Kuchengetedza Vana Vedu Vane Utano Uye Vakasimba
Hasi mhuri dzose dzinokwanisa kuwana inshuwalhu yehutano yega yevana vavo. Muna 2015, 39 muzana yevana pakati pemakore makumi mapfumbamwe nemakumi mapfumbamwe nemakore gumi nemana makumi mapfumbamwe nemakumi mapfumbamwe (18) vakafukidzwa neMedicaid neIndaneti yeAnsurance Health Program (CHIP) . Nhamba idzi dzaive dzakaderera se 21 muzana yevana muUtta kusvika kune 53% zvevana mu Mississippi uye West Virginia.
Pamwe chete, vanenge 30.5 mamiriyoni vana vanoda rubatsiro rwehurumende muna 2015 kuti varambe vakagwinya uye vakasimba. Kubva munaDisemba 2017, nhamba yevana yakavharwa yakawedzera kusvika kune mamiriyoni 35.7.
Hurumende imwe neimwe inoisa mitemo yayo pachayo pamusoro pekuti ndiani uye chii chichafukidzirwa, asi hurumende yehurumende inotarisa nheyo yepamusoro yezvinodiwa nemwana mumwe akavharwa anofanira kupiwa. Zvinosuruvarisa, kwete dzose dzehurumende dzakararama kusvika kuchivimbiso ichocho . Hurongwa wegore re2011 yeTumpump inoratidzira kuronga kuderedza Medicaid mari kuburikidza nekushandisa zvikwereti . Neine madhora mashomanana aripo, nyika inogona kuiwana kunyange yakaoma kukuwana izvo zvinoda.
Kuongorora Kwepakutanga uye Kwenguva Dzose, Kuongorora uye Kurapa (EPSDT) chirongwa chinopiwa kuvana nevechidiki vaduku pasi pemakore makumi maviri nemakumi maviri anovanzwa neMedicaid. Idzi ndidzo nheyo dzinokosha iyo hurongwa hwehurumende huse hunofanira kuisa kune avo vanobatsirwa.
Dental Services
Kudzivirira: Dentition isina kunaka, ingava kuora mazino kana kutapukirwa, inogona kuva chiratidzo chekushaya zvokudya zvinovaka muviri kana kusachena kwakachena . Kusaporesa chirwere chemazino kunogona kukonzera marwadzo, kukanganisa mwana kukwanisa kudya, kurara, uye kushanda pamba kana kuchikoro. Kuzviremekedza kwavo uye kubudirira kwevanhu vanogonawo kuchinjwa kubva pakuonekwa kwamazino avo.
Kuchengetedza: Nyika imwe neimwe inotarisa kuti kazhinji mazino emazino achapiwa sei, asi haikwanise kugadzirisa kuti kutarisira kune dzimwe nguva. Urongwa hwekuvharidzira hahugoni kuve huripo. Inofanira kuwirirana nemitemo yakakurudzirwa neyanyanzvi mumunda. Pamusana pacho, EPDST mazino ezvokudya anofanira kusanganisira kuchengetedza utano hwemeno, kudzorerwa kwemazino, uye kurapwa kwemarwadzo emeno uye zvirwere. Hurumende imwe neimwe ichasarudza kuti chii chinofanira kuvhara mune zvikamu izvi.
Kuongororwa: Mwana wese anovimbiswa kutumirwa kune chiremba wemazino maererano nehurongwa hwakarongwa hwekuongorora hurongwa hwehurumende. Zvisinei, kana kuongororwa kunyoreswa mumuromo kunosimudzira kusava nechokunze kunze kweyo purogiramu, kutumira kune unyanzvi hwemeno kunofanira kutevedzwa nokukurumidza.
Kurapa: Mamiriro ezvinhu haasi kure hokore kana asingabhadhara kurapa kwakananga pasi peurongwa hweMedicaid. Hurumende yehurumende inoda kuti chero mamiriro ezvinhu akawanikwa mune imwe nguva EPSDT kuongororwa inofanirawo kurapwa. Izvozvo zvinoreva kuti humwe hurumende inofanira kubhadhara kutarisira kwakakodzera.
Hearing Services
Kudzivirira: Kunzwa kurasikirwa nevana, ingave nhaka kana kuwanikwa, kunogona kukonzera kukwanisa kwevana kukura mutauro uye mutauro, kuita zvakanaka kuchikoro, nekubatana nehutano hwevanhu. Kuona kwokutanga uye kupindira kunogona kubatsira vana ava kugadzirisa matanho avo ekusimbisa.
