BCBS TexasLow ImpactAdministrative
Quality Measures Track Treatment and Follow-Up Visits for Substance Use Disorders
Published May 3, 2026Effective March 4, 2026
AI Summary
This is an informational policy describing HEDIS quality measures that Blue Cross Blue Shield of Texas tracks for substance use disorder treatment and follow-up care. No billing changes are required, but providers should be aware of these quality metrics for optimal patient care coordination.
Action Required
No immediate billing changes required. Providers should ensure consistent use of substance use disorder diagnosis codes at follow-up visits and coordinate care between behavioral health and primary care providers to support quality measure reporting. Consider implementing reminder systems for timely follow-up appointments within required timeframes.
Plan Types
All Plans
States
TX
Specialties
psychiatry, family-medicine, internal-medicine, emergency-medicine