Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tshaj tawm rau Alliance ntawm cov kev txhawb siab tshiab uas muaj los ntawm California Healthcare, Research and Prevention Tobacco Tax Act of 2016 (Prop 56). Qhov tshiab Prop 56 kev txhawb siab suav nrog:
- Adverse Childhood Experiences Screening Services (ACE) (muaj txiaj ntsig Lub Ib Hlis 1, 2020)
- Kev ntsuam xyuas kev loj hlob (muaj txiaj ntsig Lub Ib Hlis 1, 2020)
- Kev Npaj Tsev Neeg (muaj txiaj ntsig Lub Xya Hli 1, 2019)
Nco tseg: Cov tswv cuab uas tau cuv npe hauv Medi-Cal thiab Medicare Tshooj B (tsis hais txog kev tso npe hauv Medicare Tshooj A lossis Tshooj D yuav tsis tsim nyog them nyiaj).
Adverse Childhood Experiences Screening Services (ACE)
Kev qhia ntxov ntawm kev raug mob thiab muab cov kev kho mob tsim nyog yog cov cuab yeej tseem ceeb los txo cov nqi kho mob mus sij hawm ntev rau cov menyuam yaus thiab cov neeg laus. Cov tswv cuab uas tau ntsib kev raug mob thaum yau yog qhov muaj feem yuav mob plawv thiab ntshav qab zib. Cov cuab yeej pom zoo rau kev ntsuas ACE:
- Cov me nyuam (>19 Xyoos): Pediatric ACEs thiab Related Life-events Screener (PEARLS) raug pom zoo.
- Cov neeg laus (19 xyoo thiab tshaj saud): Kev ntsuam xyuas Adverse Childhood Experiences (ACEs).
DHCS yuav muab thiab/lossis tso cai rau kev cob qhia kev kho mob rau cov kws kho mob thiab lawv cov neeg ua haujlwm hauv chaw ua haujlwm. Cov kws kho mob yuav tsum ua kom tiav ACE kev cob qhia ua ntej muab kev ntsuam xyuas. DHCS yuav tsum pom zoo rau lwm yam kev qhia txog kev raug mob uas tsis yog muab los ntawm DHCS. Kev cob qhia yuav muaj xws li kev cob qhia tus kheej, kev cob qhia online, nrog rau cov rooj sib tham hauv cheeb tsam. Thov mus saib DHCS lub vev xaib ntawm https://www.dhcs.ca.gov/provgovpart/Pages/TraumaCare.aspx kom paub ntau ntxiv txog kev cob qhia.
ACE suav tias yog ib qho txiaj ntsig tshiab, thiab cov neeg muab kev pabcuam yuav tau txais kev them nyiaj siv cov lej HCPCS hauv qab no:
| ACE Kev Them Nyiaj | |||
|---|---|---|---|
| HCPC Codes | Kev piav qhia | Qhia Them Nyiaj | Sau ntawv |
| g9919 ua | Kev tshuaj ntsuam tau ua tiav: tau txais txiaj ntsig zoo thiab muab cov lus pom zoo muab | $29.00 | Cov kws kho mob yuav tsum tau them tus lej HCPCS no thaum tus neeg mob qhov kev tshuaj ntsuam xyuas tau txiav txim siab tias "muaj kev pheej hmoo siab", tus qhab nia ntawm 4 lossis ntau dua. |
| g9920 ua | Kev tshuaj ntsuam tau ua: cov txiaj ntsig tsis zoo | $29.00 | Cov kws kho mob yuav tsum tau them tus lej HCPCS no thaum tus neeg mob qhov kev tshuaj ntsuam xyuas tau txiav txim siab tias "kev pheej hmoo qis dua", tus qhab nia ntawm 0-3 |
Kev Npaj Rau Tsev Neeg
Cov chaw muab kev pab cuam uas muab kev pab npaj tsev neeg yuav tau txais kev them nyiaj ntxiv rau kev xa cov kev pab kho mob uas muaj txiaj ntsig, muaj txiaj ntsig, thiab pheej yig. Kev nkag tau txaus thiab raws sij hawm yog qhov tseem ceeb rau cov kev pab npaj tsev neeg. Lus Cim: Tsoom Fwv Teb Chaws Muaj Peev Xwm Saib Xyuas Kev Noj Qab Haus Huv (FQHCs) yuav tsis tsim nyog rau cov nyiaj them poob haujlwm hauv qab no.
