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09-01-08
Beginning October 15 , 2008, During the RSV season, prior approval will not be required for the five monthly doses of Synagis. The number of doses should be adjusted if an infant received the first dose prior to a hospital discharge. For the following four diagnoses (Chronic lung disease of prematurity, Hemodynamically significant congenital heart disease, Cystic fibrosis, and Severe congenital immunodeficiency) , the date of birth must be on or after October 15,2006. Any claims before October 13,2008 and after March 31, 2009 will not be allowed.
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 ASTHMA |
Asthma is a chronic, inflammatory lung disease that causes the airways to tighten and narrow. An asthma attack occurs when the lungs are not getting enough air to breathe. During an asthma attack, the airways tighten, swell, or fill with mucus. Common symptoms include:
- Coughing
- Wheezing
- Shortness of breath
- Chest tightness
Did you Know?
-Approximately 15 percent of the Medicaid population has an asthma diagnosis.
-Asthma is the primary and secondary reason for hospital stays and emergency room visits for patients under 21 years of age.
-Asthma Disease Management for physicians and patients include:
- Adopting the National Institute of Health (NIH) guidelines in treating asthma.
- Using an Asthma Action Plan in Medical Records, at home and in school.
- Providers staging asthmatic patients (Mild Intermittent, Mild Persistent, Moderate Persistent, Severe Persistent).
- Ensuring patients use effective medicine inhalation techniques and are taking medicines regularly.
- Ensuring that asthmatic patients' home environment are free from asthma triggers as much as possible.
For more information about asthma, visit the websites below or call 4C!
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