22 Tex. Admin. Code § 172.4 - Minimum Operational Standards for the Treatment of Pain Patients
(a) Physicians
treating a pain patient must:
(1) operate in
compliance with provisions of all applicable federal and state laws;
(2) follow the standard of care;
and
(3) maintain complete,
contemporaneous, and legible medical records, in the same manner as a non-pain
patient, and include documentation of:
(A)
monitoring efficacy, daily functionality, description of pain relief;
(B) mandatory PMP checks;
(C) pain contracts, if applicable;
(D) support for billing; and
(E) drug testing results and other forms of
monitoring for patient compliance with treatment recommendations.
(b) For pain patients
transferring their care to a new treating physician at a Gold Designated
Practice, the following applies:
(1) The new
treating physician must:
(A) document an
initial problem focused exam;
(B)
document a PMP check; and
(C)
request medical records from the prior treating physician(s) within 15 business
days of seeing the patient.
(2) The new physician may provide only a
one-time 30-day maximum non-refillable prescription of pain medication at the
initial visit.
(3) If the requested
medical records are not received within 15 business days after the initial
request, the physician must perform the following before issuing any other
prescriptions for pain treatment to the patient:
(A) a complete history and physical,
including assessment of abuse or diversion potential;
(B) diagnostic testing and obtain the results
to verify pain sources or etiology, if applicable;
(C) drug testing; and
(D) a PMP check.
Notes
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