Kev Pab Txhawb Me Nyuam Noj Mis thiab Cov Nyiaj Pab Taub Mis
Lub Alliance muab kev nkag mus rau kev kawm pub niam mis, kev txhawb nqa thiab kev xa mus rau cov niam tshiab.
Lub Alliance npog txog li ob mus ntsib nrog ib lub chaw saib xyuas kev noj qab haus huv hauv tsev thiab ob teev nrog International Board Certified Lactation Consultant (IBCLC) sab nraum lub tsev kho mob (kev kawm hauv tus neeg mob lactation yog suav nrog hauv tsev kho mob per-diem). Rau ib daim ntawv teev npe tam sim no ntawm cov chaw muab kev pom zoo, thov xa mus rau International Board Certified Lactation Consultant thiab Cov Chaw Muag Khoom Siv Lub Cev.
Cov tswv cuab tsim nyog tau txais lub twj tso kua mis pub dawb yog tias:
- Leej niam lossis tus menyuam muaj teeb meem kho mob uas tiv thaiv kev tu mob ntawm lub mis.
- Niam rov qab mus ua haujlwm lossis tsev kawm ntawv thiab xav pub niam mis ntxiv.
Cov lus hauv qab no qhia txog cov txiaj ntsig, kev tso cai thiab cov lej them nqi rau Alliance cov tswv cuab pub niam mis. Koj tseem tuaj yeem saib cov ntawv luam tawm ntawm lub Kev pab pub mis niam thiab cov twj tso kua mis niam cov txiaj ntsig piav qhia thiab International Board Certified Lactation Consultants thiab Lub Tuam Txhab Muag Khoom Muag.
Kev pab pub mis niam thiab cov twj tso kua mis mis cov ntaub ntawv | |||
Tau txais txiaj ntsig | Kev piav qhia | Tso cai | Cov lej nyiaj |
Lactation adviser mus ntsib |
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Tsis muaj RAF lossis TAR xav tau rau 4 units hauv 12 lub hlis rau tag nrho ob (2) teev.
Xa los ntawm tus kws kho mob, tus kws tshaj lij hauv nruab nrab, tus kws saib xyuas neeg mob uas muaj ntawv pov thawj, tus neeg ua haujlwm Alliance lossis tus neeg xa mus rau tus kheej. |
CPT: Z5023* nrog rau qhov tsim nyog ICD-10 kuaj kab mob los ntawm pawg O91, O92, P92, Z39 lossis Dx Code R63.3
Reimbursed ntawm $45.74 ib 30-feeb unit. Txwv rau ob (2) 30-feeb units ib zaug. |
Thawj tus nais maum mus ntsib tom tsev, tom qab yug me nyuam |
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Yuav tsum muaj TAR, ib (1) mus ntsib ib hnub, tshwj tsis yog thaum cov kev pab cuam ua ke nrog qhov kev ntsuam xyuas thawj zaug lossis rau lub hlis. suav nrog cov khoom siv los ua ib feem ntawm kev mus ntsib kev kho mob.
Tsis txwv tus naj npawb ntawm kev mus ntsib txhua hnub. Tsis tas yuav TAR, ib (1) hnub txwv. |
Lub teb chaws HCPCS code G0300 yuav tsum tau them nrog cov nyiaj tau los code 0551, kws kho mob / mus ntsib. Tus qauv them rov qab ntawm $74.86.
National CPT-4 code 99501, mus ntsib tom tsev rau kev soj ntsuam tom qab yug menyuam thiab kev saib xyuas tom qab lossis 99502, mus ntsib tsev rau kev saib xyuas menyuam mos thiab kev ntsuam xyuas yuav tsum tau them nrog cov nyiaj tau los code 0580. Tus qauv them rov qab ntawm $74.86. |
Rov qab mus ntsib kws saib xyuas neeg mob hauv tsev kom pom muaj teeb meem pub mis niam |
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Tsis muaj RAF lossis TAR xav tau rau ib (1) mus ntsib hauv 12 lub hlis. Tus kws saib xyuas neeg mob hauv tsev yuav xaj thaum thawj zaug mus ntsib tom tsev, yog tias xav tau. | CPT: Z5021 * nrog rau kev tsim nyog ICD-10.
Dx Code Z39.1. Reimbursed ntawm $80. |
Tus kheej siv lub tshuab nqus mis, yuav khoom |
Lus Qhia Cia:
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Tsis xav tau kev xa mus lossis kev tso cai thov.*
Kev txiav txim los ntawm tus kws kho mob, tus kws tshaj lij theem nrab, tus kws saib xyuas neeg mob muaj ntawv pov thawj lossis IBCLC. Kev them nyiaj rov qab rau cov chaw muag tshuaj cog lus, cov neeg muag khoom kho mob cog lus lossis cov kws pab tswv yim pub mis pom zoo nkaus xwb. |
CPT: E0603 nrog rau kev tsim nyog ICD-10 Dx code Z39.1.
