Pain Management Resources

Short-Acting Opioids and Pain Program

Stakeholder communication regarding new short-acting opioid policy(Revised August 25, 2014)

Objective: The Department of Health Care Policy and Financing is following the lead of the Governor’s Task Force in reducing the misuse of prescription opioids. In order to support this campaign we are instituting quantity limits on short-acting opioids of a maximum of 4 tablets per day (equating to 120 tablets per 30 days). Through this policy were are attempting to reduce client utilization of short-acting opioids and maintain or improve client level of stability and functionality.

Disclaimer: The State of Colorado believes it is important to provide information about opioids and intends this page to be a resource. It is intended to provide additional information about opioids, their use, potential misuse, as well as information about substance abuse/misuse programs, however it is not meant to be all inclusive. This page provides links to a handful of external websites that are not the property of, or the responsibility of the State of Colorado. Upon the selection of such a link you will leave the Colorado Department of Health Care Policy and Financing’s website. The State of Colorado is not responsible for the content of the linked web pages or the dependability, accuracy or information security of these sites. The State of Colorado does not endorse or sponsor the companies, products or services that may be offered at these websites nor should such an endorsement be implied. The links are not listed in any particular order of importance.

Provider Resources

Note: Providers billing for substance use Screening, Brief Intervention, and Referral to Treatment (SBIRT) services

Based on health and cost benefits of SBIRT, the AMA instituted healthcare codes for substance use screening and brief intervention

  • H0049 and H0050 for Medicaid: See Medicaid Billing Manual for SBIRT

  • 99408 and 99409 for privately insured patients

  • G0396 and G0397 for Medicare patients

 
Pain Assessment

Comfort Assessment Guide  

Functional Assessment

Initial Pain Assessment Form

Initial Pain Assessment Tool

Brief Pain Inventory Short Form

Visual Analog Scale


0-10 Numeric Pain Intensity Scale

 

Multiple Language Pain Assessment Scales

 

Wong-Baker FACES Pain Rating Scale

 

Risk Assessment for Factors that may Lead to Adverse Outcomes

Addictive Behaviors Checklist

Screening Techniques

Screening Tool 

Opioid Risk Tool

Marijuana Screening Tool

Identify Aberrant Behavior: CAGE Questionnaires

Opioid 911 - Safety Sample Treatment Agreements

 

Reporting and Monitoring Opioid Use 

State of Colorado Prescription Drug Monitoring Program  (PDMP) and registration deadlines by provider type:

  • September 30, 2014: pharmacists and DEA-registered advanced practice nurses

  • October 31, 2014: DEA-registered dentists, veterinarians, optometrists and podiatrists

  • November 30, 2014: DEA-registered medical board licensees

PDMP pamphlet

Practitioner/Pharmacist Query Fact Sheet

 

Registering with PDMP

House Bill: Modify Prescription Drug Monitoring Program Section 3 12-42.5-403

Training Guide for Colorado Practitioners and Pharmacists (Section 3)

 

Tapering, Converting and Discontinuing

Colorado Medicaid Preferred Drug List (PDL): OPIOIDS Long-acting- Pharmacy link

Colorado Medicaid Appendix P: Opioids Short-acting, Agonist/Antagonist, Antagonist, and Overdose Rescue Agents- Pharmacy Link

VA Tapering and Discontinuing Opioids Fact Sheet 

Washington State Health Authority: Opioid Taper Plan and Calculator

Opioid Conversion Tips, Changing to Another Oral Opioid, Dosing, Conversion Chart

GlobalRPh’s Advanced Opioid Converter

The National Alliance for Advocates for Buprenorphine Treatment’s Clinical Opiate Withdrawal Scale

VA Methadone Dosing Recommendation for Treatment for Chronic Pain

 

Pain Guidelines

Policy for Prescribing and Dispensing Opioids: Colorado Dental Board, Colorado Medical Board, State Board of Nursing, and State Board of Pharmacy in collaboration with the Nurse-Physician Advisory Task Force for Colorado Healthcare

Washington State Agency Medical Directors’ Group (AMDG)

Partners Against Pain

SAMHSA Opioid Overdose Toolkit 

Opioid-Safety Resources Toolkit for HealthCare Providers

Alcohol and Substance Use Screening, Brief Intervention and Referral to Treatment (SBIRT)

 

Patient Education

Patient/ Caregiver Opioid Safety Handout

Opioid Side Effects

Overdose Emergencies

Medication Safe Use and Disposal Pamphlet

List of Pain Relief Medications

Open Communication with your provider

Pain Management Log

Daily Pain Diary

 

Substance Use Disorder Assistance/Prevention

Medicaid Behavioral Health Organizations Services

Peer Assistance Services

SBIRT Guideline Supplement: Prescription Drug Abuse Prevention 

Substance Abuse and Mental Health Services Administration

NIH National Institute on Drug Abuse

 

Currently available non-drug services covered by Medicaid for use in conjunction with drug treatment

Physical Therapy (PT) /Occupational Therapy (OT), massage in conjunction with PT/OT- Colorado 1500 link

Colorado 1500 Specialty Manual (Mental Health Program)- Colorado 1500 link