NCQA Changes HEDIS Measures For Follow-Up After Mental Illness Emergency Department Visits & Hospitalizations

On August 12, 2024, the National Committee for Quality Assurance (NCQA) expanded the Healthcare Effectiveness and Data Information Set (HEDIS) measure related to follow-up after mental health-related emergency department visits and hospitalizations. The conditions for which follow-up will be tracked will now include phobia diagnoses, anxiety diagnoses, and intentional self-harm X-chapter codes, and the R45.851 suicidal ideation code. The options for follow-up will now include more provider type options, psychiatric residential treatment, and peer support services for mental health.

Originally, the mental health conditions tracked in the measure included: schizophrenia spectrum and other . . .