July 01, 2022

Follow-up care and resources for children prescribed ADHD medications

We understand you may be caring for a UnitedHealthcare Commercial member who has been prescribed ADHD medication. We’ll be encouraging their parents or guardians to keep their scheduled appointments and work with you to develop a treatment plan. They’ll also be encouraged to ensure medication is taken as prescribed. To assist you as you care for these patients, we’ve listed suggested considerations for screenings, follow-up care and compiled a list of UnitedHealthcare resources. 

Behavioral health screening tools 
Children prescribed attention-deficit/hyperactivity disorder (ADHD) medication may need a thorough assessment to rule out other conditions that mimic ADHD in children, such as learning disabilities, depression or anxiety.1 Here are resources to find screening tools that can help ensure a correct diagnosis.

  • Vanderbilt Scale: Go to providerexpress.com and log in with your One Healthcare ID. Then select Clinical Resources > Behavioral Health Toolkit for Medical Providers > Child and Adolescent > Attention-Deficit/Hyperactivity Disorder
  • Clinical practice tools from the Children and Adults with Attention-Deficit Hyperactivity Disorder (CHADD) Organization. 

Follow-up care
The National Committee for Quality Assurance (NCQA) recommends scheduling a follow-up appointment with your patient within 30 days of writing a prescription to assess the medication's effectiveness and any side effects. Then, at least 2 more follow-up appointments over the next 9 months to make sure the dosage is correct.2

How to refer to a behavioral health professional 
You can call the number on the patient's health plan ID card if you need to refer them to a behavioral health professional or request coordination of care. You’ll also find local behavioral health professionals at liveandworkwell.com search for providers.

Behavioral health toolkit for medical providers
Go to providerexpress.com and log in with your One Healthcare ID. Then select Clinical Resources > Behavioral Health Toolkit for Medical Providers.

Patient education information
Visit liveandworkwell.com and scroll down to find the links to topics.

Questions? 
Call the number on the patient's health plan ID card.

1Pliszka, Steven M.D. (July 2007, Volume, 46, Issue7, Pages 894–921) Practice Parameter for the Assessment and Treatment of Children and Adolescents With Attention Deficit/ Hyperactivity Disorder. Journal of the American Academy of Child & Adolescent Psychiatry. jaacap.org/article/S0890-8567(09)62182-1/references.
2NCQA HEDIS MY 2020 & MY 2021, HEDIS measure for ADD; https://www.ncqa.org/hedis/measures/follow-up-care-for-children-prescribed-adhd-medication/
Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Health plan coverage provided by UnitedHealthcare of Arizona, Inc., UHC of California DBA UnitedHealthcare of California, UnitedHealthcare Benefits Plan of California, UnitedHealthcare of Colorado, Inc., UnitedHealthcare of the Mid-Atlantic, Inc., MAMSI Life and Health Insurance Company, UnitedHealthcare of New York, Inc., UnitedHealthcare Insurance Company of New York, UnitedHealthcare of Oklahoma, Inc., UnitedHealthcare of Oregon, Inc., UnitedHealthcare of Pennsylvania, Inc., UnitedHealthcare of Texas, Inc., UnitedHealthcare Benefits of Texas, Inc., UnitedHealthcare of Utah, Inc., UnitedHealthcare of Washington, Inc., Optimum Choice, Inc., Oxford Health Insurance, Inc., Oxford Health Plans (N.J.), Inc., Oxford Health Plans (C.T.), Inc., All Savers Insurance Company or other affiliates. Administrative services provided by OptumHealth Care Solutions, LLC, OptumRx, Oxford Health Plans LLC, United HealthCare Services, Inc. or other affiliates. Behavioral health products provided by U.S. Behavioral Health Plan, California (USBHPC) or its affiliates.
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