KDA Today
KDA Today
For Immediate Release
Date: Oct 20th, 2020
Contact: Jill Ewing Lee, R.Ph., Drug Enforcement and Professional Practices Branch, Kentucky Cabinet for Health and Family Services
KASPER and Controlled Substance FAQ
Q: I have a DEA registration but rarely write for controlled substances. Am I still required to obtain a KASPER account?
A: Yes. All Kentucky licensed dentists with an active Kentucky DEA registration must register and maintain a KASPER account regardless of whether you plan to use such authority.
Q: I am a Kentucky licensed dentist; however, I practice in Colorado and my DEA is registered to my office in Colorado. Do I need to maintain a KASPER account?
A: No. Only dentists who are licensed to practice in Kentucky and have a Kentucky DEA registration are required to maintain a KASPER account.
Important DEA Registration Information: Although a DEA registration is federal registration, it does not allow you to prescribe controlled substances anywhere in the United States. The authority granted under registration with a Kentucky address ends at our border. While you only need one DEA to prescribe (issue a prescription) from multiple office locations in Kentucky, you will need additional DEAs if you practice in other states. You will also need additional DEAs if you plan on procuring, storing, or administering controlled substances in more than one location in a state. NOTE: Kentucky regulations prohibit dentists from dispensing (packaging and labeling medication for use by the patient outside the office setting) controlled substances. If you have additional questions, call DEA Registration Support at 571-362-6905.
Q: I have not had access to my KASPER account and I keep getting emails about creating a new KOG account. What is KOG?
A: KASPER moved to the cabinet’s single sign-in security portal Kentucky Online Gateway (KOG) in May 2019. If you do not have a KOG account, you will need to create an account. Once you are logged in, search by the letter K for the Kentucky All Scheduled Prescription Electronic Reporting and click Enroll/Launch and you should see the Account Request Onboarding screen. You will be required to put in your old KASPER username and password to link to your old account. Please contact the KASPER Help Desk at 502-564-2703 or email eKASPERHelp@ky.gov if you do not remember your original KASPER credentials. Do NOT click on the “Request a New KASPER account” unless you have never had a KASPER account.
Q: Why do I need to use KASPER?
A: Reviewing the report prior to administering or prescribing a controlled substance is important to prevent accidental or intentional misuse or diversion of prescribed medication. This process can assist with prevention and early treatment of substance use disorders. It is also required by law in certain instances. Refer to KRS 218A.172 and 201 KAR 8:540.
Q: When am I required to run a KASPER?
A: Prior to the initial prescribing or administration of a Schedule II or III controlled substance the dentist shall obtain and review a KASPER for the 12 months preceding the patient encounter. If the course of treatment extends beyond three months, and additional controlled substances are required, the dentist shall obtain a new KASPER report. You may review exceptions to this rule in the KBD prescribing and dispensing regulation (201 KAR 8:540). Please note, providing a Schedule II or III after oral surgery is no longer an exemption listed in the updated regulation. A quick reference guide is available in Table One.
Table One, Below
Dental (DMD/DDS) KASPER Guidelines 201 KAR 8:540
Drug ScheduleKASPER Query
II Required before initial prescribing and at least every three months during treatment
III Required before initial prescribing and at least every three months during treatment
IV Not required
V Not required
See regulation for exceptions (hospice, end of life, administered in hospital/LTC facility, cancer, or emergency).
Q: I do not have time to request KASPER reports, can someone in my office do this for me?
A: Yes. You may delegate an employee to request KASPER patient reports on your behalf by logging onto your KASPER account and clicking the Manage Delegate button in the Administration tab. You will be directed to your KOG profile where you can click the My Delegations tab and enter the name or email address under “Choose a user to invite” and click SEARCH.
NOTE: It is strongly recommended that your delegate create his/her KOG account prior to the delegate invitation process. Once the delegate has activated their KOG account, search for the email address that the delegate provided. Searching by name may return multiple results, but searching by email will return a single result and help ensure you invite the intended person. The delegate should follow the instructions in the system generated email to obtain their own KASPER account. Do not share your KOG Log-in ID or password. Refer to section 4 of the KASPER-KOG User Guide for more information regarding delegate accounts.
