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Intimate Partner Violence Screening and Referral by Primary Care Providers for Patients Enrolled in Medicaid

Intimate partner violence—which includes physical, sexual, and psychological abuse—is a serious, preventable public health problem that affects millions of Americans. Primary care providers play a critical role in screening patients for intimate partner violence and referring patients who screen positive to support services. The U.S. Preventive Services Task Force (USPSTF) has a recommendation that clinicians screen for intimate partner violence in women of reproductive age and provide or refer women who screen positive to ongoing support services. Despite this recommendation, primary care providers may encounter barriers to screening—including lack of knowledge, time constraints, and lack of adequate compensation. Medicaid expansion programs must provide coverage of certain preventive services recommended by USPSTF including screening for intimate partner violence, and States may opt to cover this preventive service in their traditional Medicaid programs. However, there are no specific procedure codes for providers to bill for time spent screening for intimate partner violence and making referrals to support services. This evaluation will determine whether and how primary care providers who serve Medicaid enrollees screen for intimate partner violence and make referrals to support services. We also expect this work to identify opportunities to improve these screening and referral practices.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
August 2021 Centers for Medicare and Medicaid Services Intimate Partner Violence Screening and Referral by Primary Care Providers for Patients Enrolled in Medicaid Office of Evaluation and Inspections OEI-03-21-00310 2023