UMMS Affiliation

Commonwealth Medicine, Clinical Pharmacy Services



Document Type



Health Economics | Health Law and Policy | Health Policy | Health Services Administration | Health Services Research | Pediatrics | Pharmacy and Pharmaceutical Sciences | Psychiatry and Psychology


How the Massachusetts Medicaid Pharmacy Program, which is managed by UMass Medical School, developed the Pediatric Behavioral Health Medication Initiative. The initiative was created in response to studies and reports that found pediatric behavioral health medication polypharmacy regimes had been increasing. Compared to the rest of the country, the prevalence was highest among the MassHealth pediatric population.

A prior authorization requirement, guidelines, case review and a prescriber outreach process were established as part of the initiative to ensure MassHealth pediatric members were being prescribed appropriate behavioral health medication.


Presented at the Cambridge Hospital Grand Rounds. Client/Partner: Executive Office of Health and Human Services


behavioral health, pharmacy, pediatrics, MassHealth, Massachusetts



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