Frequently Asked Questions

Getting Started

Who does Clarity Pediatrics serve?

We serve parents and caregivers of children aged 5 through 12 with an ADHD diagnosis or with ADHD symptoms. We are located in San Francisco and serve families throughout California.

What is the process and how does it start?

The steps to get started:
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‍Complete our onboarding process and schedule your first appointment: Click "Schedule a virtual appointment" to begin our onboarding process. Setting up your secure account requires an email address. Our guided screening will help us see if our program is a good fit for your needs, ask questions that help us get to know your child, and understand your family's goals for our program, and create a clinical plan that is just right for your family. This process will take between 5 and 15 minutes to complete. Once finished, you’ll be invited to schedule your first appointment.

‍Attend your initial appointment: During this virtual appointment, you’ll meet with a licensed pediatric clinician for a personalized session to discuss your family’s goals and how Clarity Pediatrics may fit into your child’s ADHD treatment plan. This initial appointment will be either:

- Program Consultation: For children with a prior diagnosis of ADHD, parents and caregivers attend a 45 minute program consultation to review your goals for treatment and to help determine if Clarity Pediatrics is a good fit for your family.

- ADHD Screening (2 parts): For children who have not yet been evaluated for ADHD by a healthcare professional, parents and caregivers attend two 45 minute sessions. These sessions are used to determine if your child meets diagnostic criteria for ADHD and to review treatment recommendations. Your child is required to attend the first 15 minutes of the second screening appointment.‍

Begin Behavioral Parent Training (BPT): After your first appointment, Clarity Pediatrics Behavioral Parent Training (BPT) group may be recommended as part of your child’s ADHD treatment plan. Each BPT group meets virtually for eight weeks. You’ll learn specialized parenting techniques specifically meant to support children with ADHD. Children do not attend BPT.

You can also schedule an ADHD medication consultation with a Clarity Pediatrics pediatrician at any time during your care.

What do I need to do before my initial appointment?

A series of standard medical, insurance, and consent forms must be completed. You may also be asked to provide a copy of your child's ADHD diagnosis from a healthcare provider. These forms usually take no more than one hour to complete.

As part of our ADHD Screening, the child who is being evaluated for ADHD must attend the first 15 minutes of the second screening appointment alongside their parent or guardian. Additionally, the child's teacher must complete a teacher-specific form ahead of time. If the child is unable to attend or if any of the parent or teacher forms are incomplete, the screening appointment(s) will need to be rescheduled.

Your child does not need to be present for a Program Consultation appointment.

Can you evaluate my child for ADHD?

Yes, our licensed pediatric clinicians can conduct an ADHD assessment of your child and provide a diagnosis, if appropriate, as part of our ADHD Screening service.

What ages do you support?

Our programs are designed for parents and caregivers of children between the ages of 5 and 12.

Can you help a child with ADHD who is outside of the 5-12 year old range?

Currently, our programs are for parents and caregivers of children between the ages of 5 and 12. Pediatricians can be helpful resources if you are looking for programs that treat children outside of our 5 to 12 age range.

Does Clarity Pediatrics treat other behavioral health conditions?

Not at this time. Our team offers treatment specifically tailored for children with a primary diagnosis of ADHD.
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Please note that our program is not able to treat children for ADHD who also have the following behaviors or diagnoses:
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- Autism Spectrum Disorder (ASD)
- Past or present self-harm behaviors
- Past or present suicidality or suicidal ideation
- Court mandated therapy

If these or any other conditions are a primary concern for your child or family, contact your pediatrician or care team for recommendations on resources and treatments for these conditions.

Is Clarity Pediatrics a virtual service?

Yes. Our clinical services are conveniently provided exclusively online via HIPAA-secure telehealth technology (i.e., video visits).

Our Team of Pediatric Clinicians

How does Clarity Pediatrics recruit and hire licensed pediatric clinicians?

