Kev taw qhia kev sau npe
Cov Kev Pabcuam Kev Ua Haujlwm Pabcuam Kev Ruaj Ntseg Kev Them Nyiaj
Cov tsev kho mob tsim nyog yuav tsum tau sau npe nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) txhawm rau koom nrog Clinic Workforce Stabilization Retention Payments (CWSRP). Thaum sau npe, cov chaw kho mob tsim nyog yuav raug pom zoo los thov cov nyiaj tuav pov hwm sawv cev ntawm cov neeg ua haujlwm tsim nyog.
Kev taw qhia dav dav:
Kev tso npe qhib rau lub Kaum Ib Hlis 15 thiab kaw rau lub Kaum Ob Hlis 28, 2022. Cov tsev kho mob uas tsim nyog tau raug txhawb kom ua tiav kev sau npe sai li sai tau kom txo qis kev pom zoo qeeb.
Ib qhov txuas mus rau daim ntawv sau npe yuav muaj nyob rau ntawm CWSRP lub vev xaib thaum lub Kaum Ib Hlis 15.
Yog tias koj yog ib feem ntawm cov kab ke kev noj qab haus huv loj, koj tuaj yeem sau npe ib zaug siv cov ntaub ntawv los ntawm koj lub chaw kho mob loj tshaj plaws lossis lub koom haum (nrog cov neeg ua haujlwm coob tshaj plaws), tsuav yog lub koomhaum tsim nyog thiab yog tus tswv haujlwm ntawm txhua tus neeg ua haujlwm thoob plaws lub cev.
Cov chaw kho mob uas tsis yog Medi-Cal cov chaw kho mob yuav tsum ua kom tiav thiab xa Daim Ntawv Foos STD 204, Cov Neeg Them Nqi Cov Ntaub Ntawv thaum lub sijhawm sau npe.
Muaj kwv yees li 10 yam khoom ua kom tiav ntawm daim ntawv sau npe, nyob ntawm koj hom chaw kho mob. Thov mus saib Daim Ntawv Ntxiv rau cov ntaub ntawv xav tau.
Nws yuav siv li 15 feeb los ua kom tiav daim ntawv sau npe.
Tej yam uas yuav tsum paub ua ntej koj pib:
Khaws koj tus browser qhib kom txog thaum koj tau ua tiav kev sau npe. Kaw koj tus browser ua ntej ua tiav yuav kom koj rov pib qhov kev sau npe.
Koj yuav tsum nyem 'Next' ntawm nplooj ntawv feem ntau mus txuas ntxiv mus rau nplooj ntawv tom ntej.
Koj tuaj yeem rov qab mus rau nplooj ntawv dhau los los ntawm nias 'Prev'.
Txhawm rau pib txheej txheem sau npe, koj yuav tsum lees txais Cov Lus Qhia Tshaj Tawm thiab Tsis Pub Leej Twg Paub hauv qab no ua ntej pib ua haujlwm.
Kev Tshaj Tawm Ntawm Tus Kheej Cov Ntaub Ntawv: Txhawm rau kom lees paub tus kheej thiab tsim nyog rau kev koom nrog hauv Clinic Workforce Stabilization Retention Payments (CWSRP), tej zaum yuav tsim nyog los qhia cov ntaub ntawv uas koj muab rau cov chaw tso cai hauv xeev / tsoomfwv lossis cov neeg muag khoom thib peb. Thaum nws yog qhov koj xaiv los ua kom tiav cov ntawv sau npe thiab daim ntawv thov, tsis ua tiav tag nrho cov txheej txheem yuav ua rau tsis muaj peev xwm txiav txim siab txog kev tsim nyog thiab ua cov nyiaj khaws cia zoo sib xws.
Daim ntawv ceeb toom tsis pub twg paub, Civ. Tshooj Cai 1798.17: Cov ntaub ntawv ntiag tug uas sau rau hauv thiab nrog daim foos no yog tsis pub lwm tus paub, raws li Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Pabcuam (DHCS) Daim Ntawv Ceeb Toom Txog Kev Tiv Thaiv Tus Kheej uas tuaj yeem pom ntawm no: https://www.dhcs.ca.gov/formsandpubs/laws/priv/Documents/Notice-of-Privacy-Practices-English.pdf. DHCS xav tau cov ntaub ntawv los tswj CWSRP. DHCS yuav tsis siv lossis faib cov ntaub ntawv rau lwm lub hom phiaj tshwj tsis yog koj tso cai lossis raws li txoj cai tso cai. Koj yuav tsum muab tag nrho cov ntaub ntawv thov hauv daim foos no. Yog tias koj tsis muab tag nrho cov ntaub ntawv thov, peb yuav tsis tuaj yeem txiav txim siab seb koj puas tsim nyog tau txais kev them nyiaj. Feem ntau, cov neeg uas cov ntaub ntawv no hais txog muaj cai nkag mus rau nws. DHCS tau tso cai los sau cov ntaub ntawv no raws li Txoj Cai Ua Haujlwm Tshooj 1492. Daim ntawv ceeb toom kev ceev ntiag tug no tau muab los ntawm California Civil Code tshooj 1798.17.
