Reimbursement for Postpartum Depression Prevention

Year: 2023

Resolution Number: 12

Action Taken: Approved as Amended

Status: Complete

Author(s): Adefolarin Alade, Patrick Ancheta, Heba Basha, Dayaan Ghani, Madison Polay, and Laura Carravallah, MD

Sponsor: Ashton Lewandowski

On behalf of: Medical Student Section

Committee: A (Medical Care Delivery)

Resolved Section(s):
RESOLVED: That MSMS advocates for state Medicaid programs to reimburse applicable CPT codes that can be used for postpartum depression prevention by a broad range of health workers, with services currently covered under the Affordable Care Act; and be it furtherRESOLVED: That MSMS advocates for an initiative to allow all qualified health care professionals to bill under a “pregnancy” diagnosis code, so that they can deliver perinatal and postnatal mental health preventive interventions; and be it furtherRESOLVED: That MSMS advocates for state Medicaid programs to provide avenues for nurses, doulas, community health workers, and health educators trained in these programs as part of physician led health care teams to deliver these primary prevention interventions and be reimbursed; and be it furtherRESOLVED: That MSMS advocates for states, payers, and health systems to make evidence-based postpartum depression prevention services the official standard of care and increase bundle payments accordingly statewide; and be it furtherRESOLVED: That the Michigan Delegation to the American Medical Association (AMA) ask our AMA to advocate for evidence-based postpartum depression prevention services to become the official standard of care for all federally-funded health care programs for pregnant women federally.

Fiscal Note: $12,000-$24,000

Resolution: View PDF for Reimbursement for Postpartum Depression Prevention

For More Information, Contact:

Stacey Hettiger , Director
Health Care Delivery
517-336-5732
shettiger@msms.org