Measurement-Based Care for Minnesota Mental Health Teams
Minnesota clinics report how many people with depression reach a PHQ-9 below 5 six months after starting care. HiBoop makes that follow-up score easier to get: the PHQ-9, PHQ-A and other scales go out by email or QR code, are scored when the client submits, and land on one chart per client, for primary care, psychiatry and behavioural health teams from the Twin Cities to the Arrowhead. US account data is hosted in Google Cloud US regions.
Minnesota Already Counts Depression Remission
Under Minnesota Statutes section 62U.02 and Minnesota Rules chapter 4654, physician clinics submit data on a standard set of quality measures that the Minnesota Department of Health (MDH) reports publicly. For the 2026 report year, two of the six clinic measures are about mental health: Depression Remission at Six Months for adults and adolescents, and Adolescent Mental Health and/or Depression Screening.
The remission measure is built entirely on the PHQ-9. A person aged 12 or older enters it when a PHQ-9, or the adolescent PHQ-9M, PHQ-9A or PHQ-A, scores above 9 alongside a diagnosis of major depression or dysthymia. They count as in remission if a score below 5 is recorded six months later, give or take 60 days. Psychiatry and behavioural health are among the eligible specialties, and licensed psychologists, LICSWs, LPCCs and LMFTs count when supervised by a physician. The score can be taken up to seven days before the visit, which is what makes pre-visit questionnaires practical.
The hard part is rarely the first score. It is getting a second one six months later from someone who may have stopped coming in. HiBoop sends the follow-up to the client's phone, scores it on arrival and shows it next to the baseline. It does not submit data to MDH or to MN Community Measurement; your clinic's reporting stays with you.
Remission at Six Months
PHQ-9 above 9 at the index visit, below 5 six months later, ages 12 and up
Adolescent Screening
A PHQ-9 or PHQ-A among the tools counted at well-child visits for ages 12 to 17
A Funded 988 System
A 12-cent monthly fee per phone line pays for Minnesota's 988 crisis system
How HiBoop Supports Minnesota Clinics
Minnesota measures depression outcomes in public, keeps its own Health Records Act, and funds a statewide crisis line. HiBoop takes care of collecting and scoring the questionnaires; interpreting them stays with your clinicians.
The Six-Month Score, Requested on Time
Set a follow-up PHQ-9 to go out around the six-month mark after an index visit. The client answers on their phone, and the score is waiting in their chart whether or not they have a visit booked.
Baseline and Follow-Up Side by Side
Each client's chart puts the index score, every repeat and the latest result on one line, so it is clear at a glance who has reached a score under 5 and who has not. The numbers inform the care plan; your clinicians make the call.
Your Own Data, Exportable
Export score histories as CSV for your quality team's own checks, or as a PDF for the record. HiBoop does not send anything to MDH or MNCM on your behalf.
PHQ-A for Teenagers
The PHQ-A counts for both the adolescent screening measure and the remission measure. Send it ahead of a well-child or follow-up visit, alongside the SCARED for anxiety and the CRAFFT-2.1 for substance use.
Screening Out Bipolar Disorder
People with bipolar disorder are excluded from the remission measure. The MDQ sits in the same library, so a clinician can screen for it before deciding which pathway a client belongs on.
Clinics, Systems and Group Practices
Team and Network plans bring every clinician into one account, with role-based permissions so care managers, therapists and physicians each see the caseloads their role needs.
Mental health in Minnesota
Research data
Each figure below links to the source it comes from.
22.6%
of Minnesota adults had any mental illness in the past year (model-based annual average, 2023-2024)
24.9%
of Minnesota adults received mental health treatment in the past year (2024)
12.4%
of Minnesotans aged 12 to 17 had serious thoughts of suicide in the past year (annual average, 2023-2024)
Research from Minnesota
Collaborative care across a state
In the DIAMOND initiative, 75 Minnesota primary care clinics were trained in seven components of collaborative care; physician leaders reported the share of depression practice systems in place rising from 24.4% at baseline to 57.0% after one year and 55.9% after two.
Solberg et al., Implementation Science, 2013 PMID 24238225
PHQ-9 response over time
Among people in Mayo Clinic primary care who reached remission, a PHQ-9 below 5, six months after enrolling in DIAMOND collaborative care, improvement was evident by the first month and more pronounced in those who started with severe depression.
