Phau Ntawv Qhia Txog Kev Saib Xyuas Menyuam Yaus thiab Cov Hluas

Cov kev txhawb zog raug them rau tus kws kho mob txuas nrog (PCP) txhua xyoo, tom qab lub quarter thib plaub kawg. Yog xav paub ntxiv, saib mus rau lub CBI Technical Specifications.

• Cov tswv cuab tswj hwm thaum kawg ntawm lub sijhawm ntsuas.
• Dual kev pab them nqi cov tswv cuab.
• Cov tswvcuab hauv tsev khomob, tau txais cov kev pabcuam hauv tsev khomob lossis kev saib xyuas palliative, uas tau ntsib kev kho mob palliative lossis tus neeg tuag thaum lub xyoo ntsuas.

Cov ntaub ntawv yuav tsum muaj ib daim ntawv qhia tias kev mus ntsib yog nrog PCP lossis OB/GYN, thiab cov ntaub ntawv pov thawj ntawm tag nrho ntawm cov hauv qab no:

• Keeb kwm kev noj qab haus huv: Kev soj ntsuam ntawm tus tswv cuab keeb kwm ntawm tus kab mob lossis kev mob (kev ua xua, tshuaj, tshuaj tiv thaiv kab mob).
• Keeb kwm kev loj hlob ntawm lub cev: Kev soj ntsuam ntawm tus tswv cuab lub hnub nyoog tshwj xeeb tsim nyog lub cev kev loj hlob tseem ceeb.
• Mental Development History: Kev ntsuam xyuas ntawm cov hnub nyoog tsim nyog rau kev loj hlob ntawm kev puas siab puas ntsws tseem ceeb.
• Kev kuaj lub cev.

Zoo mus xyuas CPT Codes:

• Cov lej CPT rau cov neeg mob tshiab: 99382, 99383, 99384, 99385
• Cov lej CPT ntawm cov neeg mob uas tau tsim tsa: 99392, 99393, 99394, 99395

Zoo mus xyuas ICD-10 Codes:

• Zoo mus xyuas ICD-10 CodesZ00.121, Z00.129, Z00.00, Z00.01
• Ntxiv ICD-10 Codes: Z00.2, Z00.3, Z02.5, Z02.84, Z01.411, Z01.419, Z76.2

Cov Nqi Them Nqi:

• Hnub nyoog 3 txog 17 xyoo: Kev mus ntsib zoo tau them txhua 180 hnub.
  • Kev mus xyuas zoo tsis tas yuav tsum muaj txhua 180 hnub.
• Muaj hnub nyoog kaum yim txog 21 xyoos: Kev mus ntsib zoo tau them ib zaug txhua 12 lub hlis.

Thov xa mus rau American Medical Association (AMA) coding cov lus qhia rau kev them nqi saib xyuas kev noj qab haus huv nrog kev mus ntsib chaw ua haujlwm hauv tib hnub. Tau qhia tias cov ntaub ntawv kho mob yuav xav tau cov ntaub ntawv txhawb nqa los cuam tshuam cov kev pabcuam sab nraud ntawm kev mus ntsib kev noj qab haus huv.

Nco tseg: Cov lej ICD-10 Z uas qhia txog kev mus ntsib kws kho mob tsis suav nrog yog tias lawv nyob rau ntawm daim ntawv thov nrog tus lej chaw pabcuam hauv chaw kuaj mob 81.

Cov ntaub ntawv rau qhov kev ntsuas no yog sau los ntawm kev siv cov ntawv thov, DHCS cov ntawv thov them nqi rau kev pabcuam thiab kev xa cov ntaub ntawv ntawm tus neeg muab kev pabcuam los ntawm Cov Cuab Yeej Xa Cov Ntaub Ntawv (DST) ntawm Tus kws kho mob Portal. Txhawm rau nrhiav qhov khoob hauv cov ntaub ntawv:

• Khiav ib tsab ntawv ceeb toom los ntawm koj qhov Electronic Health Record (EHR) system; los yog
• Manually sau cov ntaub ntawv tus neeg mob. Piv txwv li, rub tawm koj daim ntawv qhia txog Kev Saib Xyuas Menyuam Yaus thiab Cov Hluas txhua hli ntawm Lub Chaw Kho Mob thiab muab piv rau koj cov ntaub ntawv EHR/daim ntawv.

Qhov kev ntsuas no tso cai rau cov kws kho mob xa cov kev mus ntsib kws kho mob los ntawm lub tshuab EHR hauv tsev kho mob lossis cov ntaub ntawv sau rau Lub Koom Haum los ntawm lub sijhawm kawg ntawm daim ntawv cog lus DST. Qhov no suav nrog cov kev mus ntsib kws kho mob uas tau ua tiav ua ntej tus tswv cuab tsim nyog rau Medi-Cal lossis thaum lub sijhawm tsis tau them nqi. Txhawm rau xa, upload cov ntaub ntawv mus rau DST ntawm Tus kws kho mob Portal. Yuav kom txais tau, cov ntaub ntawv yuav tsum xa ua CSV cov ntaub ntawv. Cov lus qhia ib kauj ruam yog kauj ruam muaj nyob rau hauv Cov Ntaub Ntawv Xa Cov Cuab Yeej Qhia ntawm Tus kws kho mob Portal.

