• The target trendline in the graph above represents an accepted national benchmark percentile for Medicaid programs across the country. The value graphed historically was the national 50th percentile for comparison purposes. In 2020 (for measurement year 2019) we modified the value shown to demonstrate a target based on our actual performance.  For this measure, the target is the 90th national percentile.
• The annual reported rate captures activity during the previous calendar year.
• This is a Healthcare Effectiveness & Data Information Set (HEDIS) administrative measure.
• DVHA’s rates only include Medicaid Primary beneficiaries in HEDIS administrative measures.

The percentage of emergency department (ED) visits for members 18 years of age and older with a principal diagnosis of mental illness, who had a follow up visit for mental illness.

Two rates are reported:

1. The percentage of ED visits for which the member received follow-up within 7 days of the ED visit
2. The percentage of ED visits for which the member received follow-up within 30 days of the ED visit

Last updated:  September 2021