Kuchengetedza: Kuonekwa patsva kwekunzwa kunowanzoitwa muchipatara kana mwana aberekwa. Zvisinei, havasi vana vose vanoberekerwa muzvipatara, uye vamwe vana vakawanda vanogona kukura kurasikirwa nekunzwa sezvavanokura. EPSDT inoda kuti vana vari pangozi yekunzwa kurasikirwa (semuenzaniso, nhoroondo yemhuri, zvirwere zvekunzwa , nezvimwewo) kuongororwa maererano nehurongwa hwakarongwa nehurumende imwe neimwe, zvakare nekunyoresa mazano emitambo. Vana vane zviratidzo zvekunetseka kunzwa kunzwa kurasikirwa vanofanira kuongororwa pakarepo.
Kuongororwa: Kana kurasikirwa kwekunzwa kunofungidzirwa, chirongwa chekuongorora zvakananga chinofanira kuitwa neanyanzvi mumunda. A hearing aid yokuongorora ichave yakafukidzwa kana ichiratidzwa.
Kurapa: Medicaid inofanira kubhadhara mari yezvinokonzera mari, mazwi anobatsira , nekunzwa rubatsiro rwekunzwa, kana zvichishandiswa mune zvekurapa, kunyange kana iyo isingabatsiri iyo inoshandiswa kune avo vanogona kubatsirwa.
Lead Screening
Kudzivirira: Kuratidzwa kwekutungamira kunowanikwa kuburikidza nekupenda zviputi kana mvura yekunwa uye zvinogona kukanganisa neurologic yemwana uye hupfumi hwevanhu. Matambudziko anokonzerwa nehutachiona hwehutachiona uye hwepfungwa kuhutano hwekuita uye pasi IQ. Iko kunotungamirira kukuvadza kunogona kuonekwa, nekukurumidza mwana anogona kuiswa pamutambo kuti atarisire kusanganisa chero kukanganisa kungave kwaitwa uye kuvatungamira kuhutano hwakanaka.
Kuchengetedza: Vose veMedicaid-vana vakakodzera, pasinei nemungozi yekutungamira kwevatungamiri , vanofanira kuongororwa kuti vatungamirire pamwedzi gumi nemaviri nemwedzi makumi maviri nemana. Kana kuongororwa kusati kwapera makore maviri nemakumi manomwe nematanhatu, inofanira kuitwa panguva iyoyo. Kuchengetedza kunowanzoitwa kuburikidza nekutsvaga mutsara wechipfuva muhofisi yepahofisi kana pabazi rekunze.
Kuongororwa: Kutungamira kuongorora kuongorora kunoshandisa 10 mcg / dL kana kupfuura pane test fingerprick inofanira kusimbiswa uchishandisa svondo rinopa ropa. Izvozvo zvinoreva kuzadza kweropa rakazara. Vana vanogona kunge vasingafariri, asi ndicho chinhu chinokosha pakugadzira kuongororwa.
Kurapa: Kurapa kwekutungamira chepfu inotsigira chelation therapy . Izvi zvinosanganisira kutora mapiritsi anozobatanidza mutungamiri uye anoakosha mumuguta. Nhau dzakaipa ndeyekuti havasi vose vanogona kutsungirira mishonga yemigumisiro. Izvi zvingada kushandiswa kwejojeni chelation agent, EDTA, kuporesa kutsvaira chepfu panzvimbo. Pasinei nemararamiro ekuvhima, Medicaid inofanira kuvhara mari yekurapa chero ipi zvayo yakawanikwa pasi peEPSDT.
Vision Services
Kudzivirira: Kukanganiswa mune zvakaratidzwa kunomhanya mumutambo. Mwana anogona kunge ane amblyopia , anozivikanwa seziso rakasviba, apo rimwe ziso harina simba kune rimwe pasinei nekushandiswa kwekugadzirisa lenzi. Astigmatism inokonzerwa nechirema mu cornea inoita kuti zvive zvakaoma kutarisa neziso rakavhiringidzika. Strabismus inokura apo maziso eziso haasi akaenzana zvakasimba, zvichiita kuti maziso aparadzane kubva kune mumwe nemumwe kuitira kuti vaoneke vakatarisana. Ngatisarege kukanganwa pamusoro pekuona binocular uye kuswedera pedyo . Pasinei nokuti chii chinokonzera kutadza kwemaono kwemwana, kukundikana kubata mamiriro aya kunogona kuguma nemigumisiro yenguva refu.
