​Hello, Thank you for your inquiry about CMS2v10: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Based on the measure guidance, the follow-up plan documented must be related to a positive depression screening. Per the measure specification, the " Follow Up for Adolescent Depression" (2.16.840.1.113883.3.526.3.1569) and "Follow Up for Adult Depression" (2.16.840.1.113883.3.526.3.1568) value sets include codes that identify acceptable follow-up plans that would meet numerator criteria. You are correct that the guidance provides a limited list of examples, and these examples reflect a subset of all of the options found in the value sets for follow-up plans for adolescent and adult depression. Note that the definition section states the following about the minimum requirements for a follow-up plan:   Documented follow-up for a positive depression screening must include one or more of the following:  * Referral to a practitioner who is qualified to diagnose and treat depression  * Pharmacological interventions  * Other interventions or follow-up for the diagnosis or treatment of depression   While the codes within these value sets include codes for mental health care education (procedure) and mental health promotion education (procedure), none of the codes reflect that simply giving the patient depression specific print material is acceptable. Giving the patient only a handout also does not meet the definition of what must minimally be included in a follow-up plan. You can review codes included in each value set on the Value Set Authority Center (VSAC) website at https://vsac.nlm.nih.gov .

Good afternoon, Our project team received the inquiry below from an external partner regarding the following eCQM measure: Preventive Care and Screening: Screening for Depression and Follow-Up Plan (CMS 2v10). To ensure that we have the correct understanding of the measure, we would appreciate any insight your team is able to provide on this inquiry. Inquiry: Under guidance for follow-up plan, we are considering whether structured documentation of depression-specific patient education materials and handouts printed and given to patients as well as included in After Visit summaries could meet the threshold for follow-up plan numerator compliance? We have several patient handouts housed directly in our EMR specifically around Counseling for Depression and treatment options that are used by our clinical and behavioral health teams during visits to support follow up. The guidance says examples are not limited to the ones provided. Thank you! Megan