Angstman et al., Journal of Primary Care & Community Health, 2012 PMID 23803774
Enrolment and language access
In a large Minnesota primary care practice, 7,561 people met DIAMOND enrolment criteria (a depression diagnosis and a PHQ-9 of 10 or more); 18.2% of those needing an interpreter enrolled, compared with 47.2% of English-proficient people.
Njeru et al., International Journal of Mental Health Systems, 2016 PMID 26933447
Reach of collaborative care
Using insurer data for primary care clinics across Minnesota from 2008 to 2011, DIAMOND did not change rates of depression diagnosis or coding, and its overall reach was small, though enrolled people had more episodes of treatment intensification.
Rossom et al., Medical Care, 2016 PMID 27479596
Minnesota Measures, Rules and Funding
HiBoop is not affiliated with MDH, MN Community Measurement or the state's health plans, and it does not submit data to them. These are the pieces of Minnesota's system that shape measurement in a clinic.
Depression Remission at Six Months
Required reportingOne of six physician clinic measures in the Statewide Quality Reporting and Measurement System for the 2026 report year. It follows adults and adolescents with major depression or dysthymia from a PHQ-9 above 9 to a score below 5 six months later, with bipolar disorder and psychotic disorders excluded.
PHQ-9 and PHQ-AAges 12 and upPublicly reportedAdolescent Mental Health and/or Depression Screening
Ages 12 to 17The share of adolescents with a well-child visit who completed a mental health or depression screening tool with the result documented in the record. The PHQ-9 and its adolescent versions are among the accepted tools.
Well-child visitsDocumented resultPrimary careMinnesota Rules, Chapter 4654
Quality ruleThe rule requires physician clinics and hospitals to submit data on the quality measures, and limits health plans to requesting measures from the standardized set. MDH reviews the measures every year; in January 2026 it kept the clinic requirements unchanged for the 2026 report year.
Statute 62U.02Annual reviewMDH988 Telecommunications Fee
12 cents a monthMinnesota charges each phone line a monthly fee to create, run and maintain a statewide 988 suicide prevention and crisis system, under Minnesota Statutes section 145.561. Prepaid wireless purchases carry a matching 988 fee per transaction.
988Crisis systemStatute 145.561
Where Minnesota Clinics Work
HiBoop works in any browser, so a six-month follow-up reaches a client in Minneapolis or on the Iron Range the same way.
Minneapolis and Saint Paul
HealthPartners Institute researchers led much of the published evaluation of DIAMOND, Minnesota's statewide collaborative care initiative for depression.
Rochester
Mayo Clinic primary care took part in DIAMOND, and its researchers have published PHQ-9 response curves for people who reached remission.
Duluth and the Arrowhead
Across long distances in the northeast, scales sent by email let clients complete a follow-up without a trip to the clinic.
St. Cloud and Central Minnesota
Clinics here report to the same statewide measures as metro clinics, so the six-month PHQ-9 matters just as much.
Southern Minnesota
For practices around Mankato and the southern farm counties, QR codes at the front desk make intake scales quick to collect.
Northwest and the Red River Valley
Telehealth caseloads near Moorhead and Bemidji can collect a PHQ-9 before each video visit, so the score is ready when the session starts.
Data sovereignty
Regions hereOther regionsLow CO₂ (Google)Local guides
Hosted in the United States
HiBoop runs on Google Cloud, and US customers' data is hosted in Google Cloud US regions. These are Google's regions in the United States. Google Cloud locations
Google Cloud regions
- Council Bluffs, Iowa Low CO₂ · 88% carbon-free
us-central1 - Moncks Corner, South Carolina
us-east1 - Ashburn, Virginia
us-east4 - Columbus, Ohio
us-east5 - Dallas, Texas Low CO₂ · 83% carbon-free
us-south1 - The Dalles, Oregon Low CO₂ · 83% carbon-free
us-west1 - Los Angeles, California
us-west2 - Salt Lake City, Utah
us-west3 - Las Vegas, Nevada
us-west4
Low CO₂ is Google's label for a region that ran on carbon-free energy at least 75% of the time in 2025. Google's figures
- Council Bluffs, Iowa Low CO₂ · 88% carbon-free
Why Minnesota clinics choose HiBoop
Why Minnesota Clinics Use HiBoop
- Data for US accounts held in Google Cloud US regions, encrypted while stored and while moving
- A BAA for covered entities and an independent SOC 2 Type II audit behind it
- Each time client data is viewed or exported, the access log records it
- A single clinician can start on Care at $25/month, billed monthly, with no card on file
- Questionnaires reach clients by email or a printed QR code, and work on any phone
USD pricing & support
Transparent pricing in USD with flexible payment options for clinics of every size.
