Thank you for inquiring about CMS0002v15 (Preventive Care and Screening: Screening for Depression and Follow-Up Plan).   Please note that the measure is not prescriptive as to which tools may be used to screen for depression, but rather only requires that providers use “A normalized and validated depression screening tool developed for the patient population in which it is being utilized” (eCQM Definition section). Based on your review of the scoring guidance for the tools used at your facility, the threshold for mild depression or higher is expected to be mapped to “positive". Otherwise, CMS does not provide guidance on interpreting the scores from depression screening tools for this eCQM. The patient's responses to the initial depression screening, even if only mild depression based on scoring, require a follow-up (non-screening or assessment) action within 2 days of the encounter. The determination of whether follow-up is necessary is based on the age-appropriate, standardized, and validated depression screening tool’s established thresholds for depression (mild or above).