Tsev > Rau Cov Kev Pabcuam > Tswj Kev Kho Mob > Kev Pabcuam Pharmacy

Kev Pabcuam Pharmacy

Lub Alliance's Pharmacy philosophy yog qhia los ntawm cov qauv hauv zej zog ntawm kev coj noj coj ua zoo tshaj plaws. Cov ntaub ntawv pov thawj-raws li kev soj ntsuam ntawm cov tshuaj ua tau zoo thiab kev nyab xeeb, ua ke nrog kev txheeb xyuas cov txiaj ntsig zoo rau cov tshuaj uas muaj cov haujlwm zoo sib xws, txiav txim siab ob qho tib si cov qauv tsim ntawm cov tshuaj sib txawv nrog rau cov txheej txheem rau kev tso cai ntawm cov tshuaj tsis yog tshuaj thiab Cov Tshuaj Kho Mob.

Lub Alliance cov chaw muag tshuaj ua haujlwm rau kev muab cov kev pabcuam tshuaj rau cov tswvcuab tau piav qhia hauv qab no thiab hauv Txoj Cai 403-1101 – Pharmacy Operations Management.

Medi-Cal

Tag nrho cov kev pabcuam hauv khw muag tshuaj tau them nqi raws li a tsev muag tshuaj thov yog ib qho txiaj ntsig raws li Medi-Cal Rx, qhov kev pab cuam Medi-Cal Fee-For-Service (FFS), suav nrog:

Cov tshuaj kho mob sab nraud (tshwj xeeb thiab hauv khw muag khoom).
Tus kws kho mob-tswj tshuaj (PADs).
Enteral khoom noj khoom haus.
Cov khoom siv kho mob.

Medi-Cal Rx tsis suav nrog cov kev pabcuam hauv khw muag tshuaj uas tau them nqi raws li a kho mob (kev tshaj lij) lossis kev thov hauv tsev. Rau Tus Kws Kho Mob-Tswj Tshuaj uas tau them raws li daim ntawv thov kho mob, saib Tus kws kho mob-tswj tshuaj.

Nthuav tag nrho

Nrhiav Medi-Cal Rx Pharmacy

Cov ntaub ntawv them nqi kho mob

Cov tswvcuab yuav tsum nqa lawv Daim Npav Nyiaj Pov Hwm (BIC) los ntawm Medi-Cal mus rau lub tsev muag tshuaj nrog lawv cov ntawv sau. Alliance daim npav qhia tsis tuaj yeem siv rau kev them nqi Medi-Cal Rx.

BIN	PCN	Pab pawg
022659	6334225	MediCalRx
Medi-Cal Rx Chaw Pabcuam Cov Neeg Siv Khoom: 800-977-2273

Thov nco ntsoov: Qhov no tsis cuam tshuam rau IHSS cov tswv cuab. Cov tswv cuab IHSS tuaj yeem siv lawv daim npav Alliance ID txuas ntxiv.

Medi-Cal Rx Daim Ntawv Teev Npe Tshuaj thiab Daim Ntawv Thov Kev Tso Cai Ua Ntej

Daim ntawv teev cov tshuaj them rau Medi-Cal Rx, lossis Daim Ntawv Cog Lus Tshuaj (CDL), muaj nyob rau ntawm Medi-Cal Rx lub vev xaib. Qee lub tsev muag tshuaj thiab cov khoom siv kho mob yuav tsum tau tso cai ua ntej (PA). Kev thov kev tso cai ua ntej yuav tsum raug xa mus rau Medi-Cal Rx ntawm ib qho ntawm cov hauv qab no:

Medi-Cal Rx Chaw Kho Mob Portal.
CoverMyMeds® (CMM).
Tus Fax: 800-869-4325.
Teb Chaws Asmeskas (US) Mail:
- Medi-Cal Rx Chaw Pabcuam Cov Neeg Siv Khoom
  ATTN: Tus Muab Kev Pab PA Thov
  TIAB SA 730
  Rancho Cordova, CA 95741-0730
NCPDP P4 – Thov xwb.

Medi-Cal Rx PA Daim Ntawv Thov thiab cov ntaub ntawv ntxiv muaj nyob rau ntawm Medi-Cal Rx lub vev xaib los yog hu rau Medi-Cal Rx ntawm 800-977-2273.

