Percentage of individuals 18 years of age and older with a mental and/or substance disorder, who had a comprehensive index assessment in the measurement period, with monitoring and care plan review. Three rates are reported. 1. Percentage of individuals who had a comprehensive index assessment using standardized tools to assess at least 3 of the following 6 domains: functioning, recovery, and symptom severity in depression, anxiety, substance use, and suicidal ideation and behavior. 2. Percentage of individuals who were monitored 90 days (+/- 30 days) from the comprehensive index assessment using standardized tools to assess functioning, recovery, or symptom severity in depression, anxiety, substance use, or suicidal ideation and behavior. 3. Percentage of individuals with documentation of a clinical decision to adjust or maintain their care within 180 days from the comprehensive index assessment using standardized tools to assess functioning, recovery, and symptom severity in depression, anxiety, substance use, or suicidal ideation and behavior.