Kev soj ntsuam kev pheej hmoo Caries
Rov qab mus rau CalAIM Dental Homepage
Qhov kev pib CalAIM no tau ntxiv cov Caries Risk Assessment (CRA) pob los ua cov txiaj ntsig kho hniav tshiab hauv kev ua raws li cov qauv kev kho hniav hauv teb chaws. Lub hom phiaj tag nrho ntawm qhov txiaj ntsig tshiab no yog txhawm rau txheeb xyuas thiab tswj kev pheej hmoo ntawm kab mob caries thiab hais txog kev muab kev pabcuam tiv thaiv los ntawm kev cuam tshuam ntau dua thiab raug nqi rau cov menyuam hnub nyoog 0-6 xyoo. Cov txiaj ntsig no muaj nyob thoob plaws lub xeev thiab tso cai rau cov chaw muab kev pabcuam, suav nrog cov kws kho hniav sib koom ua ke, sau nqi rau CRA pob nqi suav nrog kev tso cai nce ntau zaus rau qee cov kev pabcuam tiv thaiv rau cov neeg uas muaj kev pheej hmoo siab caries.
CRA pob khoom muaj xws li D0601, D0602, lossis D0603 (CRA kev kuaj mob qis, nruab nrab, thiab muaj kev pheej hmoo siab) thiab D1310 (kev tawm tswv yim noj zaub mov). Tus nqi ntawm cov nyiaj them poob haujlwm, tseem hu ua Schedule of Maximum Allowances (SMA) tus nqi, yog $61, nrog $15 raug xa mus rau cov lej D0601-D0603 thiab $46 raug muab rau D1310. Cov theem kev pheej hmoo cuam tshuam nrog ib tus neeg mob tshwj xeeb txiav txim cov nqi txwv rau cov khoom ntawd. Raws li theem kev pheej hmoo cuam tshuam nrog txhua tus tswv cuab Medi-Cal (hnub nyoog 0-6), cov kev pabcuam nram qab no siv tau:
- Tsawg Risk - Tus kws kho mob tuaj yeem sau nqi rau CRA pob (CDT code D0601 thiab D1310) nrog rau cov kev pabcuam tiv thaiv ntxiv xws li ntxuav lossis tshuaj fluoride (D0120, D1120, D1206, D1208) ob zaug hauv ib xyoos
- Kev pheej hmoo nruab nrab - Tus kws kho mob tuaj yeem sau nqi CRA pob (D0602 thiab D1310) nrog rau cov kev pabcuam tiv thaiv ntxiv xws li kev ntxuav lossis tshuaj fluoride (D0120, D1120, D1206, D1208) peb zaug hauv ib xyoos.
- Kev pheej hmoo siab - Cov kws kho mob tuaj yeem sau nqi CRA pob (D0603 thiab D1310) nrog rau cov kev pabcuam tiv thaiv ntxiv xws li kev ntxuav lossis tshuaj fluoride (D0120, D1120, D1206, D1208) plaub zaug hauv ib xyoos.
Txhawm rau tau txais cov nyiaj them rau CRA pob nyiaj pab, cov kws kho hniav yuav tsum tau txais Kev Kho Mob Cov Menyuam Yaus Txhua Hnub (TYKE) kev cob qhia los ntawm California Dental Association lossis Strengthening Many Young Lives Everyday (SMYLE) kev cob qhia muaj nyob rau ntawm Medi-Cal Dental's Learning Management System (LMS). Tus Nqi-For-Service (FFS) cov kws kho mob yuav tsum muab daim ntawv pov thawj thiab pov thawj ntawm kev kawm tiav rau Lub Tsev Haujlwm Saib Xyuas Kev Kho Hniav (ASO) ua ntej yuav them nyiaj rau cov kev pabcuam CRA. DMC thiab SNC cov chaw muab kev pabcuam yuav tsum khaws daim ntawv pov thawj thiab pov thawj ntawm kev kawm tiav ntawm cov ntaub ntawv rau kev tshuaj xyuas. Rendering cov kws kho mob uas twb tau kawm TYKE nyob rau hauv Domain 2 ntawm Dental Transformation Initiative tsis tas yuav rov ua TYKE kev cob qhia hauv CalAIM.
Cov ntaub ntawv thiab cov ntawv
