医疗治疗计划
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.
项目描述
CCS MTP 为符合 CCS MTP 资格条件的 21 岁以下儿童和年轻人提供医学上必需的物理和职业治疗服务以及医疗治疗会议服务。 CCS MTP 符合条件的疾病包括脑瘫、神经肌肉疾病（例如肌营养不良症）、肌肉骨骼疾病（例如关节挛缩症）、幼年型类风湿性关节炎、脊柱裂、臂丛神经损伤以及烧伤和创伤性脑损伤等后天损伤和疾病。
CCS MTP 由县卫生部门和加州卫生保健服务部 (DHCS) 合作管理，并与当地教育伙伴合作。 根据 CCR 第 2 条，大多数服务均在公立学校内的医疗治疗单位 (MTU) 内提供。
医疗治疗计划的历史：
On May 17, 1927, the “California Crippled Children’s Act” was signed, establishing the start of the unique program that would become CCS. It was originally established to provide services to children with conditions such as infantile paralysis that have since been eliminated through preventive health measures. The federal government passed the Social Security Act in 1935 establishing these programs on a national basis.
医疗治疗计划由州立法机构于 1945 年设立，旨在为公立学校而非当地骨科医院的儿童提供职业和物理治疗服务。 医疗治疗计划最初为患有与脑瘫相关的骨科缺陷的儿童提供服务，但 1961 年预算法案将资格扩大到包括其他神经肌肉和肌肉骨骼疾病。1968年的罗伯特·克朗法案规定县政府负责在当地管理医疗治疗计划。
医疗治疗单位 (MTU) 提供物理治疗 (PT) 和职业治疗 (OT) 服务。MTU 是位于指定公立学校的门诊诊所。 提供 PT 主要是为了满足移动和行走需求。 PT 是由在加利福尼亚州拥有物理治疗执业资格的物理治疗师提供的。OT 主要是为了解决自助技能或日常生活活动 (ADL) 问题。 OT 由拥有加利福尼亚州职业治疗执业资格的职业治疗师提供。
The Medical Therapy Conference (MTC), comprised of the client and caregiver/family, PT, OT, and MTC physician, is an interdisciplinary team meeting where the child’s medical case management regarding the MTP eligible condition is determined. This includes the discussion of physical and occupational therapy services as well as recommendations for specialized equipment, such as orthotics/braces, wheelchairs and other assistive devices.
医疗治疗计划中提供的服务由专业评估的结果决定，包括客户及其家人的意见。 该评估包括身体评估，可能还包括家庭、教室和社区访问评估。
MTP staff attend Individualized Educational Plan (IEP) meetings, when requested, to make sure school staff is aware of the child’s participation and current status in the MTP.
合格
- 出生至 21 岁
- 居住资格
- 医疗资格
- 财务资格 - MTP 没有财务资格要求；但是，可能需要财务信息来协助通过一般 CCS 计划获取设备或专业服务。
- 在 MTP 计划下，家庭无需支付任何治疗服务费用。
- 资格标准
- For further information or to apply for services, please contact your local
CCS Administrative Office.
立法权
- California Code of Regulations, Title 2 § 60310 further explains the roles and responsibilities of education partners as it relates to MTP services for their pupils.
- 加州法规，第 22 章，§ 41517.5 为患有以下疾病之一的 CCS 申请者制定医疗治疗计划：脑瘫、导致无力和萎缩的神经肌肉疾病、慢性肌肉骨骼和结缔组织疾病、退行性神经系统疾病等。
- 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.
- 政府法典 7573解释了地方教育机构与特殊教育及其相关服务之间的关系。 它定义了机构间的责任是什么，CCS 对这些儿童的责任是什么，并概述了符合条件儿童的医疗管理的时间表和联合管理期望。
- 政府法典 7582免除了接受者对 MTP 服务的任何财务责任，MTP 服务是指 DHCS 项目下提供的服务，包括教育来源推荐的服务。
- Health & Safety Code, Article 5, Section 123950 states the designated county agency shall administer the medical-therapy program in local public schools for physically handicapped children. The state and counties will share in the cost of support of therapist salaries in these schools. The director shall establish standards for the maximum number of therapists employed in the schools eligible for state financial support in this program, the services to be provided, and the county administrative services subject to reimbursement by the state.
项目管理
- 医疗治疗计划 (MTP) 由每个县的地方卫生部门在地方层面实施。
- 当地 MTP 为符合 MTP 资格条件的 0 至 21 岁儿童和年轻人提供物理治疗、职业治疗和医疗治疗会议服务。
- 这些服务通常在医疗治疗部门进行，该部门位于公立学校校园内，由 CCS MTP 与当地特殊教育机构合作设立。 家庭或客户无需对这些服务承担任何经济责任，并且参与 MTP 无需任何经济资格。
资金描述
- CCS MTP 的资金来自州、当地县和一些联邦政府。
- 第十九条
- 第二十一章
- CCS NL 10-0605, or any superseding Numbered Letter
整体儿童模型
- 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.