Ukugcina Izingane Zethu Ziphilile Futhi Ziqinile
Akuwona wonke umndeni ongakwazi ukukhokhela umshwalense wezempilo wangasese kubantwana bawo. Ngonyaka ka-2015, amaphesenti angu-39 ezingane ezineminyaka engama-0 no-18 ubudala ahlanganiswe yi- Medicaid kanye ne-Children's Insurance Health Program (CHIP) . Izinombolo zazingaphansi kwamaphesenti angama-21 ezingane e-Utah ukuya phezulu ezingamaphesenti angu-53 zezingane eMississippi naseWest Virginia.
Konke, izingane ezingaba ngu-30.5 million zidinga usizo lwamazwe ngonyaka ka-2015 ukuze zihlale ziphilile futhi ziqinile. Kusukela ngoDisemba 2017, inani labantwana elihlanganisiwe liye lafinyelela ku-35.7 million.
Umbuso ngamunye ubeka imithetho yawo ngokuqondene nokuthi ngubani ozobekwa, kodwa uhulumeni wesifunda ubeka izinga eliyisisekelo sokukhathalela ingane ngayinye efundwayo okufanele iyenze. Ngeshwa, akuzona zonke izizwe eziye zafeza leso sithembiso . Isabelomali sezimali sika-2019 sikaTrump siphakamisa ukunciphisa izimali zeMedicaid ngokusebenzisa izibonelelo ze-block . Ngama-dollar anganiselwe atholakalayo, uthi bangase bakuthole kunzima ukuhlangabezana nalokhu kudinga.
Ukuhlolwa Kwesandulela Nesikhathi Sokuqala, Ukuxilongwa Ne-Treatment (EPSDT) uhlelo oluhlinzekwa izingane nezingane ezincane ezingaphansi kweminyaka engama-21 ubudala ezihlanganiswa yi-Medicaid. Lezi yizinsizakalo ezibalulekile ukuthi zonke izinhlelo zikahulumeni kumele zibandakanye kwabazuzi babo abancinyane kakhulu.
Izinsizakalo Zamazinyo
Ukuvimbela: Amazinyo amancane, kungakhathaliseki ukubola kwamazinyo noma ukutheleleka, kungaba uphawu lokungondleki noma ukuhlanzeka okungcolile . Izifo zamazinyo ezingenakwenzeka zingabangela ubuhlungu, ziphazamise ikhono lomntwana lokudla, ukulala, nokusebenza ekhaya noma esikoleni. Ukuzethemba kwabo kanye nentuthuko yezenhlalakahle nakho kungathinteka ngokusekelwe ekubukeni kwamazinyo abo.
Ukuhlolwa: Umbuso ngamunye uthola ukuthi kuzohlinzekwa kanake kangakanani ukunakekelwa kwamazinyo, kodwa akunakukhawulela ukuthi ukunakekela izinsizakalo eziphuthumayo. Ukuhlela okumboziwe akukwazi ukungahambisani nhlobo. Kumele kuhambisane nemikhombandlela enconywe yizingcweti endle. Okungenani, ukunakekelwa kwamazinyo ku-EPDST kumele kufake ukugcinwa kwempilo yamazinyo, ukubuyiselwa kwamazinyo, nokwelapha ubuhlungu bamazinyo kanye nezifo. Umbuso ngamunye uzothatha isinqumo sokuthi yini okufanele uyihlanganise kulezi zigaba.
Ukuxilongwa: Wonke umntwana uqinisekiswe ukuthi uyodluliselwa kudokotela wamazinyo ngokuhambisana nesimiso sokuhlola sokuphakanyiswa kukahulumeni. Kodwa-ke, uma uhlolo lokuhlola ngomlomo luphakamisa ngaphandle kwelolu hlelo, ukuhanjiswa kumsebenzi wamazinyo kufanele kuqhutshwe ngokushesha.
Ukwelashwa: Isimo asikona i-hook uma singakhokhi ukwelashwa othize ngaphansi kohlelo olujwayelekile lwe-Medicaid. Uhulumeni wesifunda udinga ukuthi noma yisiphi isimo esitholakale ngesikhathi sokuhlolwa kwesimo se-EPSDT kufanele siphathwe. Lokhu kusho ukuthi umbuso ngamunye kumele ukhokhele ukunakekelwa okudingekile.
Izinsizakalo Zokuzwa
Ukuvimbela: Ukuzwa ukulahlekelwa ezinganeni, kungakhathaliseki ukuthi kuzuzwe njengefa noma kuzuzwe, kungathinta ikhono lomntwana lokuthuthukisa inkulumo nolwimi, ukwenza kahle esikoleni, nokusebenzisana ezingeni lomphakathi. Ukutholakala kokuqala nokungenelela kungasiza lezi zingane zihlangabezane nezinyathelo zabo zokuthuthukiswa.