Kev xa khoom kub ceev ntawm 14-hnub muab khoom

Hu rau Medi-Cal Rx

Alliance Care IHSS

Lub Alliance tau koom tes nrog MedImpact, Tus Thawj Saib Xyuas Tshuaj Kho Mob (PBM), txhawm rau ua cov ntaub ntawv thov hauv tsev muag tshuaj thiab thov kev tso cai ua ntej rau Alliance Care IHSS cov tswv cuab.

Rau cov kws kho mob-tswj cov tshuaj uas raug nqi raws li a thov kho mob, saib Tus kws kho mob-tswj tshuaj.

Nrhiav MedImpact Pharmacy

Daim Ntawv Qhia Tshuaj

Cov txiaj ntsig ntawm daim ntawv tshuaj tiag tiag

MedImpact's MedPrescription service muab cov kws kho mob nrog cov tswv cuab tshwj xeeb cov ntawv sau tshuaj, keeb kwm tshuaj thiab cov ntaub ntawv qhia txog kev tsim nyog. Cov txiaj ntsig ntawm Daim Ntawv Tso Cai Tiag Tiag tso cai rau cov kws kho mob saib cov tswv cuab tshwj xeeb cov tshuaj, cov nqi thiab cov txiaj ntsig zoo xws li kev tso cai ua ntej lossis txwv kom muaj nuj nqis, cov nqi kho mob qis dua thiab cov khw muag tshuaj nyiam. Cov ntaub ntawv ntxiv muaj nyob rau ntawm MedImpact lub vev xaib.

Thov tso cai ua ntej

Cov tshuaj uas tsis tau them rau ntawm daim ntawv teev npe, lossis cov tshuaj hauv cov qauv nrog kev txwv xws li kev tso cai ua ntej (PA), kev kho cov kauj ruam lossis txwv kom muaj nuj nqis yuav xav tau kev tso cai ua ntej los txiav txim qhov kev pab them nqi kho mob. Yog xav paub ntxiv, thov saib Txoj Cai 403-1103 - Pharmacy Authorization Request Process Review thiab Txoj Cai 403-1128 Lwm Cov Tshuaj Tsis Siv Tshuaj. Thaum thov kev tso cai ua ntej rau cov npe tshuaj uas muaj cov khoom sib npaug, a MedWatch Form mus rau Food and Drug Administration (FDA) tej zaum yuav tsum tau. Yog xav paub ntxiv, thov saib Txoj Cai 403-1112 – Therapeutic Equivalence of Generic Drugs.

Cov ntawv thov kev tso cai ua ntej, suav nrog cov qauv kev zam thiab cov lus thov zam rau kev kho cov kauj ruam, yuav tsum xa mus rau MedImpact, tsis yog rau Alliance.

Yog faxed los yog xa ntawv, thov kev tso cai ua ntej yuav tsum tau xa tuaj rau ntawm Daim Ntawv Qhia Tshuaj Ua Ntej Kev Tso Cai lossis Therapy Therapy Exception Request Form (California Form 61-211). Kev xa rau lwm daim ntawv yuav tsis txais.

Xa Daim Ntawv Tso Cai Ua Ntej

Kev thov PA yuav tsum raug xa mus rau MedImpact ntawm cov hauv qab no:

Tus Fax: 858-790-7100.
MedImpact ePA Program.
Teb Chaws Asmeskas (US) Mail:

MedImpact Healthcare Systems, Inc.

10181 Scripps Gateway Court

San Diego, CA 92131

Cov ntaub ntawv ntxiv ntawm ePA Program muaj nyob rau ntawm MedImpact lub vev xaib los yog hu rau MedImpact ntawm 800-788-2949.

Tom qab Sijhawm Nkag Nkag thiab Kev Pabcuam Thaum Muaj Xwm Ceev

Kev nkag tau 24-teev yog muab los ntawm ib lub tsev muag tshuaj 24-teev uas tau cog lus nrog Alliance's Pharmacy Benefit Manager (PBM), MedImpact. Tam sim no, nkag mus rau 24-teev cov khw muag tshuaj muaj nyob hauv Santa Cruz (Kev ywj pheej) thiab Monterey (Salinas thiab Seaside) cov nroog. Txhawm rau nrhiav lub tsev muag tshuaj, tshawb hauv MedImpact's Pharmacy Directory.

