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Continuity of Care After Medically Managed Withdrawal from Alcohol and/or Drugs

CBE ID
3312
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
Measure Description

Percentage of discharges from a medically managed withdrawal episode for adult Medicaid beneficiaries, ages 18–64, that were followed by a treatment service for substance use disorder (including the prescription or receipt of a medication to treat a substance use disorder [pharmacotherapy]) within 7 or 14 days after discharge.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Numerator

    Discharges in the denominator who have an inpatient, intensive outpatient, partial hospitalization, outpatient visit, residential, or drug prescription or procedure within 7 or 14 days after discharge from an inpatient hospital, residential addiction program, or ambulatory medically managed withdrawal.

    Denominator

    Adult Medicaid beneficiary discharges from medically managed withdrawal from January 1 to December 15 of the measurement year.

    Exclusions

    Not applicable: the measure does not have denominator exclusions.

    Testing Data Sources
  • Most Recent Endorsement Activity
    Endorsed Behavioral Health and Substance Use Spring Cycle 2022
    Initial Endorsement
    Next Planned Maintenance Review
    Behavioral Health and Substance Use Spring 2026
    Endorsement Status
    Last Updated
  • Steward Organization Email
    Steward Organization Copyright

    Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. Mathematica disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.

    CPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association.

    ICD-10 copyright 2016 World Health Organization. All Rights Reserved.

    The American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact [email protected].