Cov koom tes rau menyuam yaus
Daim Ntawv Sau Npe Hloov Kho: Cov Kev Kho Mob Palliative Care rau CCS Cov Me Nyuam Tsim Nyog
DHCS released the updated Numbered Letter (NL) “Medi-Cal Palliative Care Options for California Children’s Services (CCS) Eligible Children” for a 14-day public comment period from October 9-23, 2019. Updates to the NL have now been finalized and reflect input received during the public comment period.
Nkag mus rau Daim Ntawv Sau Npe Hloov Kho
Ib Qhov Kev Pabcuam Pediatric Palliative Care Waiver
In accordance with Assembly Bill 1745, the Department of Health Care Services (DHCS) worked with advocacy groups and other stakeholders to develop the Pediatric Palliative Care (PPC) Waiver Program. The Waiver was approved by the Centers for Medicare and Medicaid Services in December 2008. Through the PPC Waiver Program, children with life-limiting or life-threatening medical conditions receive supportive services at home and in the community.
Lub hom phiaj ntawm PPC Waiver Program yog muab cov txheej txheem ntxiv ntawm kev txhawb nqa uas txo cov kev ntxhov siab thiab txhim kho tus menyuam thiab tsev neeg lub neej zoo. Pab neeg zam PPC muab kev pab tshwj xeeb thiab kev txhawb nqa rau cov tsev neeg uas xav tau los tswj tus menyuam txoj kev pheej hmoo ntawm lub neej nyuaj sab nraum lub tsev kho mob.
Thaum Lub Kaum Hli 5, 2018, DHCS tau txais kev pom zoo los txuas ntxiv cov haujlwm PPC Waiver nrog lub hom phiaj kom xaus qhov kev pab cuam rau lub Kaum Ob Hlis 31, 2018. DHCS yav dhau los tau koom nrog kev sib tham nrog PPC Waiver counties thiab cov chaw muab kev pab txog yuav ua li cas thiaj li ua tau zoo rau kev zam raws li kev taw qhia los ntawm Children's Medical Services (CMS). Thaum kawg, DHCS tsis tuaj yeem txheeb xyuas CMS pom zoo cov kev hloov pauv uas ua haujlwm nyob rau hauv lub peev xwm ntawm PPC Waiver county cov koom tes thiab cov chaw muab kev pabcuam. Tom qab ntawd, DHCS tau ceeb toom rau cov neeg muaj feem cuam tshuam tias nws yuav tsis rov ua dua PPC Waiver. Vim li ntawd, PPC Waiver tau xaus rau lub Kaum Ob Hlis 31, 2018. Thaum lub rooj sib tham cov neeg koom nrog rau lub Rau Hli 11, 2018, DHCS tau qhia rau PPC Waiver County cov koom tes thiab cov chaw muab kev pab txog PPC Waiver xaus thiab kev hloov pauv ntawm kev saib xyuas mus rau cov phiaj xwm kev saib xyuas lossis Cov Nqi-rau-Service delivery systems. Nyob rau lub sijhawm ntawd, DHCS kuj tau qhia cov neeg tuaj koom lub rooj sib tham txog kev nthuav dav ntawm cov kev pabcuam khomob rau menyuam yaus los ntawm Kev Tshawb Fawb Txog Thaum Ntxov thiab Lub Sijhawm, Diagnostic, thiab Treatment (EPSDT) Kev Pabcuam, thiab muab lub platform rau lub nroog thiab cov neeg muab kev pabcuam los nthuav qhia lawv cov lus nug thiab kev txhawj xeeb.
