Dec. 4, 2025
Attention-deficit/hyperactivity disorder is one of the most common behavioral health disorders affecting children, according to the Centers for Disease Control and Prevention. ADHD medication can help manage symptoms including hyperactivity, impulsiveness and inattention, according to the CDC. The National Committee for Quality Assurance recommends pediatricians with prescribing authority monitor children using ADHD medication to ensure it is prescribed and managed correctly.
Quality care: We track the NCQA quality measure Follow-Up Care for Children Prescribed ADHD Medication. This measure captures the percentage of children ages 6 to 12 who had:
- Initiation phase: One follow-up visit with a provider with prescribing authority within 30 days of the first prescription.
- Continuation and maintenance phase: Two or more follow-up visits with a provider in the nine months (270 days) after the initiation phase. The child also remains on ADHD medication for at least 210 days.
Visits can be by telehealth when appropriate and depending on the members’ benefits.
For more information on ADHD, watch our video on improving ADHD medication compliance.
Resource for you: We created a resource for you, Quality Care 2025, on coding and documentation for HEDIS measures. To access it, sign in to Availity® Essentials and download it from the Resources section in our Payer Space.
The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. The fact that a service or treatment is described in this material, is not a guarantee that the service or treatment is a covered benefit, and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.