Kev Taw Qhia Daim Ntawv Thov
Tsev Kho Mob thiab Chaw Kho Mob Kws Kho Mob COVID-19 Cov Neeg Ua Haujlwm Khaws Nyiaj Them Nqi
Kev taw qhia daim ntawv thov yog rau Cov Chaw Pabcuam (CEs), Cov Chaw Pabcuam Cov Haujlwm (CSEs), Cov Kws Kho Mob Pab Pawg (PGEs), thiab Cov Kws Kho Mob ywj pheej uas tau ua tiav rau Tsev Kho Mob thiab Cov Kws Pabcuam Saib Xyuas Neeg Mob COVID-19 Cov Neeg Ua Haujlwm Retention Payments (WRP). Txhua lub koom haum yuav tsum tau sau npe ua ntej thov rau cov nyiaj khaws cia sawv cev ntawm lawv cov neeg ua haujlwm tsim nyog, ncaj qha.
Yog tias koj tseem tsis tau sau npe rau WR P, thov mus saib WRP lub vev xaib txuas mus rau npe thiab txhawb kev taw qhia. Hnub kawg ntawm kev sau npe yog Lub Kaum Ob Hlis 23, 2022.
Kev taw qhia dav dav:
Thaum lub Kaum Ib Hlis 29, 2022, tag nrho cov npe ua tiav CEs, CSEs, PGEs, thiab Cov Kws Kho Mob ywj pheej yuav tau txais qhov txuas mus rau daim ntawv thov xa cov ntaub ntawv tsim nyog, ncaj qha cov neeg ua haujlwm. Yog tias koj tso npe rau lossis tom qab lub Kaum Ib Hlis 29, 2022, koj yuav tau txais qhov txuas rau daim ntawv thov thaum koj tso npe tau txais.
Qhov txuas mus thov thiab txhua qhov kev sib txuas lus txuas ntxiv yuav raug xa mus rau email chaw nyob muab los ntawm tus neeg sau npe thaum lub sijhawm sau npe.
Txhawm rau pib daim ntawv thov, koj yuav tsum lees txais Cov Lus Qhia Tshaj Tawm thiab Tsis Pub Leej Twg Paub.
Yog tias koj xa ntau tshaj ob (2) tus neeg ua haujlwm tsim nyog rau kev them nyiaj, koj yuav tsum sau thiab xa tag nrho cov ntaub ntawv tus neeg ua haujlwm tsim nyog siv cov qauv Excel uas tsim nyog (saib hauv qab) muab los ntawm DHCS.
Xa mus rau cov lus qhia kom paub meej txog yuav ua li cas khaws cov Excel ua tiav ua PDF. Cov ntaub ntawv khaws tseg PDF yuav tsum tau muab tso rau hauv daim ntawv thov uas tau thov kom ua li ntawd.
Yog tias koj tab tom xa nyiaj rau ob (2) tus neeg ua haujlwm lossis tsawg dua, lossis tab tom thov ua Tus Kws Kho Mob ywj pheej sawv cev ntawm koj tus kheej, koj tsis tas yuav sau cov qauv. Hloov chaw, koj yuav tsum ua kom tiav cov lus nug raws li qhia hauv daim ntawv thov. Thov xa mus rau Cov Neeg Ua Haujlwm Tsis Yog Tus Kws Kho Mob thiab Cov Kws Kho Mob hauv qab no rau cov ntaub ntawv xav tau.
Txhawm rau ua kom tiav koj qhov kev xa tawm, CEs, CSEs, PGEs, thiab Cov Kws Kho Mob ywj pheej yuav tsum nyeem thiab lees txais daim ntawv pov thawj los ntawm kev sau koj lub npe thiab lub xeem nrog rau koj lub npe.
