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Medicare Covers Depression Screening - Eff 10/14/11

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  • Melinda
    https://www.noridianmedicare.com/provider/updates/docs/mm7637_depression _screening.pdf
    Message 1 of 1 , Dec 9, 2011

      Effective for claims with Dates of Service on and after October 14,
      2011, Medicare will cover annual depression screening for adults in the
      primary care setting.

      MLN MattersĀ® Number: MM7637
      Related Change Request (CR) #: 7637
      Related CR Release Date: November 23, 2011
      Effective Date: October 14, 2011
      Related CR Transmittal #: R139NCD and R2359CP
      Implementation Date: April 2, 2012

      Effective October 14, 2011, Medicare covers annual screening for adults
      for depression in the primary care setting that has staff-assisted
      depression care supports in place to assure accurate diagnosis,
      effective treatment, and follow-up.

      Medicare contractors will recognize new Healthcare Common Procedure
      Coding System (HCPCS) code, G0444, annual depression screening, 15
      minutes, as a covered service.

      At a minimum level, staff-assisted depression care supports consist of
      clinical staff (e.g., nurse, Physician Assistant) in the primary care
      office who can advise the physician of screening results and who can
      facilitate and coordinate referrals to mental health treatment. More
      comprehensive care supports include a case manager working with the
      primary care physician; planned collaborative care between the primary
      care provider and mental health clinicians; patient education and
      support for patient self-management; plus attention to patient
      preferences regarding counseling, medications, and referral to mental
      health professionals with or without continuing involvement by the
      patient's primary care physician.

      Note: Coverage is limited to screening services and does not include
      treatment options for depression or any diseases, complications, or
      chronic conditions resulting from depression, nor does it address
      therapeutic interventions such as pharmacotherapy, combination therapy
      (counseling and medications), or other interventions for depression.
      Self-help materials, telephone calls, and web-based counseling are not
      separately reimbursable by Medicare and are not part of this NCD.

      Screening for depression is non-covered when performed more than one
      time in a 12-month period. Eleven full months must elapse following the
      month in which the last annual depression screening took place. Medicare
      coinsurance and Part B deductible are waived for this preventive

      See link above for more information.

      Melinda Brown, CMBS
      Ins Biller

      [Non-text portions of this message have been removed]
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