• 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 50^th 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 90^th 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 alcohol or other drug dependence, who had a follow up visit for alcohol or other substance abuse or dependence treatment.

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