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Hawaii- 2025 Report Card

Providers and Programs

D
  • Meets ratio of non-prescriber MMH providers to perinatal population (5 per 1,000 births)

  • Meets ratio of MMH prescribers to perinatal population (1 per 5,000 births)

  • Has at least one inpatient or residential MMH treatment program

  • Has at least one MMH intensive outpatient program (IOP) or partial hospitalization program (PHP)

  • Has or has had a state-sanctioned MMH Task Force or Commission

  • Meets ratio of community-based organizations (CBOs) providing direct service for MMH (at least 1 per 50,000 births)

  • State Perinatal Quality Collaborative (PQC) has prioritized MMH

Screening & Screening Reimbursement

F
  • Top performer on the HEDIS “prenatal depression screening” measure (among commercial insurance and/or Medicaid)

  • Top performer on the HEDIS “postpartum depression screening” measure (among commercial insurance and/or Medicaid)

  • Medicaid requires MCOs to report “prenatal depression screening” HEDIS measure

  • Medicaid requires MCOs to report “postpartum depression screening” HEDIS measure

  • Maternity providers submit claims to private insurers for prenatal MMH screening (among at least 1% of prenatal patients)

  • Maternity providers submit claims to private insurers for postpartum MMH screening (among at least 1% of postpartum patients)

Insurance Coverage & Treatment Payment

C
  • Expanded Medicaid

  • Extended Medicaid coverage to one year postpartum

  • Requires health plans to develop an MMH quality management program

  • Maternity providers submit claims to private insurers for prenatal MMH treatment

  • Maternity providers submit claims to private insurers for postpartum MMH treatment

  • State provides enhanced Medicaid reimbursement or state investment in group prenatal care (New in 2025)

  • Medicaid coverage of group parenting programs (New in 2025)