Kuchengetedza: Nyika imwe neimwe ichaita zviratidzo zvekuona pane purogiramu yayo pachayo, ichifunga mazano kubva kumasangano epachidiki mundima. Kuyera kuongorora kunogona kusanganisira chati iri nyore. Chero mwana upi zvake anotambudzwa nechiratidzo chake anofanira kuongororwa nokukurumidza kupfuura gare gare, pasinei nehurongwa hwehurumende hunoshandiswa.
Kuongororwa: Kuongorora kwakanyanyisa kunofanira kuitwa nenyanzvi yakagadziriswa kuti ipe chinokonzera kuora kwekuona kwevana. Panguva ino, nzira yakakodzera yekurapa ichasvika.
Kurapa: Medicaid inofanira kubhadhara maziso emakona eyeseri uye lenzi kana zvichidikanwa, asi chirongwa hachidiwi kuti chivhare lensiti. Vamwe vanoti, zvisinei, zvinogona kusanganisira izvi sekubatsira.
Mamwe Huduma
Kuchengetedza kwekudzivirira kunopfuurira mberi kwebasa rinotaurwa pamusoro apa. Vanofanira kusanganisira imwe-ye-imwe nguva pamwe nachiremba uye chiitiko chechechechechechechechechechechecheche. Munyaya iyi, chirongwa cheEPSDT chinosanganisirawo:
- Dzidzo yehutano, kusanganisira kuregererwa kwengozi, kutarisira kutungamirirwa nekukura kwevana, kudzivirira zvirwere, uye kukurudzira mararamiro akanaka
- Nhoroondo yehutano, kusanganisira nhoroondo yekuberekwa, nhoroondo yekusimudzira, kuongororwa kwehutano hwepfungwa, uye kuongororwa kwakajeka kwezvirwere zvehutano nekuvhiya
- Kuzvidzivirira sezvakakurudzirwa neDare Rinokurudzira rekudzivirira Kuzvidzivirira (ACIP)
- Kuongororwa kwebhizinesi, kusanganisira kutungamirira kuongorora miedzo
- Kuongorora kwepanyama
Kutorwa pamwe chete, mwana achava nemikana yakanakisisa pane ramangwana rakanaka kana tikakwanisa kudzivirira zvirwere, tibate kare, uye tizvibata tisati tine mukana wekumukuvadza.
Shoko Rinobva
Mazana emamiriyoni evana anogamuchira kurapa kwehutano kuburikidza neMedicaid. Kutarisira ikoko kunosanganisira kupindirana kwehurongwa ipurogiramu inonzi Early and Periodic Screening, Diagnostic, uye Treatment (EPSDT). Nokusimbiswa pakuongorora uye kutanga kurapwa kwezvirwere zvakajairika, Medicaid inogona kuisa zvizvarwa zvedu zviduku pane nzira yehupenyu husingaperi.
> Kwakabva:
> Kutanga uye Kuongorora Kuongorora, Kuongorora, uye Kurapa. Medicaid.gov website. https://www.medicaid.gov/medicaid/benefits/epsdt/index.html.
> Mari Yegore Gore 2019: Mari yeAmerica. Office of Management uye Budget. https://www.whitehouse.gov/wp-content/uploads/2018/02/budget-fy2019.pdf. Yakabudiswa February 12, 2018.
> Health Insurance Coverage of Children 0-18, 2015. Henry J. Kaiser Family Foundation. http://kff.org/other/state-indicator/children-0-18/?dataView=1¤tTimeframe=0&sortModel=%7B%22colId%22:%22Medicaid%22,%22sort%22:%22asc%22 % 7D.
> Medicaid Child uye CHIP Kuverengera Kuverengwa Muna December 2017. Medicaid.gov website. https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-enrollment-data/report-highlights/child-and-chip-enrollment/index.html.
> Yakakurudzirwa Kuvhara Purogiramu yevana nevechiri kuyaruka Makore gumi nematanhatu kana vaduku, United States, 2017. Nzvimbo dzeDaase Control and Prevention website. https://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html. Yakarongwa musi waMarch 6, 2017.