Our clinical team is made up of clinicians who have specialty training working with children and families. Many of our team members have completed training rotations at established academic medical centers and children’s hospitals nationwide.

We select licensed pediatric clinicians with experience in delivering ADHD treatment. After joining our team, all clinicians receive ongoing training from leading ADHD experts in best practices in ADHD care.

Is the same group facilitator present for each session?

Yes, all eight BPT group sessions are typically delivered by the same group facilitator.

How can I communicate with my Clarity Pediatrics care team?

Clarity Pediatrics uses a secure telehealth platform where families can easily communicate with their Clarity Pediatrics care team from their computer or mobile device.

About Clarity Pediatrics Behavioral Parent Training

What is Behavioral Parent Training (BPT)?

BPT is an evidence-based treatment that helps parents and caregivers modify a child’s behavior. Through BPT, parents learn research-backed parenting techniques that help guide children towards the behaviors they want to see. In group therapy sessions, licensed pediatric clinicians help caregivers tailor BPT skills for their unique children and families. Children do not attend BPT.

How is BPT different with Clarity Pediatrics?

Clarity Pediatrics combines the convenience of telehealth with ADHD-specific education and strategies. Parenting skills are explained specifically in the context of ADHD, and families receive weekly summaries of the concepts and skills learned. Additionally, families have the option of using the community chat to gain support from and share resources with other families in their group.

Do you have a waitlist?

We do not have a waitlist. Many families are able to start care within 2 to 3 weeks of completing the online screening process.

What happens if my child needs additional support?

If your child needs additional support beyond what we can offer at Clarity Pediatrics, we will do our best to provide you with the resources you need for the next step of treatment.

What happens after I complete BPT?

After you successfully graduate from BPT, you will be able to join additional groups at Clarity Pediatrics for continued learning. Group topics vary and you may sign up for groups to learn skills that are most relevant for your child and family. You can also schedule an ADHD medication consultation with a Clarity Pediatrics pediatrician at any time during your care.

We are always working to develop new programs for our patients. If you would like to be added to an email list to be notified of new services from Clarity Pediatrics, CLICK HERE.

About Clarity Pediatrics Medication Management

What type of providers conduct medication consultations at Clarity Pediatrics?

Medication consultations and follow-up appointments are conducted by licensed pediatricians with specialized training in pediatric ADHD.

What types of providers write prescriptions at Clarity Pediatrics?

Prescriptions are only issued by licensed pediatricians with specialized training in pediatric ADHD.

What happens during a medication consultation appointment?

At Clarity Pediatrics, your virtual medication consultation appointment is 45 minutes long and should be attended by both the child and the parents/caregivers. Pediatric ADHD treatment is not the same for all families, and our goal is to find the right medication that works for your child.

This appointment is a clinical service. Your insurance will be billed for this medication consultation, unless you have indicated that you'd prefer to pay out of pocket for Clarity's services.

‍During the visit: Your provider will discuss your family’s goals for treatment, relevant family and medical history, your child’s current prescription medications, and any past experience with ADHD medication.

‍After the initial visit: If you and your Clarity Pediatrics pediatrician agree that a medication trial is right for your family at this time, your child should begin to take the medication as prescribed. Our providers' expertise in ADHD means they understand how to manage these medications so that your child is taking a safe and appropriate type and dosage.

‍While taking the medication: Medications affect everyone differently, and it may take several weeks for your child’s body to adjust. ADHD medications typically require lifestyle changes in order to ensure that side effects and symptoms are well-managed, and your provider will discuss lifestyle-related recommendations (e.g., nutrition, sleep, exercise) during your consultation and follow-up appointments.

‍Treatment plan adjustments: Due to legal regulations around ADHD medications, your provider can only make adjustments to your child’s medication once per month. If your child is experiencing side effects of the medication, please reach out to your child’s pediatrician or Clarity Pediatrics provider promptly.

‍Refills: If your child is experiencing no intolerable side effects, refills can be requested by messaging your Clarity Pediatrics pediatrician in our secure telehealth platform.

