RELEASE: Governor Greitens announces crackdown on Medicaid providers overprescribing opioids

Governor Greitens announced Monday a new effort to protect Missourians from opioid addiction by cracking down on providers who over-prescribe powerful drugs. Medicaid providers who refuse to comply with Centers for Disease Control and Prevention guidelines will be held accountable.

Statement from Governor Eric Greitens: “Too often, Missourians seeking real help are getting hooked on dangerous drugs that threaten their lives. We trust doctors to give us sound advice, and most of them do. Family doctors in communities across the state take good care of people and save lives. Still, in every system there are bad actors who put greed, ease, or profit ahead of their mission to help people.

There are prescribers manipulating the system and creating or feeding dangerous habits. Last year, there were more than 1.2 million opioid prescriptions in our Medicaid system alone—sometimes destroying the lives and families of our neighbors.

Today we announced a new initiative that will hold providers in the Medicaid system who prescribe too many opioids, and refuse to change their ways, accountable for their actions. The people who push unnecessary, expensive, and powerful prescriptions to Missourians are ruining lives, and we’re working to stop it. We’re cracking down on this dangerous behavior within the Medicaid system to keep patients safe and protect our communities from the opioid epidemic that threatens so many families.”

The Department of Social Services (DSS), the Department of Mental Health (DMH), and the Department of Health and Senior Services (DHSS) have joined forces to implement national standards for prescribing opioids to chronic pain patients. The departments are working to bring MO HealthNet (Missouri Medicaid) providers who aren’t following Centers for Disease Control and Prevention (CDC) guidelines into compliance when it comes to opioid prescriptions.

In 2017, 10 percent of all MO HealthNet patients received opioids. This means 1.2 million opioid prescriptions were paid for by MO HealthNet, at a cost of more than $10 million. More than 8,000 Medicaid prescribers whose prescribing habits do not adhere to one or more Quality Indicators™ pertinent to the use of an opioid for management of pain have already been identified.

DSS will refer MO HealthNet prescribers who fail to respond within 20 business days from the receipt of the second notification to their respective licensing board and the Bureau of Narcotics and Dangerous Drugs within DHSS.

“In an effort to educate providers and advance evidence-based management of pain, MO HealthNet prescribers who have not adhered to safe opioid prescribing guidelines have received multiple notifications,” said Steve Corsi, Psy.D., Director, DSS. “The Department has a duty to ensure the health and wellbeing of MO HealthNet participants. From this point forward, DSS, DMH, and DHSS are informing prescribers who appear to have prescribing patterns that could be unsafe to address the issue or be referred to the appropriate licensing board. DSS and MO HealthNet are committed to providing consultation, training or assistance in an effort to improve a provider’s compliance with CDC opioid prescription guidelines.”

For some MO HealthNet providers serving patients with opioid use disorder, addressing the issue may mean a referral for services at programs certified by the DMH. “The solution to the opiate epidemic must include modern treatment,” said Mark Stringer, Director, DMH. “That means offering patients FDA-approved medications for opioid use disorder along with counseling and other services.”

“Eighty percent of heroin users indicate they got their start by misusing prescription drugs,” said Randall Williams, M.D., Director, DHSS. “Last year was a pivotal year in Missouri’s campaign to help families affected by the opioid crisis, which is the number one health crisis in America today. Preliminary data indicates that the rapid rise in overdose deaths from 2015-2016 has slowed, but it’s vital that we move forward and ensure that people aren’t initiating therapy with inappropriate amounts of narcotics that will set them on a course for addiction.”

“I want to assure MO HealthNet participants that the majority of MO HealthNet prescribers are compliant with the CDC guidelines for prescribing opioids for chronic pain,” said Dr. Corsi. “Every MO HealthNet participant trusts their health care provider is delivering safe and appropriate care. With the support of DMH and DHSS, the DSS will ensure all MO HealthNet prescribers live up to that expectation.”

Support from Legislators and Stakeholders:

Rep. Holly Rehder (R-148): “Ensuring all prescribers know and are following best practices when it comes to opioids is something the Department has been lax on for too many years.  Dr. Corsi and his passion to fight opioid abuse and misuse is a breath of fresh air.  This will make a real difference in people’s lives who struggle with addiction.”

Rep. Cody Smith (R-163): “I applaud Director Corsi and the Department for aggressively dealing with bad actors. Opioids have become a public health epidemic and I’m glad to see the Department take this important step.”

