MedicaidBilling CodesMedium impact
All Provider Bulletin 405: Perinatal Depression Screening and Depression Screening for Infant Caregivers
MassHealth·MA · OB-GYN, Family Medicine, Pediatrics +1 more·Provider Bulletin
Effective date
Aug 19, 2025
We identified it
Jun 18, 2026
Summary
MassHealth now requires depression screening for perinatal members (pregnancy through 12 months postpartum) and infant caregivers at pediatric visits. New billing code S3005 effective August 19, 2025, with specific modifiers for positive/negative screens.
Action Required
By August 19, 2025: Update billing system to include new code S3005 for perinatal depression screening with modifiers U1 (positive screen) and U2 (negative screen). Update existing code 96110 with UD modifier for infant caregiver depression screening. Train providers on mandatory screening requirements at prenatal, postpartum, and pediatric visits (1-month to 12-month). Update encounter forms to prompt for depression screening documentation.