What happens during a medication follow-up appointment?

Medication follow-up appointments are 30 minute virtual appointments with your prescribing pediatrician. Your child should attend all follow-up appointments.

Follow-up appointments will be scheduled weekly, as needed. Your provider may discuss changes to the dosage of your child’s medication, changing to a different medication, the management of side effects, and refills.

This appointment is a clinical service. Your insurance will be billed for this medication consultation, unless you have indicated that you'd prefer to pay out of pocket for Clarity's services.

Will my child get a prescription?

Our providers are licensed pediatricians with experience diagnosing and treating ADHD. They are able to offer comprehensive evaluations of your child’s medical history and symptoms. If medication is determined to be an appropriate treatment option for your child, your Clarity Pediatrics pediatrician may issue a prescription.

Receiving a prescription is not guaranteed, and refunds are not issued if you do not receive a prescription.

Does my child already need to be diagnosed with ADHD?

Yes. A confirmed ADHD diagnosis from a healthcare provider (e.g., your child’s pediatrician, a Clarity Pediatrics mental healthcare provider) is required to schedule a medication consultation.

Where and how will my child’s prescription be issued?

Clarity Pediatrics issues all prescriptions electronically, meaning the prescription will be directly transmitted to your pharmacy of choice. Paper or written prescriptions are not provided.

How do I get a refill for my child’s medication?

To request a refill outside of a scheduled medication follow-up appointment, you can message your Clarity Pediatrics pediatrician in our secure telehealth platform. Refills requests will be reviewed within 3 business days. Your child may need to have a follow-up appointment to refill your prescription.

My pharmacy doesn’t have my child’s medication in stock. Can you help me with an alternative medicine?

Medication shortages are an unfortunately common occurrence and can be caused by various reasons including manufacturing problems or delays in delivery. If you encounter a medication shortage and the pharmacy is not able to offer an alternative solution, please reach out to your Clarity Pediatrics pediatrician via our secure telehealth platform.

Note that any medication changes require your pediatrician’s approval to ensure your safety. Sometimes a follow-up appointment might be necessary if the change in your child’s prescription is significant.

Due to the risk of electronic fraud and DEA guidelines, our providers do not send electronic scripts for controlled substances to multiple pharmacies for stock availability.

Do you handle prescriptions for non-ADHD medication?

No. Clarity Pediatrics’ medication management service is not a replacement for your child’s primary care physician and only covers medication as part of an ADHD treatment plan.

Can you transfer my child’s prescription to another pharmacy?

Yes, transferring your prescription may be possible, depending on the medication and pharmacy location. If you need to change your pharmacy of record, please reach out to your Clarity Pediatrics pediatrician via our secure telehealth platform.

Due to the risk of electronic fraud and DEA guidelines, our providers do not send electronic scripts for controlled substances to multiple pharmacies for stock availability.

If my child’s prescription isn’t available at my pharmacy, what should I do?

Always call your pharmacy first to confirm whether your prescription is ready for pickup. If your pharmacy has not received the prescription sent by your provider, please reach out to your Clarity Pediatrics pediatrician via our secure telehealth platform.

What can I do if my insurance does not cover my child’s medication?

If your child’s medication is too expensive or your insurance will not cover it, we recommend the following:

Inquire about non-coverage reasons: Contact your insurance company at the number listed on the back of your insurance card to understand why the medication is not covered.

Seek prior authorization: Some medications require a form from your provider explaining why the medication is medically necessary before insurance will approve coverage. Confirm with your insurance company if this is a necessary next step.
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Explore discounts and assistance programs: You can search for discounts, coupons, and patient assistance programs online to help cover medication costs.

If you would like to discuss alternative medications that are equally effective but less expensive or covered by your insurance, reach out to your Clarity Pediatrics pediatrician via our secure telehealth platform.

What should I do if the pharmacy cannot fill my child’s prescription from a telehealth service?