Q: I heard there was a three-day limit on pain pills, but my patient is in severe pain from major surgery and needs more. Should I refuse to give the patient medication?
A: In 2017, the General Assembly amended KRS 218A.205 to require the Board of Dentistry to establish regulations to limit prescribing to a three-day supply or less for pain as an acute medical condition with exceptions. If, in your professional judgement you believe more than a three-day supply of a Schedule II or III controlled substance is medically necessary, document the condition and lack of alternative treatment options in the patient’s medical record. Refer to KBD prescribing and dispensing regulation 201 KAR 8:540 .
Q: Can I run a KASPER for potential employees to make sure they are not on drugs prior to hiring?
A: No. You may only query KASPER for the purpose of providing medical or pharmaceutical treatment to a bona fide current or prospective patient. There are penalties listed in (KRS 218A.202) for querying any other person. This is another reason why you should not share your username or password.
Q: Can I share a KASPER report with another person?
A: Yes. You may provide a copy of the report to the patient or person authorized to act on the patient’s behalf. You may also share the report with other practitioners in your office who are providing treatment to the patient. Note: There are penalties listed in the statute for sharing the report with unauthorized individuals. Another good reason why you should not share your username or password. Refer to KRS 218.202 .
Q: Are dentists required to keep the KASPER report in the patient record?
A: It is not a requirement; however, it is recommended for documentation purposes. Alternatively, you may choose to record the KASPER request number located on the top right-hand side of the report, and document in your records that you reviewed the report.
Q: Where do I find information and additional resources to comply with controlled substance laws?
A: The Kentucky Dental Board collaborated with the Drug Enforcement and Professional Practice Branch and created a page on their public web site under the DENTIST tab called Controlled Substance Prescribing. You will find dental regulations, KASPER FAQs and resources to help you comply with controlled substance laws. DEPPB staff are available to help you with additional questions or problems you encounter at 502-564-7985. You can also find additional information at CHFS-OIG Drug Enforcement Website.
Q: What is a Reverse KASPER?
A: This report, located in your Account Maintenance screen, helps to ensure that only your patients’ prescriptions are associated with your DEA Number. A review of your prescribing report (reverse KASPER) can also help identify fraudulent controlled substance prescriptions filled under your DEA Number. If you suspect an individual is diverting controlled substances, please report this to law enforcement authorities. If you are unsure how to proceed, please contact DEPPB for assistance at 502-564-7985. For information on how to obtain your Reverse KASPER, view the Reverse KASPER Tip. Note: DEPPB recommends circling your name at the top of the Rx if there are multiple dentists’ names listed to help pharmacists select the correct prescriber.
Q: How can I view my Prescriber Report Card?
A: A practitioner with an active KASPER account can access their quarterly and annual KASPER Prescriber Report Cards (PRC) under the Account Maintenance tab in KASPER, which includes metrics based on the prescriber DEA number(s), area of work, and specialty designated in the prescriber master account holder’s KASPER personal account information. In 2019 the PRCs were updated to compare dentists and peers in the following specialties: endodontics, general, pediatric, oral and maxillofacial surgery, orthodontics, periodontics and prosthodontics. For more information on obtaining and reviewing your PRC, access the Prescriber Report Card User Guide. https://chfs.ky.gov/agencies/os/oig/dai/deppb/Documents/KASPERPrescriberReportCardUserGuide.pdf
KASPER and Controlled Substance FAQ
Jill Ewing Lee, R.Ph.
Drug Enforcement and Professional Practices Branch
Kentucky Cabinet for Health and Family Services
Q: I have a DEA registration but rarely write for controlled substances. Am I still required to obtain a KASPER account?
A: Yes. All Kentucky licensed dentists with an active Kentucky DEA registration must register and maintain a KASPER account regardless of whether you plan to use such authority.
Q: I am a Kentucky licensed dentist; however, I practice in Colorado and my DEA is registered to my office in Colorado. Do I need to maintain a KASPER account?
A: No. Only dentists who are licensed to practice in Kentucky and have a Kentucky DEA registration are required to maintain a KASPER account.
