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Preventive Care and Screening: Screening for Depression and Follow-Up Plan

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Compare Versions of: "Preventive Care and Screening: Screening for Depression and Follow-Up Plan"

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Table Options
Measure Information 2026 Performance Period
Title Preventive Care and Screening: Screening for Depression and Follow-Up Plan
CMS eCQM ID CMS2v15
CBE ID* Not Applicable
MIPS Quality ID 134
Measure Steward Centers for Medicare & Medicaid Services (CMS)
Description

Percentage of patients aged 12 years and older screened for depression 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...

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Measure Scoring Proportion
Measure Type Process
Stratification

None

Risk Adjustment

None

Rationale

Depression affects more than two hundred sixty million people across the world and is a leading cause of disability, with a variety of depressive disorders that are independent risk factors for chronic diseases, such as cardiovascular disease and diabetes, lending screening for...

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Clinical Recommendation Statement

Adolescent Recommendation (12-18 years): 

"The USPSTF recommends screening for MDD in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up (B recommendation)" (Siu on...

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Improvement Notation

Higher score indicates better quality

Definition

Screening:

Completion of a clinical or diagnostic tool used to identify people at risk of developing or having a certain disease or condition, even in the absence of symptoms.

Standardized Depression Screening Tool: A normalized and validated depression screening tool developed for the...

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Guidance

The intent of the measure is to screen all patients for depression except those with previous diagnosis of bipolar disorder. Patients who have ever been diagnosed with bipolar disorder prior to the qualifying encounter will be excluded from the measure regardless of whether the diagnosis...

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Initial Population

All patients aged 12 years and older at the beginning of the measurement period with at least one qualifying encounter during the measurement period

Denominator

Equals Initial Population

Denominator Exclusions

Patients who have ever been diagnosed with bipolar disorder at any time prior to the qualifying encounter

Numerator

Patients screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized 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 or an...

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Numerator Exclusions

None

Denominator Exceptions

Patient Reason(s)

Patient refuses to participate in or complete the depression screening

OR

Medical Reason(s)

Documentation of medical reason for not screening patient for depression (e.g., cognitive, functional, or motivational limitations that may impact accuracy of results; patient is in...

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Telehealth Eligible Yes
Next Version No Version Available
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Last Updated: May 07, 2025