February 21, 2020
We've created behavioral health tip sheets to help ensure our members receive appropriate care. The following tip sheets include documentation recommendations, best practices and billing codes:
- Follow-Up Care for Children Prescribed ADHD Medication
- Children ages 6 to 12
- Newly1 filled attention-deficit hyperactivity disorder (ADHD) medication
- Prescribed in the ambulatory setting
- Antidepressant Medication Management
- Members ages 18 and older
- Diagnosed with major depression
- Newly2 filled antidepressant medication
- Diabetes Screening for Members Taking Antipsychotics
- Members ages 18 to 64
- Diagnosed with schizophrenia, schizoaffective disorder or bipolar disorder
- Received an antipsychotic medication at any time during the year
The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment.
1Defined as no ADHD medication filled in past 120 days
2Defined as no antidepressant medication filled in past 105 days