Helping patients with drug use disorders

 

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One out of ten adults in Washington needs treatment for a drug use disorder, and for more than half of them, the drug of choice is alcohol. Studies show that when health professionals ask their patients about their alcohol/drug use and explain how misuse affects their health and well-being, people with drug use disorders are much more likely to seek help.  Get the necessary care to your patients.  Please consider using any of the tools on this site that will help you address your patient need.

Getting a 12 month history of
prescriptions, emergency and other services

In order to provide a comprehensive medical history for you regarding your patients, we have developed a rolling 12-month client medical profile.  It includes prescriptions, emergency room usage and other services.  To obtain a profile:

  • Fax the request and HIPAA forms to 360-753-7315 Attn: Pooji Tran. You must include the sender's name, phone number, and fax number for us to process the request.

  • You may use your own release or DSHS release.

  • Include on the request: your return fax number with area code, client name and Client ID.

  • A best practice would be to have your staff request an Rx history a week before a clinic visit - just like a lab result it's there for a provider/client discussion.

  • Medicaid notes a large percent of clients do not pick up their meds before running out.  There may be large gaps in compliance.  Think about compliance before judging a medication to be ineffective.

  • Use the 12 month histories on those clients with the most risk (e.g High narcotic users, frequent ER users, clients seeing many prescribers, clients with positive drug tests and histories of non-compliance).

Medicaid has released a new Opioid Taper Plan Calculator in collaboration with UW pain experts so prescribers can have an easy tool to use to decrease the overuse of opioid analgesics!  This new tool makes it easier for prescribers to calculate safe and effective taper plans for Medicaid clients who would benefit from lower opioid doses.  Prescribers only need enter the client's current opioid regimen and the tool does all the calculation to create an easy to follow schedule with decreasing opioid doses each week.  This tool also calculates Morphine Equivalent Doses (MED) in addition to milligrams every step of the way to keep prescribers appraised of the client's progress toward goal.

Chemical Dependency Treatment

Patients who need alcohol/drug treatment should be referred to the Recovery Helpline to arrange for an assessment, to locate a treatment agency, and to verify that they are eligible for state-funded services.

Treatment for Chronic Pain

  • Chronic Pain Agreement is a way for providers and patients to agree on the ground rules as they set out to address a patient's chronic pain. Use this form to improve patient understanding and compliance with prescription program.

  • Disclosure form in Word and PDF allows providers to access their patient drug treatment and screening records. Without disclosure, providers may find themselves working in the dark.

  • Opioid Dosing Guideline The guidelines are to assist the practitioner in the prescribing opioids in a safe and effective manner. These were developed by the Interagency Workgroup on Practice Guidelines (the Department of Corrections, Department of Health, Department of Labor and Industries, Department of Social and Health Services, and Health Care Authority) in collaboration with actively practicing physicians who specialize in pain management. This guideline does not apply to the treatment of cancer pain or end-of-life (hospice) care.  You are also urged to consult the Agency Medical Directors' Group Web site for additional information.
     
  • FREE Online CME/CE credits available

Curb Abuse and Misuse of Medical Resources

  • Patient Review and Coordination Program limits patients to one provider, one pharmacy, and one hospital for emergency care. Phone: 800-562-3022 extension 15606, Fax: 360-725-1969.

  • Narcotic Review prior authorization is a process that will require your review of a patient's prescription history before authorization. You, not the agency, determine the medical necessity of the narcotic. You are also able to see what other doctors and ERs are prescribing.  A pilot program on drug utilization experienced a 30% reduction in clients with 10 or more scripts per month.  To request information or to refer patients for Prior Authorization, Fax (360) 725-2122. Phone: 800-562-3022, Fax: 866-668-1214.

Case Management Resources for Aging and Disabled

The Aging and Disability Services Administration assists children and adults with developmental delays or disabilities, cognitive impairment, chronic illness and related functional disabilities to gain access to needed services and supports by managing a system of long-term care and supportive services that are high quality, cost effective, and responsive to individual needs and preferences.

Dual Disorder Programs

For patients with suspected dual disorders involving chemical dependency and mental illness, referrals can be made to providers in the counties listed below:

  • Yakima County: Central Washington Comprehensive Mental Health
    Referrals can be made by calling Paul Nagle-McNaughton at (509) 575-4084, extension 4237, Monday-Friday 9-5.

  • Clark County: Integrated Mental Health/Chemical Dependency Program
    Referrals can be made by calling Cindy Stevens at Lifeline Connections, (360) 397-8246 extension 7538, Monday-Friday 9-5.