All PlansAdministrativeLow impact
Quality Measures Track Treatment and Follow-Up Visits for Substance Use Disorders
BCBS Oklahoma·OK · Psychiatry, Family Medicine, Internal Medicine +1 more·General
Effective date
Mar 4, 2026
We identified it
Jun 19, 2026
Summary
This policy outlines HEDIS quality measures that the insurance plan uses to track substance use disorder treatment and follow-up care. It provides guidance for providers on best practices to ensure members receive timely follow-up visits and proper documentation for SUD treatment.
Action Required
Review SUD treatment documentation practices to ensure consistent diagnosis coding at follow-up visits. Coordinate between behavioral health and primary care providers to share progress notes including SUD diagnoses. Implement outreach procedures for members who cancel SUD-related appointments to help with rescheduling.