Rep. Crystal Quade (D-132): “This year I filed HB 1310 that directs DHSS to promulgate rules that enforce CDC guidelines for opioid prescriptions. I’m pleased our administrative agencies are coming together to educate prescribers who are not complying and taking action, when necessary, to protect Missouri lives.”

Rep. Robert Ross (R-142): “I appreciate the leadership being shown by Dr. Corsi and the Department. It’s about time we started cracking down on bad actors in this state who aren’t following best practices when it comes to prescribing opioids.”

“The Missouri Coalition for Community Behavioral Healthcare, and its 33 behavioral health member agencies, applaud the Governor’s new initiative to use prescribing data combined with education, intervention and enforcement to improve prescribing practices around opioids,” said Brent McGinty, President/CEO, Missouri Coalition for Community Behavioral Healthcare. “We stand ready to do even more as resources become available to provide the treatment needed to respond to this nation’s opioid epidemic.”

“Addressing the state’s opioid crisis will require engagement by all stakeholders,” said Herb B. Kuhn, Missouri Hospital Association President and CEO. “This includes patients, providers and payers.”

“The Missouri League for Nursing is in full support of the state of Missouri’s collaborative effort to ensure the safety of our residents and educate our prescribers in their role in leadership to address this number one health crisis in the United States,” said Peggy Neale-Lewis, RN, CPHQ, President, Missouri League for Nursing.

For additional information please visit https://dss.mo.gov/mhd/providers/opi-program.htm.

370 thoughts on “RELEASE: Governor Greitens announces crackdown on Medicaid providers overprescribing opioids

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    In December of 2017, Donald Trump made history by recognizing Jerusalem as the capital of Israel. Why is this big news? Because by this the Jewish people of Israel are now able to press forward in bringing about the Third Temple prophesied in the Bible.

    Jewish Rabbis have publicly announced that their Messiah will be revealed in the coming years who will be a leader and spiritual guide to all nations, gathering all religions under the worship of one God.

    Biblical prophecy tells us that this Jewish Messiah who will take the stage will be the antichrist “who opposes and exalts himself above all that is called God or that is worshiped, so that he sits as God in the temple of God, showing himself that he is God” (2 Thessalonians 2:4). For a time he will bring about a false peace, but “Therefore when you see the ‘abomination of desolation,’ spoken of by Daniel the prophet, standing in the holy place (Matthew 24:15)…then there will be great tribulation, such as has not been since the beginning of the world until this time, no, nor ever shall be” (Matthew 24:21).

    More importantly, the power that runs the world wants to put a RFID microchip in our body making us total slaves to them. This chip matches perfectly with the Mark of the Beast in the Bible, more specifically in Revelation 13:16-18:

    “He causes all, both small and great, rich and poor, free and slave, to receive a mark on their right hand or on their foreheads, and that no one may buy or sell except one who has the mark or the name of the beast, or the number of his name.

    Here is wisdom. Let him who has understanding calculate the number of the beast, for it is the number of a man: His number is 666.”

    Referring to the last days, this could only be speaking of a cashless society, which we have yet to see, but are heading towards. Otherwise, we could still buy or sell without the mark amongst others if physical money was still currency. This Mark couldn’t be spiritual because the word references two different physical locations. If it was spiritual it would just say in the forehead. RFID microchip implant technology will be the future of a one world cashless society containing digital currency. It will be implanted in the right-hand or the forehead, and we cannot buy or sell without it. Revelation 13:11-18 tells us that a false prophet will arise on the world scene doing miracles before men, deceiving them to receive this Mark. Do not be deceived! We must grow strong in Jesus. AT ALL COSTS, DO NOT TAKE IT!

    “Then a third angel followed them, saying with a loud voice, “If anyone worships the beast and his image, and receives his mark on his forehead or on his hand, he himself shall also drink of the wine of the wrath of God, which is poured out full strength into the cup of His indignation. He shall be tormented with fire and brimstone in the presence of the holy angels and in the presence of the Lamb. And the smoke of their torment ascends forever and ever; and they have no rest day or night, who worship the beast and his image, and whoever receives the mark of his name” (Revelation 14:9-11).

    People have been saying the end is coming for many years, but we needed two key things. One, the Third Temple, and two, the technology for a cashless society to fulfill the prophecy of the Mark of the Beast.

