№ lp_2_3_60033
File format: docx
Character count: 4261
File size: 68 KB
Policy and clinical guidance document outlining Medicare reimbursement provisions, eligibility criteria, screening procedures using PHQ-9 and PHQ-2, severity-based treatment considerations, and suicide risk assessment protocols for depression screening in adults within primary care settings.
Medicare Benefit:
Reimbursed screening for depression in adults once-a-year under Fee-for-Service Medicare available since October 14, 2011; no coinsurance; no deductible for patient
Procedure Code:
G0444 (Depression Screen – 15 minutes)
Eligibility:
Primary care settings with depression care supports in place
Points of Care Eligible for Reimbursement:
Primary care office; outpatient hospital; independent clinic; federally qualified health center (FQHC); state and local health clinic; rural health clinic (RHC)
Referral Options:
Local community mental health center; American Psychiatric Association; American Psychological Association; National Association of Social Work
Recommended Screening Tool:
Patient Health Questionnaire (PHQ-9); PHQ-2
Severity Classification:
PHQ-9 score ranges from 0 to 20 or greater with corresponding provisional diagnoses and treatment considerations
Assessment of Suicidal Risk:
Follow-up questions based on response to PHQ-9 item 9; adapted from the P4 screener
Adapted From:
Kroenke K, Spitzer RL, Psychiatric Annals 2002; Dube P et al., Prim Care Companion J Clin Psychiatry 2010
Developed By:
Patient Centered Primary Care Coalition Behavioral Health Workgroup
Approval Status:
Board Approval Pending
Subject:
Medicare reimbursement policy and clinical guidance for adult depression screening in primary care
Document Type:
Policy and clinical guidance document
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2021
Region / City:
United States
Topic:
Postpartum Depression Screening
Document Type:
Informational resource
Organization / Institution:
Massachusetts Department of Public Health (MDPH)
Author:
Not specified
Target Audience:
Health professionals, researchers, and organizations involved in postpartum care
Period of validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Context:
List of validated screening tools for detecting postpartum depression with relevant cut-offs and available resources for health professionals.
Year:
2026
Region / city:
UK
Topic:
Genetics, Mental Health
Document Type:
Research Study
Organization / Institution:
King’s College London, Université Laval
Author:
Genevieve Morneau-Vaillancourt, Jonathan R. I. Coleman, Kirstin L. Purves, Rosa Cheesman, Christopher Rayner, Gerome Breen, Thalia C. Eley
Target Audience:
Researchers, Academics, Healthcare Professionals
Period of Action:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Contextual Description
Year:
2019
Region / city:
United Kingdom
Topic:
Mental health, Alcohol use
Document type:
Guidance
Organization / institution:
National Institute for Health and Care Excellence (NICE)
Author:
National Institute for Health and Care Excellence
Target audience:
Healthcare professionals
Period of validity:
N/A
Approval date:
August 2019
Date of last update:
N/A
Year:
2016
Region / City:
United Kingdom
Topic:
Depression, Sickness Certification
Document Type:
Research Paper
Organization / Institution:
University of Liverpool, Institute for Employment Studies
Author:
Mark Gabbay, Chris Shiels, Jim Hillage
Target Audience:
Researchers, Health Professionals, Policymakers
Period of Action:
2011-2013
Approval Date:
June 2011
Date of Changes:
N/A
Year:
2021
Region / City:
Not specified
Subject:
Clinical Depression Screening
Document Type:
Instructional guideline
Organization:
Not specified
Author:
Not specified
Target Audience:
Healthcare providers, dialysis facilities
Effective Period:
January 1 – December 31, 2021
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Date
Topic:
Medical Opinion
Document Type:
Independent Medical Opinion
Author:
[Physician’s Name]
Target Audience:
Veterans Affairs (VA) Review Boards, Healthcare Providers
Year:
2022
Region / City:
Australia
Topic:
Mental Health, Depression
Document Type:
Research Article
Institution:
The University of Melbourne
Author:
Hereen D, Rice SM, Zajac I
Target Audience:
Mental Health Professionals, Researchers
Period of Validity:
2022 onwards
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2017
Region / City:
United Kingdom
Document Type:
Formulary Application
Department:
Medicines Committee / Gynaecology
Applicant:
Consultant (name not specified)
Speciality:
Gynaecology
Intended Use:
PMS, postnatal depression, perimenopause in patients with progestogen/progesterone intolerance
Dosage Form:
Vaginal capsules 200mg
Regulatory Status:
Off-label use
Estimated Patient Numbers:
Not specified
Estimated Cost:
£21.00 per 21 vaginal capsules
Supporting Evidence:
Randomised controlled trials and peer-reviewed publications
Approval Required By:
