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

Measure Description:

Qhov feem pua ntawm cov tswv cuab muaj hnub nyoog peb txog 21 xyoo uas muaj tsawg kawg yog ib qho kev saib xyuas zoo nrog PCP lossis OB/GYN tus kws kho mob thaum lub xyoo ntsuas.

Kev txhawb siab

Kev cais tawm

Cov ntaub ntawv xav tau

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 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.

Kev Cai Coding

Zoo mus xyuas CPT Codes:

Cov neeg mob tshiab: 99382, 99383, 99384, 99385
Tsim Cov Neeg Mob: 99392, 99393, 99394, 99395
Zoo mus xyuas ICD-10 CodesZ00.121, Z00.129, Z00.00, Z00.01
Ntxiv ICD-10 Codes: Z00.2, Z00.3, Z02.5, Z01.411, Z01.419

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.
Kaum yim mus rau 21 xyoo: 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.

Cov ntaub ntawv sau

Cov ntaub ntawv rau kev ntsuas no yog sau los ntawm kev thov, DHCS Fee-For-Service ntsib kev thov, thiab muab cov ntaub ntawv xa tawm los ntawm Data Submission Tool (DST) ntawm lub 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.

Yuav xa cov ntaub ntawv li cas

Qhov kev ntsuas no tso cai rau cov neeg muab kev pabcuam xa mus rau menyuam yaus zoo los ntawm lub tsev kho mob EHR system lossis cov ntaub ntawv sau tseg rau Alliance los ntawm DST daim ntawv cog lus hnub kawg. Qhov no suav nrog kev mus ntsib zoo uas tau ua tiav ua ntej tus tswvcuab tsim nyog tau txais Medi-Cal lossis thaum muaj qhov sib txawv ntawm qhov kev pabcuam. Txhawm rau xa, upload cov ntaub ntawv mus rau DST ntawm lub 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.

Cov kev coj ua zoo tshaj plaws

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 Pabcuam Khomob los tsim cov ntawv xaj tseem tos 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 ib ntus thiab muaj mob) txhawm rau txhim kho cov kev pabcuam tiv thaiv (kev txhaj tshuaj tiv thaiv kab mob), nrog rau hloov cov kev mus ntsib mob mus rau qhov zoo (kev ua kis las).
Teem caij mus ntsib 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 lub cuab yeej los txheeb xyuas cov tswv cuab uas yuav tsum tau mus ntsib lawv zoo.
Tsim ib tus qauv los yog siv cov qauv uas muaj hnub nyoog tshwj xeeb hauv koj EHR kom ua tiav cov ntaub ntawv ntawm Bright Futures cov cai thiab ua rau muaj kev ceeb toom rau kev mus ntsib 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 qhia tau hais tias muaj txiaj ntsig zoo ib yam li kev mus ntsib tus neeg zoo: Cov niam txiv tau mus ntsib ntev dua nrog cov ntsiab lus ntxiv, uas cuam tshuam nrog kev cia siab ntau dua, kev saib xyuas hauv tsev neeg thiab kev txaus siab rau 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.

Cov peev txheej

Alliance Cultural thiab Linguistic Services muaj rau cov neeg muab kev pabcuam network.
- Language Assistance Services – thov cov ntaub ntawv ntawm 800-700-3874, ext. 5504 ib.
- Kev Pab Txhais Lus Xovtooj – muaj los pab rau cov tswvcuab teem sijhawm.
- Face-to-Face Interpreter Services - tuaj yeem thov rau lub sijhawm teem nrog
  tus tswv cuab.
- 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.
- Kev thauj mus los tsis yog xwm txheej ceev (NEMT), hu rau 800-700-3874, ext. 5640 (TTY: Dial 711).
- Kev thauj mus los tsis yog kho mob (NMT), hu rau 800-700-3874, ext. 5577 (TTY: Dial 711).
Tus kws kho menyuam yaus phau ntawv qhia rau LGBTQ + Kev Ua Phooj Ywg Zoo - American Academy ntawm Pediatrics.
Equitable Health Toolkit - Washington Tshooj ntawm American Academy of Pediatrics.
Family-Centered and Equitable Care Approaches - American Academy ntawm Pediatrics.
Tau Paub Cov Lus Qhia Ua Ntej Yav Tom Ntej thiab Cov Cuab Yeej Core - Lub neej yav tom ntej.
Ua ke Bright Futures rau hauv Koj Cov Ntaub Ntawv Kho Mob Hauv Hluav Taws Xob - Lub neej yav tom ntej.
Integrating Social Determinants of Health rau hauv Kev Saib Xyuas Kev Noj Qab Haus Huv - Lub neej yav tom ntej.
Cov tswv yim tswv yim rau kev ua kom muaj kev kaj siab rau yav tom ntej hauv kev xyaum kho mob - Lub neej yav tom ntej.
Txhawb kev noj qab haus huv rau cov menyuam yaus thiab cov hluas uas xav tau kev kho mob tshwj xeeb - Lub neej yav tom ntej.
Cov Ntawv Qhia Txog Kev Tshaj Tawm: WellCare rau Cov Me Nyuam thiab Cov Hluas - DHCS.

Tswj Kev Kho Mob

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

Tau txais kev pab

Kev Pabcuam Tswvcuab

Lub Alliance

Cov cuab yeej siv tau yooj yim