All PlansDocumentationMedium impact
Reinforce Prenatal and Postpartum Care to Support Whole Health
BCBS Montana·MT · OB-GYN, Family Medicine, Internal Medicine +1 more·General
Effective date
Apr 16, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross and Blue Shield of Montana is reinforcing HEDIS quality measures for prenatal and postpartum care, emphasizing proper timing of visits, depression screening, and follow-up care. This policy provides guidance on documentation requirements and tips to close care gaps for maternal health services.
Action Required
Immediately: OB-GYN and primary care providers should ensure prenatal visits are scheduled within 14 weeks of gestation and postpartum visits occur between 7-84 days after delivery. Implement depression screening using PHQ-9, PHQ-2, or Edinburgh Postnatal Depression Scale during prenatal and postpartum visits. Document follow-up care within 30 days for positive depression screenings. Update EMR templates to include depression screening tools and ensure telehealth visits are properly documented for HEDIS reporting.