all recommendations.

Access to information in the PMP database is governed by Texas Health and Safety Code § 481.076, which limits IG access to purposes related to law enforcement. The Inspections Division recommended that the IG bring forward the issue of limited PMP access to the Texas Legislature to consider changes.

To see the full report, click here.