Kev Kho Mob Kho Mob
The Medical Therapy Program (MTP) is a special program within California Children’s Services (CCS) that provides physical therapy (PT), occupational therapy (OT), and Medical Therapy Conference (MTC) services for children who have disabling conditions, generally due to neurological or musculoskeletal disorders. MTC is comprised of the interdisciplinary team including the client and caregiver/family, PT, OT, and MTC physician.
Kev piav qhia
CCS MTP muab cov kev kho mob uas tsim nyog rau lub cev thiab kev ua haujlwm kho mob nrog rau kev kho mob kev sib tham txog kev kho mob rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 21 xyoos nrog rau CCS MTP cov xwm txheej tsim nyog. Piv txwv ntawm CCS MTP cov xwm txheej tsim nyog suav nrog cerebral palsy, kab mob neuromuscular (piv txwv li, muscular dystrophy), cov kab mob musculoskeletal (xws li, arthrogryposis), juvenile rheumatoid mob caj dab, spina bifida, brachial plexus raug mob, thiab kis tau raug mob thiab mob xws li kub hnyiab thiab mob hlwb. .
CCS MTP yog tswj hwm los ntawm kev sib koom tes ntawm cov chaw saib xyuas kev noj qab haus huv hauv nroog thiab California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS), koom tes nrog cov koom tes hauv zej zog. Feem ntau cov kev pabcuam raug muab tso rau hauv Lub Tsev Kho Mob Kho Mob (MTU), nyob rau hauv ib lub tsev kawm ntawv pej xeem, raws li CCR Title 2.
Keeb Kwm ntawm Kev Kho Mob Kho Mob:
Thaum lub Tsib Hlis 17, 1927, tau kos npe rau "California Crippled Children's Act", tsim kom muaj qhov pib ntawm qhov kev pab cuam tshwj xeeb uas yuav dhau los ua CCS. Chiv thawj nws tau tsim los muab kev pabcuam rau cov menyuam yaus uas muaj mob xws li mob tuag tes tuag taw uas tau raug tshem tawm los ntawm kev ntsuas kev noj qab haus huv tiv thaiv. Tsoomfwv tebchaws tau tshaj tawm Txoj Cai Kev Ruaj Ntseg Hauv Zej Zog xyoo 1935 tsim cov kev pab cuam no rau hauv tebchaws.
Txoj Kev Kho Mob Kho Mob tau tsim nyob rau xyoo 1945 los ntawm lub xeev txoj cai lij choj los muab kev pabcuam kev ua haujlwm thiab kev kho lub cev rau cov menyuam yaus ntawm cov tsev kawm ntawv pej xeem tsis yog hauv tsev kho mob orthopedic hauv zos. Txoj Kev Kho Mob Kho Mob Ameslikas tau muab kev pabcuam rau cov menyuam yaus uas muaj kev cuam tshuam orthopedic cuam tshuam nrog cerebral palsy, tab sis xyoo 1961, Txoj Cai Lij Choj tau nthuav dav kev tsim nyog suav nrog lwm yam mob neuromuscular thiab musculoskeletal. Txoj Cai Robert Crown ntawm 1968 tau tsim lub nroog lub luag haujlwm rau kev tswj hwm Kev Kho Mob Kho Mob hauv zos.
Kev Kho Mob Lub Cev (PT) thiab Kev Kho Mob Ua Haujlwm (OT) muaj nyob rau ntawm Cov Tsev Kho Mob Kho Mob (MTUs). MTUs yog cov chaw kho mob sab nraud uas nyob hauv cov tsev kawm ntawv pej xeem. PT yog muab rau feem ntau los daws cov kev xav tau ntawm kev txav mus los thiab kev thauj mus los. PT yog muab los ntawm Tus Kws Kho Mob Lub Cev uas tau tso cai los xyaum kho lub cev hauv California. OT yog muab rau feem ntau los hais txog kev pab tus kheej lossis Cov Haujlwm ntawm Kev Ua Neej Nyob Txhua Hnub (ADLs). OT yog muab los ntawm Occupational Therapist uas tau tso cai los xyaum ua haujlwm kho mob hauv California.
Lub Rooj Sib Tham Txog Kev Kho Mob (MTC), uas muaj tus neeg mob thiab tus neeg saib xyuas/tsev neeg, PT, OT, thiab tus kws kho mob MTC, yog ib lub rooj sib tham ua pab pawg sib koom tes uas txiav txim siab txog kev tswj hwm cov ntaub ntawv kho mob ntawm tus menyuam txog tus mob tsim nyog MTP. Qhov no suav nrog kev sib tham txog cov kev pabcuam kho lub cev thiab kev ua haujlwm nrog rau cov lus qhia rau cov khoom siv tshwj xeeb, xws li orthotics/braces, lub rooj zaum muaj log thiab lwm yam khoom siv pabcuam.
Cov kev pabcuam muab hauv Kev Kho Mob Kho Mob yog txiav txim siab los ntawm cov txiaj ntsig ntawm kev soj ntsuam kev tshaj lij, suav nrog cov tswv yim los ntawm tus neeg siv khoom thiab lawv tsev neeg. Qhov kev ntsuam xyuas no suav nrog kev ntsuam xyuas lub cev thiab tej zaum yuav suav nrog kev ntsuam xyuas hauv tsev, chav kawm thiab hauv zej zog.
Cov neeg ua haujlwm MTP tuaj koom cov rooj sib tham ntawm Txoj Kev Npaj Kev Kawm Tus Kheej (IEP), thaum thov, kom paub tseeb tias cov neeg ua haujlwm hauv tsev kawm ntawv paub txog tus menyuam txoj kev koom tes thiab qhov xwm txheej tam sim no hauv MTP.
