MCAS Measure ADD – Follow Up Care for Children Prescribed ADHD Medication

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Date: January 26, 2022
To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) and Behavioral Health Care Providers
Provider Alert Type: Informational/Educational
From: Health Plan of San Joaquin (HPSJ) Quality Management Department
Subject: MCAS Measure ADD– Follow Up Care for Children Prescribed ADHD Medication
Business: Medi-Cal

Please review the MCAS Measure ADD – Follow-Up Care for Children Prescribed
ADHD Medication below:

Measure Definition

Patients 6-12 years of age, newly prescribed attention-deficit/hyperactivity disorder
(ADHD) medication or a change in dosage for the same medication who had at least three
follow-up care visits within a 10-month period, one of which was within 30 days of when
the first ADHD medication was dispensed.

Measure Best Practices

  • No medication refills until initial follow-up visit is complete
  • Conduct initial follow-up visit 2-3 weeks after member starts medication therapy
  • Schedule additional 2 visits within 9 months of medication at the time of initial
    follow-up visit
  • If member cancels an appointment, reschedule right away

If you have questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526).

Posted on January 27th, 2022 and last modified on September 8th, 2022.

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