Modifier: NU. Kev them nyiaj rov qab ntawm 80% ntawm MSRP lossis txog li $250, qhov twg tsawg dua. |
Lub tsev kho mob qib hluav taws xob lub mis twj tso kua mis, xauj tsev txhua hnub | Raws li Txoj Cai Lij Choj 405-2214 - Cov txiaj ntsig kev txhawb nqa pub mis niam, cov qauv thiab kev txhawb nqa, kev xauj tsev txhua hnub ntawm lub tsev kho mob qib lub twj tso kua mis yuav raug them thaum tsim nyog kho mob. Cov xwm txheej no suav nrog, tab sis tsis txwv rau:
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Daim ntawv thov kev tso cai tsuas yog xav tau yog tias kev xauj tsev mus txuas ntxiv dhau 60 hnub.
Daim ntawv thov kev tso cai yuav tsum muaj cov ntaub ntawv qhia txog kev xav tau kev kho mob, tus me nyuam hnub yug thiab lub sij hawm uas tau thov. Daim ntawv tso cai pom zoo yuav qhia txog lub sijhawm txwv raws li kev mob nkeeg. Kev txiav txim los ntawm tus kws kho mob, tus kws tshaj lij theem nrab, tus kws saib xyuas neeg mob muaj ntawv pov thawj lossis IBCLC. |
CPT: E0604 nrog rau kev tsim nyog ICD-10 Dx Code Z39.1.
Modifier: RR. Reimbursed ntawm $2.72 ib hnub (suav nrog se). Tej zaum yuav raug them nrog E0602 (saib hauv qab). Thaum yav tas los them cov nqi xauj tsev sib npaug ntawm cov ntaub ntawv muag khoom ntawm tus nqi xauj tsev, cov khoom raug txiav txim siab tau yuav thiab yuav tsis them rov qab rau tus neeg muab kev pab ntxiv [raws li Title 22. Seem 51321(C)]. |
Cov khoom siv rau tsev kho mob qib twj tso kua mis los yog phau ntawv lub twj tso kua mis, yuav |
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Tsis xav tau kev xa mus lossis kev tso cai.
Kev txiav txim los ntawm tus kws kho mob, tus kws tshaj lij theem nrab, tus kws yug menyuam lossis IBCLC. |
CPT: E0602** nrog rau kev tsim nyog ICD-10 Dx Code Z39.1.
Modifier: NU. Reimbursed ntawm tus nqi muag khoom ntxiv rau se yog tias tus nqi txuas nrog, lossis ntawm tus nqi kwv yees yog tias tsis muaj nqi xa. Cov khoom siv yuav raug them ua ke nrog E0604. |
Lwm yam khoom siv kho mob rau kev tswj lactation thiab kev txhawb nqa, yuav khoom | Xws li txiv mis shields thiab cream.
Tsis suav nrog rooj tog, hauv ncoo lossis txaj pw. |
Qhia los ntawm kws kho mob, tus kws tshaj lij theem nrab lossis tus kws yug menyuam. Tsis muaj kev xa mus lossis kev tso cai thov rau cov khoom siv no. | CPT: A9900 nrog rau kev tsim nyog ICD-10 Dx code Z39.1.
Modifier: NU. Reimbursed ntawm cov khw muag khoom ntxiv rau se yog tias tus nqi txuas nrog, lossis ntawm tus nqi kwv yees yog tias tsis muaj nqi xa tuaj. |
Hloov lub mis twj tso kua mis rau lactation tswj thiab kev txhawb nqa, yuav | Xws li:
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TAR yuav tsum raug xa mus, ua pov thawj qhov xav tau rau cov khoom siv lub mis uas yuav tsum tau hloov thiab tsis tuaj yeem them rov qab thaum muab rau tib lub hlis ntawm kev pabcuam raws li cov twj tso kua mis E0602 thiab E0603. | CPT: A4281, A4282, A4283, A4284, A4285 thiab A4286 nrog rau qhov tsim nyog ICD-10 Dx code Z39.1.
Modifier: NU. Reimbursed ntawm cov khw muag khoom ntxiv rau se yog tias tus nqi txuas nrog, lossis ntawm tus nqi kwv yees yog tias tsis muaj nqi xa tuaj. |
* Cov tswv cuab Alliance tsim nyog tau txais ib lub twj tso kua mis tus kheej txhua peb xyoos. Yog tias xav tau lub twj tso kua mis thib ob thaum lub sijhawm peb xyoos, daim ntawv thov kev tso cai yuav tsum raug xa nrog cov ntaub ntawv hais txog vim li cas lub twj tso kua mis thawj zaug siv tsis tau.