Important DEA Registration Information: Although a DEA registration is federal registration, it does notallow you to prescribe controlled substances anywhere in the United States. The authority granted under registration with a Kentucky address ends at our border. While you only need one DEA toprescribe (issue a prescription) from multiple office locations in Kentucky, you will need additional DEAs if you practice in other states. You will also need additional DEAs if you plan on procuring, storing, or administering controlled substances in more than one location in a state. NOTE: Kentucky regulations prohibit dentists from dispensing (packaging and labeling medication for use by the patient outside the office setting) controlled substances. If you have additional questions, call DEA Registration Support at 571-362-6905.
Q: I have not had access to my KASPER account and I keep getting emails about creating a new KOG account. What is KOG?
A: KASPER moved to the cabinet’s single sign-in security portal Kentucky Online Gateway (KOG) in May 2019. If you do not have a KOG account, you will need to create an account. Once you are logged in, search by the letter K for the Kentucky All Scheduled Prescription Electronic Reporting and click Enroll/Launch and you should see the Account Request Onboarding screen. You will be required to put in your old KASPER username and password to link to your old account. Please contact the KASPER Help Desk at 502-564-2703 or email eKASPERHelp@ky.gov if you do not remember your original KASPER credentials. Do NOT click on the “Request a New KASPER account” unless you have never had a KASPER account.
Q: Why do I need to use KASPER?
A: Reviewing the report prior to administering or prescribing a controlled substance is important to prevent accidental or intentional misuse or diversion of prescribed medication. This process can assist with prevention and early treatment of substance use disorders. It is also required by law in certain instances. Refer to KRS 218A.172 and 201 KAR 8:540.
Q: When am I required to run a KASPER?
A: Prior to the initial prescribing or administration of a Schedule II or III controlled substance the dentist shall obtain and review a KASPER for the 12 months preceding the patient encounter. If the course of treatment extends beyond three months, and additional controlled substances are required, the dentist shall obtain a new KASPER report. You may review exceptions to this rule in the KBD prescribing and dispensing regulation (201 KAR 8:540). Please note, providing a Schedule II or III after oral surgery is no longer an exemption listed in the updated regulation. A quick reference guide is available in Table One.
Table One
|
Dental (DMD/DDS) KASPER Guidelines 201 KAR 8:540
|
|
Drug Schedule
|
KASPER Query
|
|
II
|
Required before initial prescribing and at least every three months during treatment
|
|
III
|
Required before initial prescribing and at least every three months during treatment
|
|
IV
|
Not required
|
|
V
|
Not required
|
|
See regulation for exceptions (hospice, end of life, administered in hospital/LTC facility, cancer, or emergency).
|
Q: I do not have time to request KASPER reports, can someone in my office do this for me?
A: Yes.You may delegate an employee to request KASPER patient reports on your behalf by logging onto your KASPER account and clicking the Manage Delegate button in the Administration tab. You will be directed to your KOG profile where you can click the My Delegations tab and enter the name or email address under “Choose a user to invite” and click SEARCH.
NOTE: It is strongly recommended that your delegate create his/her KOG account prior to the delegate invitation process. Once the delegate has activated their KOG account, search for the email address that the delegate provided. Searching by name may return multiple results, but searching by email will return a single result and help ensure you invite the intended person. The delegate should follow the instructions in the system generated email to obtain their own KASPER account. Do not share your KOG Log-in ID or password. Refer to section 4 of the KASPER-KOG User Guide for more information regarding delegate accounts.
Q: I heard there was a three-day limit on pain pills, but my patient is in severe pain from major surgery and needs more. Should I refuse to give the patient medication?
A: In 2017, the General Assembly amended KRS 218A.205 to require the Board of Dentistry to establish regulations to limit prescribing to a three-day supply or less for pain as an acute medical condition with exceptions. If, in your professional judgement you believe more than a three-day supply of a Schedule II or III controlled substance is medically necessary, document the condition and lack of alternative treatment options in the patient’s medical record. Refer to KBD prescribing and dispensing regulation 201 KAR 8:540 .
Q: Can I run a KASPER for potential employees to make sure they are not on drugs prior to hiring?
A: No. You may only query KASPER for the purpose of providing medical or pharmaceutical treatment to a bona fide current or prospective patient. There are penalties listed in (KRS 218A.202) for querying any other person. This is another reason why you should not share your username or password.