MedImpact tau tso cai nkag mus rau kev tshaj tawm rau tsib hnub thaum muaj xwm txheej ceev ntawm cov tshuaj yog tias lub tsev muag tshuaj hais tias nws yog qhov xwm txheej ceev. Lub Alliance yuav tau txais thiab rov qab tshuaj xyuas ib daim ntawv tshaj tawm txog txhua qhov xwm txheej kub ntxhov los ntawm MedImpact. MedImpact tuaj yeem hu rau ntawm 800-788-2949.

MedImpact Direct Tshwj Xeeb

Lub Alliance muaj lub chaw muag tshuaj tshwj xeeb hu ua MedImpact Direct Specialty. Cov tshuaj tshwj xeeb yuav tsum tau muab ntim rau hauv lub tsev muag tshuaj hauv MedImpact Direct Specialty network. Cov tshuaj tshwj xeeb no tau pom nyob rau hauv cov qauv nrog "SP" cim.

Cov ntawv xa mus rau cov tshuaj tshwj xeeb yuav tsum raug xa mus rau MedImpact Direct Specialty. MedImpact Direct Specialty yuav xa cov neeg xa mus, nrog rau cov tswv cuab cov txiaj ntsig thiab cov ntaub ntawv tsim nyog, mus rau lub tsev muag tshuaj tshwj xeeb network.

Yuav Xa Cov Lus Qhia Tshwj Xeeb Li Cas

Fax rau MedImpact Direct Specialty Referral Form (uas tuaj yeem rub tawm los ntawm MedImpact lub vev xaib) thiab ib daim ntawv theej ntawm tus neeg mob daim ntawv pov hwm thiab chaw ua haujlwm, yog tias tsim nyog, mus rau 888-807-5716.

Yog xav paub ntxiv txog MedImpact Direct Specialty, mus saib hauv MedImpact Nplooj Kev Xa Khoom Hauv Tsev los yog hu rau 877-391-1103 (Hnub Monday txog Friday, 5 teev sawv ntxov txog 5 teev tsaus ntuj).

Mail Order Pharmacy

Hu rau MedImpact

Tus kws kho mob-tswj tshuaj (rau Medi-Cal thiab IHSS)

Cov txheej txheem tswj xyuas cov txiaj ntsig tshuaj rau Tus Kws Kho Mob / Chaw Tswj Xyuas Tshuaj (PADs) tau them nqi raws li daim ntawv thov kho mob tau teev tseg hauv Txoj Cai 403-1104 - Lub Hom Phiaj, Kev Tsim Kho thiab Kev Ua Haujlwm ntawm Pawg Kws Tshuaj & Kho Mob thiab Txoj Cai 403-1141 – Tus kws kho mob/cov chaw tswj xyuas cov tshuaj uas yuav tsum tau muaj kev tso cai ua ntej. Alliance Pharmacy and Therapeutics (P&T) Committee ntsib peb lub hlis twg los tshuaj xyuas thiab hloov kho Alliance Tus Kws Kho Mob-Tswj Tshuaj Sau Npe, cov txheej xwm kho mob, txwv thiab lwm cov txheej txheem tswj xyuas cov txiaj ntsig tshuaj.

Qee tus kws kho mob/cov chaw tswj xyuas cov tshuaj (PADs) tau them nqi raws li a kev thov kho mob Tej zaum yuav xav tau kev tso cai ua ntej (PA) los ntawm Alliance.

Kev Tso Cai Ua Ntej thiab Cov Cai

Kev tso cai ua ntej (PA). yog ua raws li cov lus pom zoo ntawm Pawg Kws Tshuaj thiab Kho Mob. Yog tias tus kws kho mob-tswj tshuaj uas xav tau kev tso cai ua ntej tsis muaj cov txheej txheem PA, nws yuav raug tshuaj xyuas rau qhov tsim nyog kho mob raws li Alliance cov cai, nrog rau cov qauv lees paub hauv lub tebchaws.

