| AHCCCS Administration Procedures for Requesting Access
The CSPMP database is an electronic tool that should provide AHCCCS Administration with an efficient and effective alternative for gathering evidence for open complaints or investigations. The main program goal is to assist AHCCCS Administration by reducing their investigatory time and effort as they gather information for building their cases.
To request access to the CSPMP Database a Board investigator must:
(Note: If the Access Request Form is filled in by hand, block print must be used to ensure legibility.)
Mail the following items to the Controlled Substances Prescription Monitoring Program:
- Notarized AHCCCS Administration Access Request Form
(Note: ASBP will not process a faxed Access Request Form)
- Signed copy of the Privacy Statement Form
- Copy of current Agency ID Card
- Copy of current Driver’s License
Arizona State Board of Pharmacy
Controlled Substances Prescription Monitoring Program
1700 W. Washington Street, Suite 250
Phoenix, Arizona 85007-2835
Once the Access Request Form is approved, ASBP’s technical expert (Health Information Designs) will notify each requestor via two separate e-mails. The first e-mail will include a CSPMP system Login ID and the second e-mail will include a secure Password.
Note: ASBP will not process a faxed Access Request Form. Supporting documents can be sent via fax or e-mail (dwright@azpharmacy.gov) however, CSPMP staff recommends that all documents be sent via mail. If you choose to send your supporting documents via fax or e-mail, please make sure all documents are legible. |