Ukuhlolwa: Ukuhlolwa kwesisu okuzalwa okusha kuvame ukuhlinzwa esibhedlela lapho ingane izalwa. Kodwa-ke, akuzona zonke izingane ezizalwa ezibhedlela, futhi izingane eziningi zingase zihlakulele ukulahlekelwa ukuzwa njengoba zikhula. I-EPSDT idinga ukuthi izingane zisengozini yokulahlekelwa kwezindlebe (isib. Umlando womndeni, izifo zendlebe , njll) zihlolwe ngokwendlela ehlelwe yizwe ngalinye, futhi ngokuchasene neziqondiso zomsebenzi. Izingane ezinezimpawu zokusola ukuzwa kufanele zihlolwe ngokushesha.
Ukuxilongwa: Uma kutholakala ukulahlekelwa kokuzwa, ukuhlolwa okubukwayo okumele kwenziwe ngokusemthethweni kufanele kwenziwe yilabo abaqeqeshiwe emkhakheni. Ukuhlolwa kokusiza ukuzwa kuzotholakala uma kukhonjisiwe.
Ukwelashwa: I- Medicaid kumele ikhokhe izindleko zemithi yokufakelwa , ama- hearing aid , nezinsiza zokuzwa, uma kunesidingo sokwelashwa, ngisho noma lokho kunganikeli ngaleyo nsiza kubanikazi bayo abadala.
Ukuhlola ukuhola
Ukuvimbela: Ukuvezwa kokuhola kubangelwa ngamapipi okupenda noma amanzi okuphuza futhi kungathinta intuthuko yengane nentuthuko yomphakathi. Izinkinga zivela e- anemia nesifo sezinso ezindabeni zokuziphatha kanye ne-IQ ephansi. Ukutholakala kwesifo sobungozi kwangaphambili kungatholakala, ngokushesha ingane ingabeka phezu kwethrekhi ukuze ihlehlise noma yimuphi umonakalo okungenzeka wenziwe futhi ubaqondise empilweni engcono.
Ukuhlolwa: Zonke izingane ezifanelekile zeMedicaid, kungakhathaliseki ukuthi zingabungozi bokungena ekuholeni , kufanele zihlolwe ukuhola ngezinyanga ezingu-12 nezinyanga ezingu-24 ubudala. Uma ukubukwa kungagcwaliswa phakathi kwezinyanga ezingu-24 no-72 ubudala, kufanele kwenziwe ngaleso sikhathi. Isikrini sivame ukuqhutshwa ngokusebenzisa ukuhlolwa okulula komunwe ehhovisi noma kwi-laboratory yendawo.
Ukuxilongwa: Ukuhlolwa kokuhlolwa kokuhola okulinganisa 10 mcg / dL noma ngaphezulu ekuhlolweni kwe-fingerprick kudinga ukuqinisekiswa ngokusebenzisa isampula segazi esiyingozi. Lokho kusho ukudweba kwegazi eligcwele. Izingane zingase zingayithandi, kodwa kuyisihluthulelo sokusungula ukuxilongwa.
Ukwelashwa: Ukwelashwa kokudakayo okuholela ekuthembekeni kwe-chelation . Lokhu kuhilela ukuthatha iphilisi elizobopha ukuhola futhi liyibeke emcimbini. Izindaba ezimbi ukuthi akuwona wonke umuntu ongabekezelela imiphumela yecala yemithi. Lokhu kungadinga ukusetshenziswa kwe-agent ye-chelation ejojelwe, i-EDTA, ukuphatha uketshezi oholayo esikhundleni. Kungakhathaliseki indlela ye-chelation, i-Medicaid kumele ihlanganise izindleko zokwelashwa nganoma yisiphi isimo esitholwe ngaphansi kwe-EPSDT.
Services Vision
Ukuvimbela: Ukukhubazeka embonweni kuqhuba i-gamut. Ingane ingaba ne- amblyopia , eyaziwa nangokuthi iso elivilaphayo, lapho iso linye libuthakathaka kunalokunye naphezu kokusetshenziswa kwamalensi okulungisa. I-Astigmatism ibangelwa isici ku-cornea eyenza kube nzima ukugxila kweso elithintekayo. I-Strabismus iqala lapho imisipha yamehlo ingekho eqinile ngokulinganayo, okwenza amehlo ahluke komunye nomunye ukuze avele ephukile. Masingakhohlwa ngombono we-binocular nokubona okuncane . Kungakhathaliseki imbangela yokukhubazeka kombono wengane, ukwehluleka ukuphatha lezi zimiso kungabangela imiphumela yesikhathi eside.