Kev zam rau PADs uas tsis nyob hauv Daim Ntawv Qhia Tshuaj Kho Mob, tsis ua raws li kev txwv lossis tshaj qhov txwv yuav xav tau kev tso cai ua ntej thiab yuav raug tshuaj xyuas txog qhov tsim nyog kho mob. Yog xav paub ntxiv txog cov txheej txheem tshuaj xyuas kev tso cai rau PADs, thov saib Txoj Cai 403-1141 – Tus kws kho mob/Facility-Administered Drugs Yuav tsum tau kev tso cai ua ntej.

Biosimilar

Lub Alliance nyiam siv Biosimilar tshaj nws cov khoom lag luam biologic counterpart. Yog xav paub ntxiv, thov mus saib Txoj Cai 403-1142 - Biosimilars.

Synagis

Rau cov neeg muab kev pabcuam uas xav tswj hwm Synagis hauv lawv lub chaw haujlwm, lub Synagis Daim Ntawv Qhia Txog Kev Xav Tau Kho Mob yuav tsum tau xa nrog rau daim ntawv thov kev tso cai ua ntej. Lub Alliance yuav them rau Synagis rau cov tswv cuab uas ua tau raws li Cov Cai ntawm Kev Siv tau teev tseg hauv Txoj Cai 403-1120 – Sib.

Tus Kws Kho Mob-Tswj Tshuaj Txhaum Cai Tau Txais Tus Nqi-For-Service Medi-Cal

Rau cov tswv cuab ntawm Medi-Cal, Alliance tsis them cov tshuaj siv rau kev kho mob HIV/AIDS/Hepatitis B, cawv thiab tshuaj tua kab mob heroin detoxification thiab dependency, cocotting factor disorder thiab antipsychotic tshuaj teev nyob rau hauv "Capitated/Noncapitated Drugs" nyob rau hauv lub MCP: County Organized Health System (COHS) seem nyob rau hauv Tshooj 1 ntawm Phau Ntawv Qhia Medi-Cal. Cov tshuaj carved-out los yog tsis-capitated cov tshuaj no yuav tsum tau them rau Fee-For-Service (FFS) Medi-Cal. Yog xav paub ntxiv, saib lub Nqe Kev Them Nqi thiab Them Rov Qab.

Xa Daim Ntawv Tso Cai Thov rau Tus Kws Kho Mob-Tswj Tshuaj

Daim ntawv tso cai thov rau cov kws kho mob-tswj tshuaj uas tau sau nqi raws li a kev thov kho mob tuaj yeem xa mus rau Alliance los ntawm cov txheej txheem hauv qab no. Kev xa daim ntawv thov PA yog nyiam los ntawm Alliance Portal. Yog faxed los yog xa ntawv, thov kev tso cai ua ntej yuav tsum tau xa tuaj rau ntawm Daim Ntawv Thov Kev Tso Cai Siv Tshuaj Ua Ntej los yog Daim Ntawv Thov Kev Tso Cai Kho Mob (TAR). rau tag nrho cov tswv cuab ntawm Alliance.

Xa daim ntawv thov kev tso cai rau tus kws kho mob-tswj tshuaj uas tau them raws li daim ntawv thov kev kho mob los ntawm:

Lub Alliance Provider Portal (xav tau).
Tus Fax: 831-430-5851.
Teb Chaws Asmeskas (US) Mail:
Central California Alliance for Health
Department Services – Pharmacy
PO Box 660012
Scotts Valley, CA 95067-0012

Yog tias koj muaj lus nug txog kev thov kev tso cai sai sai, thov hu rau Alliance Pharmacy Department ntawm 831-430-5507 lossis 800-700-3874, ext. 5507. Cov sijhawm ua haujlwm yog hnub Monday-Friday, 8 teev sawv ntxov txog 5 teev tsaus ntuj, tsis suav cov hnub so.

