2015 年批准的州计划修正案
以下附件是医疗保险和医疗补助服务中心 (CMS) 最近批准的加州州计划的修正案。 利益相关者可以按照文档附带的链接和说明来更新他们的副本。
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15-002A Updates the benefit and reimbursement pages for case management services for childhood lead poisoning prevention
15-003 Private Hospital Supplemental Fund Program (PHSF)
15-004 Non-Designated Public Hospital Supplemental Fund Program (NDPHSF)
15-005对《国家计划》中的其他持证提供者部分进行更新https://www.dhcs.ca.gov/formsandpubs/laws/Documents/15-024-Approval.pdf
15-007对儿童免疫接种计划/VFC 进行技术更新
15-008 Supplemental Reimbursement to Martin Luther King Jr. – Los Angeles Healthcare Corporation (MLK-LA)
15-010 Provides updates to dental services including the use of teledentistry live transmissions through teleministry
15-011第三方责任和追偿部门更新了门槛限制和排除条款
15-012修改药物医疗补助 (DMC) 治疗计划中的物质使用障碍服务
15-013修改药物 Medi-Cal 中的物质使用障碍服务
15-014更新第三年一般急性住院服务的诊断相关组 (DRG) 付款参数
15-015制定新的临床实验室或实验室服务费率制定报销方法
15-018向其他持牌提供商和替代生育中心 (ABC) 提供更新信息
15-019免除 Medi-Cal 提供商的牙科服务和适用辅助服务 10% 的付款减免
15-020更新州外边境医院第三年诊断相关组 (DRG) 付款参数
15-021更新地方教育机构 (LEA) Medi-Cal 账单选项计划的付款方法
15-023规定额外一年向紧急医疗航空运输提供商提供增补服务
15-024将持照助产士添加到州计划的替代福利计划 (ABP) 部分
15-025技术更新，删除所有关于过渡性住院护理计划的提及
15-026 Updates the geographic area offering Targeted Case Management (TCM) services for the “Children Under the Age of 21” TCM group.
15-027 Updates the geographic area offering Targeted Case Management (TCM) services for the “Medically Fragile Individuals” TCM group.
15-028 Updates the geographic area offering Targeted Case Management (TCM) services for the “Individuals at Risk of Institutionalization”
15-029 Updates Targeted Case Management (TCM) services for the “Individuals in Jeopardy of Negative Health of Psycho-Social Outcomes”
15-030 Updates Targeted Case Management (TCM) services for the “Individuals with a Communicable Disease”
15-031 Adds an Industry Average Rate Methodology to determine an interim Medi-Cal payment rate for Local Governmental Agencies(LGAs) that are enrolling or re-enrolling in the Targeted Case Management (TCM) Program
15-032-A Describes changes to the reimbursement rate methodology applicable to long term care freestanding nursing facilities
15-033 Proposes an additional reporting method for determining the hospital’s Cost-to-Charge Ratio in All Patient Refined Diagnosis Related Group Reimbursement Methodology
15-034更新有关早期和定期筛查、诊断、治疗以及预防和保健服务的语言
15-035 Provides technical, non-substantive updates to dealing with interagency agreements (IAs)
15-036提供有关假肢、矫形器具和助听器的语言技术更新