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Antipsychotic Prescribing

Antipsychotics - Keeping It Documented for Safety (A+KIDS):

The program encourages the use of appropriate baseline and follow up monitoring parameters to facilitate the safe and effective use of antipsychotics in Medicaid and Health Choice beneficiaries under the age of 18.  Providers are required to document information regarding the efficacy of therapy, side effects, and metabolic monitoring parameters (height/weight/BMI percentile, lipid panel, and blood glucose).  Once the information is submitted to the NCTracks web-based portal or phoned in successfully, the medication is authorized for 6 months.

Adult Safety with Antipsychotic Prescribing (ASAP):

The program targets off-label prescribing of antipsychotic agents and includes Medicaid eligible adults (age >/= 18) on atypical (second generation) antipsychotic agents prescribed for an indicatio that is not approved by the federal Food and Drug Administration.  To authorize the prior authorization for approved indications, the prescriber must write in his or her own handwriting "meets PA criteria" on the face of eah new or renewal antipsychotic prescription or in the comment block on e-prescriptions.  The authorization period is equivalent to the lenth of the prescription.

**Providers will be required to complete an A+KIDS prior authorization (PA) for any preferred or non-preferred antipsychotic medication and an ASAP authorization for any non-FDA approved use and any non-preferred antipsychotic for all Medicaid beneficiaries.  Providers will be required to fill this prior authorization through the NCTracks Provider Portal or by calling CSC at 1-866-246-8505.  THERE WILL BE NO FAX FORMS.

For additional information, please visit:

https://www.communitycarenc.org/population-management/pharmacy/all-medicaid-beneficiary-antipsychotic-medication-/