DHCS APL 22-011 – Prop 56 Direction Payments for Family Planning Services
DHCS tau muab cov lus qhia tshiab txog kev them nyiaj ncaj qha, tau txais nyiaj los ntawm California Healthcare, Kev Tshawb Fawb thiab Kev Tiv Thaiv Kev Haus Luam Yeeb Txoj Cai Xyoo 2016 (Txoj Cai 56), rau kev muab cov kev pab cuam npaj rau tsev neeg nrog cov hnub ua haujlwm rau lossis tom qab Lub Xya Hli 1, 2019.
Lub Alliance tseem yuav them cov kws kho mob uas muaj ntawv cog lus thiab tsis muaj ntawv cog lus ib yam nkaus thiab tas li ntxiv nyiaj ntxiv rau cov kev pab cuam npaj rau tsev neeg (cov npe hauv qab no) muab rau Medi-Cal tus neeg saib xyuas uas tsis muaj cai tau txais Medi-Cal ob zaug. thiab Medicare Tshooj B (tsis hais txog kev tso npe rau hauv Medicare Tshooj A lossis Tshooj D) nrog cov hnub ua haujlwm rau lossis tom qab Lub Xya Hli 1, 2019, raws li CMS tau pom zoo ua ntej rau qhov kev pabcuam no, uas yuav muaj nyob rau ntawm DHCS' Directed Payments Program lub vev xaib raws li CMS pom zoo.
Cov nyiaj daus las tsis zoo ntxiv ntawm cov nyiaj them ncaj qha txawv raws li txoj cai:
| Txheej Txheem Cai | Kev piav qhia | Uniform Dollar Add-on Amount | Hnub Ua Haujlwm |
| j7294 ua | CONTRACEPTIVE VAGINAL RING: SEGESTERONE ACETATE THIAB ETHINYL ESTRADIOL | $301.00 | 1/1/2022 - Ua Tsaug |
| j7295 ua | CONTRACEPTIVE VAGINAL RING: ETHINYL ESTRADIOL thiab ETONOGESTREL | $301.00 | 1/1/2022 - Ua Tsaug |
| j7296 ua | LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG | $2,727.00 | 7/1/2019 - Ua Tsaug |
| j7297 ua | LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG | $2,053.00 | 7/1/2019 - Ua Tsaug |
| j7298 ua | LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG | $2,727.00 | 7/1/2019 - Ua Tsaug |
| j7300 ua | INTRAUTERINE tooj liab CONTRACEPTIVE | $2,426.00 | 7/1/2019 - Ua Tsaug |
| j7301 ua | LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG | $2,271.00 | 7/1/2019 - Ua Tsaug |
| j7303 ua | CONTRACEPTIVE VAGINAL RING | $301.00 | 7/1/2019 – 12/31/2021 |
| j7304 ua | CONTRACEPTIVE PATCH | $110.00 | 7/1/2019 – 12/31/2021 |
| j7304 ua | CONTRACEPTIVE PATCH: NORELGESTROMIN THIAB ETHINYL ESTRADIOL | $110.00 | 1/1/2022 - Ua Tsaug |
| j7304u 2 | CONTRACEPTIVE PATCH: LEVONORGESTREL THIAB ETHINYL ESTRADIOL | $110.00 | 1/1/2022 - Ua Tsaug |
| j7307 ua | ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL & SPL | $2,671.00 | 7/1/2019 - Ua Tsaug |
| j3490u 5 | TSEEM CEEB: ULIPRISTAL ACETATE 30 mg | $72.00 | 7/1/2019 - Ua Tsaug |
| j3490u 6 | LEVONORGESTREL 0.75 MG (2) & 1.5 MG (1) | $50.00 | 7/1/2019 - Ua Tsaug |
| j3490u 8 | DEPO-PROVERA | $340.00 | 7/1/2019 - Ua Tsaug |
| 11976 | Tshem tawm CONTRACEPTIVE CAPSULE | $399.00 | 7/1/2019 - Ua Tsaug |
| 11981 | INSERT DRUG IMPLANT Device | $835.00 | 7/1/2019 - Ua Tsaug |
| 58300 | INSERT INTRAUTERINE Device | $673.00 | 7/1/2019 - Ua Tsaug |
| 58301 | Tshem tawm INTRAUTERINE Device | $195.00 | 7/1/2019 - Ua Tsaug |
| 55250 | Kev tshem tawm ntawm Sperm DUCT (S) | $521.00 | 7/1/2019 - Ua Tsaug |
| 58340 | CATHETER RAU HYSTERROGRAPHY | $371.00 | 7/1/2019 - Ua Tsaug |
| 58555 | HYSTEROSCOPY DX SEP PROC | $322.00 | 7/1/2019 – 12/31/2019 |
| 58565 | HYSTEROSCOPY STERILIZATION | $1,476.00 | 7/1/2019 – 12/31/2019 |
| 58600 | DIVISION NTAWM FALLOPIAN TUBE | $1,515.00 | 7/1/2019 - Ua Tsaug |
| 58615 | OCCLUDE FALLOPIAN TUBE(S) | $1,115.00 | 7/1/2019 - Ua Tsaug |
| 58661 | LAPAROSCOPY tshem tawm ADNEXA | $978.00 | 7/1/2019 - Ua Tsaug |
| 58670 | LAPAROSCOPY TUBAL CAUTERY | $843.00 | 7/1/2019 - Ua Tsaug |
| 58671 | LAPAROSCOPY TUBAL BLOCK | $892.00 | 7/1/2019 - Ua Tsaug |
| 58700 | KEV TXAUS SIAB RAU FALLOPIAN TUBE | $1,216.00 | 7/1/2019 - Ua Tsaug |
| 81025 | URINE PREGNANGY TEST | $6.00 | 7/1/2019 - Ua Tsaug |
