| Txhua Alliance kab ntawm kev lag luam
(Hnub Pib Pib Lub Cuaj Hli 1, 2021 txog Lub Rau Hli 30, 2022) |
|||
|---|---|---|---|
| Siv rau cov tswv cuab txuas rau koj qhov kev coj ua, cov tswv cuab tsis sib txuas (tsis xav tau xa mus) lossis Cov tswv cuab tswj hwm: | |||
| Tshuaj tiv thaiv npe | Kev noj tshuaj | Hnub nyoog Group | CPT Code |
| Afluria® (IIV4)
|
0.5 mL PFS 10-bx * | 3 Xyoo & Laus | 90686 |
| 5ml wb
24.5 mcg / dos |
3 Xyoo & Laus | 90688 | |
| Afluria® Pediatric (IIV4) | 0.25 mL PFS 10-bx * | 6 rau 35 muaj | 90685
90687 |
| Fluad® (IV) | 0.5 mL PFS 10-bx * | 65 xyoo & laus dua | 90694 |
| Fluarix® (IIV4) | 0.5 mL PFS 10-bx * | 6 hli & laus dua | 90686 |
| Flublok® (RIV4) | 0.5 mL PFS 10-bx * | 18 xyoo & laus dua | 90682 |
| Flucelvax® (CCIIV4)
|
0.5 mL PFS 10-bx * | 2 xyoos & laus dua | 90674 |
| 5ml wb
25 mcg / dos |
2 xyoos & laus dua | 90756 | |
| FluLaval® (IIV4) | 0.5 mL PFS 10-bx * | 6 hli & laus dua | 90686 |
| FluMist® (LAIV4) | 0.2 mL tshuaj tsuag 10-bx * | 2a49 xya | 90672 |
| Fluzone® (IIV4)
|
0.5 mL PFS 10-bx * | 6 hli & laus dua | 90686 |
| 0.5 mL SDV 10-bx* | 6 hli & laus dua | 90686 | |
| 5ml wb
25 mcg / dos |
6 rau 35 muaj | 90687 | |
| 5ml wb
25 mcg / dos |
3 Xyoo & Laus | 90688 | |
| Fluzone® High-Dose (IV) | 0.7 mL PFS 10-bx * | 65 xyoo & laus dua | 90662 |
| Cov npe txhaj tshuaj tiv thaiv kab mob | |
|---|---|
| Tshuaj tiv thaiv npe | Kev Tiv Thaiv Lub Npe nrog CVX* |
| Afluria® (IIV4)
|
Influenza, txhaj, quadrivalent, pres dawb (150) |
| Influenza, txhaj, quadrivalent (158) | |
| Afluria® Pediatric (IIV4) | Influenza, injectable, quadrivalent, pres free, ped (161) |
| Fluad® (IV) | Influenza, trivalent, adjuvanted (144) |
| Fluad® (allV4) | Influenza, txhaj, quadrivalent, pres dawb (205) |
| Fluarix® (IIV4) | Influenza, txhaj, quadrivalent, pres dawb (150) |
| Flublok® (RIV4) | Influenza, recombinant, quad, txhaj, pres dawb (185) |
| Flucelvax® (CCIIV4)
|
Influenza, injectable, MDCK, pres free, quadrivalent (171) |
| Influenza, injectable, MDCK, quadrivalent (186) | |
| FluLaval® (IIV4) | Influenza, txhaj, quadrivalent, pres dawb (150) |
| FluMist® (LAIV4) | Influenza, nyob, intranasal, quadrivalent (149) |
| Fluzone® (IIV4)
|
Influenza, txhaj, quadrivalent, pres dawb (150) |
| Influenza, txhaj, quadrivalent, (158) | |
| Fluzone® High-Dose (IV) | Influenza, koob tshuaj ntau lub caij (197, 135) |
* Kho CVX code rau npe txhaj tshuaj tiv thaiv yog xav tau rau Care Based Incentives (CBI).
VFC Program:
Qhov Kev Pabcuam Vaccines for Children (VFC) yog ib qho kev pab cuam los ntawm tseemfwv qibsiab uas muab tshuaj tiv thaiv yam tsis tau them nqi rau cov menyuam uas tsim nyog uas yuav tsis tau txhaj tshuaj tiv thaiv vim tsis muaj peev xwm them taus.
Cov ntaub ntawv ntawm VFC Program:
- Tsuas yog cov menyuam yaus hnub nyoog qis dua 19 xyoos thiaj tsim nyog tau txais kev pabcuam VFC
- Cov menyuam yaus tsim nyog yog tias lawv yog:
- Medicaid tsim nyog LOSSIS,
- Tsis muaj pov hwm OR,
- Tsis muaj pov hwm OR,
- American Indian/Native American
- Thaum siv VFC Tshuag, append modifier SL rau tus lej tshuaj tiv thaiv
- Hloov kho SL qhia tias VFC cov khoom siv tau siv & tsuas yog tso cai them rov qab rau kev tswj hwm tshuaj tiv thaiv.
Raws li Medi-Cal Cov Lus Qhia: “Cov lej txhaj tshuaj Medi-Cal tau them rau cov neeg tau txais kev tsim nyog tau txais cov tshuaj tiv thaiv VFC yuav raug them rov qab tsuas yog hauv cov ntaub ntawv teev tseg ntawm cov tshuaj tiv thaiv tsis txaus, kab mob sib kis, teeb meem xa tshuaj tiv thaiv, lossis cov xwm txheej thaum tus neeg tau txais tsis tau raws li qhov tshwj xeeb. Cov xwm txheej xav tau rau VFC cov tshuaj tiv thaiv tshwj xeeb. Ib tus kws kho mob tsis tuaj koom rau hauv qhov kev pab cuam VFC tsis yog ib qho kev zam. "
Txawm li cas los xij, Alliance yuav ua qhov kev zam rau cov uas tsis yog VFC cov chaw muab kev pab. Yuav ua li cas them nqi:
- Tsis txhob them tus lej CPT nrog SL hloov kho
- Cov ntaub ntawv "tsis yog-VFC" hauv lub thawv 19 ntawm CMS daim ntawv thov lossis lub thawv 80 ntawm UB-04 daim ntawv thov
- Xa daim ntawv thov mus rau CCAH Ceeb Toom: Sharlene Gianopoulos
Cov ntawv thov nyiaj:
Txhua qhov kev thov yuav tsum raug them nqi ntawm UB-04, CMS-1500 lossis lawv qhov sib npaug hauv hluav taws xob.
