Date
In the CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022 | MMWR, the CDC updated the MME values for oral hydromorphone, methadone, and tramadol. MO HealthNet will begin utilizing these updated MME values effective 9/17/2023 while processing claims.
| Opioid | Current MME Factor | MME Factor effective 9/17/2023 |
|---|---|---|
| Hydromorphone | 4 | 5 |
| Methadone | 3 | 4.7 |
| Tramadol | 0.1 | 0.2 |
Information on limits for cumulative MME in MO HealthNet claims can be found here: Morphine Milligram Equivalent Accumulation Clinical Edit.