CareOne clinician, monthly billing$25USD/monthTeamStarting price for unlimited clinicians$200USD/monthNetworkHealth systems and multi-site groupsCustomEnterprise pricing
100+ validated scales for Minnesota clinics
Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.
Depression, Anxiety and Suicide Risk
- PHQ-9 (Depression)
- GAD-7 (Anxiety)
- C-SSRS Screener (Suicide Risk)
Adolescents
- PHQ-A (Adolescent Depression)
- SCARED (Child Anxiety)
- CRAFFT-2.1 (Adolescent Substance Use)
Substance Use, Trauma and Bipolar Screening
- ASSIST (Substance Involvement)
- PC-PTSD-5 (PTSD Screen)
- MDQ (Bipolar Screen)
The Minnesota Health Records Act
Minnesota's Health Records Act, sections 144.291 to 144.298, sets consent rules for releasing records that go beyond HIPAA in places. The duties sit with your organization, and no product can certify them; HiBoop gives you the controls to carry them out.
Minnesota's requirements
- Release a client's records only with their signed and dated consent, specific authorization in Minnesota law, or a representation from a provider that holds such a consent (section 144.293, subdivision 2)
- Treat a consent as valid for one year, or for the period it states or another period set by Minnesota law
- Where Minnesota law lets you release records without consent, document the release in the client's record
- Apply HIPAA's safeguards and breach rules, and keep a business associate agreement with each vendor holding protected health information
What HiBoop offers
- A business associate agreement for covered entities, in place before data is entered
- Google Cloud US hosting for US accounts, with encryption in storage and in transit
- An access log of views and exports, and permissions tied to each person's role
- SOC 2 Type II certification; our trust page explains the controls
Doing due diligence on HiBoop?
Our trust page explains where data is hosted, how it is encrypted and who can reach it, along with our SOC 2 Type II certification. Get in touch for a BAA or a security questionnaire.
Grants & funding for Minnesota mental health clinics
Funding Guide
Public and private funding programs that support measurement-based care implementation.
- Tech eligible
Minnesota Department of Human Services (DHS)
Minnesota DHS — Behavioral Health Innovation Fund
Minnesota DHS administers behavioral health innovation grants to improve care quality and access, including technology adoption. Minnesota has an active CCBHC program with state enhancement payments. Outcome measurement tools are explicitly required in CCBHC standards, making MBC platforms eligible infrastructure.
Up to $500KLearn more - Tech eligible
SAMHSA — Substance Abuse and Mental Health Services Administration
Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants
SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.
$1M–$5M/yearLearn more - Tech eligible
SAMHSA
Mental Health Block Grant (MHBG)
States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.
State-distributedLearn more - Tech eligible
SAMHSA
Primary and Behavioral Health Care Integration (PIPBHC)
SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.
$500K–$900K/yearLearn more - Tech eligible
HRSA — Health Resources and Services Administration
Rural Health Network Development Program
HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.
$250K–$500K/yearLearn more - Tech eligible
HRSA
Behavioral Health Workforce Development Program
Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.
$250K–$1MLearn more
Resources for Minnesota practitioners
Billing guides, compliance documentation, and clinical practice resources.
- DepressionPHQ-9 Clinical Guide
Severity bands, the score of 5 that marks remission, and item 9
- AdolescentsPHQ-A Guide
The adolescent version accepted by Minnesota's screening and remission measures
- BillingCPT 99492 and Collaborative Care
The national codes for collaborative care months and the time they require
- LibraryThe Full Scale Library
All HiBoop assessments, each with scoring and references
Minnesota Measurement, Privacy and Funding Sources
Official bodies, clinical guidelines, and regulatory references. Minnesota.
- Depression Care: Remission at Six Months, measure specifications
Minnesota Department of Health
Who is counted, which PHQ versions qualify, and the six-month window.
- Adolescent Mental Health and/or Depression Screening, measure specifications
Minnesota Department of Health
The adolescent screening measure for ages 12 to 17 and the tools it accepts.
- Health Care Quality Measures rule update
Minnesota Department of Health
How Minnesota Rules chapter 4654 requires clinics and hospitals to report, and the annual review.