Clarity Pediatrics’ pediatricians hold licenses valid in the states they prescribe medications, allowing them to legally prescribe non-controlled and controlled substances online. If a pharmacy refuses to fill your prescription due to concerns with the doctor’s license, please reach out to your Clarity Pediatrics pediatrician via our secure telehealth platform.

Some pharmacies may not accept electronic prescriptions from telehealth services due to their specific policies. These policies and the list of pharmacies vary from state to state. If you encounter this issue, please reach out to your Clarity Pediatrics pediatrician via our secure telehealth platform

What can I do if the pharmacy needs to clarify my prescription with the doctor but is unable to reach them?

If the pharmacy is unable to reach your Clarity Pediatrics pediatrician directly to address questions, please send your provider a message in our secure telehealth platform.

Billing and Payment

How much do services cost?

Our goal is to provide the highest quality ADHD behavioral treatment to all families. Today we accept insurance and self-pay for all our appointment types. We strive to offer affordable rates to families who do not have insurance or who cannot use their insurance. Please see our detailed self-pay rates below.

Self-Pay Rates:

• ADHD Screening Appointment 1: $275
• ADHD Screening Appointment 2, Program Consultations, and Family Therapy/1:1 Appointments: $175
• Group Therapy Appointments: $70/session
• Medication Management Consultation: $275
• Medication Management Follow-up Appointments: $175/session

Do you accept insurance?

Yes. We are in network with most major PPO insurance plans in California including Aetna, Anthem, Blue Cross Blue Shield, Blue Shield of California, Cigna, HealthNet, and UnitedHealth (Optum Behavioral Health). We also accept Tricare, but Tricare Prime members must secure a referral and authorization from their primary care provider prior to their visit.

Current Medi-Cal coverage includes San Francisco Health Plan, Alameda Alliance for Health and Contra Costa Health Plan.

Please note that this is not a guarantee that services will be covered by your insurance company. Co-pays, co-insurance, and deductibles for our services are based on your individual coverage plan. For detailed benefits information, we recommend you call the Member Services phone number on the back of your insurance card.

You can also reach out to us at billing@claritypediatrics.com with billing or insurance questions.

What billing codes do you use?

Depending on the appointment type and who is in attendance, these are the most common billing codes used:

• 90846
• 90791
• 90849
• 90853
• 99202-99205
• 99212-99215

When will I be billed?

Insurance: If you have active health insurance, we will submit claims to your insurance company after each appointment. Your insurance company will then process the claims and provide you an Explanation of Benefits (EOB) detailing the amount covered and any remaining balance. It can take up to 60 days or more for your insurance to process the claims. After the claim is processed, you will be billed for any patient responsibility, such as co-pays, deductibles, or services not covered by your insurance.

Self-Pay: The credit card on file will be charged following each appointment/session. After the credit card is charged, families will receive an email receipt.

Are there any services that are typically not covered by insurance?

Certain services, especially those considered by your insurance provider to be elective or cosmetic, may not be covered by insurance. For example, when there is no ADHD diagnosis, insurance providers generally view BPT as an optional, non-covered service. Coverage can also vary significantly between different insurance plans. We recommend verifying your coverage for specific services directly with your insurance provider before receiving treatment.

Can you provide me with documentation (superbills) for out-of-network claims or FSA reimbursement?

Yes, we can provide you with the necessary documentation, commonly known as a "superbill," to support your out-of-network insurance claims or FSA/HSA reimbursement requests. Please email your request to billing@claritypediatrics.com.

How can I stay informed about new services?

We are always working on expanding our services to work with more families. If you would like to be added to an email list to be notified of new services from Clarity Pediatrics, CLICK HERE.

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1 in 10 American children has ADHD. Get in touch to see how we can help your child.

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Contact: info@claritypediatrics.com

Clarity Pediatrics-affiliated medical practices are independently owned and operated by licensed physicians who provide services using the Clarity Pediatrics telehealth platform.