MedicaidAdministrativeMedium impact
Updated Behavioral Health Information
EmblemHealth·Psychiatry, Family Medicine, Internal Medicine +2 more·Provider News
Effective date
May 1, 2026
We identified it
Jun 20, 2026
Summary
EmblemHealth updated their behavioral health resources and introduced a new Depression Screening Bonus for state-sponsored program providers as part of the 2026 Quality Incentive Program. The policy also emphasizes follow-up care within 7 days for patients with multiple high-risk chronic conditions after ED visits to meet HEDIS FMC measure requirements.
Action Required
By May 2026: Providers treating state-sponsored program members should implement routine depression screenings for patients ages 12+ to qualify for the new Depression Screening Bonus. Review the Depression Screening and Follow-Up Tip Sheet for guidelines. Ensure patients with multiple high-risk chronic conditions receive follow-up visits within 7 days of ED discharge to meet HEDIS FMC measure requirements. Schedule staff to contact patients immediately upon ED notification.