Ukuhlolwa: Umbuso ngamunye uzokwenza ukuhlolwa kombono ohlelweni lwakhe, ucabangele izincomo ezivela ezinhlanganweni zezingane ezisensimini. Ukuhlolwa kokuhlola kungabandakanya ishadi elilula leso. Noma yimuphi umntwana olwa nombono wakhe kufanele ahlolwe ngokushesha kunanoma yimuphi, kungakhathaliseki ukuthi uhlelo olukhethiwe lombuso.
Ukuxilongwa: Ukuhlolwa okubanzi kufanele kwenziwe ngomsebenzi oqinisekisiwe ukuze kutholakale imbangela yokukhubazeka kombono wengane. Ngalesi sikhathi, izinketho zokwelashwa ezifanele kakhulu zizovela.
Ukwelashwa: I- medicaid kumele ikhokhe amafremu we- eyeglass nama-lens uma kudingeka, kepha uhlelo aludingeki ukumboza amalensi okuxhumana. Abanye bathi, noma kunjalo, bangafaka lokhu njengenzuzo.
Amanye amasevisi
Ukuhlolwa kokuvimbela kuhamba ngaphezu kwamasevisi okukhulunywe ngenhla. Kufanele bahlanganise isikhathi esisodwa ngesikhathi esisodwa nodokotela kanye nokuhlola izingane kahle. Kulokhu, uhlelo lwe-EPSDT luhlanganisa futhi:
- Imfundo yezempilo, kubandakanya ukugwema ingozi, isiqondiso esilindelekile ekuthuthukiseni ingane, ukuvimbela izifo, nokukhuthazwa kwendlela yokuphila enempilo
- Umlando wezeMpilo, kuhlanganise nomlando wokuzalwa, umlando wokuthuthukiswa, ukuhlolwa kwempilo yengqondo, nokubuyekezwa okuningiliziwe kwezifo zezokwelapha kanye nokuhlinzwa
- Ukugonywa njengoba kunconywe yiKomidi Elulekayo Emisebenzini Yokugoma (ACIP)
- Ukuhlolwa kwelabhulali, kufaka phakathi ukuhlolwa kokuhlolwa kokuhola
- Ukuhlolwa komzimba
Ukuhlanganiswa ndawonye, ingane iyoba nethuba elihle kakhulu esikhathini esizayo uma singakwazi ukuvimbela izifo, sibambe ngokushesha, futhi siyiphathe ngaphambi kokuba nethuba lokulimaza.
Izwi elivela
Amashumi ezinkulungwane zezingane athola ukunakekelwa kwezempilo nge-Medicaid. Ukunakekelwa kubandakanya ukubamba iqhaza kombuso wuhlelo olubizwa ngokuthi i-Early and Periodic Screening, Diagnostic, and Treatment (EPSDT). Ngokugcizelela ukuhlolwa kanye nokuphathwa kokwelapha okuvamile, i-Medicaid ingabeka izizukulwane zethu ezincane kunazo zonke endleleni eya empilweni enempilo.
> Umthombo:
> Ukuhlolwa Kwangaphambi Kwezikhathi Nezikhathi Ezijwayelekile, Ukuxilongwa Nokwelapha. Iwebhusayithi yakwaMedicaid.gov. https://www.medicaid.gov/medicaid/benefits/epsdt/index.html.
> Unyaka Wezimali 2019: Isibijethi SeMelika. Ihhovisi Lokuphathwa Nebhajethi. https://www.whitehouse.gov/wp-content/uploads/2018/02/budget-fy2019.pdf. Ishicilelwe ngo-February 12, 2018.
> Ukuqinisekisa Umshuwalense Wezempilo Kwezingane 0-18, 2015. I-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.
> I-Medicaid Ingane ne-CHIP Ukubhaliswa Okuphelele Ngo-December 2017. Iwebhusayithi ye-Medicaid.gov. https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-enrollment-data/report-highlights/child-and-chip-enrollment/index.html.
> I-Schedule Yokugonywa Yokugonywa Kwezingane Nezingane Ezikhulile Zeminyaka Eyi-18 noma Encane, e-United States, ngo-2017. Amasevisi Ewebhusayithi Yokulawula Nokuvimbela Izifo. https://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html. Kubuyekezwe ngomhla ka-6 Mashi, 2017.