How does the Maine EPCS Opiates Mandate under L.D. 1646 affect my practice?

We’re happy to announce that Practice Fusion’s certified e-prescribing for controlled substances (EPCS) feature will be available in Maine to help appropriately credentialed providers meet the state’s new EPCS mandate under L.D. 1646 by July 1, 2017.

L.D. 1646 Overview
Maine’s recently enacted law, L.D. 1646, An Act To Prevent Opiate Abuse by Strengthening the Controlled Substances Prescription Monitoring Program, requires that all prescribers register with Maine’s Prescription Monitoring Program (PMP) as of January 1, 2017. Under the Maine law, prescribers must also consult the PMP system prior to prescribing, or renewing a prescription for, an opioid or benzodiazepine medication. 

Starting July 1, 2017, L.D. 1646 also requires all prescriptions for opioid medications to be sent electronically by prescribers. Additionally, prescribers must adhere to the opioid dosage limits set forth in L.D. 1646, which are outlined here.

In March 2017, the Maine Department of Health and Human Services adopted 14-118 C.M.R. Chapter 11, which contains emergency rules governing the Maine PMP and the prescribing of opioids. These rules include additional requirements for, and exemptions regarding, opioid prescriptions as well as dosage limitations. Under the rules, there are 8 possible exemptions to the 100 Morphine Milligram Equivalent aggregate daily limit for opioid prescriptions for which a prescription or patient may qualify. Prescribers must include an exemption code (Exemption Code A-H) on the prescription if they are claiming any of the exemptions from the opioid prescription dosage limitations under L.D. 1646. In the Practice Fusion EHR, these exemption codes and ICD-10 codes can be entered in the Note to Pharmacy field for applicable prescriptions.

Review the following resources for further information on the requirements of L.D. 1646:


  1. How do I sign up for eRx (e-Prescribing)?
  2. How do I send an eRx (e-Prescription)?
  3. How do I process eRx (e-Prescribing) refill requests?
  4. How do I prescribe multiple medications in a single order?
  5. How do I search for a pharmacy or enter a preferred pharmacy?
  6. Why am I unable to send an eRx (e-Prescription)?
  7. What do eRx (e-Prescribing) error messages mean?
  8. Activating e-prescribing of controlled substances (EPCS): Step 1 of 2
  9. Setting up EPCS e-signing permissions: Step 2 of 2
  10. How do I send e-prescriptions (eRx) and approve refills for controlled substances?
  11. How do I enable and use prescription task delegation?
  12. How do I print and format prescriptions?
  13. What is the status of my eRx (e-Prescribing) request?
  14. Prescription Formulary FAQ's
  15. How do I edit my Drug-Drug and Drug-Allergy Interactions Settings?
  16. How do I add my NPI and DEA numbers to printed prescriptions?
  17. Can I be enabled for e-prescribing on two Practice Fusion accounts at the same time?
  18. How do I edit a refill sent by the pharmacy?
  19. Can I e-Prescribe through multiple eRx vendors?
  20. How do I add a pharmacy to the database?
  21. How can I discontinue a medication?
  22. How can you see the status of an eRx (e-Prescription)?
  23. How does I-STOP affect my practice and what is Practice Fusion doing to prepare for EPCS?
  24. What does the eRx (e-Prescribing) "Pending" status mean?
  25. How do I disable my e-prescribing with Practice Fusion?
  26. How do I re-activate eRx (e-Prescribing)?
  27. How can I help a provider verify eRx (e-Prescribing) credentials?
  28. How can I disable refill requests?
  29. How do I update my phone or fax number for eRx (e-Prescribing)?
  30. Who can send an e-prescription?
  31. Why am I not receiving eRx (e-Prescribing) refills?
  32. What if I fail e-Prescribing (eRx) verification?
  33. How do I use eCoupons?
  34. How do I use electronic prior authorizations?
  35. How do I print an e-Prescription receipt?
  36. How do I use medication adherence?
  37. Why am I receiving an alert to update my medical license?
  38. How can I see medication costs and cost-saving alternatives?
  39. What does it mean when a patient medication is no longer available?
  40. Ohio Prescription Instructions
  41. How does the Maine EPCS Opiates Mandate under L.D. 1646 affect my practice?
  42. How do I initiate a request for a prior authorization from the EHR?
  43. How do I submit prior authorizations via Physicians’ Desk Reference (PDR)?
  44. How do I update the Authenticator application for EPCS?
  45. Electronic Prescribing (eRx) and EPCS sign up with identity verification

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