Attention-deficit/hyperactivity disorder (ADHD) is one of the most common behavioral health conditions in children, and managing it well can make a world of difference. Medication can help control symptoms like hyperactivity, impulsiveness, and trouble focusing—but only if it’s prescribed and monitored correctly. That’s where you, as a provider, play a crucial role.

From January through December 2025, follow-up care¹ rates among in-network Evernorth^® Behavioral Health providers declined for children prescribed ADHD medication. Both initiation and maintenance rates fell below the Healthcare Effectiveness and Data Information Set (HEDIS^®)² measure. For behavioral health, HEDIS measures—which are used to monitor quality—help ensure patients get the right care at the right time.

By working together, we can improve these rates and help more children thrive.

Understanding the HEDIS measure

The HEDIS measure for Follow-Up Care for Children Prescribed ADHD Medication (ADD) tracks how well we’re supporting children aged  six through 12 who are prescribed ADHD medication. There are two key phases:

• Initiation Phase: Did the child have a follow-up visit with a prescribing provider within 30 days of starting medication?
• Continuation & Maintenance Phase: Did the child stay on medication for at least 210 days and have at least two follow-up visits within nine months after the initiation phase?

Practical tips for providers

Here are some effective ways to help families stay on track:

• Schedule the first follow-up before the family leaves your office.
• Educate parents and caregivers about the medication. Discuss possible side effects and how dose adjustments work.
• Talk about medication shortages. Share strategies for managing refills and avoiding gaps in treatment.
• Use reminders. Outreach by text, email, or phone can help families remember and keep appointments.
• Explain the importance of follow-up care. Let families know they can connect via telehealth if that’s easier.
• Plan ahead. After the first follow-up, schedule two more visits over the next nine months to check progress.
• Encourage questions. Invite families to ask about ADHD or the treatment plan.
• Suggest school support. Working with the child’s school can provide extra help.

Additional resources

Check out these helpful links for more information or to share with families:

• Attention Deficit Hyperactivity Disorder (ADHD) (Cigna Healthcare^®).
• Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (American Academy of Pediatrics).
• ADHD Toolkit Handouts | Pediatric Patient Education | American Academy of Pediatrics (American Academy of Pediatrics)
• Follow-Up Care for Children Prescribed ADHD Medication (ADD,ADD-E) (National Committee for Quality Assurance [NCQA]).
• HEDIS Measures and Technical Resources (NCQA). See Effectiveness of Care, Behavioral Health.

1     Follow-up care is defined as a subsequent appointment with a qualified health care provider, which helps ensure medication compliance.

2     HEDIS^® is a registered trademark of the National Committee for Quality Assurance (NCQA).