Back to dashboard
CommercialAdministrativeMedium impact

HEDIS Antidepressant Medication Management (AMM)

Blue Cross Blue Shield of Rhode Island·RI · Psychiatry, Family Medicine, Internal Medicine·Behavioral Health
Effective date
Sep 1, 2021
We identified it
Jun 19, 2026
Days to comply

Summary

BCBS Rhode Island updated their HEDIS Antidepressant Medication Management (AMM) measure requirements for behavioral health providers. The policy emphasizes tracking medication adherence for patients 18+ with major depression through two phases: 84 days (acute) and 180 days (continuation), with required follow-up visits within 6 weeks.

Action Required

Action needed
Behavioral health providers should schedule follow-up visits within 6 weeks for patients on antidepressants and track medication adherence at 84 days and 180 days. Update patient education materials to emphasize continuing medication for at least 6 months even if symptoms improve. Document medication management visits to support HEDIS reporting.