Txhawm rau ua kom tiav daim ntawv tso cai ua ntej, all ntawm cov ntaub ntawv hauv qab no yuav tsum tau muab:

Tus tswv cuab lub npe, tus lej ID thiab DOB.
Thov tus kws kho mob lub npe thiab cov ntaub ntawv tiv tauj.
Cov lus piav qhia ntawm cov tshuaj thov los yog yam khoom. Koj yuav tsum suav nrog Healthcare Common Procedure Coding System (HCPCS) code yog hais tias thov ib tug kws kho mob lossis chaw muab tshuaj.
Tus kws kho mob lub npe, NPI, chaw nyob, tus xov tooj thiab tus fax.
Tus kws kho mob lub npe, NPI, chaw nyob, tus xov tooj thiab tus fax xov tooj (yog tias txawv ntawm tus kws kho mob).
Kev kuaj mob (lossis ICD code) uas feem ntau piav qhia qhov tseeb rau cov tshuaj. Thov suav tag nrho cov kev kuaj mob ntsig txog kev kho mob rau kev tshuaj xyuas.
Ntau qhov thov rau ib tus thawj coj lossis ib hnub ntawm kev pabcuam (DOS).
Tus naj npawb ntawm kev tswj hwm lossis DOS thov.
Cov lus qhia rau kev siv.
Lub sijhawm xav tau ntawm kev kho mob.
Cov ntaub ntawv ntawm cov ntaub ntawv kho mob tsim nyog uas txhawb nqa qhov tsim nyog kho mob ntawm cov tshuaj thov lossis cov khoom, suav nrog:
- Lwm yam tshuaj los yog kev kho mob rau qhov kev qhia no uas twb tau sim thiab ua tsis tiav. Thov suav nrog cov txiaj ntsig tau li cas.
- Vim li cas cov kev xaiv uas nyiam siv tsis tuaj yeem siv.
- Txhua yam ntaub ntawv ntxiv los txhawb kev kuaj mob thiab kev kho mob kom raug, xws li kev kuaj pom thiab cov kws kho mob tshwj xeeb.

Cov ntaub ntawv tsis tiav thiab/lossis tsis raug cai yuav raug tsis lees paub lossis muab pov tseg.

Yog xav paub ntxiv txog cov txheej txheem tshuaj xyuas kev tso cai, thov saib Txoj Cai 403-1103 – Pharmacy Authorization Request Process Review.

Daim Ntawv Thov Kev Tso Cai Ua Ntej thiab Lwm Daim Ntawv Thov

Daim Ntawv Thov Kev Tso Cai Siv Tshuaj Ua Ntej.
Daim Ntawv Thov Kev Tso Cai Kho Mob (TAR). (PADs nkaus xwb).

Hauv cov xwm txheej hauv qab no, suav nrog cov ntawv tshwj xeeb rau chav kho mob lossis tshuaj nrog cov ntawv PA lossis TAR saum toj no lossis Alliance Portal kev xa. Kev xa cov ntaub ntawv ntxiv no ua rau cov txheej txheem tshuaj xyuas sai dua thiab ua haujlwm tau zoo.

Cov ntaub ntawv tso cai ua ntej thov rau Cov Tshuaj Txhaj Tshuaj: Siv daim foos no rau kev kho mob, HCPCS J-code thov thiab lwm yam kev thov tshuaj IV uas tau tswj hwm los ntawm tus kws kho mob / tsev kho mob.
Synagis nqe lus hais txog kev xav tau kev kho mob: Siv qhov no yog Synagis yuav tsum tau tswj hwm hauv tsev kho mob / chaw muab kev pabcuam. Lub Alliance yuav them rau Synagis rau cov tswv cuab uas ua tau raws li Cov Cai ntawm Kev Siv tau teev tseg hauv Txoj Cai 403-1120 – Sib.

Kev tu ncua txuas ntxiv rau cov tswv cuab tshiab

Yog tias cov tswvcuab tshiab raug kho nrog tshuaj thaum lub sijhawm lawv tso npe nrog txoj kev npaj, Alliance yuav ua haujlwm nrog Alliance cov kws kho mob kom ntseeg tau tias cov tswvcuab tau txais kev saib xyuas txuas ntxiv nrog lawv cov kev pabcuam tshuaj.

Yog xav paub ntxiv txog kev saib xyuas txuas ntxiv rau cov tswv cuab tshiab, thov saib Txoj Cai 403-1114 – Kev Kho Mob Ntxiv rau Cov Tswv Cuab Tshiab.

