MO HelathNet has started mailing letters about opioid prescribing. So far 8,000 letters have been mailed to physicians. They are generally sent for being outside the CDC guidelines for opioid prescribing. We are sending further requests for information about how this will impact emergency care (the CDC guidelines were not exactly meant for emergency medicine) and to make sure this does not negatively impact care from emergency physicians or make it so more people come to the ED because their doctor won’t prescribe narcotics. However if you get a letter, you must respond in 20 days. For more details, please go to https://dss.mo.gov/mhd/providers/opi-program.htm.