Tom qab xa daim ntawv thov, CEs, CSEs, PGEs, thiab Cov Kws Kho Mob Independent (uas tau sau npe thiab thov ncaj qha) txhua tus yuav tau txais email los ntawm DHCS (DoNotReplyWRP@dhcs.ca.gov) los lees paub tias daim ntawv thov tau txais lossis nthuav qhia cov ntaub ntawv tseem ceeb ntxiv. Yog xav paub ntxiv lossis kho, koj tuaj yeem xa rov qab daim ntawv thov thiab xa tag nrho Excel template(s), ua PDF, ntxiv nrog rau cov ntsiab lus kho.
Yog tias nws tau dhau 10 hnub ua haujlwm txij li koj tau sau npe thiab koj tsis tau txais email kev lees paub ntawm kev sau npe ua tiav thiab / lossis tsis tshwm sim hauv daim ntawv teev npe ua tiav, thov xa email rau DHCS ntawm wrp@dhcs.ca.gov thiab suav nrog "Tsev Daim Ntawv Thov Txuas" hauv kab ntawv kawm.
Txhua daim ntawv thov yuav tsum xa tsis pub dhau 5 teev tsaus ntuj (PST) thaum Lub Ib Hlis 6, 2023. DHCS txhawb kev xa ntawv ntxov kom muaj sijhawm txaus rau kev lees paub thiab ua tiav ua ntej hnub kawg ntawm daim ntawv thov.
Tej yam uas yuav tsum paub ua ntej koj pib:
Thov qhib koj lub browser kom txog thaum koj ua tiav daim ntawv thov. Yog tias koj kaw koj lub browser ua ntej ua tiav, koj yuav tsum pib dua los ntawm qhov pib.
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'.
Cov ntaub ntawv thiab cov ntaub ntawv los sau ua ntej pib txheej txheem thov:
Tus Naj Npawb Tax Identification Number (TIN) lossis Tsoom Fwv Teb Chaws Tus Kheej Tus Kheej (FEIN) tau muab thaum lub sijhawm sau npe.
Tag nrho cov ntaub ntawv xav tau ntawm cov neeg ua haujlwm; xa mus rau Cov Neeg Ua Haujlwm Tsis Yog Tus Kws Kho Mob thiab Cov Kws Kho Mob cov ntaub ntawv hauv qab no.
Ua kom tiav Excel Template:
Yog tias CE, CSE, lossis PGE muaj ntau tshaj li ob (2) tus kws kho mob lossis cov neeg ua haujlwm tsis yog kws kho mob, koj yuav tsum muab cov ntaub ntawv tsim nyog rau cov neeg ua haujlwm ntawm DHCS cov qauv.
Thov nco ntsoov: tsis txhob hloov kho rau kab lossis kab. Yog tias hloov kho rau kab lossis kab, nws tuaj yeem ncua kev ua haujlwm lossis ua rau tsis lees txais daim ntawv thov.
Cov ntaub ntawv hauv qab no suav nrog hauv cov qauv excel thiab xav tau.
Cov neeg ua haujlwm tsis yog kws kho mob:
Lub Npe Tus Neeg Ua Haujlwm Tsim Nyog - Thawj | Yog lawm | Thawj lub npe ntawm cov neeg ua haujlwm ua haujlwm los ntawm lub koom haum raws li nws tshwm nyob rau ntawm W2.
