CCP: Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics
Percentage receiving psychosocial care (therapy) in 121 days surrounding antipsychotic dispensing.
Measure description
Percentage receiving psychosocial care (therapy) in 121 days surrounding antipsychotic dispensing.
Eligible population
Children/adolescents on antipsychotic
Performance drivers
Antipsychotic-first treatment in pediatrics often inappropriate.
Documentation & PA strategy
Therapy referral before/with antipsychotic start. PA may require therapy concurrent with med.
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure CCP measure?
Percentage receiving psychosocial care (therapy) in 121 days surrounding antipsychotic dispensing.
What drives performance on this measure?
Antipsychotic-first treatment in pediatrics often inappropriate.
How should clinicians document for this measure?
Therapy referral before/with antipsychotic start. PA may require therapy concurrent with med.
What is the eligible population?
Children/adolescents on antipsychotic
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