- Minnesota Statutes, section 62U.02
Office of the Revisor of Statutes
The law directing the commissioner of health to set statewide quality measures.
- Minnesota Statutes, section 144.293
Office of the Revisor of Statutes
The Health Records Act's rules on consent, its duration and documenting releases.
- Minnesota Statutes, section 145.561
Office of the Revisor of Statutes
The 988 suicide prevention and crisis system and its telecommunications fee.
- Quality Measures: 2026 Report Year
Minnesota Department of Health
The six physician clinic measures for the 2026 report year, two of them on mental health.
- Minnesota Statutes, section 144.343
Office of the Revisor of Statutes
The services, including alcohol and other drug abuse care, to which any minor may consent.
- Minnesota Statutes, section 403.161
Office of the Revisor of Statutes
The 988 fee charged on each prepaid wireless purchase.
Latest in mental health in California
Recent news, research, and policy from trusted sources.
- ResearchEnhancing a Behavioral Intervention Using Rest-Activity Rhythm Monitoring via a Consumer Wearable in Older Dementia Caregivers and People With Dementia: Feasibility and Acceptability Study.
Stahl ST, Rodakowski J, Patira R — JMIR formative research
JMIR formative research
- ResearchChanges in social connection, physical activity, and positive psychological attributes associated with grief-related symptoms and depression among bereaved older women during COVID-19.
Goveas JS, Ray RM, Pai M — Death studies
Death studies
- ResearchTranslation Validation, Software Adaptation, and Usability Testing of a Spanish Contraception Decision Tool: Protocol for a Mixed Methods Pilot Study.
Kang MM, Perez A, Brooks-Greisen A — JMIR research protocols
JMIR research protocols
- ResearchSmartphone-Based Passive Sensing of Activity Levels and Behavioral Activation During Psychosocial Interventions for Older Adults With Depression: Longitudinal Observational Study.
Kim S, Bein O, Carter E — Journal of medical Internet research
Journal of medical Internet research
- ResearchPatient and Provider Perspective of Cranioelectrical Stimulation for the Management of Persistent Mild Traumatic Brain Injury Symptoms in Veterans and Service Members.
Skop KM, Kern M, Ingram A — Military medicine
Military medicine
- FundingRFK Jr. presents $700 million in mental health funding, but experts say grants aren’t new
RFK Jr. presents $700 million in mental health funding, but experts say grants aren’t new STAT
STAT
Crisis and urgent help lines
If someone is in immediate danger, call 911. HiBoop is not a crisis service.
Emergency
For a life-threatening emergency, call emergency services first.
Suicide & Crisis Lifeline (988)
24/7/365
Crisis Text Line
24/7
Veterans Crisis Line
24/7
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Measurement-based care
…starts with what we measure, and how long.
Send your first check-in today, with your own assessments and clients. For teams, we set up your assessments and schedules with you. Prefer a guided start? You can book a walkthrough on the next page.
Start- Everything in HiBoop, by workflow, and what shipped lately.Features
- 100+ validated measures, with scoring guides and sources.Assessments
Frequently Asked Questions
Do Minnesota clinics have to report depression outcomes?
Physician clinics do. Under Minnesota Rules chapter 4654, they submit data on the statewide quality measures, and for the 2026 report year these include Depression Remission at Six Months, built on the PHQ-9 and its adolescent versions. Whether a particular behavioural health practice must report depends on how it is set up, so check with MDH or your quality team.
Does HiBoop send our data to MN Community Measurement or MDH?
No. HiBoop has no connection to MDH, MNCM or health plans. It collects and scores the PHQ-9 and other scales and keeps each client's history; your team exports the data and handles any submission itself.
Which PHQ versions count for Minnesota's measures?
The specifications accept the PHQ-9 and the adolescent versions labelled PHQ-9M, PHQ-9A or PHQ-A. HiBoop offers the PHQ-9 and the PHQ-A. The adolescent screening measure also accepts other tools listed in its specification.
How long is a records consent valid in Minnesota?
Under section 144.293 of the Health Records Act, a consent is valid for one year unless it states a different period or Minnesota law sets one. HiBoop is HIPAA compliant and signs a BAA; whether a given release is allowed is for your organization and its counsel to decide.
Official sources for Minnesota
Billing and payment routes
- 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
- 2.CMS Physician Fee Schedule look-up · fee schedule
- 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program
Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.
Regulators and licensing
Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.