**Raws li Medi-Cal phau ntawv, E0602 tej zaum yuav raug siv los sau nqi ib lub twj tso kua mis los yog lub twj tso kua mis. |
Alliance-Approved Breast Pump Vendors
Txhua Cov Khoom Siv Kho Mob Ua Si (DME) cov neeg muag khoom uas muaj tus lej Medi-Cal tus kws kho mob tuaj yeem muab lub twj tso kua mis rau cov tswv cuab Alliance uas tau pub mis niam thiab ua tau raws li qhov xav tau kev kho mob lossis cov uas rov qab mus ua haujlwm lossis tsev kawm ntawv. Tsis tas yuav tsum tau muab tshuaj thiab tsuas yog ib lub twj tso kua mis xwb yuav muab faib txhua peb xyoos. Cov tswv cuab yuav tsum muaj daim ntawv sau los yog tsab ntawv los ntawm tus kws kho mob, tus kws tshaj lij theem nrab, tus kws saib xyuas neeg mob muaj ntawv pov thawj lossis IBCLC. Cov ntawv sau rau cov twj tso kua mis yuav tsum muaj cov ntaub ntawv hauv qab no cov tswv cuab:
- Alliance ID naj npawb.
- Chaw nyob.
- Tus xov tooj.
- Hnub xa khoom.
Cov tswv cuab kuj tuaj yeem hu rau Alliance Health Education Line ntawm 800-700-3874, ext. 5580 yog xav paub ntxiv txog kev pub niam mis thiab kev nkag mus rau lub twj tso kua mis li cas. Cov npe hauv qab no ntawm cov neeg muag khoom niaj hnub muab cov twj tso kua mis rau cov tswv cuab ntawm Alliance.
Alliance-Approved Breast Pump Vendor List | |||
Cheeb Nroog Santa Cruz | |||
Horsnyder Pharmacy
1226 Soquel Ave., Santa Cruz, CA 95062 Xovtooj: 831-458-1400 Tus Fax: 831-458-1401 Tus Fax: 831-534-7052
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Watsonville Pharmacy
1433 Freedom Blvd., Watsonville, CA 95076 Xovtooj: 831-728-1818 Tus Fax: 831-728-8678 |
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Cheeb Nroog Monterey | |||
Robin Didoszak, IBCLC
Expressed Luv Xovtooj: 831-869-9308 * Lactation / Pump kev sab laj |
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Cheeb Nroog Merced | |||
Merced Medical Supply
1827 Canal St., Merced, CA 95340 Xov tooj: 209-722-3832 Tus Fax: 209-722-2779
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Emily Bernard, BSPsy, IBCLC Ua Ntej & Tom Qab Me Nyuam
2239 Bailey Ave., Merced, CA 95341, UA Xovtooj: 209-631-8511 Tus Fax: 209-379-4218 * Lactation / Pump kev sab laj |
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DME Cov Npe Muag Khoom Pabcuam rau tag nrho 3 Lub Nroog / Xa Ntawv Xa Ntawv nkaus xwb | |||
Advance Home Medical*
Xovtooj: 800-230-4761 Xovtooj: 909-569-9013 Tus Fax: 888-518-7568
* Raws li kev thov, tuaj yeem muab cov roj teeb pob. |
Simply Mam*
Xovtooj: 844-470-7867 Tus Fax: 855-552-1461 * Raws li kev thov, tuaj yeem muab cov roj teeb pob lossis lub tsheb adapter. |
Shield Healthcare
Xov tooj: 800-675-8842, xaiv xaiv 1. Lub Nroog Santa Cruz Fax: 925-256-1639 Monterey thiab Merced counties Fax: 559-449-4257 |
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International Board Certified Lactation Consultants
IBCLCs muab kev tswj hwm kev pub niam mis rau menyuam thiab kev txhawb nqa dav dav thaum tsim nyog. IBCLCs tsis xav tau Medi-Cal tus xov tooj los sau nqi rau cov kev pabcuam. Kev xa mus rau tus kws kho mob tsis tsim nyog. Cov tswv cuab tuaj yeem xa lawv tus kheej rau cov kev pabcuam lactation.
Cov kws kho mob hauv qab no tau pom zoo los muab kev sab laj lactation rau Alliance cov tswv cuab thaum tsim nyog kho mob.
Yog tias koj yog IBCLC uas xav muab kev pabcuam rau cov tswvcuab Alliance, thov hu rau Alliance Health Education Line ntawm 800-700-3874, ext. 5580 ua.