Kev Them Nqi thiab Kev Them Nyiaj Rov Qab

Kev Them Nqi thiab Kev Them Nyiaj Rov Qab Rau Cov Tshuaj Txhaum Cai Rau Tus Nqi-For-Service Medi-Cal

Rau cov tswv cuab Medi-Cal, Lub Alliance tsis them cov tshuaj siv rau kev kho mob HIV/AIDS/Hepatitis B, cawv thiab tshuaj tua kab mob heroin detoxification thiab dependency, clotting factor disorder thiab antipsychotic tshuaj teev nyob rau hauv "Capitated/Noncapitated Drugs" nyob rau hauv lub MCP: County Organized Health System (COHS) ntu hauv Tshooj 1 ntawm Medi-Cal Phau Ntawv Qhia. Cov tshuaj carved-out los yog tsis-capitated cov tshuaj no yuav tsum tau them rau Fee-For-Service (FFS) Medi-Cal. Cov txheej txheem rau Nqi-Rau-Service reimbursement rau carved-out tshuaj muaj nyob rau ntawm Medi-Cal Phau Ntawv Qhia.

Kev them nyiaj rov qab rau cov tshuaj khib nyiab

Yog xav paub txog kev them nqi tshuaj pov tseg, thov saib Txoj Cai 403-1146 – Kev them nyiaj rov qab rau cov tshuaj khib nyiab.

Alliance 340B Pharmacy Program

Yog xav paub txog kev them nqi rau cov tshuaj yuav nyob rau hauv qhov kev pab cuam 340B, thov mus saib Txoj Cai 403-1145- Pharmacy 340B Program.

Cov ntaub ntawv ntxiv

Tshuaj Xyuas Kev Siv Tshuaj (DUR)

Lub Alliance ua haujlwm DUR cov kev pab cuam los qhia cov kws kho mob thiab kws muag tshuaj kom paub cov qauv zoo dua thiab txo qhov zaus ntawm kev dag ntxias, kev tsim txom, kev siv ntau dhau, thiab kev saib xyuas tsis tsim nyog lossis kev kho mob tsis tsim nyog. Qhov kev zov me nyuam siv rau cov kws kho mob, kws muag tshuaj thiab cov neeg mob, thiab kev dag lossis kev tsim txom cuam tshuam nrog cov tshuaj tshwj xeeb lossis pab pawg tshuaj. Yog xav paub ntxiv txog DUR txoj haujlwm, thov saib Txoj Cai 403-1143 – Tshuaj Xyuas Kev Siv Tshuaj.

Opioid DUR

Lub Alliance tau tsim cov cai hauv kev koom tes nrog cov neeg koom nrog sab hauv thiab sab nraud los pab kom muaj kev nyab xeeb thiab tsim nyog siv cov tshuaj opioid.

Rau Alliance Care IHSS cov tswv cuab, Alliance yuav tso cai rau cov ntawv sau tshuaj opioid thaum ntau dua lossis sib npaug rau 90% ntawm cov hnub cov ntawv sau tshuaj. Qhov kev thov rov qab ntxiv tom ntej, rau thaum tsawg dua 90% ntawm cov hnub 'kev muab tshuaj opioid tau dhau mus, yuav xav tau kev tso cai ua ntej nrog kev pom zoo kho mob rau kev rov qab ua ntej. Rau cov tswv cuab Medi-Cal, thov xa mus rau qhov Medi-Cal Rx lub vev xaib. Yog xav paub ntxiv txog cov txheej txheem tshuaj xyuas kev siv tshuaj opioid, thov saib Txoj Cai 403-1139 - Kev Tshuaj Xyuas Kev Siv Tshuaj Opioid.

DHCS Medi-Cal DUR Cov Ntawv Qhia Kev Kawm

Thov saib cov ntawv qhia kev kawm ntawm lub Medi-Cal Rx DUR lub vev xaib.

2024

2023

Cov ntawv qhia kev kawm ntawv Archived tau teev nyob rau hauv DUR Archived Educational Articles nplooj ntawv.

Enteral Nutrition Product Benefits

Cov khoom noj khoom haus nkag mus thiab cov khoom noj khoom haus parenteral uas raug nqi raws li lub tsev muag tshuaj thov tau hloov pauv los ntawm Alliance lub tsev muag tshuaj pab rau Medi-Cal Rx rau Medi-Cal cov tswv cuab. Cov qauv khoom noj nkag mus, suav nrog kev txhawb nqa khoom noj khoom haus (tube pub) cov qauv, cov khoom noj khoom haus hauv qhov ncauj thiab cov qauv me nyuam mos tshwj xeeb, tsuas yog them rau ntawm lub tsev muag tshuaj. Xa mus rau Daim ntawv teev cov khoom noj khoom haus uas tau them rau ntawm Medi-Cal Rx lub vev xaib. Kev tso cai ua ntej thov rau cov khoom noj khoom haus nkag mus rau hauv cov khoom noj uas raug nqi raws li daim ntawv thov tsev muag tshuaj yuav tsum xa mus rau Medi-Cal Rx. Yog xav paub ntxiv txog Medi-Cal Rx, mus saib peb Tshooj Medi-Cal.