- Txhawm rau ua kom tiav cov ntawv sau npe, koj yuav raug nug kom paub meej cov ntaub ntawv koj tau nkag mus thiab tso cai rau kev lees paub los ntawm kev nkag mus rau koj thawj thiab lub xeem thiab koj lub npe hauv lub koom haum, thiab tom qab ntawd nyem lub pob "ua tiav". Cov lus teb ua tiav tiav yuav muab nrog cov lus qhia ntxiv.
Kuv tshaj tawm nyob rau hauv lub txim txhaum cai, raws li txoj cai ntawm lub Xeev California, hais tias cov ntaub ntawv yav dhau los nyob rau hauv daim ntawv no thiab tej ntaub ntawv txuas yog muaj tseeb, yog, thiab ua kom tiav raws li qhov zoo tshaj plaws ntawm kuv txoj kev paub thiab kev ntseeg. Kuv raug tso cai xa cov ntaub ntawv no sawv cev ntawm tus neeg thov. Kuv nkag siab los ntawm kev ntaus thawj lub npe thiab lub xeem hauv lub thawv hauv qab no suav nrog kuv tus lej kos npe hluav taws xob.
Nco tseg: Tus neeg ua pov thawj tso cai yuav tsum yog tus khub, tus neeg ua haujlwm hauv tuam txhab, lossis tus neeg sawv cev ntawm lub tsev kho mob tsim nyog uas muaj txoj cai los khi tus neeg thov.
- Tom qab kev tso npe tso npe, cov chaw kho mob tsim nyog yuav tau txais email los ntawm DHCS lees paub tias lawv cov ntawv sau npe tau txais lossis xav tau cov ntaub ntawv ntxiv.
Xaiv koj hom chaw kho mob:
Nco ntsoov xaiv hom tsev kho mob uas zoo tshaj plaws qhia txog koj lub koom haum. Yog tias koj muaj ntau tshaj li ib lub tsev kho mob uas tau piav qhia hauv qab no nrog tib lub npe, Tus Naj Npawb Tus Kheej Tus Kheej (TIN), lossis Tsoom Fwv Teb Chaws Tus Neeg Ua Haujlwm Tus Naj Npawb (FEIN), xaiv hom tsev kho mob uas muaj pawg neeg ua haujlwm loj tshaj plaws.
Federally Qualified Health Center (FQHC): Tsoom Fwv Teb Chaws pab nyiaj rau cov chaw kho mob tsis muaj txiaj ntsig lossis chaw kho mob uas pab kho mob tsis zoo rau thaj chaw thiab cov pej xeem. FQHCs muab kev pabcuam thawj zaug txawm hais tias koj muaj peev xwm them taus.
Lub tsev kho mob nyob deb nroog (RHC): Ib lub tsev kho mob nyob rau hauv ib cheeb tsam nyob deb nroog, tsis muaj kev pab cuam uas tsis muaj chaw zov me nyuam, kev pab kho mob ntawm tus kheej, los yog ob qho tib si, thiab uas muab kev saib xyuas thiab kev tiv thaiv kev noj qab haus huv hauv cov cheeb tsam uas tsis muaj kev pab cuam.
FQHC zoo ib yam: Ib lub koom haum uas ua tau raws li tag nrho cov kev cai tsim nyog ntawm FQHC uas tau txais Kev Pabcuam Kev Noj Qab Haus Huv (PHS) Tshooj 330, tab sis tsis tau txais nyiaj pab.
Tribal FQHC: Ib lub tsev kho mob uas muab kev pab cuam kho mob thawj zaug rau Medi-Cal cov neeg mob. Tribal FQHC cov kev pabcuam tej zaum yuav muab rau hauv ib lub tsev kho mob lossis sab nraud los ntawm Pawg Pabcuam thiab cov chaw pabcuam uas tsis yog Pab Pawg uas yog cov neeg cog lus ntawm Pab Pawg FQHC.
Lub tsev kho mob Indian: Ib qho kev faib ua haujlwm nyob rau hauv US Department of Health thiab Human Services lub luag hauj lwm rau muab kev kho mob ncaj qha thiab kev noj qab haus huv rau pej xeem cov tswv cuab ntawm tsoom fwv teb chaws lees paub Cov Neeg Qhab Asmeskas thiab Alaska Native neeg. Cov ntsiab lus no tseem hais txog cov chaw kho mob Indian ntawm Pawg Neeg thaj av uas nyob ze rau California hauv ib lub xeev nyob sib ze uas muab kev pabcuam rau Asmeskas Khab thiab lawv tsev neeg uas nyob hauv California.
Pub dawb c: Ib lub tsev kho mob uas muab kev kho mob, kev sab laj, kev kho hniav, thiab kev pab raws li txoj cai rau cov tib neeg thiab cov tsev neeg uas xav tau, txawm tias lawv muaj peev xwm them taus li cas. Qhov no suav nrog cov neeg ntawm txhua lub hnub nyoog, haiv neeg, kev ntseeg, thiab keeb kwm kev noj qab haus huv uas tsis tuaj yeem siv cov kev cai hauv zej zog.
