How a Designate Creates a Request in SADIE and Sends to a Prescriber - Published Nov 7 2022

Narrator: This video shows how a designate creates a request in SADIE, the Special Authorization Digital Information Exchange, and sends to a prescriber. All persons in this demonstration are fictional.

Select the Create Request button. The General tab displays the prescriber's contact details. If there is more than one location that a prescriber works from and you need to select a different location, or you need to edit details, click the Change or update practice location button. 

The prescriber will receive email notifications at their GO Secure email address as well as this address if provided, for requests designates have prepared for review and submission to the EAP, and to notify them that a Ministry response is available to view in SADIE. Click the checkbox to confirm the practice location details are accurate.

Next, navigate to the Patient tab.

Enter the patient’s Ontario health card number or Ontario Drug Benefit, or ODB, eligibility number. You do not need to enter the version code.

After entering the number, the system queries the Ministry’s health card records and if the patient is found, the page refreshes and displays the patient’s details.

If the patient does not yet have an Ontario health card number or ODB eligibility number, click the checkbox and record the required information to continue to complete the request. If appropriate, click the checkbox to confirm the patient’s details are correct.

Next, navigate to the Drug tab.

It is recommended to start by selecting the drug and then the indication.  You can search for a drug by typing the brand name, generic chemical name, or drug identification number. The generic, chemical name of the drug is what appears and must be selected. As you type the list is filtered to show any drug with those letters in its name.

Note that for best experience and to access smart forms where available you should select a value from the drop down field by clicking on the drug name.

If a drug that is available in the drop down is not selected or only part of the name is typed in users will not benefit from the features of a tailored smart form and the questions that are presented may not be specific to the desired drug and indication. This can result in an incomplete submission and the need for the EAP staff to request additional information causing delays.

If the drug or indication is not in the list type the drug name to complete and submit a request using a standard EAP form.

Select the Indication field. Bolded items in the drop-down lists represent drug and indication combinations that are most commonly requested which in most cases will provide a criteria specific smart form with clinical questions specific to the criteria for this drug and indication. Click on the Indication to select it.

The hospital discharge section is available for patients awaiting discharge. Once a drug and indication are selected reimbursement criteria for that combination display if available.

Next, navigate to the Clinical Details tab.

The Clinical Details tab collects the necessary clinical information to determine if the patient meets the funding criteria.

The drug and indication we have selected display, and the system has reviewed the patient’s EAP history for prior approvals, as well as durations, etc. The system determines and assigns the request type, either Initial or Renewal and presents appropriate questions below.

Depending on the patient’s request history, an option to enter an amendment to an existing approval may be available.

The questions dynamically appear based upon the input and changes to a response can change what questions are asked. Clinical questions that are mandatory fields are noted as required. 

If a mandatory clinical question is not answered, when you send the request to the prescriber a rationale must be provided to explain why. Providing answers to all mandatory questions will ensure the request is dealt with promptly. Certain questions require or allow for you to attach supporting documentation.

Next, navigate to the Review tab.

Review the Request Summary screen carefully to ensure all information provided is accurate and all questions have been answered. Any mandatory question that has not been answered will be indicated and highlighted in yellow with the message value is required. Click on the 'Value is Required' message to be directed to the related question that was not answered. Once all necessary information is provided designates can send the request to the prescriber to submit.

Click Send to Prescriber.

A message indicates the request has successfully been sent to the prescriber. The request now appears in the Requests Ready to Submit list.

After the prescriber or delegate submits the request to the EAP, users can track and view the submitted request and Ministry decision by selecting Menu in the header and then clicking on View submitted. Designates assigned to the practice location for the request will receive an email notification when the request has been submitted to the EAP and all users will receive an email notification when a Ministry decision is available to view in SADIE.

Find links to other learning resources on our training aids page at Ontario.ca/SADIE. Have questions? Email us at SADIE@ontario.ca