Cov kev pabcuam EPSDT yog ib qho txiaj ntsig hauv Xeev uas twb muaj lawm uas muab kev pabcuam dav dav, tiv thaiv, kuaj mob, thiab kev kho mob rau cov neeg koom nrog muaj hnub nyoog qis dua 21 xyoos, raws li tau teev tseg hauv Tshooj 1905(r) ntawm Txoj Cai Xaus Saus. Lub hom phiaj ntawm qhov txiaj ntsig no yog kom ntseeg tau tias cov neeg koom nrog muaj hnub nyoog qis dua 21 xyoos tau txais kev tshuaj ntsuam xyuas raws li hnub nyoog, kev pab tiv thaiv, thiab kev kho mob uas tsim nyog los kho lossis txhim kho cov xwm txheej uas raug txheeb xyuas. Txij li cov kev pabcuam EPSDT yog ib feem ntawm Medi-Cal qhov kev pab cuam, EPSDT cov chaw muab kev pabcuam twb tau nruab nrog cov kev paub txog kev pabcuam kev pabcuam khomob rau menyuam yaus thiab cov hluas.
DHCS tom qab ntawd tau ua raws li txoj kev hloov pauv uas suav nrog kev pabcuam kev saib xyuas mob palliative rau Managed Care lossis Fee-for-Service delivery systems uas pab txhawb kev saib xyuas txuas ntxiv ntawm cov neeg tau txais txiaj ntsig. Qhov sov so tes tawm kuj ua kom muaj kev ywj pheej ntawm kev xaiv thaum qhia cov neeg tau txais txiaj ntsig ntawm Managed Care cov txiaj ntsig.
Cov ntaub ntawv ntxiv muaj nyob rau ntawm nplooj ntawv tsaws EPSDT .
Kev hloov pauv ntawm PPC Kev Pabcuam pib txij Lub Ib Hlis 1, 2019
Nrog rau qhov kawg ntawm PPC Waiver thaum Lub Ib Hlis 1 2019, DHCS tau siv 60-hnub kev hloov pauv kev sib tw kom ntseeg tau tias cov neeg koom nrog Waiver tau hloov pauv tau zoo los ntawm kev tau txais kev saib xyuas raws li Kev Zam Txim mus rau qhov tau txais kev saib xyuas los ntawm cov phiaj xwm kev tswj hwm lossis Tus Nqi-rau. - Kev pabcuam kev xa khoom. DHCS tau ua haujlwm ncaj qha nrog cov neeg muaj feem, cov neeg tau txais txiaj ntsig thiab lawv tsev neeg, thiab cov neeg muab kev pabcuam rau:
1. Ua kom muaj kev sib koom tes sov so ntawm cov kab ke saib xyuas,
2. Xyuas kom cov neeg koom nrog paub txog lawv cov kev xaiv thiab muaj kev ywj pheej xaiv cov kev pabcuam thiab cov chaw muab kev pabcuam, thiab
3. Saib xyuas thiab xyuas kom muaj kev saib xyuas txuas ntxiv mus.
Yog xav paub ntxiv txog PPC Waiver Transition, thov mus saib cov ntaub ntawv hloov pauv hauv qab no.
Palliative Care yog dab tsi?
Kev kho mob palliative yog kev kho mob ntawm qhov mob, lwm yam tsos mob, thiab kev ntxhov siab ntawm tus kab mob uas txwv txoj sia lossis tus kab mob uas hem txoj sia. Los ntawm PPC Waiver Program, cov kev pabcuam saib xyuas palliative raug muab thaum lub sijhawm tus menyuam mob thiab yog qhov tseem ceeb ntawm kev txhawb nqa rau tus menyuam mob, niam txiv, thiab cov kwv tij.
Puas yog Palliative Care zoo ib yam li Hospice?
Yuav kom tau txais kev kho mob hauv tsev kho mob, tus kws kho mob yuav tsum tau lees paub tias tus menyuam muaj rau lub hlis lossis tsawg dua nyob. Txhawm rau koom nrog PPC Waiver Program, tus menyuam muaj mob yuav tsum tau xav kom 30, tsis yog hnub sib law liag mus pw hauv tsev kho mob thaum lub xyoo yog tias tsis muaj kev zam.