All PlansAdministrativeLow impact
Quality Measures Track Treatment and Follow-Up Visits for Substance Use Disorders
BCBS New Mexico·NM · Psychiatry, Family Medicine, Internal Medicine +1 more·General
Effective date
Mar 4, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield New Mexico has outlined specific HEDIS quality measures for tracking substance use disorder treatment and follow-up visits. This is primarily informational guidance for providers to understand how their SUD treatment patterns are being monitored for quality improvement purposes.
Action Required
Providers should ensure consistent use of substance use disorder diagnosis codes at each follow-up visit, coordinate care documentation between behavioral health and primary care providers, and prioritize timely follow-up scheduling within the specified timeframes (7-day, 14-day, and 30-day windows depending on the measure). Update workflow to proactively reschedule cancelled SUD appointments.