    Visit http://WWW.BIBLEFREEDOM.COM to see proof for these things and why the Bible truly is the word of God!

    If you haven’t already, it is time to seek God with all your heart. Jesus loves you more than you could imagine. He wants to have a relationship with you and redeem you from your sins. Turn to Him and repent while there is still hope! This is forever…God bless!

    “EITHER HUMAN INTELLIGENCE ULTIMATELY OWES ITS ORIGIN TO MINDLESS MATTER OR THERE IS A CREATOR…” – JOHN LENNOX

    We all know God exists. Why? Because without Him, we couldn’t prove anything at all. Do we live our lives as if we cannot know anything? No. So why is God necessary? In order to know anything for certain, you would have to know everything, or have revelation from somebody who does. Who is capable of knowing everything? God. So to know anything, you would have to be God, or know God.

    A worldview without God cannot account for the uniformity and intelligibility of nature. And why is it that we can even reason that God is the best explanation for this if there is no God? We are given reason to know or reject God, but never to know that He does not exist.

    It has been calculated by Roger Penrose that the odds of the initial conditions for the big bang to produce the universe that we see to be a number so big, that we could put a zero on every particle in the universe, and even that would not be enough to use every zero. What are the odds that God created the universe? Odds are no such thing. Who of you would gamble your life on one coin flip?

    Is there evidence that the Bible is the truth? Yes. Did you know that the creation accounts listed in the book of Genesis are not only all correct, but are also in the correct chronological order? That the Bible doesn’t say the Earth was formed in six 24-hour days but rather six long but finite periods of time? That the Bible makes 10 times more creation claims than all major “holy” books combined with no contradictions, while these other books have errors in them? The Bible stood alone by concurring with the big bang saying, “In the beginning God created the heaven and the earth” (Genesis 1:1); and says our universe is expanding, thousands of years before scientists discovered these things. Watch a potential life-changing video on the website listed below with Astronomer(PhD) Hugh Ross explaining all these facts based on published scientific data. He has authored many books, backed even by atheist scientists.

    Jesus came to pay a debt that we could not; to be our legal justifier to reconcile us back to a Holy God; only if we are willing to receive Him: “For the wages of sin is death…” (Romans 6:23).

    God so loved the world that He gave us His only begotten son, so that whoever believes in Him, through faith, shall not perish, but have everlasting life. Jesus says if we wish to enter into life to keep the commands! The two greatest commands are to love God with all your heart, soul, strength, and mind; and your neighbor as yourself. All the law hang on these commands. We must be born of and lead by the Holy Spirit, to be called children of God, to inherit the kingdom. If we are willing to humble ourselves in prayer to Jesus, to confess and forsake our sins, He is willing to give the Holy Spirit to those who keep asking of Him; giving us a new heart, leading us into all truth!

    Jesus came to free us from the bondage of sin. The everlasting fire was prepared for the devil and his angels due to disobedience to God’s law. If we do the same, what makes us any different than the devil? Jesus says unless we repent, we shall perish. For sin is the transgression of the law. We must walk in the Spirit so we may not fulfill the lusts of the flesh, being hatred, fornication, drunkenness and the like. Whoever practices such things will not inherit the kingdom (Galatians 5:16-26). If we sin, we may come before Jesus to ask for forgiveness (1 John 2:1-2). Evil thoughts are not sins, but rather temptations. It is not until these thoughts conceive and give birth by our own desires that they become sin (James 1:12-15). When we sin, we become in the likeness of the devil’s image, for he who sins is of the devil (1 John 3:8); but if we obey Jesus, in the image of God. For without holiness, we shall not see the Lord (Hebrews 12:14).

    The oldest religion in the world is holiness through faith (James 1:27). What religion did Adam and Eve follow before the fall? Jesus, Who became the last Adam, what religion does He follow? Is He not holy? He never told us to follow the rituals and traditions of man but to take up our cross and follow Him (Luke 9:23). There are many false doctrines being taught leading people astray. This is why we need the Holy Spirit for discernment. Unlike religion, holiness cannot be created. It is given to us from above by the baptism of the Spirit. Jesus is more than a religion; He is about having a personal relationship with the Father. Start by reading the Gospel of Matthew, to hear the words of God, to know His character and commandments. Follow and obey Jesus, for He is the way, the truth, and the life!

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