| Family Planning Payment | ||
|---|---|---|
| Txheej Txheem Cai | Qhia Them Nyiaj | Kev piav qhia |
| j7296 ua | $2,727.00 | LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG |
| j7297 ua | $2,053.00 | LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG |
| j7298 ua | $2,727.00 | LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG |
| j7300 ua | $2,426.00 | INTRAUTERINE tooj liab CONTRACEPTIVE |
| j7301 ua | $2,271.00 | LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG |
| j7307 ua | $2,671.00 | ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL & SPL |
| j3490u 8 | $340.00 | DEPO-PROVERA |
| j7303 ua | $301.00 | CONTRACEPTIVE VAGINAL RING |
| j7304 ua | $110.00 | CONTRACEPTIVE PATCH |
| j3490u 5 | $72.00 | TSEEM CEEB: ULIPRISTAL ACETATE 30 mg |
| j3490u 6 | $50.00 | LEVONORGESTREL 0.75 MG (2) & 1.5 MG (1) |
| 11976 | $399.00 | Tshem tawm CONTRACEPTIVE CAPSULE |
| 11981 | $835.00 | INSERT DRUG IMPLANT Device |
| 58300 | $673.00 | INSERT INTRAUTERINE Device |
| 58301 | $195.00 | Tshem tawm INTRAUTERINE Device |
| 81025 | $6.00 | URINE PREGNANGY TEST |
| 55250 | $521.00 | Kev tshem tawm ntawm Sperm DUCT (S) |
| 58340 | $371.00 | CATHETER RAU HYSTERROGRAPHY |
| 58555 | $322.00 | HYSTEROSCOPY DX SEP PROC |
| 58565 | $1,476.00 | HYSTEROSCOPY STERILIZATION |
| 58600 | $1,515.00 | DIVISION NTAWM FALLOPIAN TUBE |
| 58615 | $1,115.00 | OCCLUDE FALLOPIAN TUBE(S) |
| 58661 | $978.00 | LAPAROSCOPY tshem tawm ADNEXA |
| 58670 | $843.00 | LAPAROSCOPY TUBAL CAUTERY |
| 58671 | $892.00 | LAPAROSCOPY TUBAL BLOCK |
| 58700 | $1,216.00 | KEV TXAUS SIAB RAU FALLOPIAN TUBE |
Kev ntsuam xyuas kev loj hlob
Kev tshuaj ntsuam xyuas kev loj hlob txheeb xyuas cov cheeb tsam uas tus me nyuam txoj kev loj hlob yuav txawv ntawm tib lub hnub nyoog. Kev tshuaj ntsuam xyuas dua thiab tsis tu ncua yog tsim nyog los xyuas kom meej lub sijhawm txheeb xyuas cov teeb meem thiab tso cai rau kev cuam tshuam ntxov. Alliance cov kws kho mob yuav tsum ua raws li American Academy of Pediatrics (AAP) / Bright Futures lub sijhawm teem caij nyoog thiab cov lus qhia rau kev mus ntsib kws kho mob raws sij hawm. Lub Sij Hawm Lub Sij Hawm Lub Sij Hawm Lub Sij Hawm yuav tsum muaj kev saib xyuas kev loj hlob tshwm sim thaum txhua lub sijhawm mus ntsib kws kho mob rau menyuam yaus siv cov cuab yeej tshuaj ntsuam xyuas kev loj hlob ntawm 9 lub hlis, 18 lub hlis thiab 30 lub hlis. Kev tshuaj ntsuam xyuas kev loj hlob ntawm 30 lub hlis tuaj yeem ua tiav ntawm 24 lub hlis mus ntsib kev noj qab haus huv.
Cov neeg muab kev pabcuam uas xa CPT Code hauv qab no yuav tau txais kev them nyiaj ntxiv ntawm:
| Kev ntsuam xyuas kev loj hlob | ||
|---|---|---|
| Txheej Txheem Cai | Kev them nyiaj ncaj qha | Sau ntawv |
| CPT Code 96110 tsis muaj modifier KX | $59.50 | Kev ntsuam xyuas kev loj hlob, nrog rau cov qhab nia thiab cov ntaub ntawv, ib qho kev ntsuas ntsuas |
