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Monitoring Children Enrolled in Medicaid and Diagnosed with Attention Deficit Hyperactivity Disorder

The Children’s Health Insurance Program (CHIP) Reauthorization Act of 2009 (CHIPRA), Section 401: Child Health Quality Improvement Activities for Children enrolled in Medicaid or CHIP, requires the development of an initial core set of health care quality measures. The Centers for Medicare & Medicaid Services (CMS) has issued a core set of children’s health care quality measures referred to as the Child Core Set that includes two behavioral health care measures related to followup care for children with attention deficit hyperactivity disorder (ADHD). Prior OIG work found that children enrolled in Medicaid who are prescribed psychotropic medications are not consistently or regularly monitored. We will evaluate the extent to which children diagnosed with ADHD and enrolled in Medicaid received followup care and psychosocial intervention.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Jun-17 Centers for Medicare & Medicaid Services Monitoring Children Enrolled in Medicaid and Diagnosed with Attention Deficit Hyperactivity Disorder Office of Evaluation and Inspections OEI-07-17-00170 2018

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