Rau lwm cov khoom noj khoom haus enteral thiab cov khoom noj khoom haus parenteral uas raug nqi raws li daim ntawv thov kho mob, yuav tsum tau tso cai ua ntej xa mus rau Alliance. Kev thov kev tso cai ua ntej tuaj yeem xa los ntawm tus kws kho mob lossis kws kho mob thiab tuaj yeem xa los ntawm Tus kws kho mob Portal los yog fax mus rau Lub Chaw Saib Xyuas Kev Tso Cai Ua Ntej ntawm 831-430-5506. Daim ntawv luam ntawm cov ntawv sau tshuaj thiab cov ntawv sau tsis ntev los no uas qhia meej txog tus tswv cuab qhov kev kuaj mob thiab kev kho mob xav tau ntawm cov khoom raug tshuaj yuav tsum raug xa mus. Cov txheej txheem uas Alliance siv los tshuaj xyuas cov ntawv thov kev tso cai rau kev kho mob uas tsim nyog tau teev tseg hauv Txoj Cai 403-1136 – Cov khoom noj khoom haus Enteral.

Thov suav nrog cov hauv qab no thaum xa daim ntawv tso cai ua ntej:

Daim ntawv luam ntawm tus kws kho mob cov tshuaj.
Ua tiav daim ntawv thov kev tso cai ua ntej.
Daim ntawv qhia tsis ntev los no sau tseg uas hais txog qhov kev lees paub kho mob vim li cas tus tswv cuab tsis tuaj yeem ua tau raws li nws cov kev xav tau kev noj haus nrog cov qauv lossis cov khoom noj muaj zog.
Daim duab loj hlob rau cov menyuam yaus lossis keeb kwm hnyav hnyav rau cov neeg laus.

Kev kho mob noj haus

Kev Kho Mob Noj Qab Haus Huv Kev Kho Mob (MNT) yog muab los ntawm Tus Neeg Noj Qab Haus Huv Kev Noj Qab Haus Huv (RD) yog ib qho txiaj ntsig them rau tag nrho cov kab kev lag luam rau cov tswv cuab uas ua tau raws li qhov tsim nyog. Lub Alliance yuav them rau MNT rau cov kev kho mob uas tsim nyog thaum tus kws kho mob (MD), Kws Kho Mob Osteopathic Medicine (DO), Tus Kws Kho Mob Tus Pabcuam (PA), Tus Kws Kho Mob (NP), Cov Neeg Noj Qab Haus Huv (RD) lossis tus kws kho mob tsis muaj ntawv cog lus. Txhawm rau kom tus kws kho mob tau txais kev them nyiaj rau cov kev pab cuam, yuav tsum muaj kev tso cai ua ntej, thiab cov kev pabcuam yuav tsum tau ua los ntawm tus kws kho mob sau npe. A Thov Kev Tso Cai Kho Mob yuav tsum xa mus rau kev tso cai los ntawm Tus Muab Kev Pabcuam Portal lossis faxed mus rau Lub Tsev Haujlwm Saib Xyuas Kev Tso Cai Ua Ntej ntawm 831-430-5850 (831-430-5515 rau cov neeg xa mus hauv zos). Yog muaj lus nug, hu rau Alliance Registered Dietitian ntawm 831-430-5507.

