Medication Management

What is medication management?

Medication management is ongoing psychiatric care to find out whether medication could help, choose the right one with you, and adjust it safely over time.

It starts with a full psychiatric evaluation, followed by shorter follow-up visits to check how you're doing. Every visit happens by secure video or audio, so you can meet from home or any private place in Maryland.

• Evaluation: about 60 minutes with a licensed prescriber
• Follow-ups: 15–30 minutes, every 2–12 weeks based on need
• Prescriptions: sent to the pharmacy you choose
• First appointment: the psychiatric evaluation is your intake visit, billed like other visits; we check your coverage first

Who do we serve?

Children ages 6 and up, teens, and adults who are in Maryland at the time of each visit.

Children and teens

A parent or guardian takes part in visits, and decisions are made together. We coordinate with school or the pediatrician, with your permission.

Adults 18+

Visits that fit around work and family, clear explanations of every option, and coordination with your therapist and primary care provider if you choose.

Already in therapy?

You can use medication management on its own or alongside therapy with us or with another provider.

Every Maryland county and Baltimore City

Because visits are by telehealth, we serve all 24 Maryland jurisdictions, including rural areas where psychiatric care can be hard to find.

How can medication management at Hearthway benefit you?

The right medication, carefully monitored, can make symptoms more manageable so daily life and therapy work better.

Conditions we manage

• ADHD in children, teens, and adults
• Depression
• Anxiety and panic
• Bipolar disorder
• PTSD
• OCD symptoms
• Sleep problems related to mood

Why patients choose us

• Psychiatric care without long drives, which matters most in rural Maryland
• Short follow-up visits that fit into a workday or school day
• Your therapist and prescriber can coordinate in one practice
• Changes are always discussed with you first

See all conditions we treat →

What is the role of your prescriber?

Your prescriber is a licensed clinician who evaluates your symptoms and oversees your medication care.

Your prescriber will:

• Complete a full review of your history, symptoms, current medications, and goals
• Explain your options clearly, including expected benefits and possible side effects
• Decide with you whether to start, change, or stop a medication
• Order labs or vital-sign checks when they're needed
• Check how things are going at each follow-up and adjust as needed
• Send prescriptions to the pharmacy you choose and handle refill requests during business hours
• Coordinate with your therapist and primary care provider, with your permission

What is a psychiatric evaluation?

A psychiatric evaluation is your first, longer visit, where your prescriber gets the full picture before recommending any treatment.

It lasts about 60 minutes. At the end, your prescriber shares what they found and a recommended plan, which may or may not include medication.

• Your current symptoms and how they affect daily life
• Your mental health and medical history
• Medications and supplements you take now or have tried before
• Family history, sleep, and substance use
• Your goals for treatment

For children and teens, a parent or guardian takes part.

What about controlled medications?

Some medications, including some ADHD medications, are controlled substances with extra federal and state rules for telehealth prescribing.

If one of these rules applies to you, your prescriber will explain what it means for your care before any decision is made.

What happens when you start?

1. Contact our office

   Call or send a message with your questions.

2. Coverage check

   We verify your insurance and explain any costs before you schedule.

3. Psychiatric evaluation

   Your intake visit: about 60 minutes with a licensed prescriber.

4. Follow-up visits

   15–30 minutes, every 2–12 weeks based on need.

What do you need for a telehealth visit?

• A private place where you can talk freely
• For video: a phone, tablet, or computer with a camera and an internet or cellular connection
• For audio: any phone
• To be physically in Maryland during each visit
• A list of your current medications and your preferred pharmacy
• Your insurance card for intake

How visits work →

How does insurance work?

If you have Maryland Medicaid, you can come to us directly. No referral from your primary care provider is needed.

• Mental health care for Medicaid members is managed by Carelon Behavioral Health, not your HealthChoice plan
• Some services need approval from Carelon first, and our office requests it
• For commercial insurance, participation varies by plan, so we verify your coverage before your first visit
• Whatever your coverage, we confirm it before your visits begin

Insurance details →