Lus txhais:
| Tus neeg tiv tauj (siv rau lub npe hu, Tiv tauj Email chaw nyob, thiab tus xov tooj hu) | Tus neeg tiv tauj yuav tsum yog tus neeg uas DHCS tuaj yeem tiv tauj, yog tias xav tau, hais txog koj daim ntawv sau npe.
Tus email chaw nyob yuav raug siv rau tag nrho DHCS cov ntawv xov xwm hais txog koj cov xwm txheej sau npe thiab cov kauj ruam tom ntej. |
| NPI | Tus Neeg Muab Kev Pabcuam Hauv Tebchaws: tus lej cim 10 tus lej tshwj xeeb tshaj tawm rau cov kws kho mob hauv Tebchaws Meskas los ntawm Lub Chaw Pabcuam Medicare & Medicaid (CMS). |
| TIN/FEIN | Tax Identification Number los yog Tsoom Fwv Teb Chaws Tus Neeg Ua Haujlwm Tus Naj Npawb: tus lej tseem ceeb uas tshwm sim hauv koj daim ntawv W9. |
Hom Neeg Them Nyiaj (raws li txhais los ntawm Xeev California - Department of Finance) | Ib Leeg Tswvcuab LLC - muaj los ntawm ib tus neeg: Lub Tuam Txhab Limited Liability (LLC) muaj los ntawm ib tus neeg thiab tsis saib xyuas rau tsoomfwv cov hom phiaj ua se. Kev Sib Koom Tes: Kev Sib Koom Tes * Kev Koom Tes Tsis Muaj Cai Lij Choj (LLP) * thiab LLC raug kho raws li Kev Sib Koom Tes Vaj tse los yog Trust: vaj tse * Trust (lwm yam tsis suav nrog Grantor Trust). Corporation - Kev Kho Mob: Lub tuam txhab uas yog kev kho mob hauv qhov xwm txheej (xws li, kev kho mob thiab kev kho mob, kev kho mob, kev zov me nyuam, kev kho hniav, thiab lwm yam) * LLC uas yuav tsum tau them se zoo li lub tuam txhab thiab yog kev kho mob hauv xwm. Corporation - Raws li txoj cai: Lub tuam txhab uas raug cai (piv txwv li, cov kev pabcuam ntawm kws lij choj, kws txiav txim plaub ntug, thiab cov neeg tsis lees paub txog kev cai lij choj lossis kev cai lij choj, thiab lwm yam.) * LLC uas yuav tsum tau them se zoo li lub tuam txhab thiab raug cai hauv xwm. Corporation - Exempt: Lub tuam txhab uas tsim nyog tau txais kev zam txim, suav nrog 501(c) 3 thiab cov tuam txhab tsis muaj txiaj ntsig hauv tsev. Corporation - Tag Nrho Lwm Tus: Lub tuam txhab uas tsis ua raws li qhov tsim nyog ntawm ib qho ntawm lwm hom kev lag luam tau teev tseg saum toj no. * LLC uas yuav tsum tau them se raws li lub koom haum thiab tsis ua raws li lwm yam kev lag luam uas tau teev tseg saum toj no. |
| Intermittent Clinic | Ib lub tsev kho mob uas ua haujlwm los ntawm lub chaw kho mob hauv zej zog lossis chaw kho mob dawb uas ua haujlwm ntawm qhov chaw sib cais los ntawm lub tsev kho mob uas muaj ntawv tso cai thiab tsuas yog qhib rau cov kev pabcuam txwv tsis pub tshaj 40 teev hauv ib lub lis piam. Hom tsev kho mob no tsis muaj npe raws li kev xaiv ntawm kev sau npe vim nws poob rau hauv daim ntawv tso cai ntawm FQHC, FQHC zoo ib yam, Indian chaw kho mob, lossis chaw kho mob dawb.
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Yog xav paub ntxiv, thov mus saib hauv Clinic Workforce Stabilization Retention Payments webpage ntawm DHCS lub vev xaib thiab tshuaj xyuas cov lus nug uas nquag nug (FAQs).
Daim ntawv ntxiv: Cov ntaub ntawv xav tau
Cov ntaub ntawv hauv qab no yuav tsum muaj nyob rau hauv daim ntawv sau npe.
- Lub npe hu (thawj thiab xeem)
- Hu rau email chaw nyob thiab xov tooj
- Hom tsev kho mob (FQHC, RHC, FQHC zoo ib yam, Tribal FQHC, Indian chaw kho mob, tsev kho mob dawb)
- Lub tsev kho mob lub npe lossis lub lag luam / lub npe raug cai cuam tshuam nrog TIN / FEIN (raws li nws tshwm hauv Internal Revenue Service (IRS) daim ntawv W9)
- NPI num
- TIN/FEIN
- Kwv yees tus naj npawb ntawm cov neeg ua haujlwm tsim nyog
- Tus neeg txais nyiaj cov ntaub ntawv sau npe hom (piv txwv li, koom tes, koom tes)
- Ua tiav TIAB SA 204 (Payee Data Record) daim foos, yog thov
- Tus kws kho mob lub npe thiab lub npe
