FUA: Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence
7-day and 30-day outpatient follow-up after ED visit for AOD.
Measure description
7-day and 30-day outpatient follow-up after ED visit for AOD.
Eligible population
Members with ED visit for AOD use
Performance drivers
ED warm handoff to outpatient SUD treatment.
Documentation & PA strategy
Care coordination + warm handoff documentation.
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 FUA measure?
7-day and 30-day outpatient follow-up after ED visit for AOD.
What drives performance on this measure?
ED warm handoff to outpatient SUD treatment.
How should clinicians document for this measure?
Care coordination + warm handoff documentation.
What is the eligible population?
Members with ED visit for AOD use
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