States continue to leverage opportunities to expand access to maternal and caregiver behavioral health screening to support a two-generational approach to care.
These efforts reflect 2016 federal policy guidance from the Centers for Medicare & Medicaid Services (CMS) allowing states to provide Medicaid coverage of maternal and/or caregiver depression screening during a well-child visit under the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit.
These updated maps and accompanying chart highlight states’ approaches to operationalizing caregiver depression screenings within their Medicaid programs, include key trends in reimbursement policies.
Acronym Key
AAP – American Academy of Pediatrics ACO – Accountable Care Organization BDI – Beck Depression Inventory CESDS – Center for Epidemiologic Studies Depression Scale CPT – Current Procedural Terminology Columbia – Columbia Depression Scale EPDS – Edinburgh Postnatal Depression Scale | EPSDT – Early and Periodic Screening, Diagnostic and Treatment Benefit FFS – Fee for Service HAM-D – Hamilton Rating Scale for Depression HCPCS – Healthcare Common Procedure Coding System MADRS – Montgomery-Asberg Depression Rating Scale MCO – Managed Care Organization MDS – Maternal Depression Screening | NA – Information not available PDSS – Postpartum Depression Screening Scale PHQ – Primary Care Evaluation of Mental Disorders Patient Health Questionnaire PP – Postpartum SBIRT – Screening, Brief Intervention, and Referral to Treatment SEEK – Safe Environment for Every Kid WCV– Well-child visit |