Q: Can I share a KASPER report with another person?
A: Yes. You may provide a copy of the report to the patient or person authorized to act on the patient’s behalf. You may also share the report with other practitioners in your office who are providing treatment to the patient. Note: There are penalties listed in the statute for sharing the report with unauthorized individuals. Another good reason why you should not share your username or password. Refer to KRS 218.202 .
Q: Are dentists required to keep the KASPER report in the patient record?
A: It is not a requirement; however, it is recommended for documentation purposes. Alternatively, you may choose to record the KASPER request number located on the top right-hand side of the report, and document in your records that you reviewed the report.
Q: Where do I find information and additional resources to comply with controlled substance laws?
A: The Kentucky Dental Board collaborated with the Drug Enforcement and Professional Practice Branch and created a page on their public web site under the DENTIST tab called Controlled Substance Prescribing. You will find dental regulations, KASPER FAQs and resources to help you comply with controlled substance laws. DEPPB staff are available to help you with additional questions or problems you encounter at 502-564-7985. You can also find additional information at CHFS-OIG Drug Enforcement Website.
Q: What is a Reverse KASPER?
A: This report, located in your Account Maintenance screen, helps to ensure that only your patients’ prescriptions are associated with your DEA Number. A review of your prescribing report (reverse KASPER) can also help identify fraudulent controlled substance prescriptions filled under your DEA Number. If you suspect an individual is diverting controlled substances, please report this to law enforcement authorities. If you are unsure how to proceed, please contact DEPPB for assistance at 502-564-7985. For information on how to obtain your Reverse KASPER, view the Reverse KASPER Tip. Note: DEPPB recommends circling your name at the top of the Rx if there are multiple dentists’ names listed to help pharmacists select the correct prescriber.
Q: How can I view my Prescriber Report Card?
A: A practitioner with an active KASPER account can access their quarterly and annual KASPER Prescriber Report Cards (PRC) under the Account Maintenance tab in KASPER, which includes metrics based on the prescriber DEA number(s), area of work, and specialty designated in the prescriber master account holder’s KASPER personal account information. In 2019 the PRCs were updated to compare dentists and peers in the following specialties: endodontics, general, pediatric, oral and maxillofacial surgery, orthodontics, periodontics and prosthodontics. For more information on obtaining and reviewing your PRC, access the Prescriber Report Card User Guide.https://chfs.ky.gov/agencies/os/oig/dai/deppb/Documents/KASPERPrescriberReportCardUserGuide.pdf
Press Releases
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| Jun 23rd, 2015 | Part II: The KDAs Dental Access Summit A Report |
| Jun 18th, 2015 | Medicare Part D: Q&A - American Dental Association - May 29, 2015 |
| Apr 28th, 2015 | Thank You for the Opportunity |
| Apr 28th, 2015 | Ask not What Your KDA Can Do for you |
| Apr 28th, 2015 | The View from No Mans Land |
| Apr 28th, 2015 | KDAS Dental Access Summit Saturday, January 31, 2015 Report to KDA Part I |
| Feb 20th, 2015 | Think Big! |
| Feb 20th, 2015 | Its all about the membership in 2015! |
| Feb 20th, 2015 | For the Record |
