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Quality Measures Track Treatment and Follow-Up Visits for Substance Use Disorders
BCBS Montana·MT · Psychiatry, Family Medicine, Internal Medicine +1 more·General
Effective date
Mar 4, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield Montana updated their HEDIS quality measure tracking for substance use disorder treatment and follow-up visits. This is primarily informational guidance for providers on how the insurer monitors care quality, including timelines for treatment initiation, follow-up visits, and pharmacotherapy duration.
Action Required
Review guidance on substance use disorder treatment documentation. Ensure consistent use of SUD diagnosis codes at each follow-up visit and coordinate care notes between behavioral health and primary care providers. Contact members who cancel SUD-related appointments to reschedule promptly.