Pain Management & Opioid CME Requirements by State

Each state’s medical licensing board has its own set of requirements for medical professionals to maintain their state medical licenses; some states require allotted CME hours on specific topics. As new regulations are implemented to combat the ongoing opioid crisis, more state medical licensing boards are requiring pain management and safe opioid prescribing-related CME as part of their annual continuing education requirements. Find your state’s specific pain management and safe opioid prescribing-related CME needs in this guide. 

In an effort to help medical professionals combat the ongoing opioid crisis in the US, BoardVitals is offering  pain management and opioid CME activities to help you meet your state CME requirements. These online CME activities are designated for AMA PRA Category 1 Credits. Fulfill your state CME requirements all in one place in less than a day.

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What are My State’s Pain Management and Opioid CME Credit Hour Requirements?

(As of January 24, 2024)

Check with your state’s medical board for the latest updates on pain management and opioid CME requirements.

Alabama – 2 Credits

The Alabama State Board of Medical Examiners requires 2 credit hours every 2 years on controlled substances for physicians.

Alaska – 2 Credits

The Alaska State Medical Board requires physicians to obtain 2 credit hours every 2 years on pain management, opioid use, and addiction. 

Arizona – 3 Credit

For accreditation in Arizona, the Arizona Medical Board requires 3 credit hours of opioid training.

Arkansas – 1 Credit 

Under Arkansas State Medical Board guidelines, practitioners must complete 1 credit hour in opioid training.

California – 12 credits

Under the Medical Board of California, providers must undergo 12 credit hours in pain management and the treatment of terminally ill and dying patients. This course must also include the subject of the risks of addiction associated with the use of Schedule II drugs. 

Colorado – 2 credits

In Colorado, any physician or physician assistant seeking a license renewal, reactivation or reinstatement to complete at least two hours of training per licensing cycle related to substance use prevention.

Connecticut – 1 credit

The Connecticut Medical Examining Board requires 1 credit hour of training in prescribing controlled substances and pain management.

Delaware – 3 Credits, 2 topics

The Delaware Board of Medical Licensure and Discipline requires physicians to undergo 2 credit hours in controlled substance prescribing practices, treatment of chronic pain, or other topics relating to controlled substances. In addition, 1 credit hour on Delaware Law pertaining to the prescribing and distribution of controlled substances is required within the first year of registration.

Florida – 2 Credits every 2 years

Every 2 years, the Florida Board of Medicine requires 2 credit hours on the safe and effective prescribing of controlled substance medications for physicians registered with the Drug Enforcement Administration who are authorized to prescribe controlled substances. 

Georgia – 3 Credits

The Georgia Composite Medical Board requires providers to obtain 3 credit hours in controlled substances prescribing practices.

Hawaii

No opioid CME requirements. Stay tuned, we’ll update this as we become aware of new requirements.

Idaho

A training requirement is in place for practitioners under the Medication Access and Training Expansion (MATE) Act that was passed as part of the Consolidated Appropriations Act of 2023.

Illinois – 3 Credits

The Illinois Division of Professional Regulation – Medical Licensing Board requires 3 credit hours on safe opioid prescribing practices.

Indiana – 2 Credits

The Medical Licensing Board of Indiana mandates 2 credit hours of opioid prescribing and opioid abuse.

Iowa

Iowa-licensed primary care physicians must complete CME focused on the CDC guidelines for proper opioid prescribing.

Kansas

All prescribers are required to attest that they have completed an 8-hour training requirement on the treatment of patients with opioid or other substance use disorders.

Kentucky – 4.5 Credits & 12 Credits

Kentucky physicians are required by the Kentucky Board of Medical Licensure to undergo 4.5 credit hours of Board approved training related to KASPER, pain management, or addiction disorders. DEA-licensed prescribers of Buprenorphine-Mono-Product or Buprenorphine-Combined-with-Naloxone are required to complete 12 credit hours specific to addiction medicine during each 3-year licensing period.

Louisiana – 3 Credits

The Louisiana State Board of Medical Examiners requires prescribers to complete 3 credit hours of drug diversion training, best practices regarding prescribing of controlled substances, appropriate treatment for addiction, and any other matters pertaining to the prescribing of CDS that are deemed appropriate by the licensing board.

Maine – 3 Credits

The Maine Board of Licensure in Medicine requires providers to complete 3 credit hours on the prescribing of opioid medication each renewal period.

Maryland

The Maryland Board of Physicians requires new and renewal applicants to attest to the completion of 2 credit hours related to the Prescribing or Dispensing of Controlled Substances, when applying for a CDS registration.

Massachusetts – 3 Credits

The Board of Registration in Medicine requires licensees to undergo 3 credit hours in pain management.

Michigan – 3 Credits

The Michigan Board of Medicine requires licensees to undergo a minimum of 3 credit hours in pain and symptom management.

Minnesota – 2 Credits

Minnesota requires licensees with the authority to prescribe controlled substances to obtain at least two (2) hours of continuing education credit. Credits must include content on best practices in prescribing opioids, and non-pharamacological and implantable device alternatives for treatment of pain and ongoing pain management

Mississippi – 5 Credits

The Mississippi State Board of Medical Licensure requires providers to undergo 5 credit hours related to prescribing of medications, with an emphasis on controlled substances.

