Health Care Provider Information

On August 12, 2019, changes to the Compassionate Use of Medical Cannabis Program became effective. The Compassionate Use of Medical Cannabis Program Act allows Advance Practice Registered Nurse-Full Practice Authority (APRN-FPA), Advance Practice Nurses (APN) and Physician Assistants (PA) to complete a certification for a debilitating medical condition for qualifying patients. APRN-FPAs, APNs and PAs may complete certifications for qualifying Medical Cannabis Patient Program (MCPP) and Opioid Alternative Pilot Program (OAPP) patients effective September 30, 2019.

What is the process for completing a written Health Care Provider certification?

All qualifying patients who apply for a medical cannabis registry identification card must have their debilitating medical condition certified by a certifying health care provider (advance practice registered nurse-full practice authority, advanced practice nurse, physician assistant, or doctor of medicine (MD) or doctor of osteopathic medicine (DO)) once every three years or if their medical cannabis registry identification card expires. A health care provider who submits a certification and answers “yes” the condition is lifelong will no longer need to submit another certification for this patient in the future. The certifying health care provider must:

• Have a bona-fide Health Care Provider-patient relationship with the qualifying patient. The bona-fide Health Care Provider-patient relationship may not be limited to issuing a written certification for the patient or a consultation simply for that purpose.
• Have responsibility for the ongoing care and treatment of the qualifying patient's debilitating condition, provided that the ongoing treatment and care shall not be limited to or for the primary purpose of certifying a debilitating medical condition or providing a consultation solely for that purpose.
• Complete an in-person full assessment of the patient's medical history and current medical condition, including a personal physical examination prior to completing the on-line Health Care Provider certification.
• Certify that the qualifying patient is under the Health Care Provider's care, either for the qualifying patient's primary care or for his or her debilitating medical condition or symptoms of a debilitating medical condition.

Note – For patient application purposes, the Health Care Provider Certification is valid for 90 days from the date of the in-person medical examination. Certifying health care providers may request follow-up visits with the patients as part of the ongoing care and treatment for the patient’s debilitating medical conditions. Failure to comply may result in having the medical cannabis registry identification card revoked by the health care provider.

How do I submit a Health Care Provider certification for a qualifying patient?

The Health Care Provider must complete the Health Care Provider written certification on-line.

Instructions on how to complete and manage certifications:

• Registration for Medical Cannabis Patient Program and Opioid Alternative Pilot Program
• Adding a Waiver
• Creating a Health Care Provider Certification
• Amending a Health Care Provider Certification
• Health Care Provider Certification Renewal
• Revoking a Health Care Provider Certification

Does the Health Care Provider provide the qualifying patient with a prescription specifying the dosage appropriate for medical cannabis use?

No. The Health Care Provider on-line certification does not constitute a prescription for medical cannabis.

How much medical cannabis can a registered qualifying patient purchase?

A registered qualifying patient may purchase up to 2.5 ounces of medical cannabis during a 14-day period. This amount of medical cannabis, called the “adequate supply,” is defined in Section 10 of the Act. Purchases of medical cannabis can only be made at a licensed medical cannabis dispensary.

Can registered qualifying patients obtain an increase in their adequate supply?

The registered patient’s Health Care Provider may submit a waiver on-line to increase the allotment of medical cannabis on-line. The health care provider on-line statement asserts that in the Health Care Provider’s professional judgment, 2.5 ounces is an insufficient adequate supply to properly alleviate the patient’s debilitating medical condition or symptoms associated with the patient’s debilitating medical condition. If the Department approves the waiver, the amount of medical cannabis recommended by the Health Care Provider shall be noted on the registry identification E-card. Instructions to create a waiver amending adequate supply can be found here.

Can the Health Care Provider revoke or rescind the written certification for a registered qualifying patient?

On August 28, 2018, Public Act 100-1114 was signed into law. This act states that the certifying health care provider can revoke a patient’s registry card for the following reasons:

1. If the Health Care Provider has reason to believe either that the registered qualifying patient has ceased to suffer from a debilitating medical condition;
2. That the bona fide Health Care Provider-patient relationship has terminated; or
3. That continued use of medical cannabis would result in contraindication with the patient's other medication.