Did You Know: Medicaid Reimburses for PMAD Screening

The fun thing about joining the Nevada Maternal & Child Health Coalition is learning new things!

Did you know: If you have Medicaid, you can ask your pediatrician to screen you for postpartum depression during your first year of well-child visits.

Knowledge is POWER!

Nevada Medicaid reimburses Physicians, Special Clinics, Advanced Practice Registered Nurses (APRNs) and Physician’s Assistants (PAs) for postpartum depression health risk assessments for mothers of a covered child as a service billed to the child’s Medicaid, on its own claim line.

Providers bill their evaluation and management codes, on a separate line as CPT Code 96161. This should be billed separately, under the baby’s name. No modifier is needed.

In case they don’t have an Edinburgh Postnatal Depression Scale handy, you can ask them to use this first link that scores for you, or this second link if they want to score it manually:

https://psychology-tools.com/epds/

Click to access EPDS.pdf

Sometimes, we have to be our own health advocates. We can. And we will!

Plus, you  never know how many other mamas you could help by educating your doctors about screening for postpartum depression!

(Refer to Medicaid Service Manual Chapter 1500 online at http://dhcfp.nv.gov for additional Healthy Kids EPSDT program information.)

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