Behavioral Health Resources
Ambetter of North Carolina Inc. recognizes that wellness in all facets of health, physical and emotional, is key to full spectrum wellbeing. With that mission in mind, we strive to provide tools to help you deliver whole-person care. The following tip sheets and resources were created to support you in providing the best quality care you can.
Behavioral Health Quality Measures
Anti-depressant Medication Management (AMM)
Consecutive days on antidepressant therapy have been found to increase effectiveness. Allowing for a member’s appropriate follow-up care to monitor for clinical worsening and suicide risk is essential when starting a new antidepressant.
Resources:
- AMM Provider Tip Sheet (PDF)
- For additional tip sheets related to medications for the HEDIS measure AMM, expand the medication table below.
The following table is all inclusive of the antidepressant medications for the HEDIS measure AMM (Antidepressant Medication Management)*.
Providers can also refer to the Ambetter Formulary/Preferred Drug List (PDL) by visiting our Pharmacy Page.
| Description | Prescription |
|---|---|
| Miscellaneous antidepressants |
|
| Monoamine oxidase inhibitors |
|
| Phenylpiperazine antidepressants |
|
| Psychotherapeutic combinations |
|
| SNRI antidepressants |
|
| SSRI antidepressants | |
| Tetracyclic antidepressants |
|
| Tricyclic antidepressants |
|
Information adapted from Micromedex and Up to Date.
*Note: There are other antidepressant medications that fall outside of this measure that may be prescribed.
Follow-Up After Hospitalization
Visiting the hospital for mental illness or intentional self-harm can be overwhelming. Research suggests that timely follow-up care after discharge, can help the member transition back to home, work, or school and can help providers detect early post-hospitalization reactions and medication concerns.
Resources:
Initiation and Engagement of Substance Use Disorder Treatment (IET)
Many people living with a physical health condition also have co-occurring mental and substance use related disorders and may not realize it or are not seeking help. Together with early detection and a whole person, integrated treatment approach we can help our members stop or reduce harmful substance misuse, improve health outcomes and overall quality of life.
Resources:
Tele-Behavioral Health
Resources:
Experience of Care and Health Outcomes (ECHO) Survey
Resources:
Applied Behavioral Analysis (ABA) Provider Guides
- Applied Behavioral Analysis Outpatient Treatment Request Checklist (PDF)
- Transition Planning (PDF)
- Prescription Fulfillment (PDF)
- Collaboration of Care: Medication Management (PDF)
- Functional Behavioral Assessments (FBA) and Behavior Intervention Plans (BIP) (PDF)
- Coordination of Care (PDF)
- Caregiver Training (PDF)