| Feb 20th, 2015 | Into the Belly of the Beast |
| Dec 29th, 2014 | Things are Moving Faster than Fast! |
| Dec 29th, 2014 | Who Wouldnt Want to Be a Part of This? |
| Dec 29th, 2014 | When Is the Right Time? |
| Oct 24th, 2014 | Dental Insurance Direct Deposit Through A Virtual Credit Card; What Does It Cost Me? |
| Oct 21st, 2014 | Who Can I Hire for $100 a Month? |
| Oct 21st, 2014 | Last Call |
| Oct 21st, 2014 | Im here to Help |
| Oct 21st, 2014 | Get passionate! This is Our Profession! |
| Oct 21st, 2014 | Postscript for an Editors Passing |
| Oct 21st, 2014 | and he did what?!: Giving a Professional Second Opinion |
| Aug 21st, 2014 | Your KDA is Working Hard for You! |
| Aug 21st, 2014 | Nobody Goes Into Dentistry Because They Love Molars! |
| Aug 21st, 2014 | Synergy |
| Aug 21st, 2014 | KENTUCKY HEALTH NOW: The GOALS of our GOVERNOR |
| Jun 16th, 2014 | Think Big. Think Positively. Think Proactively. |
| Jun 16th, 2014 | Denigration |
| Jun 16th, 2014 | YOU HAD TO BE THERE! |
| Jun 16th, 2014 | New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry |
| Jun 16th, 2014 | New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry |
| Apr 24th, 2014 | I Only Have A Loose Screw! |
| Apr 24th, 2014 | Dare to Dream! |
| Apr 24th, 2014 | I am the KDA! You are the KDA! WE are the KDA! |
| Apr 24th, 2014 | The Dentists Guide to Social Media Marketing |
| Feb 20th, 2014 | Where Do We Go From Here? |
| Feb 20th, 2014 | Medicaid: An Example of Missing the Goals for Oral Health in Kentucky |
| Feb 20th, 2014 | UKCDs First Regional Dental Program: The First Ten Years |
| Feb 20th, 2014 | UofL Brightening the Smiles of Children |
| Feb 20th, 2014 | Go Tell It on the Mountains |
| Dec 23rd, 2013 | Letting the Secret Out |
| Dec 23rd, 2013 | It Is What They Left Behind |
| Dec 23rd, 2013 | Dr. John Thompson Awarded Distinguished Editor Award |
| Dec 23rd, 2013 | Teamwork Creates Champions: the Kentucky Meeting: March 13-16, 2014 |
| Dec 23rd, 2013 | Listen to Interviews with our Speakers! |
| Dec 23rd, 2013 | Welcome Dental Students and New Dentists! |
| Dec 23rd, 2013 | 2014 Kentucky Meeting Details |
| Oct 17th, 2013 | I Still Like Maps! |
| Oct 17th, 2013 | Ground Game |
| Oct 17th, 2013 | Kentucky Department of Insurance, HB 497 and Non-covered Services |
| Oct 17th, 2013 | Dr. Janet Faraci Lees Legacy |
| Oct 17th, 2013 | Dr. Janet Faraci Lee Leadership Development Award |
| Aug 12th, 2013 | The Affordable Care Act: What does it mean for Our Members? |
| Aug 12th, 2013 | All Membership Is Local |
| Aug 12th, 2013 | White Crosses |
| Aug 12th, 2013 | KDA MembershipWhere Do We Go from Here? |
| Aug 12th, 2013 | Thoughts from a New Dentist: the Top Three Reasons that I am Involved with Organized Dentistry |
| Aug 12th, 2013 | How can KDAIS Benefit You, as a KDA member? |
| Aug 12th, 2013 | Beyond the Website: Marketing on the Modern Web |
| Aug 12th, 2013 | Delinquent Accounts.Collections..YUCK! |
| Aug 12th, 2013 | Every Patient Matters. So Does Every Transaction. |
| Jun 13th, 2013 | Preaching to the Choir |
| Jun 13th, 2013 | Something I Wish I Didn't Know! |
| Jun 13th, 2013 | The Foundation of the Kentucky Dental Association: Positioned to Make a Powerful Statement |
| Apr 15th, 2013 | Participate in Your KDPAC! Contribute and Deliver |
| Apr 15th, 2013 | The Pediatric Dental Benefit: Must Offer, May Purchase |
| Apr 15th, 2013 | Exchange What? |
| Apr 15th, 2013 | So Long, Farewell, Auf Wiedersehen, Adieu |
| Apr 15th, 2013 | United We Stand, Divided We Fall |
| Feb 12th, 2013 | Its a Dentist Thing |
