Pica health insurance12/23/2023 ![]() ![]() Remove easily ingestible items such as pens, erasers, paper clips, etc.Įnsure decorative items on clothing and toys are well-secured (buttons, snaps, patches, strings).Įvaluate materials that may be worn or easily disassembled (worn clothing, bedding, toys). Secure devices with small batteries (remotes, toys, clocks). Pay special attention to pleasantly scented items (wet-wipes, hand sanitizer, lotions). Store all medical and cleaning supplies out of reach or in locked cabinets (latex gloves, medication cups, thermometers, Band-Aids, bottles/aerosol with removal caps). Restrict access to garbage and compost (including cigarette butts, food waste, paper products). Routinely monitor areas utilized by the individual with pica tendencies. Additionally, visitors and caregivers should be educated on the disease and trained in prevention and treatment. Individuals with a history of pica should be clearly identified and their “favorite” non-edible items should be identified. Clear “House Rules” and regular sweeps aim to prevent access to pica hazards. Negative Reinforcement: Swallowing relieves some bad feeling.Ĭannot discriminate between food/non-food due to intellectual disability or developmental level.Ī safe living environment requires constant vigilance on the part of caregivers and visitors. Positive Reinforcement: Swallowing or chewing feels good and provides sensory stimulation. While there is some support for cultural practices or nutritional deficiencies leading to increased rates of pica, in individuals with intellectual disabilities, literature suggests stronger relation to behavioral, developmental, and other cues driving behavior. Prior to the age of 18 months, pica is considered developmentally appropriate. Pica behaviors can be seen in all cultures however prevalence is greatly increased in cultures that accept the practices and in individuals with intellectual disabilities. Risks of pica are discussed below but may include infection, respiratory obstruction, or gastrointestinal obstruction. Practically the illness is characterized by a pattern (more than once in 1 month) of ingesting (eating vss mouthing) inedible materials (rocks, rubber gloves, hair, etc.). Or visit /nyc.Pica is one of the most common eating disorders among individuals with autistic spectrum disorder and intellectual disabilities. ![]() If you have any questions about changes to your Empire BlueCross BlueShield hospital benefits, call 1-80. ![]() If you have a hearing or speech impairment and use a TTY/TDD, please call 711. If you have any questions about the changes to your GHI CBP medical benefits, please call EmblemHealth Customer Service at 1-80, Monday to Friday, 8 am to 6 pm. Please begin using it when claiming benefits, and be sure to destroy your previous card once you receive your new one. Your new GHI CBP member ID card will be mailed to you approximately 10 days prior to the Jeffective date of your plan changes. The MOOP amount may change from calendar year to calendar year**.įor calendar years beginning Janu– December 31, 2017** (Subject to indexing by the federal government) Premiums and/or premium contributions also do not count toward MOOP. MOOP includes deductibles, coinsurance and copay charge amounts that you must pay for covered in-network services and any applicable riders in a calendar year.Ĭost-sharing amounts attributable to services received from Non-Participating Providers generally do not count toward MOOP.Īmounts incurred for non-covered services and other non-covered expenses, such as amounts in excess of plan allowances as well as any financial penalties do not count toward MOOP. MOOP refers to the maximum amount of in-network cost-sharing expenses that you will pay in each plan year for covered services/essential health benefits received from Participating Providers under the GHI/Empire BlueCross BlueShield plans combined. View the List of Services Requiring Pre-Certification Within 48 hours of an emergency admission Your provider should call NYC Healthline at 1-80 for pre-certifications including: If you are an employee or non-Medicare eligible retiree participating in GHI-CBP/Empire BlueCross BlueShieldĪs previously communicated, many procedures require pre-certification. GHI-CBP/EBCBS Services Requiring Pre-Certification ![]()
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