Pain Testing and Monitoring

Urine drug testing and prescription monitoring can help to ensure that patients are consistent with their treatment plan. Periodic urine drug testing can alert providers to possible opiate misuse, diversion, and the use of illicit substances. The Connecticut Prescription Monitoring and Reporting System offers providers a complete picture of a patient’s controlled substance use, including prescriptions by other providers.


Urine Drug Testing

Urine drug testing is a widely available method for monitoring opioid use in chronic pain patients. It can help assess patient compliance as well as assist with identifying possible drug misuse and abuse, which is essential in maintaining safe and effective opioid use.

¹Reference: https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/Downloads/HowObtainCertificateofWaiver.pdf

Connecticut Prescription Monitoring and Reporting System (CPMRS)

The Connecticut Prescription Monitoring and Reporting System (CPMRS) is a web-based tool available to all providers with a Connecticut Controlled Substance Registration issued by the State of Connecticut, Department of Consumer Protection. The tool provides comprehensive prescription information for Schedule II through Schedule V drugs to assist providers with safely prescribing medications with a high potential for abuse and overdose.

All Connecticut prescribers with a Connecticut Controlled Substance Registration are required to register as a user. Go to www.ctpmp.com and click "Register" to become a member.

Once registered, providers can access comprehensive patient controlled substance prescription records; review their own prescribing history; post alerts on particular situations or patients concerning misuse, diversion, or abuse of controlled substances; and access a patient’s controlled substance history from other states. Additional information about the CPMRS is available here.

Surescripts and Electronic Prescribing

The Department of Social Services’ (DSS) is a certified payer connected to the Surescripts network. Surescripts, a nationwide health information network, is securely linked to the Connecticut Medicaid Management Information System (MMIS) and electronically routes eligibility, medication history, and pharmacy benefit information provided by data sources for the purpose of electronic prescribing. Using Surescripts with a certified e-Prescribing system gives providers the opportunity to verify payer and member related data with their patients before a script is submitted to the pharmacy.

When treating a member for chronic pain, the medication history provided through Surescripts can help providers better assess prior medication use during current treatment planning. Providers may access Surescripts through their existing e-Prescribing system.

A list of e-Prescribing vendors and applications certified for integration with Surescripts is available at: http://www.surescripts.com/certification-status.html. If you are currently using a Surescripts certified e-Prescribing system, contact your e-Prescribing vendor for more information on connecting to the Surescripts network.

This portion of the HUSKY Health website is managed by Community Health Network of Connecticut, Inc., the State of Connecticut’s Medical Administrative Services Organization for the HUSKY Health Program. For the general HUSKY website gateway, please visit www.ct.gov/husky. HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services.