A State Medicaid’s Experience Implementing an Oversight Program for Behavioral Health Medications in Publicly Insured Youth



ACPE UAN #:  0233-0000-18-070-H04-P

Release DateOctober 24, 2018

Expiration Date:  October 24, 2021

Activity Type:    Knowledge-based

Contact Hours:  1.5

Activity Fee:  Member:  Free        Non-Member: $30

Target Audience: Pharmacists who practice in managed care settings.

Activity overview

The utilization of behavioral health medications in the pediatric population has increased in recent years, a trend that has generated major concern given the limited supporting evidence of efficacy in these patients and potential for significant adverse reactions. Many state Medicaid programs have implemented utilization management tools or other interventions as a way to provide oversight and monitoring of behavioral health medication prescribing practices. Despite a number of programs that have addressed pediatric use of behavioral health medications, there is limited publically available evidence to show if these programs have affected prescribing patterns or other outcomes.

This session will review the literature used to guide behavioral health medication utilization in children. It will also describe a Medicaid program’s collaboration with multiple state agencies in the development of an interdisciplinary management initiative focused on pediatric behavioral health. Faculty will present pharmacy claims trends prior to and post-implementation of the program to examine the effects of the management interventions. 

Learning Objectives:  

At the completion of this activity, participants should be able to:

  1.    Discuss consensus guideline recommendations and literature supporting the efficacy and safety of psychotropics in the pediatric population.
  2.    Understand different strategies implemented by insurers to monitor and manage the use of behavioral health medications among pediatric populations.
  3.    Describe the impact of a comprehensive behavioral health management program on prescribing patterns.

Schedule of Educational Activity

This activity consists of an audio recording, pre-test assessment questions (not required to pass or continue), post-test questions (required to pass with a score of 70% or higher) and a specific activity evaluation.  

CPE Requirements:   

Participants should claim continuing pharmacy education (CPE) credit for this home study activity only if they have not claimed credit for the live activity presented at AMCP Nexus 2018. CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor.  Please allow 72 hours for processing and posting in your NABP account.

To receive credit for an online activity you must:

  • Review the full content of the activity.
  • Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
  • Complete a specific activity evaluation.

System Technical Requirements/Viewing Requirements: System Requirements Courses and learning activities are delivered via your Web browser and Acrobat PDF. For all activities, you should have a basic comfort level using a computer and navigating web sites.  View the minimutechnical and system requirements for continuing education online learning activities.

As an accredited provider, AMCP strictly adheres to the ACPE Standards for Commercial Support and other relevant guidelines and standards to ensure the independence of continuing pharmacy education (CPE) activities.  It is AMCP’s intent that all CPE activities be independent, objective, balanced, evidence-based and free of any commercial bias.

Moderator:

Kimberly Lenz, PharmD | Clinical Pharmacy Manager, MassHealth/Office of Clinical Affairs University of Massachusetts Medical School | Quincy, Massachusetts

Credit Information

Activity Number Credit Amount Accreditation Period
ACPE UAN #0233-0000-18-070-H04-P 1.5 Contact Hours October 24, 2018 - October 24, 2021