CommercialAdministrativeMedium impact
HEDIS Follow Up After Hospitalization for Mental Illness (FUH)
Blue Cross Blue Shield of Rhode Island·RI · Psychiatry, Family Medicine, Internal Medicine +1 more·Behavioral Health
Effective date
Aug 1, 2022
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island has established HEDIS Follow-Up After Hospitalization for Mental Illness (FUH) quality measures requiring outpatient mental health follow-up within 7 and 30 days of psychiatric hospital discharge for members 6 years and older. This is a quality reporting measure that may impact reimbursement or quality scores.
Action Required
Immediately: Billing team should coordinate with providers to ensure documented outpatient mental health follow-up visits within 7 and 30 days for all patients discharged from psychiatric hospitalizations. Track these visits for HEDIS reporting requirements as failure to meet quality measures may impact practice reimbursement or quality scores.