Illinois Opioid Alternative (OAPP) Certification

Illinois created the Opioid Alternative Patient Program under Public Act 100-1114, the Alternative to Opioids Act of 2018, so adults can use medical cannabis as an alternative for pain management. A physician certifies that a patient aged 21 or older has a condition for which an opioid has been or could be prescribed under generally accepted standards of care, and the patient links the certificate to an OAPP application.

Who completes it

An Illinois-licensed physician completes the whole electronic certificate in the IDPH Provider Portal under the OAPP category; the patient, an Illinois resident 21 or older, completes the OAPP application.

Submitting and payment

How to submit it
Create it in the IDPH Medical Cannabis Provider Portal with New Certificate and the OAPP category, confirming the patient is not already certified and choosing has, or could have, an opioid prescription.
Who pays
The patient pays a registration fee for each 90-day registration period.

Good to know

  • Certifications are valid for 90 days and can be renewed so the patient keeps access to medical cannabis.
  • Veterans who receive care at VA facilities and have a current opioid prescription have been eligible to register since September 30, 2019.
  • Registered OAPP patients may buy 2.5 ounces of medical cannabis every 14 days.
  • IDPH launched the program on January 31, 2019, and OAPP certifications must come from an Illinois-licensed physician.

Get the official form

Download the current version from the source each time; forms change without notice.

Opioid Alternative Patient Program (OAPP) Certification

Get the note ready with Vero

Illinois Department of Public Health, Division of Medical Cannabis takes this form through its online services or your EMR, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

How long is an Illinois OAPP certification valid?

90 days. The certification can be renewed so the patient can keep accessing medical cannabis, and the patient pays a registration fee for each 90-day period. Certificates are managed in the IDPH Provider Portal, where the physician created the original.

Who qualifies for Illinois's Opioid Alternative Patient Program?

Illinois residents aged 21 or older whose physician certifies a medical condition for which an opioid has been or could be prescribed, based on generally accepted standards of care. Since September 30, 2019, veterans receiving VA care with a current opioid prescription can also register.