Provider Central

Follow-Up after High-Intensity Treatment for Substance Use Disorder (FUI) tracks how many commercial members receive a follow-up visit within seven days of discharge.

• Better outcomes: Timely follow-up care is proven to reduce relapse rates, prevent hospital readmissions, and increase a member's adherence to their discharge treatment plan.

For discharging facilities:

• Act early: Begin discharge planning as soon as treatment starts.
• Schedule appointments before the member is discharged: Secure a follow-up appointment for the member within seven days of them being discharged.
• Educate: Clearly explain the importance of attending the follow-up visit to the member and their caregivers. On the discharge summary, include appointment instructions, medication specifications, and a plan for crisis or relapse prevention.

For outpatient providers:

• Be available: Offer appointment times within seven days for members recently discharged from SUD treatment. This could be in-person or through telehealth, including a telephone visit.
• Bill promptly: Submit claims (with a substance use disorder diagnosis) and encounter data in a timely manner so the follow-up visit is recorded.
• Collaborate: Coordinate care with a member's other treating providers to ensure a seamless transition.

When members are seen promptly after discharge, their path to recovery is stronger. Your partnership is essential to making this happen.

• Visit Find a Doctor & Estimate Costs (provider directory) or the Helping Members Find Care page on Provider Central for resources and a list of specialty mental health groups.
• Members can also sign in to MyBlue at bluecrossma.org or call Team Blue at the number on their ID card for help.