Missouri – 8 Credits

Under the MATE Act, all registered physicians have a one-time eight-hour training requirement for training on treating and managing patients with opioid or other substance use disorders

Montana

All DEA-registered practitioners are required to complete a one-time 8 hours of training on treating and managing patients with opioid or other substance use disorders, including the appropriate clinical use of all FDA-approved drugs for the treatment of a substance use disorder.

Nebraska – 3 Credits

The Nebraska Medical Association requires all physicians that prescribe controlled substances to have 3.0 of opioid prescribing CME completed during each renewal cycle.

Nevada – 4 Credits

The Nevada State Board of Medical Examiners requires licensees to undergo 2 credit hours of training in ethics, pain management, and/or addiction care. In addition, you must earn 2 credit hours in misuse and abuse of controlled substances, the prescribing of opioids, or addiction.

New Hampshire – 3 Credits

The New Hampshire Board of Medicine requires providers to undergo 3 credit hours in opioid prescribing for the management or treatment of pain, or for the treatment of opioid use disorder.

New Jersey – 1 Credit

The New Jersey State Board of Medical Examiners requires 1 credit hour related to responsible opioid prescribing, alternatives to opioids for managing pain, risk and signs of opioid abuse, addiction and diversion.

New Mexico – 5 Credits

Regulations by the New Mexico Medical Board mandate 5 credit hours in management of the treatment of pain.

New York – 3 Credits

The New York State Department of Health requires 3 credit hours in pain management, palliative care and addiction medicine.

North Carolina – 3 Credits

The North Carolina Medical Board mandates 3 credit hours in controlled substances.

North Dakota 

All DEA-registered practitioners are required to complete a one-time 8 hours of training on treating and managing patients with opioid or other substance use disorders, including the appropriate clinical use of all FDA-approved drugs for the treatment of a substance use disorder.

Ohio

Physician owner/operators of pain management clinics must complete a minimum of 20 hours of training in pain medicine every 2 years, including at least one course addressing the potential for addiction.

Oklahoma

The Oklahoma State Board of Osteopathic Examiners requires 1 credit in prescribing controlled substances every other year.

Oregon – 6 Credits

The Oregon Medical Board requires providers to undergo 6 credit hours in pain management.

Pennsylvania – 2 Credits

The Pennsylvania State Board of Medicine requires 2 credit hours of pain management, the identification of addiction or the practices of prescribing or dispensing of opioids.

Rhode Island – 4 Credits

The Rhode Island Board of Medical Licensure and Discipline requires 4 credit hours relating to topics in Opioid pain management, chronic pain management, end of life or palliative care.

South Carolina – 2 Credits

The South Carolina Board of Medical Examiners requires 2 credit hours of prescribing and monitoring controlled substances.

South Dakota

No opioid CME requirements.

Tennessee – 2 Credits

The Tennessee Board of Medical Examiners requires physicians to undergo 2 credit hours of prescribing controlled substances, which must include instruction in the Tennessee Chronic Pain Guidelines.

This 2 hours requirement is not necessary for doctors certified by the ABMS, AOA, or the American Board of Physician Specialties in one or more of the following specialties: pain management, anesthesiology, physical medicine and rehabilitation, neurology, and rheumatology.

Texas8 Credits

All DEA-registered practitioners are required to complete a one-time 8 hours of training on treating and managing patients with opioid or other substance use disorders, including the appropriate clinical use of all FDA-approved drugs for the treatment of a substance use disorder.

Utah – 4 Credits

The Utah Department of Commerce Division of Occupational and Professional Licensure requires controlled substance prescribers to undergo 4 credit hours of controlled substance training. 0.5 of these credit hours must be through an online tutorial/test provided by the Board, while the remaining 3.5 credit hours are AMA credits that meet board requirements.

Vermont – 1 Credit

The Vermont Board of Medical Practice requires 1 credit in hospice, palliative care, or pain management.

Beginning with license renewals due Nov. 2018, all physicians with a DEA number, pending application for a DEA number, or who dispense controlled substances will be required to show they have completed a total of at least 2 hours over the course of the previous 2-year licensing cycle of continuing education on the topic of prescribing controlled substances.

Virginia – 2 Credits

The Virginia Board of Medicine requires 2 hours in topics related to controlled substances.

Washington – 1 Credit

The Washington Medical Commission calls for physicians to undergo a 1 credit hour course in opioid prescribing.

West Virginia – 3 Credits

The West Virginia Board of Medicine requires physicians to receive 3 credit hours in a board-approved course on both drug diversion and best practice prescribing of controlled substances.

Wisconsin – 2 Credits

The Wisconsin Medical Examining Board requires a 2 credit hours board-approved course in responsible opioid prescription.

Wyoming

No opioid CME requirements. Check back to see if we’ve updated this state. We’ll be updating this list as soon as we hear of new state requirements regarding Opioid CME.

Not sure which CME course is right for you? Use our CME Coach activity finder to find the online course that best fits your needs and will help you meet your state’s pain management and opioid CME requirements.

If you’re not looking to fulfill your state’s opioid CME requirements but are studying for the ABPM Addiction Medicine board exam, the BoardVitals Addiction Medicine board exam questions are an excellent way to help you prepare.

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