As of January 1st, 2018 UnitedHealthcare Community Plan will no longer provide Medicaid and Long Term Care coverage in Delaware. For questions about 2018 services, members can call their new Health Plan Member Service’s phone number, it is on their ID card. If members have questions related to any services prior to January 1, 2018, members can call United Healthcare Community Plan member services at 1-877-877-8159.
This change doesn’t affect UnitedHealthcare Medicare, including Institutional Special Needs Plan (I-SNP) and Dual Complete Plan (DSNP) or UnitedHealthcare Commercial Plan members.
Healthcare Providers can continue to call Provider Services at 1-800-600-9007. For questions regarding behavioral health, please call 1-877-614-0484. For questions regarding Dental, please call 1-855-609-5152.
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Behavioral Health Resources
UnitedHealthcare Community Plan of Delaware
Primary Care Depression Screening
Depression has an estimated prevalence of 5.4 to 8.9 percent in the U.S. general population1 and affects 5 to 13 percent of patients in primary care settings2. Primary care providers can play an essential role in the detection and treatment of depression by using the program’s Patient Health Questionnaire PHQ-9, and if positive, determining the severity and most suitable treatment plan for their patients.
What is the PHQ-9?
The PHQ-9 is a self-administered, nine-question screening tool that measures depression severity based on scoring thresholds. Check out the Resources area below for printable versions of the PHQ-9 in English and other languages, with scoring instructions and other information to help primary care providers recognize and manage their patients’ depression.
Helping a Patient who Screens Positive for Depression
PCPs can develop a comprehensive treatment plan and determine if treatment in the primary care setting is appropriate, or if a referral to a behavioral health specialist is needed. The care for a patient diagnosed with depression may involve collaboration between primary and behavioral health providers and may consist of referring the patient for psychotherapy, prescribing antidepressants, or a combination of both.
Reimbursement
UnitedHealthcare reimburses care providers for administering the PHQ-9 to your patients by submitting a claim for CPT Code 96127 (Brief emotional/behavioral assessment). Please note the PHQ-9 screening must include scoring and documentation to receive reimbursement.
Sources
1. Narrow WE, Rae DS, Robins LN, et al. Revised prevalence estimates of mental disorders in the United States: using a clinical significance criterion to reconcile 2 surveys’ estimates. Arch Gen Psychiatry. 2002; 59(2):115-123.
2. Coyne JC, Fechner-Bates S, Schwenk TL. Prevalence, nature, and comorbidity of depressive disorders in primary care. Gen Hosp Psychiatry. 1994;16(4):267-276.