Behavioral Health Tip Sheets

December 25, 2020

We've added two additional behavioral health tip sheets to help you provide quality care to our members. The tip sheets include measurement requirements, medical record best practices and billing codes:

Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence

This measure evaluates members 13 years old and older who had an emergency department (ED) visit with the principal diagnosis of alcohol and other drug (AOD) abuse or dependence. It evaluates the percentage of members who had follow-up visits within 7 and 30 days of the ED visit.

Follow-Up After Emergency Department Visit for Mental Illness

This measure evaluates members 6 years old and older who had an ED visit for mental illness. It evaluates the percentage of members who had follow-up visits within 7 and 30 days of the ED visit.

The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment.