Many Medicaid-Enrolled Children Who Were Treated for ADHD Did Not Receive Recommended Followup Care

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)
Completed	Centers for Medicare & Medicaid Services	Many Medicaid-Enrolled Children Who Were Treated for ADHD Did Not Receive Recommended Followup Care	Office of Evaluation and Inspections	OEI-07-17-00170	2019