Tag - ADHD

Provider Alert!
06Oct

Provider Alert! Clinical Prior Authorization Criteria Revisions Implement for Medicaid Fee-for-Service on October 26

Date: October 5, 2022 Attention: All Providers Subject: Effective Date: October 26, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Texas Children Health Plan (TCHP) will revise the clinical prior authorization criteria for the Anxiolytics and Sedative/Hypnotics (ASH), Attention Deficit Disorder/Attention-Deficit Hyperactivity Disorder (ADD/ADHD), and Qelbree (also within the...

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Provider Alert!
26Sep

Provider Alert! Drug Regimen Optimization Edit Removed After September 12

Date: September 20, 2022 Attention: All Providers Effective Date: September 12, 2022 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Beginning September 12, 2022, Texas Children's Health Plan (TCHP) will remove the Drug Regimen Optimization prior authorization for all drugs except ADHD drugs. The Health...

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13Oct

Provider Alert! Texas Children’s Health Plan to host live CME Event

Paying Attention to ADHD: Diagnosis, Treatment & Resources  Texas Children’s Health Plan is hosting a new CME: Paying Attention to ADHD: Diagnosis, Treatment & Resources. This is a free CME for contracted family practice and pediatric providers that will offer two course credits   Thursday, October 29, 2020 – 5:30-7:30 p.m. – Live stream via WebEx   Topics covered will include: Diagnosis and treatment of ADHD Community supports & resources Pharmacy navigation with the state formulary What is CPAN (The...

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24Mar

March is National Developmental Disabilities Awareness Month

In 1987, President Ronald Reagan proclaimed March as Developmental Disabilities Awareness Month. President Reagan issued this public proclamation with the goal of urging Americans to provide individuals with developmental disabilities “the encouragement and opportunities they need to lead productive lives and to achieve their full potential.” The Center for Disease Control (CDC) defines developmental disabilities as a group of conditions due to an impairment in physical, learning, language or behavior areas. They include but are not limited to the following: Attention-Deficit/Hyperactivity Disorder Autism...

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14Apr

ADHD Provider Tool Kit:  Treatment

What is it? The ADHD Provider Tool Kit is the online Texas Children’s Health Plan resource for a wide range of relevant information to assist the diagnosis, treatment, and management of patients with ADHD and their families. The goal is to provide information sources for providers who frequently see patients with this diagnosis. Treatment planning The Tool Kit includes algorithms for providers to help ensure a thoughtful and well-rounded treatment plan for members with ADHD. Interventions for patients and their caregivers as well...

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02Feb

ADHD Provider Tool Kit: Evaluation and Diagnosis Resources

What is it? The ADHD Provider Tool Kit is the online Texas Children’s Health Plan resource for a wide range of relevant material to assist the diagnosis, treatment, and management of patients with ADHD and their families. The goal is to provide information sources for providers who frequently see patients with this diagnosis. Evaluation and Diagnosis Current DSM-5 criteria are listed. Symptoms fall into two primary clusters: Inattention and Hyperactivity/Impulsivity. Helpful tips regarding age-specific differences are listed to assist diagnosis in child versus...

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29Jan

ADHD Provider Toolkit

What is it? Texas Children’s Health Plan is pleased to announce the unveiling of the ADHD Provider Toolkit. The ADHD Provider Toolkit is a go-to site for a wide range of relevant material to assist clinicians in the diagnosis, treatment, and management of patients with ADHD and their families. The goal is to provide information sources for the primary care provider who frequently sees patients with this diagnosis, thereby making evidence-based practices and tools available on the desktops of busy practitioners. How...

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05Dec

ADHD Provider Tool Kit

What is it? Texas Children’s Health Plan is pleased to announce the unveiling of the ADHD Provider Toolkit. This online resource went live in mid-November. The ADHD Provider Toolkit is a go-to site for a wide range of relevant material to assist clinicians in the diagnosis, treatment, and management of patients with ADHD and their families. The goal is to provide information sources for the primary care provider who frequently sees patients with this diagnosis, thereby making evidence-based practices and tools...

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27Sep

HEDIS Spotlight: Antidepressant medication management

HEDIS stands for Healthcare Effectiveness Data and Information Set. It is a widely used set of performance measures utilized by the nation’s health plans, and an essential tool to ensure our members are getting the best healthcare possible. It is extremely important that our providers understand the HEDIS® specifications and guidelines. In this section of The Checkup, we will highlight different HEDIS metrics. We will provide a description of the measures, the correct billing codes to support services rendered, and...

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02Jun

ADHD: Should your patient take a drug holiday?

Parents of children who take stimulant medication for ADHD often wonder whether their kids should take a "drug holiday" during the summer months. A drug holiday, or a structured treatment interruption, is a deliberate, temporary suspension of medication. Child and adolescent psychiatrist Dr. Edward Walton, recommends against drug holidays unless there is a compelling reason. Current research and population data shows that children with ADHD who stick with their treatment programs year-round reap better results than those who experience treatment interruptions. Children...

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