Follow-up After Emergency Department Visit for Substance Use (FUA)
| Date: | July 14, 2022 |
| To: | CONTRACTED PCPs and Behavioral Health Care Providers |
| From: | Health Plan of San Joaquin (HPSJ) |
| Subject: | Follow-up After Emergency Department Visit for Substance Use (FUA) |
| Business: | Medi-Cal |
HEDIS Measure Change 2022
Follow- up After Emergency Department Visit for Substance Use:
- Revised measure name from Follow-up After Emergency Department for Alcohol and Other Drug Abuse or Dependence to Follow-up After Emergency Department visit for Substance Use – (FUA)
- Revised terminology from “alcohol or other drug abuse or dependence (AOD)” to “substance use” or “substance use disorder (SUD)”
Description:
Emergency Department (ED) visits among members 13 years and older with a principal diagnosis of substance abuse disorder (SUD), or any of drug overdose where there was a follow-up.
Follow-up Visits:
- Any of the following with a principal diagnosis of Alcohol and Other Drugs (AOD):
- Outpatient or intensive outpatient
- Telehealth /Telephone
- Online assessment or pharmacotherapy dispensing event on the ED visit date
- Partial hospitalization
Examines: A visit with any Provider who is qualified to care for members with behavioral health (BH) Conditions.
- Psychiatrist, Psychologist, Clinical Social Workers, or other Therapists.
If you have questions or need assistance, please call our Provider Services team at (209) 942-6340. You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan of San Joaquin and our services is always available on our website https://www.hpsj.com/.
If you have questions, please contact the Provider Services team at 1.888.936.PLAN (7526).