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Tennessee- 2024 Report Card

Providers and Programs

C

  • Meets Ratio of Non-Prescriber MMH Providers to Perinatal Population

  • Meets Ratio of MMH Prescribers to Perinatal Population

  • Has at Least One Inpatient MMH Treatment Program

  • Has at Least One Outpatient Intensive or Partial Hospitalization MMH Program

  • Has or Has Had a State-Sanctioned MMH Task Force or Commission

  • Meets Ratio for CBOs Providing MMH Direct Services to Perinatal Population

  • Has a Perinatal Quality Collaborative (PQC) that Has Prioritized MMH

Screening & Screening Reimbursement

F

  • Top Performer on the “Prenatal Depression Screening” HEDIS Measure (Among Commercial Insurance or Medicaid)

  • Top Performer with Commercial Insurance and/or Medicaid on the “Postpartum Depression Screening” HEDIS Measure (Among Commercial Insurance or Medicaid)

  • Medicaid Requires MCOs to Collect the “Prenatal Depression Screening” HEDIS Measure

  • Medicaid Requires MCOs to Collect the “Postpartum Depression Screening” HEDIS Measure

  • Obstetric Providers Submit Claims to Private Insurers for Prenatal MMH Screening (Among at Least 1% of Prenatal Patients)

  • Obstetric Providers Submit Claims to Private Insurers for Postpartum MMH Screening (Among at Least 1% of Postpartum Patients)

Insurance Coverage & Treatment Payment

D

  • Expanded Medicaid

  • Extended Medicaid Coverage to One Year Postpartum

  • Requires Health Plans to Develop a MMH Quality Management Program

  • Providers Submit Claims to Private Insurers for Prenatal MMH Treatment (Among at Least 10% of Prenatal Patients)

  • Providers Submit Claims to Private Insurers for Postpartum MMH Treatment (Among at Least 10% of Postpartum Patients)