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Clinical and Quality Measures Toolkits for Behavioral Health Providers 

Female clinician counseling client - Clinical and Quality Measures Toolkit for Behavioral Providers
Follow up Care Codes and Guidelines

Follow-up codes after inpatient or ED discharge mental health

Follow-up codes after hospitalization for mental health

 

Closing the Gap on Follow-up Care After Discharge

New for 2025: Medical providers now can provide the care required within 7 days of discharge

Optum is committed to fulfilling our mission and vision to help people live their lives to the fullest and to be a constructive and transformational force in the health care system. The Quality Program's mission is to support the Optum clinical mission, vision and values by effectively managing the quality of services provided to its members.

Our Quality Program supports the efforts of practitioners and providers through information analysis and sharing, education, administrative support, and behavioral health clinical quality management expertise.

Goals of the Quality Improvement Program

Optimal quality behavioral health care is achieved through a close and active partnership among Optum, individual members and all healthcare practitioners and providers.

In order to achieve its overall goals, the QI Program strives to:

  1. Ensure that the care members receive is clinically sound, and based on the most current and relevant clinical knowledge, practices, and technology.
  2. Build partnerships with behavioral healthcare practitioners to improve member outcomes.
  3. Improve the continuity and coordination of care delivered to members.
  4. Identify opportunities and activities that reduce risk and achieve safe treatment environments for members.

Coordination of care among behavioral health clinicians and medical care providers improves the quality of care for your patients Coordination of Care Page on Provider Express.