Florida- 2026 Report Card

May 26, 2026

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

Meets ratio of MMH therapists and other non-prescribers (5 per 1,000 births)
Meets ratio of MMH psychiatric provider prescribers (3 per 5,000 births)
Has a perinatal psychiatry consultation program for OBs
Has at least one inpatient or residential MMH treatment program
Has at least one MMH intensive outpatient program (IOP) or partial hospitalization program (PHP)
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
Has or has had a state-sanctioned MMH Task Force or Commission
Requires Medicaid/commercial health plans to develop an MMH quality management program
Expanded Medicaid (is an ACA Medicaid expansion state)
Extended Medicaid coverage to one year postpartum
Provides enhanced Medicaid reimbursement or state investment in group prenatal care
Medicaid provides reimbursement for group parenting programs (without requiring the child have a diagnosis)
Maternity provider prenatal MMH screening claim submission rate meets threshold (private insurance)
Maternity provider postpartum MMH screening claim submission rate meets threshold (private insurance)
Provider prenatal MMH treatment claim submission rate is at least 10% (private insurance)
Provider postpartum MMH treatment claim submission rate is at least 10% (private insurance)

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