Kev tsim nyog
- Yug rau 21
- Kev Tsim Nyog Nyob Nyob
- Kev tsim nyog kho mob
- Kev Tsim Nyog Nyiaj Txiag- Tsis muaj kev tsim nyog tau txais nyiaj txiag rau MTP; Txawm li cas los xij, tej zaum yuav xav tau cov ntaub ntawv nyiaj txiag los pab kom tau txais cov khoom siv lossis cov kev pabcuam tshwj xeeb los ntawm qhov kev pabcuam CCS.
- Tsis muaj nqi them rau tsev neeg rau kev kho mob raws li MTP.
- Txoj Cai Kev Tsim Nyog
- Yog
xav paub ntxiv lossis thov cov kev pabcuam, thov hu rau koj lub chaw haujlwm CCS zos.
Legislative Authority
- California Code of Regulations, Title 2 § 60310 piav qhia ntxiv txog lub luag haujlwm thiab lub luag haujlwm ntawm cov neeg koom tes hauv kev kawm raws li nws cuam tshuam nrog MTP cov kev pabcuam rau lawv cov tub ntxhais kawm.
- California Code of Regulations, Title 22, § 41517.5 tsim kom muaj Kev Kho Mob Kho Mob rau CCS cov neeg thov nrog ib qho ntawm cov xwm txheej hauv qab no: Cerebral palsy, Neuromuscular tej yam kev mob uas ua rau tsis muaj zog thiab atrophy, mob musculoskeletal thiab connective cov ntaub so ntswg kab mob, degenerative neurological kab mob, thiab lwm yam.
- Government code section 7575 (b) defines medical eligibility for the MTP, what information a referral should include, and the responsibilities of the program with regards to medically-necessary therapy services for eligible children and young adults.
- Tsoom fwv code 7573 piav qhia txog kev sib raug zoo ntawm Lub Chaw Saib Xyuas Kev Kawm Hauv Zos thiab kev kawm tshwj xeeb thiab nws cov kev pabcuam cuam tshuam. Nws txhais tau hais tias lub luag haujlwm sib koom ua ke yog dab tsi, CCS lub luag haujlwm yog dab tsi rau cov menyuam yaus no, thiab qhia txog lub sijhawm thiab kev sib koom ua ke kev cia siab rau kev tswj xyuas kev kho mob ntawm cov menyuam yaus tsim nyog.
- Tsoom fwv txoj cai 7582 zam cov neeg tau txais kev lav phib xaub nyiaj txiag rau cov kev pabcuam MTP, raws li tau hais tseg raws li cov kev pabcuam uas tau muab los ntawm DHCS, suav nrog cov uas raug xa los ntawm qhov chaw kawm.
- Txoj Cai Kev Noj Qab Haus Huv & Kev Nyab Xeeb, Tshooj 5, Ntu 123950 hais tias lub koom haum hauv nroog uas tau xaiv yuav tsum tswj hwm qhov kev pab cuam kho mob hauv cov tsev kawm ntawv pej xeem hauv zos rau cov menyuam yaus uas muaj kev tsis taus. Lub xeev thiab cov nroog yuav sib koom them tus nqi txhawb nqa cov nyiaj hli ntawm cov kws kho mob hauv cov tsev kawm ntawv no. Tus thawj coj yuav tsum tsim cov qauv rau tus naj npawb siab tshaj plaws ntawm cov kws kho mob uas ua haujlwm hauv cov tsev kawm ntawv uas tsim nyog tau txais kev txhawb nqa nyiaj txiag ntawm lub xeev hauv qhov kev pab cuam no, cov kev pabcuam uas yuav muab, thiab cov kev pabcuam hauv nroog uas lub xeev yuav them rov qab.
Program Administration
- Txoj Kev Kho Mob Kho Mob (MTP) yog ua haujlwm nyob rau theem hauv zos los ntawm cov chaw saib xyuas kev noj qab haus huv hauv zos rau txhua lub nroog.
- MTPs hauv zos muab kev kho lub cev, kev kho mob ua haujlwm, thiab kev kho mob kev sib tham txog kev kho mob rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog yug mus txog 21 xyoo uas muaj MTP tsim nyog.
- Cov kev pabcuam no feem ntau tshwm sim hauv Lub Tsev Kho Mob Kho Mob, nyob rau hauv tsev kawm ntawv pej xeem hauv tsev kawm ntawv los ntawm kev koom tes ntawm CCS MTP thiab kev kawm tshwj xeeb hauv zos. Tsis muaj kev lav phib xaub ntawm tsev neeg lossis cov neeg siv khoom rau cov kev pabcuam no thiab tsis muaj peev txheej nyiaj txiag rau kev koom nrog hauv MTP.
Kev piav qhia txog nyiaj txiag
- Cov nyiaj pab rau CCS MTP suav nrog Xeev, lub nroog hauv nroog, thiab qee qhov chaw hauv tsoomfwv.
- Title XIX
- Title XXI
- CCS NL 10-0605, or any superseding Numbered Letter
Tus Qauv Me Nyuam Tag Nrho
- CCS Services (except eligibility determination) have been transferred to Medi-Cal Managed Care plans in 21 counties. This
excludes MTP therapy services and Medical Therapy Conference. For children in Whole Child Model counties, Durable Medical Equipment and Orthotics/Prosthetics are authorized by the managed care plans after the Medical Therapy Program approves the items as appropriate and meeting the guidelines of NL 09-0703.