醫療專案
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.
專案描述
CCS MTP 為符合 CCS MTP 資格的 21 歲以下兒童和年輕人提供醫療上必要的物理和職業治療服務以及藥物治療會議服務。 CCS MTP 合格病症的例子包括腦性麻痺、神經肌肉疾病（如肌肉營養不良）、肌肉骨骼疾病（如關節攣縮）、幼年類風濕性關節炎、脊柱裂、臂叢神經損傷以及後天損傷和疾病，如燒傷和創傷性腦損傷。
CCS MTP 由縣衛生部門和加州Department of Health Care Services (DHCS)與當地教育合作夥伴合作管理。 根據 CCR 標題 2，大多數服務都在公立學校園內的醫療治療單位（MTU）提供。
醫學治療的歷史專案：
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.
醫療治療專案於 1945 年由州立法機構設立，旨在為公立學校而非當地骨科醫院的兒童提供職業和物理治療服務。 醫療治療專案最初為患有腦性麻痺相關骨科缺陷的兒童提供服務，但在 1961 年，《預算法案》擴大了服務範圍，將其他神經肌肉和肌肉骨骼疾病納入其中。 1968 年的《羅伯特·克朗法案》確立了縣負責管理當地醫療專案的責任。
醫療治療單位（MTU）提供物理治療（PT）和職業治療（OT）服務。MTU 是位於指定公立學校的門診診所。 PT 主要提供用於滿足移動和救護需求。 物理治療由加州物理治療執照的物理治療師提供。OT 主要提供用於解決自助技能或日常生活活動（ADL）。 OT 由加州職業治療執照的職業治療師提供。
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.
醫療治療專案中提供的服務是根據專業評估的結果確定的，包括客戶及其家人的意見。 此評估包括身體評估，可能包括家庭，教室和社區訪問性評估。
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 歲
- 住宿資格
- 醫療資格
- 財務資格 - MTP 沒有財務資格要求；然而，可能需要財務資訊來協助透過一般CCS專案獲得設備或專業服務。
- 根據 MTP 下的治療服務，家庭永遠不收取任何費用。
- 資格準則
- For further information or to apply for services, please contact your local
CCS Administrative Office.
立法機關
- 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.
- 加州法規，第 22 篇，§ 41517.5 為患有以下病症之一的CCS申請人建立醫療治療專案：腦性麻痺、導致無力和萎縮的神經肌肉疾病、慢性肌肉骨骼和結締組織疾病、退化性神經系統疾病等。
- 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.
- 政府代碼 7573 解釋了本地教育機構與特殊教育及其相關服務之間的關係。 它定義了機構間責任、CCS 對這些兒童的責任，並概述了合格兒童醫療管理的時間表和共同管理期望。
- 政府代碼 7582免除接受者對 MTP 服務的任何財務責任，MTP 服務的定義是根據DHCS專案提供的服務，包括從教育來源轉介的服務。
- 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.
專案管理
- 醫療專案（MTP）由每個縣的當地衛生部門在地方層級運作。
- 本地 MTP 提供物理治療、職業治療和醫療治療會議服務，為出生至 21 歲的兒童和青少年有 MTP 符合條件的兒童和青少年。
- 這些服務通常在 CCS MTP 與當地特殊教育機構合作的公立學校校園內的醫療治療中心內提供。 家人或客戶對這些服務不承擔任何財務責任，並且沒有參與 MTP 的財務資格。
資金說明
- CCS MTP 的資金來源包括州、地方縣和一些聯邦來源。
- 第十九章
- 第二十一章
- CCS NL 10-0605, or any superseding Numbered Letter
整個孩子模型
- 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.