All PlansAdministrativeMedium impact
25-350m Monitor and Guide Members Who are Taking Antidepressant Medication
Health Net·CA · Family Medicine, Internal Medicine, Psychiatry +1 more·Pharmacy
We identified it
Jun 20, 2026
Summary
Health Net California has updated its policy requiring providers to actively monitor and guide members taking antidepressant medications through the AMM (Antidepressant Medication Management) quality metric. Providers must reach out to newly prescribed members, provide psychoeducation, monitor treatment effectiveness using standardized tools like PHQ-9, and ensure medication adherence for at least 12 weeks and up to 6 months.
Action Required
Immediately: Providers must implement patient outreach protocols for all newly prescribed antidepressant members. Add PHQ-9 monitoring to EMR workflows and create documentation templates for psychoeducation discussions. Schedule follow-up appointments at 12 weeks and 6 months to track medication adherence. Update clinical workflows to include discussion of sleep, diet, exercise, and 988 Crisis Lifeline with patients and families.