NCQA Updates HEDIS Measures – Changes for Mental Health Follow Up Visits Included

The National Committee for Quality Assurance (NCQA) recently updated the Healthcare Effectiveness and Data Information Set (HEDIS) measures for Measurement Year (MY) 2025. Important changes to existing HEDIS measures include updates to the Follow-Up After Emergency Department Visit for Mental Illness and Follow-Up After Hospitalization for Mental Illness measures. Follow-up tracking will now be included for a variety of new diagnosis including anxiety, phobia, and intentional self-harm (X-codes), and the R45.851 suicidal ideation code. Additionally, the options for follow-up will now include more provider type options, including psychiatric residential treatment and peer support services for mental health. You can read more about these changes in the MY25 summary of changes and measure descriptions.