All PlansAdministrativeMedium impact
Encourage Follow-up Care after Hospital Visits for Mental Health
BCBS Oklahoma·OK · Psychiatry, Emergency Medicine, Family Medicine +1 more·General
Effective date
Feb 6, 2026
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield Oklahoma is encouraging providers to improve follow-up care for members after mental health hospitalizations and emergency department visits. The policy emphasizes scheduling follow-up visits within 7 days of discharge and provides guidance on documentation and care coordination to meet HEDIS quality measures.
Action Required
Immediately: Providers should prioritize scheduling mental health follow-up visits within 7 days of hospital discharge or ED visits (must be on different date than discharge). Billing team must ensure mental health diagnosis codes are used consistently at follow-up visits - non-mental illness diagnosis codes will not fulfill HEDIS measures. Coordinate with discharge planning to help members schedule appointments before leaving facility.