Cov neeg muab kev pabcuam muab MNT rau Alliance cov tswvcuab yuav tsum siv cov lej hauv qab no rau kev tso cai thiab thov them nyiaj:

CPT-4 Code 97802 - MNT, kev ntsuam xyuas thawj zaug thiab kev cuam tshuam, tus kheej, ntsib ntsej muag nrog tus neeg mob, txhua 15 feeb.
CPT-4 Code 97803 - MNT, rov ntsuam xyuas thiab kev cuam tshuam, tus kheej, ntsib ntsej muag nrog tus neeg mob, txhua 15 feeb.
CPT-4 Code 97804 - MNT, pab pawg (2 lossis ntau tus neeg), txhua 30 feeb.
CPT-4-Code G0270 - MNT: kev ntsuam xyuas thiab kev cuam tshuam tom qab (cov) kev cuam tshuam tom qab kev xa mus thib ob hauv tib lub xyoo rau kev hloov pauv hauv kev kuaj mob, kev kho mob, lossis kev kho mob (nrog rau cov sij hawm ntxiv uas xav tau rau tus kab mob hauv lub raum), tus neeg, ntsib ntsej muag nrog rau tus neeg mob, txhua 15 feeb.
CPT-4-Code G0271 - MNT, rov ntsuam xyuas thiab kev cuam tshuam tom qab (cov) kev cuam tshuam tom qab kev xa mus thib ob hauv tib lub xyoo rau kev hloov pauv hauv kev kuaj mob, kev kho mob, lossis kev kho mob (nrog rau cov sij hawm ntxiv uas xav tau rau tus kab mob raum), pab pawg (2 lossis ntau tus neeg) , txhua 30 feeb.
HCPC Code S9470 - Kev Sib Tham Txog Kev Noj Qab Haus Huv, mus ntsib kws kho mob, txhua 15 feeb.
CPT-4 Code T1014 - Telehealth yog muaj.

Kev them nyiaj MNT ib xyoos twg yog txwv rau qhov siab tshaj plaws ntawm 3 teev rau thawj xyoo thiab 2 teev rau ib xyoo hauv xyoo tom ntej. Rau cov sij hawm MNT ntxiv dhau qhov kev txwv siv tau hais los saum toj no, daim ntawv thov kev tso cai tshiab nrog cov ntaub ntawv txhawb nqa yuav tsum raug xa mus rau Alliance txhawm rau tshuaj xyuas.

Cov xwm txheej muaj xws li tab sis tsis txwv rau:

Pediatric rog nrog BMI> 95 feem pua.
Mob qog noj ntshav nrog qhov hnyav hnyav.
Pre/post bariatric phais.
Cov xwm txheej impairing digestion thiab absorption.
Cov xwm txheej tsis hnyav lossis poob phaus tsis xav tau.

Saib cov Kev Kho Mob Noj Zaub Mov Therapy Quick Reference Guide kom paub meej. Yog xav paub ntxiv thiab cov npe ntawm cov kev tsim nyog ntawm MNT, thov mus saib Txoj Cai 403-1149 – Kev kho mob noj haus.

Tshuaj thiab Sharps pov tseg

Hu rau Pharmacy Department

Xov tooj: 831-430-5507
Fax: 831-430-5851
Monday-Friday, 8 teev sawv ntxov txog 5 teev tsaus ntuj

Tswj Kev Kho Mob

Kev Pabcuam Pharmacy

Medi-Cal

Alliance Care IHSS

Xa Daim Ntawv Tso Cai Ua Ntej

Tus kws kho mob-tswj tshuaj (rau Medi-Cal thiab IHSS)

Kev Them Nqi thiab Kev Them Nyiaj Rov Qab Rau Cov Tshuaj Txhaum Cai Rau Tus Nqi-For-Service Medi-Cal

Alliance 340B Pharmacy Program

Cov ntaub ntawv ntxiv

Opioid DUR

DHCS Medi-Cal DUR Cov Ntawv Qhia Kev Kawm

Hu rau Pharmacy Department

Pharmacy Resources

Muab Kev Pabcuam

Xov Xwm Tshaj Tawm Tshiab

Kev hloov tshiab tseem ceeb: kev ua haujlwm ncua ib ntus rau kev thov

Tus Muab Kev Digest | Tshooj 63

Koom nrog hauv Alliance D-SNP network!

Cov ntaub ntawv kaw tseg hauv webinar muaj: 2025 WCM nthuav dav, Mariposa thiab San Benito cov nroog

Tus Muab Kev Digest | Qhov teeb meem 62

Tau txais kev pab

Kev Pabcuam Tswvcuab

Lub Alliance

Cov cuab yeej siv tau yooj yim