Alliance-Approved Lactation Consultant Providers | |||
Cheeb Nroog Santa Cruz | |||
Willow Merchant, RN, IBCLC*
Xovtooj: 650-862-9336 *Santa Cruz Roob nkaus xwb - Boulder Creek, Ben Lomond, Felton thiab Bonny Doon (mus ntsib hauv tsev). |
Sutter Maternity Surgery Center - Lactation Center*
2900 Chanticleer Ave., Santa Cruz, CA 95065 Tus Xov Tooj: Tus Xov Tooj Xa Ntawv (Fax): * Kev sib tham txog kev pub niam mis thiab pab pawg txhawb kev pub niam mis. |
Salud Para La Gente*
45 Neilson St. Tus Xov Tooj: Tus Xov Tooj Xa Ntawv (Fax): * Txuas cov tswv cuab nkaus xwb. |
Watsonville Tsev Kho Mob Outpatient Clinic*
75 Neilson St., Watsonville, CA 95076 Chaw Tus Xov Tooj: Tus Xov Tooj Xa Ntawv (Fax): * Txuas cov tswv cuab nkaus xwb. |
Cheeb Nroog Monterey | |||
Natividad Medical Center Outpatient Clinic
1441 Constitution Blvd., Salinas, CA 93906 Xovtooj: 831-796-1652 Tus Fax: 831-751-0607 |
Robin Didoszak, IBCLC*
Expressed Luv Xovtooj: 831-869-9308 * Kev sib tham txog lactation / twj tso kua mis |
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Cheeb Nroog Merced | |||
Emily Bernard, BSPsy, IBCLC
Ua ntej & Tom Qab Me Nyuam 2239 Bailey Ave., Merced, CA 95341, UA Xovtooj: 209-631-8511 Tus Fax: 209-379-4218 * Kev sib tham txog lactation / twj tso kua mis |
Kev them nqi
Cov kev pabcuam thiab cov khoom siv tau teev tseg yuav raug them nqi raws li leej niam lossis tus menyuam uas yog tus tswvcuab Alliance tam sim no. Kev txwv kev them nqi siv rau lub tsev niam/tus menyuam.
Thov nco ntsoov tias cov kev pabcuam kev tshaj lij, kev xauj tsev, khoom siv thiab cov khoom siv khomob ruaj khov (DME) tsis tuaj yeem raug xa mus rau Medi-Cal rau tus nqi ntau dua li qhov raug them rau pej xeem, raws li Title XXII.
Yog hais tias kev kawm yog kev mus ntsib tom tsev, tsuas yog them rau lub sijhawm kawm ntawv xwb. Lub sijhawm mus ncig thiab cov nuj nqis tsis tuaj yeem them rov qab.
Pom zoo IBCLCs thiab DME cov neeg muag khoom tuaj yeem sau nqi rau cov kev pabcuam thiab khoom siv hauv qab leej niam lossis tus menyuam. Kev txwv kev them nqi siv rau lub tsev niam/tus menyuam.
Cov peev txheej ntxiv muaj rau cov tswv cuab Alliance (ob hom lus Askiv / Spanish) | |||
Kev pabcuam | Kev piav qhia | Yuav Siv Li Cas | Nqi |
Kev pub niam mis rau niam mis (US Department of Health and Human Services) | La Leche League-cov kws pab tswv yim ua phooj ywg tau txais kev txhawb nqa rau kev pub niam mis zoo. Cov kws pab tswv yim tuaj yeem pab nrog cov lus nug txog kev pub niam mis rau cov teeb meem xws li latching mus rau kev tso dej thiab cia. | 800-994-9662 | Kev pub niam mis rau niam mis (US Department of Health and Services) |
Comprehensive Perinatal Services Program (CPSP) cov kev pab pub niam mis |
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County Perinatal Services Coordinators:
Cheeb Nroog Santa Cruz Cheeb Nroog Monterey 831-755-4640 Cheeb Nroog Merced 209-381-1142 |
Tsis muaj nqi, tab sis cov tswv cuab yuav tsum tsim nyog. Cov kev pabcuam raug them nqi raws li CPSP perinatal kev kawm, khoom noj khoom haus, kev puas siab puas ntsws thiab kev noj qab haus huv cov lej sau nqi.
Medi-Cal cov tswv cuab nkaus xwb. |
Cov poj niam, Cov Me Nyuam thiab Me Nyuam (WIC) cov kev pabcuam pub mis niam |
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Cov niam txiv yuav tsum hu rau WIC ncaj qha rau kev tso npe kawm:
Cheeb Nroog Santa Cruz Cheeb Noorg Santa Cruz Watsonville Cheeb Nroog Monterey Ntug hiav txwv Salinas Soledad Cheeb Nroog Merced 888-381-5261 |
Tsis muaj nqi, tab sis cov tswv cuab yuav tsum tsim nyog. |