Preparing for I-STOP and Electronic Prescribing for Controlled Substances (EPCS)

On March 27, 2016, New York becomes the first state to mandate electronic prescribing for both legend drugs and controlled substances through its Internet System for Tracking Over-Prescribing/Prescription Monitoring Program (I-STOP) legislation.

Kareo currently supports legend drug e-prescribing (eRx) and is preparing to release Electronic Prescribing for Controlled Substances (EPCS) capabilities to support providers across New York State. Kareo is working through the DEA’s rigorous certification and will be launching EPCS as soon as we receive the official notification that the audit and certification is complete.


Kareo’s EHR is being audited by an accredited third-party, and is working hard to be certified for EPCS. We are using compliant systems that meet all of the DEA’s requirements as well as Surescripts’ strict certification processes. EXPECTED AVAILABILITY IS EARLY APRIL 2015.

Steps you can take now to prepare

We are making every effort on our side to ensure that providers in New York and those across the country can successfully implement EPCS.

On your side here are some actions you can take now to ensure you meet DEA requirements for EPCS and are prepared for the I-STOP deadline.

  1. Enable ePrescribing
    Request enrollment for the ePrescribing Controlled Substances functionality in Kareo Clinical EHR. This process will guide you through the required identity authentication process. Learn more.
  2. Ensure you have a valid DEA number
    A valid DEA registration number provides authorization for a healthcare provider to write prescriptions for controlled substances. If you don’t have a DEA number, you can apply for one through the DEA website.
    Get your DEA Number →
  3. Ensure you have access to your HCS account
    All New York providers must query the state Prescription Monitoring Program (PMP) before prescribing controlled substances. To log into the PMP you will need a New York health commerce system (HCS) medical professionals account.
    Apply for HCS →
  4. Ensure your name on the NPI registry is correct
    If you have changed your name since registering for your NPI number you must update your name through the NPI registry. Please note that NPI updates only once per month.
    Check your NPI →
  5. Prepare for two-factor authentication
    You can complete two-factor authentication for each prescription of a controlled substance using your smartphone. You can download the Symantec VIP Access application from the App Store and Google Play now. We will support additional methods for two-factor authentication if you prefer not to use your smartphone.
    Get Symantec VIP Access →

Contact Kareo if you have any questions about preparing for I-STOP.