All PlansAdministrativeLow impact
Best practices for HEDIS® measures related to substance use
Blue Cross Blue Shield of Rhode Island·RI · Psychiatry, Family Medicine, Internal Medicine·Behavioral Health
Effective date
Aug 1, 2024
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island has published best practices guidance for HEDIS measures related to substance use in behavioral health. This appears to be informational guidance to help providers understand quality measures used to assess health plan performance rather than a billing policy change.
Action Required
Review HEDIS substance use quality measures guidance to understand performance metrics. Billing team should be aware that substance use treatment documentation and coding may impact health plan quality assessments, but no immediate billing system changes are required.