| Feb 12th, 2013 | A Profession in Flux |
| Feb 12th, 2013 | Living Is What You Do When Life Gets In the Way |
| Feb 12th, 2013 | The Tip of the Iceberg: Actions by the Kentucky Department for Medicaid Services Which May Sink KMAP |
| Oct 19th, 2012 | Membership Matters |
| Oct 19th, 2012 | House Bill 1 and What It Means to You |
| Oct 19th, 2012 | Self-Regulation |
| Aug 21st, 2012 | The Perception of Dentistry |
| Aug 21st, 2012 | Sarrell Dental: Beyond the Operatory |
| Jun 18th, 2012 | Leadership or Politics? |
| Jun 18th, 2012 | What Part of the “Affordable Care Act” Has Been Affordable? |
| Jun 18th, 2012 | I Had an Uncle… |
| Apr 6th, 2012 | Many Thanks for a Great and Memorable Year |
| Apr 6th, 2012 | What a Year, so far! |
| Apr 6th, 2012 | The "New Old" Still have Teeth |
| Feb 21st, 2012 | Happy New Normal |
| Feb 21st, 2012 | All for One and One for All! |
| Dec 19th, 2011 | Access to Care? |
| Dec 19th, 2011 | The Wide World of Sports |
| Oct 28th, 2011 | Report of the Sixth District Trustee |
| Oct 28th, 2011 | To the KDA Executive Board and the entire KDA |
| Oct 18th, 2011 | Word-of-Mouth on Steroids! |
| Oct 18th, 2011 | Managed Care and Dentistry in Kentucky: a Dentist’s Dilemma |
| Oct 18th, 2011 | Why We Shouldn't Lose Sight of Our Purpose... |
| Aug 4th, 2011 | Mentor a Young Dentist and Change a Life |
| Aug 4th, 2011 | OMG, what is EBD? |
| Aug 4th, 2011 | CAPWIZ: Legislative Advocacy Made Easy |
| Jun 13th, 2011 | I Might Soon Be Coming to a Town Near You... |
| Jun 13th, 2011 | Outside Our Line |
| Apr 18th, 2011 | Let Me Ask For a Minute of Your Time |
| Apr 18th, 2011 | I Pledge to Be your Humble Servant… |
| Apr 18th, 2011 | Blindsided |
| Apr 18th, 2011 | On Your Side, Not Your List |
| Feb 17th, 2011 | Dr. Andy Elliott for President-elect of the American Dental Association |
| Feb 4th, 2011 | A Little Planning Really Helps |
| Feb 4th, 2011 | Adjusting Attitudes |
| Jan 4th, 2011 | Dental Management of Patients Taking Antiplatelet Medications |
| Nov 30th, 2010 | Holiday Greetings to All |
| Nov 30th, 2010 | Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida |
| Nov 30th, 2010 | Dental Education Found Worthy |
| Oct 25th, 2010 | Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida |
| Oct 7th, 2010 | What Happens in Alaska, doesn’t Stay in Alaska |
| Oct 7th, 2010 | We Need To Do a Better Job of Communicating |
| Oct 7th, 2010 | What If …? |
| Oct 7th, 2010 | I’m in a Hurry! |
| Oct 7th, 2010 | Who Will Speak for Me? |
| Aug 6th, 2010 | The Times They Are Changing |
| Aug 6th, 2010 | Kentucky's Dental Practice Act: The Passing of an Old Friend |
| Jun 10th, 2010 | How a Star was Born |
| Jun 10th, 2010 | I Need Your Help… |
| Apr 20th, 2010 | KDA and Louisville Water Company Share 150th Birthday and Public Health Vision |
| Apr 20th, 2010 | President's Message MA 2010 |
| Apr 20th, 2010 | Getting It Right! |
| Feb 25th, 2010 | What is a Legacy? |
| Feb 25th, 2010 | Please Join Us for an Exciting, Event-Filled Year Ahead! |
| Dec 14th, 2009 | Holiday Reflections… |
| Dec 14th, 2009 | Challenging the Myth of the Suicide-Prone Dentist |
| Dec 14th, 2009 | There is Hope: Suicide Awareness and Prevention in Kentucky |
| Nov 6th, 2009 | Don’t Balance Health Care Books by Shortchanging Physicians |
| Nov 6th, 2009 | Break your Right Arm and Suddenly You have Time to Study Economics. |
| Jun 26th, 2009 | Making the World a Better Place, One Village at a Time! |
| Apr 13th, 2009 | Breaking Glass |
| Feb 20th, 2009 | At the Heart of any Worthy Project is a Committed Volunteer |
