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HomeMy WebLinkAboutC.054.93009_1918PREVENTIVE HEALTH DIVISION MATERNAL REALTH BABY LOVE /Medicaid FY'97-'98 '98-'99 CHILD HEALTH $10227.... $102.27 EPSDT Periodic (Medicaid) $88 82 $88 82 Treatment (Medicaid) 5796 57 96 EPSDT lnterperiodic 82 85 8285 Periodic Screening 10096 8882 88 82 Treatment 10090 57.96.. 5796 Interperiodic Screening 82.85 8285 FAMILY PLANNING $68.76. eliminate 100% Pay 68.76. eliminate Initial $152.75 .. $152.75 Annual (Complete) 96.58. 96 58 Medical with pelvic 79.76.. 79.76 Medical without pelvic 4328 43 28 Depo-provera injection .................. ..... 23.74... 23.74 Pill replacement pack 500 5 00 XLX Medicaid 10.25. 10.25" Initial $15275 $15275 Annual (Complete) 9658 96 58 Medical with pelvic 79.76 7976 Medical without pelvic 4328 43 28 Norplant Insertion 50490. 504.90 Norplant Removal 197.1 1 197 11 Norplant Removal & Reinsertion 645.91 645 91 Depo-provera injection 23 74 23 74 LABORATORY N/A 35 44 TRUST $1000 $1000 Chem 23 (County Employees only) 20.00. 25 00 CBC (County Employees only) 2000 2000 Pregnancy Test (Medicaid) 1051 10 38 MATERNAL REALTH BABY LOVE /Medicaid FY'97-'98 n"98-'99 Initial Maternity Care Coordination $10227.... $102.27 Subsequent month 51.60. 51.60 MCC Home Visit 55.83 55 83 MOW Brief Visit 19 54 19 54 MOW Standard Visit 54.66 54 66 MOW Extended Visit 7950 .. 7950 CHILDREN'S SPECIAL HEALTH SERVICES Each visit 100° o ......... ............. $68.76. eliminate Medicaid 68.76. eliminate ADULT REALTH Each visit 100% .. .................. $25.00... $25.00 TB Control Treatment (Medicaid) .... 77.92...... 77.92 "`TB Mantoux Administration 700 700 SEXUAL LY TRANSMITTED DISEASES (Medicaid) Initial visit .. $40.99. $40.99 HIV Case Management (Unit rate 15 min) 10.25. 10.25" PRENATAL (Niedicaidl Clinic visit S9400 $94 00 Ultrasound 38 14 . 38 14 Post Partum Home Visit - Maternal Assessment ... ..... 40.61 40.61 Post Partum Home Visit - Newborn Assessment 36.92...... 36.92 Rho 1) Immune Globulin 4023 7740 Oral Glucose Tolerance Test 19.65...... 17 80 Maternity Home Visit 10805 10805 Non -Stress Test N/A 35 44 NIMUNILATIONS Typhoid $3500. $3500 Cholera 10.00 1000 Immune Serum Globulin 20.00 eliminate (no charge for indigent patients) 5