• American Academy of Pediatrics (AAP) thiab Bright Futures pom zoo kom mus saib xyuas kev noj qab haus huv txhua xyoo thaum menyuam yaus thiab hluas. Saib cov Bright Futures Lub Sijhawm Sijhawm Ua Haujlwm rau ib lub sij hawm ua tiav mus txog 21 xyoo. Bright Futures tseem muaj cov lus qhia rau thaum yau (1-4 xyoos), nruab nrab thaum yau (5-10 xyoo) thiab tub hluas (11-21 xyoos) mus saib xyuas zoo.
• Siv cov kws pab kho mob los tsim cov ntawv txiav txim tseem tsis tau nyob rau hauv EHR rau txhua qhov kev txhaj tshuaj yuav tsum tau them thaum txhua qhov kev mus ntsib. Tus kws kho mob yuav tsum tau txheeb xyuas daim ntawv txhaj tshuaj tiv thaiv tus kheej thaum mus ntsib yog tias lawv tsis tuaj yeem muab tshuaj tiv thaiv rau tus menyuam. Qhov no yog ib txoj hauv kev los xyuas kom muaj kev ceeb toom rau cov tshuaj tiv thaiv uas xav tau muaj nyob rau hauv txhua qhov kev mus ntsib.
• Leverage tsis muaj cib fim (kev mus ntsib kws kho mob tsis tu ncua thiab kev mus ntsib kws kho mob thaum muaj mob) kom nce cov kev pab tiv thaiv kab mob (kev txhaj tshuaj tiv thaiv kab mob), thiab hloov kev mus ntsib kws kho mob sai sai mus ua kev mus ntsib kws kho mob (kev cob qhia lub cev rau kev ua kis las).
• Teem sijhawm mus ntsib kws kho mob tom ntej ua ntej tus tswvcuab tawm hauv tsev kho mob, suav nrog thaum lawv tuaj ntsib mob.
• Koom tes nrog cov koom haum tseem ceeb hauv zej zog xws li tsev kawm ntawv cov chaw kho mob.
• Saib xyuas Daim Ntawv Qhia Txhua Hli Zoo ntawm lub Tus kws kho mob Portal ua ib qho cuab yeej los txheeb xyuas cov tswv cuab uas yuav tsum tau mus ntsib kws kho mob.
• Tsim ib tus qauv los yog siv cov qauv txheem uas muaj hnub nyoog sib txawv hauv koj daim EHR kom ua tau raws li qhov yuav tsum tau ua ntawm Bright Futures thiab ua rau muaj kev ceeb toom rau kev mus ntsib kws kho mob tom ntej.
• Txhawb kev saib xyuas menyuam yaus nrog rau cov tub ntxhais hluas-phooj ywg cov ntaub ntawv thiab xyuas kom meej tsis pub lwm tus paub los ntawm lub sij hawm sib tham ntiag tug nrog cov tub ntxhais hluas.
• Txhawb nqa tus cwj pwm noj qab haus huv thiab ntsuam xyuas tus cwj pwm pheej hmoo los txheeb xyuas cov xwm txheej uas yuav cuam tshuam rau kev loj hlob ntawm lub cev, kev sib raug zoo thiab kev xav.
• Pab pawg me nyuam yaus thiab cov tub ntxhais hluas mus ntsib kev noj qab haus huv. Qhov no tau pom tias muaj txiaj ntsig zoo ib yam li kev mus ntsib kws kho mob ib leeg: Cov niam txiv tau mus ntsib ntev dua nrog cov ntsiab lus ntau dua, uas cuam tshuam nrog kev taw qhia ntau dua, kev saib xyuas tsev neeg thiab kev txaus siab ntawm cov niam txiv.^[1]
• Txoj kev tom qab-teev hu los ntawm Alliance cov tswv cuab mus rau Alliance Nurse Advice Line: 844-971-8907.

[1] Coker, T., Windon, A., Moreno, C., Schuster, M., Chung, P. Well-Child Care Clinical Practice Redesign for Young Children: A Systematic Review of Strategies and Tools. Pediatrics. Peb Hlis 2013; 131 (Suppl 1): S5–S25.

• Alliance Cultural thiab Linguistic Services muaj rau cov neeg muab kev pabcuam network.
  • Cov Kev Pab Txog Lus - Thov cov ntaub ntawv ntawm 800-700-3874, ext. 5504.
  • Kev Pab Txhais Lus Hauv Xov Tooj - Hu ncaj qha rau tus neeg txhais lus hauv xov tooj 24 teev hauv ib hnub, 7 hnub hauv ib lub lim tiam.
  • Kev Pab Txhais Lus - Thov tau rau lub sijhawm teem tseg nrog tus tswv cuab.
  • Kev Pabcuam Txhais Lus Nyob Deb (VRI) - Thaum tus neeg txhais lus ntawm tus kheej tsis muaj lossis tsis yooj yim rau kev nkag mus.
  • Yog xav paub ntxiv txog Kev Pabcuam Kab lis kev cai thiab hais lus, hu rau Alliance Health Education Line ntawm 800-700-3874, ext. 5580 lossis email rau peb ntawm [email protected].
• Alliance Transportation Services rau cov neeg mob uas muaj teeb meem kev thauj mus los.
  • Yog xav tau kev pab thauj neeg mob uas tsis yog xwm txheej ceev (NEMT), hu rau 800-700-3874, ext. 5640 (TTY: Hu 711).
  • Yog xav tau kev pab thauj mus los uas tsis yog kev kho mob (NMT), hu rau 800-700-3874, ext. 5577 (TTY: Hu 711).
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• Integrating Social Determinants of Health rau hauv Kev Saib Xyuas Kev Noj Qab Haus Huv - Lub neej yav tom ntej.
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• Cov Ntawv Qhia Txog Kev Tshaj Tawm: WellCare rau Cov Me Nyuam thiab Cov Hluas - Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv.