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  2. CQM-6896

CMS 2 - Depression screening and follow-up

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      Thank you for your question on CMS2v13 Preventive Care and Screening: Screening for Depression and Follow-Up Plan.

      The numerator requirement is a depression screening on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool, and if positive, a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter.

      In the event of a ‘Positive’ screening, the patient needs to be seen by a MIPS eligible clinician. A documented follow-up plan for a positive depression screening must include one or more of the following:
      - Referral to a provider for additional evaluation and assessment to formulate a follow-up plan for a positive depression screen

      - Pharmacological interventions

      - Other interventions or follow-up for the diagnosis or treatment of depression

      The eligible clinician who had the encounter with the patient would need to document the referral to meet the numerator requirements.
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      Thank you for your question on CMS2v13 Preventive Care and Screening: Screening for Depression and Follow-Up Plan. The numerator requirement is a depression screening on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool, and if positive, a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter. In the event of a ‘Positive’ screening, the patient needs to be seen by a MIPS eligible clinician. A documented follow-up plan for a positive depression screening must include one or more of the following: - Referral to a provider for additional evaluation and assessment to formulate a follow-up plan for a positive depression screen - Pharmacological interventions - Other interventions or follow-up for the diagnosis or treatment of depression The eligible clinician who had the encounter with the patient would need to document the referral to meet the numerator requirements.
    • CMS0002v13
    • Clarify numerator criteria related to workflow.

      In the scenario below, would the last bullet meet numerator criteria for the follow-up portion of CMS 2 - Depression Screening and Follow-Up measure where staff notify the provider of a positive depression screen.

      • Patient seen for an eligible visit 
      • Allowable depression screening performed on day of visit with patient screening positive for depression
      • Rooming staff (non-licensed personnel, CMA, LPN, RN, or other) document in the medical record that the "provider is being notified for further evaluation and treatment options".

            edave Mathematica EC eCQM Team
            Shari Black Shari Black
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