> ## Documentation Index
> Fetch the complete documentation index at: https://docs.encoreos.io/llms.txt
> Use this file to discover all available pages before exploring further.

# Arizona CSPMP/PDMP Checks — User Guide

> How prescribers run and document Arizona CSPMP (PDMP) checks from the chart — electronic gateway query or manual portal check, with attestation.

## Overview

Arizona law (A.R.S. § 36-2606) requires prescribers to review a patient's Controlled
Substances Prescription Monitoring Program (CSPMP) report before prescribing Schedule
II–IV opioid analgesics or benzodiazepines. Encore documents every check on the
patient chart — the **PDMP Query History** card — so your medical record carries the
required evidence (who checked, when, and that the results were reviewed).

There are two ways to run a check. Both end with the same chart evidence.

## Prerequisites

* You need the `cl.pdmp.queries.view` permission to see PDMP history, and
  `cl.pdmp.queries.create` to run checks and attest.
* For the **manual portal check** you need your own Arizona AWARxE account
  (register at arizona.pmpaware.net — individual credentials are required by the
  state; accounts cannot be shared).
* The **electronic query** additionally requires your organization's PDMP gateway
  integration to be enabled by an administrator (see the
  [admin guide](./cl-17-admin-guide.md)). Until then, the button returns a notice
  directing you to the portal flow — you are still fully compliant using it.

## Common workflows

### Manual portal check (always available)

<Steps>
  <Step title="Open the patient chart → PDMP Query History card">
    Click **Portal Check**.
  </Step>

  <Step title="Review the report at the AZ CSPMP portal">
    The dialog's **Open AZ CSPMP Portal** button opens arizona.pmpaware.net in a
    new tab. Log in with your individual AWARxE credentials and review the
    patient's 12-month utilization report. (The portal cannot be embedded inside
    Encore — this is a state-side security restriction.)
  </Step>

  <Step title="Record the check">
    Back in Encore, click **I Checked and Reviewed**. One click writes both facts
    to the chart: the CSPMP was checked (a query record marked "AZ portal
    (manual)") and you reviewed the results (your attestation, timestamped).
  </Step>
</Steps>

### Electronic gateway query (when enabled)

1. On the PDMP Query History card, click **Query PDMP**. Encore queries the
   state gateway and saves the normalized results to the chart automatically —
   the "checked" evidence needs no extra step.
2. Open the result and review it (prescription count, providers, risk flags
   when available — note Arizona's state gateway returns the basic report, so
   risk scores may be absent).
3. Click **Attest** and confirm. Reviewing is a deliberate, separate action for
   electronic results: attesting confirms you personally looked at them.

## What the chart shows

Each check appears with its date/time, source badge (gateway name or
"AZ portal (manual)"), an **Attested** badge once reviewed, and any risk flags.
Compliance staff can report on this history — it is the AMPM 940 medical-record
evidence of CSPMP use prior to prescribing.

## Troubleshooting

* **"PDMP electronic integration is not enabled…"** — expected until your
  organization completes gateway onboarding. Use **Portal Check**; it is fully
  compliant.
* **"PDMP gateway unavailable — the outage has been documented…"** — the failed
  attempt was recorded on the chart automatically (that record is your outage
  evidence). Complete a **Portal Check** per policy.
* **Portal login problems** — AWARxE accounts are individual and state-managed;
  reset at arizona.pmpaware.net or contact the AZ Board of Pharmacy CSPMP team.

## Related

* [Admin guide](./cl-17-admin-guide.md) — configuration, go-live, permissions.