Code of Maine Rules › 14 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 118 - OFFICE OF SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES (SAMHS) › Chapter 11 - RULES GOVERNING THE CONTROLLED SUBSTANCES PRESCRIPTION MONITORING PROGRAM AND PRESCRIPTION OF OPIOID MEDICATIONS › Section 118-11-3 - Definitions

Current through 2024-29, July 17, 2024
1. Acute pain. Pain as defined by
				22
				MRSA §7246
									1-A. Pain
				that is the normal, predicted physiological response to a noxious chemical or
				thermal or mechanical stimulus. Acute pain typically is associated with
				invasive procedures, trauma and disease and is usually time-limited.
2. Administer. An action to apply a
				prescription drug directly to a person by any means by a licensed or certified
				health care professional acting within that professional's scope of practice.
				"Administer" does not include the delivery, dispensing or distribution of a
				prescription drug for later use.
3.
				Authorized representative. A parent or guardian of a minor child, or a person
				who has been authorized pursuant to Article V of the
Maine Probate
				Code
to make health care decisions, or gain access to health care
				records, on behalf of another.
4.
				Benzodiazepine. Any of a specific group of drugs with a common chemical
				structure and pharmacological use, including certain antianxiety drugs, muscle
				relaxants, and sedatives. Common benzodiazepines include clonazepam (Klonopin),
				lorazepam (Ativan), and diazepam (Valium).
5. CFR.
The Code of Federal
				Regulations
. The
Code of Federal Regulations
is
				available at the State of Maine Law and Legislative Library, Maine State House,
				State Street, Augusta, Maine.
6.
				Chronic pain. Pain as defined by
				22
				MRSA §72461-C. Pain that persists beyond
				the usual course of an acute disease or healing of an injury and may or may not
				be associated with an acute or chronic pathologic process that causes
				continuous or intermittent pain over months or years.
7. Controlled substance. A drug or other
				substance included in schedules II, III or IV of
				21 USC §
										812 (2004), or 21 CFR § 1308
				(2004).
8. Credentials. Information
				or a device provided by the office or their designee to a dispenser or
				prescriber that allows the dispenser or prescriber to electronically access
				prescription monitoring information. Credentials may include, but are not
				limited to, a username, password, or an identification device that generates a
				username or password.
9. Customer
				of the dispenser. A person seeking to have a prescription filled from a
				dispenser, has had a prescription partially filled by a dispenser, or has a
				prescription on file with the dispenser that has refills remaining.
10. Data requester. A prescriber, dispenser,
				or an individual duly authorized by a prescriber or dispenser, who registers
				with the Office or the Monitor, intending to search the prescription monitoring
				database for information regarding his or her own patients and
				customers.
11. Days' supply. The
				drug's intended duration, as defined by the prescriber, or the estimated number
				of days a prescription will last, based on the number of days a given
				prescription should last if taken according to the instructions.
12. Dispenser. A pharmacist who is licensed
				or registered under Title 32, Chapter 117 of
Maine Revised Statutes
				Annotated
.
13. Dispenser
				identification number. The provider identification number issued to dispensing
				pharmacies by the National Council for Prescription Drug Programs or an
				equivalent, unique identification number assigned to a dispenser by the Office
				or the Monitor.
14. Emergency
				Department. The department of a hospital that provides medical services to
				patients requiring immediate care.
15. Generational suffix. An element of a
				patient name used to identify the patient by generation, such as but not
				limited to "junior," "senior," or "III."
16. Hospital. A facility licensed by the
				Department of Health and Human Services in Maine and defined under
				22 MRSA
				§7932. 2-A, or licensed under the
				appropriate licensing agencies in the state where the hospital is
				located.
17. Inpatient Status. The
				specific admission status of a patient who has been admitted to the hospital
				and is receiving room, board and professional services in the hospital on a
				continuous twenty-four (24) hour-a-day basis.
18. Long Term Care Facility. An assisted
				living facility or nursing home.
19. Monitor. The entity designated by the
				Office to implement and manage the prescription monitoring program under the
				direction and oversight of the Office.
20. MRSA. The
Maine Revised Statutes
				Annotated
.
21. Office. The
				Maine Department of Health and Human Services, Office of Substance Abuse and
				Mental Health Services, as defined by
				22
				MRSA §7246, as amended.
22. Opioid Medication. A controlled substance
				containing an opioid and included in
				21 United States Code,
				Section 812 or
				21 Code of Federal Regulations,
				Part 1308.
23. Palliative Care.
				Palliative care is defined by
				22
				MRSA §1726(1)(A).
24. Patient. Either the person, or
				the owner or keeper of an animal, who is the ultimate user of a drug for whom a
				prescription is issued and/or for whom a drug is dispensed.
25. Patient address. The current geographic
				location of the patient's residence. If the patient's address is in care of
				another person or entity, the address of that person or entity must be provided
				in its entirety. When alternate addresses are possible, they must be recorded
				in the following order of preference:
A. The
				geographical location of the residence, as would be identified when a telephone
				is used to place a 9-1-1 call as described by Title 25, Chapter 352 of the
Maine Revised Statutes Annotated
, as amended;
B. A post office address issued by the United
				States Post Office;
C. The common
				name of the residence and town; or
D. The mailing address of the
				patient.
E. The address as listed on
				a valid state or federal ID.
F. If
				none of the above area available and the patient has no current residence, a
				notation that the patient is homeless is available.