Opioid Toolkit

As part of our commitment to both health partners and members, we want to provide resources that support your professional practice and encourage best practices in opioid use and pain management. Evidence-based medicine does not support long-term opioid treatment for chronic pain.

CareSource offers the following resources as reference when treating patients with long-term high-dose opiate use.

Guidelines for Prescribing Opioids for Chronic Pain and Related Information

Prescribing/Dosages

• Centers for Disease Control and Prevention (CDC) Releases UPDATED Clinical Practice Guideline for Prescribing Opioids for Pain
  Guideline for safely and effectively prescribing opioids
• Calculating Total Daily Dose of Opioids for Saver Dosage
  Calculating the daily dosage of opioids helps to identify individuals who may benefit from closer monitoring, reduction, or tapering of opioids to reduce risk of overdose
• Checklist for Prescribing Opioids for Chronic Pain
  Checklist before prescribing opioids for chronic pain
• Prescription Drug Monitoring Programs (PDMPs)
  Guideline for prescribing opioids for chronic pain and when to taper

Tapering

• Human Health Services (HHS) Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics
• Pocket Guide: Tapering Opioids for Chronic Pain

Non-Opioid Treatments for Chronic Pain

• Navigate Non-Opioid Treatments for Chronic Pain

Market Rules for Opioid Prescribing

• Indiana Guidelines for the Management of Acute Pain
  844 IAC 5-6-9 Morphine Equivalent Does Above 60; Revising of assessments and treatment plans; Indiana’s IAC prescribing regulations

Special Populations

Opioid Treatment and Pregnancy

• Opioid Use and Opioid Use Disorder in Pregnancy
• Drug Abuse Treatment Options
• High-Risk Substance Use Among Youth
  Risk factors for high-risk substance use and prevention

Safe Medication Management

• DisposeRx
  Medication disposal resources and education
• Naloxone
  Utilization and education

Benefits

• Behavioral Health Covered Benefits and Services
  Behavioral health covered services per market and product

Provider Clinical Tools and Resources

• Controlled Substance Report
  CareSource has created a new Controlled Substance Report (CSR) as an enhanced clinical tool for our providers to help them monitor their prescribing habits. This report is available for participating providers 24/7 through the CareSource Provider Portal.
• Navigate Medical Assisted Therapy in Emergency Departments
  Medication Assisted Therapy (MAT) is the broad category of using medications to treat substance use disorders. In this CareSource flier, providers can more about how to offer the best care for members with MATs in Emergency Departments (EDs).

Other Resources

• Substance Abuse and Mental Health Services Administration (SAMHSA)
• National Institute for Drug Abuse (NIDA)
  • Opioids
  • Opioid Crisis and Pain Management
• U.S. Department of Health and Human Services
• National Association of Drug Diversion Investigators Learning Library
• Naloxone Resources
  • General Information

CareSource Behavioral Health Addiction Line – 1-833-674-6437

Drug Safety: Take Back Programs

Community Drug Take Back Programs can provide the safest opportunity for individuals to dispose of their leftover medications in order to protect families, those at risk for drug abuse, and our environment.

Members can find a drug take back location near them by going here.

Information on needle exchange programs can be found at here.

Additional guidelines for safe medicine and needle disposal can be found at the FDA website or the EPA website.