SAA: Adherence to Antipsychotic Medications for Individuals With Schizophrenia
PDC ≥80% for antipsychotics during measurement year.
Measure description
PDC ≥80% for antipsychotics during measurement year.
Eligible population
Adults with schizophrenia on antipsychotic
Performance drivers
Star measure + Medicaid quality.
Documentation & PA strategy
Long-acting injectable consideration; adherence packaging; refill reminders.
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 SAA measure?
PDC ≥80% for antipsychotics during measurement year.
What drives performance on this measure?
Star measure + Medicaid quality.
How should clinicians document for this measure?
Long-acting injectable consideration; adherence packaging; refill reminders.
What is the eligible population?
Adults with schizophrenia on antipsychotic
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