Skip to main content

Treatment for alcohol and other drug (AOD) dependence

AOD dependence is common across many age groups and can cause morbidity, mortality and decreased productivity. Our data shows that many of our members with substance use disorders are initially seen by medical practitioners for other reasons (a general medical exam or hypertension, for example), not for substance use.

We need your help to ensure that these patients are screened and referred into treatment. There is strong evidence showing that treatment for AOD dependence can improve health, productivity and social outcomes. It can also save millions of dollars on health care and related costs.

Initiation and engagement of AOD abuse or dependence treatment is a HEDIS® (Healthcare Effectiveness Data and Information Set®) measure that looks at the percentage of members who have a new diagnosis of AOD use disorder. These members should start treatment within 14 days of their diagnosis and continue care within 30 days.

You can help 

• Screen for alcohol or other drug use.
• Follow up with treatment.
• Educate your patients.
• Document and code claims.

You can use evidence-based substance and alcohol use screening tools when clinically appropriate to initially assess for these conditions. Learn more about reimbursement for Screening, Brief Intervention and Referral to Treatment (SBIRT).