Nov. 9, 2021
Care coordination is an integral component of the relationship between behavioral health providers and a primary care provider. It is especially important for members with chronic conditions who are receiving care from various settings. When behavioral health care is coordinated and integrated, our Blue Cross and Blue Shield of Texas members will benefit.
Magellan Healthcare® (Magellan) has a series of webinars to assist primary care providers, using National Committee for Quality Assurance (NCQA) preferred practices and performance measures for coordination across all settings of care. These webinars provide recommendations and guidance on crucial Healthcare Effectiveness Data and Information Set (HEDIS) Measures such as:
- Strategies for care transition
- Improvements and recommendations specific to mental health populations, and those with mental illness who could subsequently develop an acute medical disease such as diabetes.
The Magellan Healthcare HEDIS Webinar series include:
- Follow-Up After Hospitalization for Mental Illness (FUH)
- Antidepressant Medication Management (AMM)
- Follow-up Care for Children Prescribed ADHD Medication (ADD)
- Initiation and engagement of Alcohol & Other Drug Dependence Treatment (IET)
HEDIS is a registered trademark of NCQA. Use of this resource is subject to NCQA's copyright, found here. The NCQA HEDIS measure specification has been adjusted pursuant to NCQA's Rules for Allowable Adjustments of HEDIS. The adjusted measure specification may be used only for quality improvement purposes.
The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.