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Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment

CBE ID
0004
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Behavioral Health and Substance Use Spring 2025
1.3 Measure Description

This measure assesses the degree to which the organization initiates and engages members identified with a need for alcohol and other drug (AOD) abuse and dependence services and the degree to which members initiate and continue treatment once the need has been identified. Two rates are reported:
• Initiation of AOD Treatment. The percentage of adolescent and adult members with a new episode of AOD abuse or dependence who initiate treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter, partial hospitalization, telehealth or medication assisted treatment (MAT) within 14 days of the diagnosis.
• Engagement of AOD Treatment. The percentage of adolescent and adult members with a new episode of AOD abuse or dependence who initiated treatment and who had two or more additional AOD services or MAT within 34 days of the initiation visit.

        • 1.14 Numerator

          Initiation of AOD Treatment:
          Initiation of treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter or partial hospitalization, telehealth or medication treatment within 14 days of the diagnosis.
          ---
          Engagement of AOD Treatment:
          Initiation of AOD treatment and two or more additional AOD services or medication treatment within 34 days of the initiation visit.

        • 1.15 Denominator

          Patients age 13 years of age and older as of December 31 of the measurement year who were diagnosed with a new episode of alcohol or other drug dependency (AOD) during the first 10 and ½ months of the measurement year (e.g., January 1-November 15).

        • Exclusions

          Exclude members who had a claim/encounter with a diagnosis of AOD abuse or dependence (AOD Abuse and Dependence Value Set), AOD medication treatment (AOD Medication Treatment Value Set) or an alcohol or opioid dependency treatment medication dispensing event (Medication Treatment for Alcohol Abuse or Dependence Medications List; Medication Treatment for Opioid Abuse or Dependence Medications List) during the 60 days (2 months) before the IESD.

          Exclude patients who use hospice services or elect to use a hospice benefit any time during the measurement year, regardless of when the services began.

        • Most Recent Endorsement Activity - OLD
          Endorsed Behavioral Health and Substance Use Fall Cycle 2018
          Initial Endorsement
          Last Updated
        • Steward
          National Committee for Quality Assurance
          Steward Organization POC Email
          Steward Organization Copyright

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