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) Guideline for Prescribing Opioids for Chronic Pain – Guideline for safely and effectively prescribing opioids
- Calculating Total Daily Dose of Opioids for Safer 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 (PDMP) – Guideline for prescribing opioids for chronic pain and when to taper
Tapering
- Transitioning Patients from Opioid Therapy
- Reduction or Discontinuation of Long-term Opioid Analgesics
- Tapering Opioids for Chronic Pain
- Human Health Services (HHS) Guide for Clinicians on the Appropriate Dosage
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 Doses Above 60; Revising of assessments and treatment plans; Indiana’s IAC prescribing regulations
Special Populations
- Opioid Treatment and Pregnancy
- Treatment Options for Opioid Use Disorder for Pregnant Women High-Risk Substance Use Among Youth – Risk factors for high-risk substance use and prevention
- Indiana Pregnancy Promise Program – The Indiana Pregnancy Promise Program is a free, voluntary program for pregnant Medicaid members who use opioids or have used opioids in the past. This referral form may be completed by individuals who use opioids and are pregnant, or recently pregnant, and would like support.
- Pregnancy Promise Program Member Poster
- Spanish Pregnancy Promise Member Poster
- Pregnancy Promise Program Member Handout
- Spanish Pregnancy Promise Program Member Handout
- Burmese Pregnancy Promise Program Member Handout
- Haitian Pregnancy Promise Program Member Handout
- Vietnamese Pregnancy Promise Member Handout
Safe Medication Management
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.
Other Resources
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- National Institute for Drug Abuse (NIDA)
- U.S. Department of Health and Human Services
- National Association of Drug Diversion Investigators Learning Library
- Naloxone Resources
- 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 here.
An overview of medication disposal packets is located here.
Additional guidelines for medicine safety and needle disposal can be found at the FDA website or the EPA website.