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Milestone Criteria Current State Future State Summary of Actions

Needed

Leverage the above functionalities / The Wisconsin Department of | Continue to monitor and No immediate action. capabilities / supports (in concert with Safety and Professional Services | evaluate. any other state health IT, technical sends a monthly data extract to assistance or workflow effort) to DHS for purposes delineated in a implement effective controls to minimize | Data Use Agreement between the the risk of inappropriate opioid two agencies. overprescribing—and to ensure that The medical coordinator role in Wisconsin Medicaid does not PDMP allows those who oversee inappropriately pay for opioids prescribers to view non- patient-

identifiable prescribing practice

assessment metrics for the

patients they oversee, which

allows them to better identify

prescribers that may present an

opportunity for education about

safe opioid prescribing practices. Prescribers can view their own metrics to see how their prescribing compares to their peers of the same specialty, and prescribing boards review similar metrics to help identify critically dangerous prescribing practices for further investigation and possible disciplinary action.

'Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use — United States, 2006-2015. MMWR Morb Mortal Wkly Rep 2017;66:265—269. DOI: http://dx.doi.org/10.15585/mmwr.mm6610a1.

Wisconsin BadgerCare Reform Approval Period: October 29, 2024 through December 31, 2029 Page 60