OPF: Optimal Follow-Up for People Newly Diagnosed With Major Depressive Disorder
Follow-up within 84 days of new MDD diagnosis.
Measure description
Follow-up within 84 days of new MDD diagnosis.
Eligible population
New MDD dx
Performance drivers
Drives med + therapy initiation.
Documentation & PA strategy
Schedule 4-week and 12-week follow-up at MDD diagnosis.
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 OPF measure?
Follow-up within 84 days of new MDD diagnosis.
What drives performance on this measure?
Drives med + therapy initiation.
How should clinicians document for this measure?
Schedule 4-week and 12-week follow-up at MDD diagnosis.
What is the eligible population?
New MDD dx
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