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Medicaid Policies for Caregiver and Maternal Depression Screening during Well-Child Visits, by State

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

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