77 Ill. Adm. Code 946.620
Health Care Professional Certification for Opioid Alternative Pilot Program
Section 946.620Â Health Care Professional Certification
for Opioid Alternative Pilot Program
a)
A
certification confirming the patient's eligibility to participate in the Opioid
Alternative Pilot Program shall be written on a form provided by the Department
and submitted electronically
and shall include, at minimum, the
following
:
1)
The
qualifying patient's name, date of birth, home address and primary telephone
number
;
2)
The
certifying health care professional's name, address, telephone number, e-mail
address, medical license number, and active controlled substances license under
the Illinois Controlled Substances Act and an indication of specialty or
primary area of clinical practice, if any
;
3)
The
length of time the patient has been under the care of the certifying health
care professional;
4)Â Â Â Â Â Â Â Â The
patient's diagnosis and
a statement identifying the patient has been
diagnosed with, and is currently undergoing treatment for, a medical condition for
which an opioid has been or could be prescribed
(Section 36(d)(5) of the
Act);
5)Â Â Â Â Â Â Â Â A
statement that the certifying health care professional is treating or managing
treatment of the patient's health care; has a bona-fide health care
professional-patient relationship; has conducted an in-person physical
examination; and has conducted a review of the patient's medical history,
including reviewing medical records from other treating health care
professionals, if any, from the previous 12 months;
6)Â Â Â Â Â Â Â Â The certifying
health care professional's
signature and date
of certification. (Section
36 of the Act)
7)
A
statement that a participant in possession of a written certification indicating
eligibility to participate in the Opioid Alternative Pilot Program shall not be
considered an unlawful user or addicted to narcotics solely as a result of his
or her pending application to, or participation in the Compassionate Use of
Medical Cannabis Program.
(Section 36 of the Act)
b)Â Â Â Â Â Â Â Â The
certification for confirming the patient's eligibility to participate in the
Opioid Alternative Pilot Program does not constitute a prescription for medical
cannabis.
c)Â Â Â Â Â Â Â Â The health
care professional certification for the Opioid Alternative Pilot Program shall
be valid for 90 days after the date of the certifying health care professional's
signature.
d)Â Â Â Â Â Â Â Â If
the certifying health care professional determines the patient would benefit
from continued enrollment in the Opioid Alternative Pilot Program after the
conclusion of 90 days, the certifying health care professional may issue
another written certification for the patient after conducting an in-person
office visit. The new written certification shall be issued no sooner than 30
days prior to the expiration of the current written certification. The new
90-day period shall begin immediately after the expiration of the current
written certification period.
e)
It
is unlawful for any person to knowingly submit a fraudulent certification to be
a qualifying patient in the Compassionate Use of Medical Cannabis Program or
a
qualifying
Opioid Alternative Pilot Program participant. A violation of this
subsection shall result in the person who has knowingly submitted the
fraudulent certification being permanently banned from participating in the
Compassionate Use of Medical Cannabis Program or the Opioid Alternative Pilot
Program.
(Section 36 of the Act)