EBPC: Engagement of Behavioral Health Patients in Postdischarge Care
7-day and 30-day post-discharge follow-up rates with mental health provider.
Measure description
7-day and 30-day post-discharge follow-up rates with mental health provider.
Eligible population
Members discharged after MH hospitalization
Performance drivers
Post-hospitalization MH gap drives readmissions.
Documentation & PA strategy
Schedule follow-up before discharge; use telehealth bridge appointment within 7 days.
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure EBPC measure?
7-day and 30-day post-discharge follow-up rates with mental health provider.
What drives performance on this measure?
Post-hospitalization MH gap drives readmissions.
How should clinicians document for this measure?
Schedule follow-up before discharge; use telehealth bridge appointment within 7 days.
What is the eligible population?
Members discharged after MH hospitalization
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