Divisional Medical Director, Lead Directorate Pharmacist
Signatures:
Applicant, Divisional Medical Director, Lead Directorate Pharmacist
Year:
2025
Region / City:
Houston
Topic:
Mental Health, Depression
Document Type:
Conference Program
Organization / Institution:
UTHealth Houston
Author:
Jair C. Soares, MD, PhD; Lokesh Shahani, MD, MPH, PhD; Taiwo Babatope, MD; Joao de Quevedo, MD, PhD; Sanjay J. Mathew, MD; Luis Fernandez-Wische, MD
Target Audience:
Medical professionals, researchers, clinicians
Period of Validity:
October 17-18, 2025
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2024
Institution:
Bryant & Stratton College
Course:
JHUSS235
Professor:
Slade
Author:
Jade Arrington
Document Type:
Academic Paper / Final Project
Topic:
Crisis Intervention, Mental Health, Child Protection
Target Audience:
Students, Mental Health Practitioners
Date of Completion:
December 16, 2024
Context:
Case study focusing on a client named Marie with depression, suicidal ideation, and unsafe home conditions
Grade Level:
5th Grade
Author:
Mirishka Kimbrough
Subject:
Social Studies, English Language Arts, Science, Music, Mathematics, Fine Arts
Topic:
Great Depression in the United States
Geographical Focus:
United States
Educational Standards:
Missouri Show Me Standards; Common Core State Standards (CCSS)
Key Themes:
Causes and effects of the Great Depression; Dust Bowl; economic comparison between the 1930s and 2014; cultural and musical context
Type of Document:
Curriculum unit plan
Intended Audience:
5th Grade students
Learning Objectives:
Understanding historical significance, economic differences over time, cultural context, and interdisciplinary connections
Year:
1930s
Region / City:
United States
Topic:
American History, Economic Crisis
Document Type:
Lesson Plan
Organization / Institution:
Teacher Created
Author:
Erin Tarpley
Target Audience:
5th grade students
Period of Action:
1920s-1930s
Date of Approval:
Not specified
Date of Changes:
Not specified
Year:
1980–1998
Type:
Questionnaires / Inventories
Subjects:
Depression, Anxiety, Epilepsy, Stigma, Adverse Effects of AEDs, Caregiver Burden
Instruments:
Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), QOLIE-31, Liverpool Stigma Scale, Liverpool Adverse Events Profile (LAEP), Zarit Caregiver Burden Inventory (ZCBI)
Authors:
Beck, Cramer, Jacoby, Baker, Zarit et al.
Population:
Patients with epilepsy and their caregivers
Scoring:
Various Likert scales and total scores indicating severity or burden
Year:
2013
Region / City:
United States
Topic:
Mental Health, Depression Screening
Document Type:
Survey Instrument
Organization / Institution:
Self-Management Resource Center
Author:
Not specified
Target Audience:
Individuals with chronic conditions, researchers
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2023
Region / City:
Shanghai, China
Topic:
Cognitive Training, Emotional Regulation, Mental Health
Document Type:
Meta-Analysis
Organization / Institution:
Shanghai University of Sport
Author:
Jiehang Ou, Hong Mou, Ting Zhou, Yingying Wang
Target Audience:
Researchers, Mental Health Professionals, Students
Period of Application:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
1995
Region / City:
United States
Topic:
Medicare Appeal Rights
Document Type:
Notice
Organization / Institution:
Centers for Medicare & Medicaid Services (CMS)
Author:
CMS
Target Audience:
Medicare beneficiaries
Period of validity:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2020
Region / City:
United States
Topic:
Medicare Advantage Reporting Requirements
Document Type:
Government Report
Organization / Institution:
Centers for Medicare and Medicaid Services (CMS)
Author:
Centers for Medicare and Medicaid Services (CMS)
Target Audience:
Medicare Advantage Organizations, CMS staff, Health Plans
Period of Validity:
2020–2023
Approval Date:
2020
Amendment Date:
N/A
Year:
2022
Region / City:
United States
Theme:
Medicare Payment Systems
Document Type:
Final Rule
Organization / Institution:
Centers for Medicare & Medicaid Services (CMS)
Author:
Centers for Medicare & Medicaid Services (CMS)
Target Audience:
Healthcare Providers, Medicare Beneficiaries
Effective Date:
January 1, 2022
Approval Date:
November 2, 2021
Revision Date:
N/A
Year:
2025
Region / City:
Oregon
Theme:
Medicare Advantage, Coordinated Care
Document Type:
Report
Organization:
Oregon Health Authority (OHA)
Author:
Oregon Health Authority (OHA)
Target Audience:
Coordinated Care Organizations (CCOs), Medicare Advantage Plans
Period of Effect:
Medicare Plan Year 2026
Approval Date:
November 15, 2025
Amendment Date:
Not specified
Year:
2025
Region / City:
Victoria, Australia
Topic:
HIV treatment, healthcare program
Document type:
Official publication
Organization / Institution:
Victorian Government, Department of Health
Author:
Victorian Government
Target audience:
Healthcare professionals, HIV patients, healthcare policy makers
Date of approval:
August 2025
Date of changes:
Not specified