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Best practices for HEDIS measures related to mental health

Blue Cross Blue Shield of Rhode Island·RI · Psychiatry·Behavioral Health
Effective date
Jul 1, 2026
We identified it
Jul 1, 2026
Days to comply
0 days

Summary

This is an informational policy update from Blue Cross Blue Shield Rhode Island regarding best practices for HEDIS (Healthcare Effectiveness Data and Information Set) measures related to mental health. The policy explains HEDIS as a performance improvement tool used to assess quality of care and identify improvement areas, but does not specify new billing requirements, code changes, or coverage modifications affecting current billing workflows.

Action Required

Before Jul 1, 2026
No immediate billing action required. This is an informational policy regarding HEDIS quality measurement best practices. Billing teams should be aware that HEDIS mental health measures are used to assess plan performance and care quality. For specific questions about how this impacts your organization's mental health billing or reporting, contact Bella Faggiano at isabella.faggiano@bcbsri.org.