Dental Compliance Rules: NEW in 2021

Talking with the Toothcop

What’s new in 2021? CE requirements are changing, PMP self-query rules are in effect, and e-prescribing has officially kicked off. Andrea and I talk about all of the changes—and where to learn more—in this episode of Talking With The Toothcop. Don't miss it!

Outline of This Episode

• [0:21] The first episode of 2021!
• [2:26] PMP Self-query
• [4:20] Check patient history
• [6:04] E-prescribing rules
• [9:07] NEW CE requirements

PMP Self Query

According to Rule 111.2, if you have a DEA registration (or multiple) you’re required to check your prescriber history at least once a year in the PMP platform. Login and enter the dates you wish to check. You don’t need to document it—the state automatically records that you’ve checked. If you don’t, you may end up in front of the state board for lack of compliance. In Andrea’s words, “Check yourself before you wreck yourself.”

Diligently check patient history

As of March 1st, 2020 every time you prescribe a controlled substance you have to check the patient’s history in the PMP. This can be delegated to another staff member to do (under their login—not yours). This helps you make an informed decision about what to prescribe.

E-prescribing rules in Texas

Effective 1/1/2021, Texas dental providers are required to e-prescribe. There are standalone systems available or some that tie into your current software (linked in the resources). It’s not cheap, but you need to do it. The state board does allow for some exceptions, including if you prescribe fewer than 25 prescriptions a year (i.e. all of 2020).

NEW CE requirements

Dentists used to be required to take a two-hour CE course every three years regarding opioid and controlled substance use in their dental practice. As of 9/1/2020, dentists with a DEA registration need to take a course on prescribing and monitoring controlled substances.

Rule 104.2 takes effect 1/1/2021: every dentist with direct patient care responsibilities must complete two hours of education per year—or four hours per renewal period—on pain management. Duane has hired some clinicians to teach this course, check out the resources for the link to our training!

If you took the old prescribing and monitoring course on or before 8/31/2020, it’s completely different from what’s required after 9/1/2020. You have to take it again. Secondly, if you don’t have direct patient care responsibilities (i.e. you’re a consultant with a dental license or a teacher) you don’t have to do the training. The bottom line? If you touch a patient, you should take the course.

Listen to the whole episode for all of the details!

Resources & People Mentioned

• Dental Compliance Training LIVE Courses
• Texas Administrative Code Chapter 111
• Dentistry Rules + Regulation Changes in Texas
• The DEA and Dentistry [Need to Know Updates]
• Texas State Board E-Prescribing Waiver
• E-Prescribing Waiver Form
• iPrescribe
• Allscripts
• iCoreConnect
• Veradigm
• MD Toolbox
• Surescripts

Connect With Duane

• https://www.dentalcompliance.com/
• toothcop(at)dentalcompliance.com
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