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Lub Npe Tus Neeg Ua Haujlwm Tsim Nyog - Xeem | Yog lawm | Lub xeem lub npe ntawm tus neeg ua haujlwm ua haujlwm los ntawm lub koom haum raws li nws tshwm nyob rau ntawm W2. |
4-tus lej kawg ntawm SSN/ITIN | Yog lawm | Plaub tus lej kawg ntawm tus neeg ua haujlwm Tus Naj Npawb Xaus Saus (SSN) lossis Tus Naj Npawb Tus Neeg Them Se (ITIN) uas muab los ntawm IRS. |
Hnub yug | Yog lawm | Hnub tim hom ntawv yuav tsum ua raws MM/DD/YYYY. |
Chaw nyob | Yog lawm | Yuav tsum muaj kev cuam tshuam raws li nws tshwm sim ntawm tus neeg ua haujlwm W2. |
Lub nroog | Yog lawm | Yuav tsum muaj kev cuam tshuam raws li nws tshwm sim ntawm tus neeg ua haujlwm W2. |
Xeev | Yog lawm | Yuav tsum muaj kev cuam tshuam raws li nws tshwm sim ntawm tus neeg ua haujlwm W2. Ob tug alpha cim. |
ZIP | Yog lawm | Yuav tsum muaj kev cuam tshuam raws li nws tshwm sim ntawm tus neeg ua haujlwm W2. |
Lub Sijhawm Base | Yog lawm | Xaiv ib qho ntawm cov kev xaiv hauv qab no: PT - ib nrab hnub FT - puv sijhawm |
Cov xuab moos ua haujlwm ntawm qhov chaw thaum lub sijhawm tsim nyog
(ntawm 7/30/2022 - 10/28/2022) | Yog lawm | Hloov cov sij hawm (tsis muaj zauv). Tsis pub ntau tshaj peb tus lej tag nrho. 100-399 teev = ib nrab lub sij hawm puag saum toj no 400 teev thiab siab dua = lub sijhawm puv sijhawm saum toj no
Ntxiv cov sij hawm so tso cai, yog tias muaj (hnub so, mob, thiab lwm yam). Thov xa mus rau Kev Tsim Nyog FAQs rau cov lus qhia txog kev txheeb xyuas lub sijhawm rau cov neeg ua haujlwm tsim nyog. |
Tus tswv hauj lwm them/yuav them rau cov neeg ua hauj lwm raws li cov nyiaj pab ntxiv
(12/1/2021-12/31/2022) | Tsis muaj | Cov nyiaj tau txais txiaj ntsig qhov chaw ua haujlwm tau them rau tus neeg ua haujlwm sib npaug rau tus nqi ze tshaj plaws (tsis muaj lej). Yog tias tsis muaj ib tus tswv ntiav ua haujlwm them nyiaj ntxiv lawm, cia li tso tseg. Tsis suav nrog them nyiaj. Thov xa mus rau Cov Lus Qhia Txog Kev Them Nyiaj FAQs kom paub ntau ntxiv txog cov nyiaj tau los ntawm qhov chaw ua haujlwm. |
Hnub twg tus tswv hauj lwm them nyiaj ntxiv los yog yuav them rau cov neeg ua haujlwm | Tsis muaj
| Hnub tim hom ntawv yuav tsum ua raws MM/DD/YYYY. Yog tias muaj ntau tshaj li ib hnub thiab qhov chaw tso cai, cais txhua tus nrog rau ib nrab. Yog tias muaj hnub ntau dhau lawm, nkag mus rau hnub kawg them nyiaj ntxiv hauv lub sijhawm 12/1/2021-12/31/2022. Yog tias tsis muaj kev koom tes, tso tseg. |
Cov kws kho mob:
Tus Kws Kho Mob Tsim Nyog - Thawj | Yog lawm
| Thawj lub npe ntawm tus kws kho mob ua hauj lwm los ntawm lub koom haum raws li nws tshwm nyob rau hauv W2. |
Tus Kws Kho Mob Tsim Nyog - Xeem | Yog lawm | Lub xeem lub npe ntawm tus kws kho mob ua hauj lwm los ntawm lub koom haum raws li nws tshwm nyob rau hauv W2. |
NPI
(Type 1- tus kheej) | Yog lawm | 10-digit National Provider Identification number associated with the physician. |
Daim Ntawv Tso Cai Kho Mob Naj Npawb | Yog lawm | California Medical License number ntawm tus kws kho mob. |
4-tus lej kawg ntawm SSN/ITIN | Yog lawm | Plaub tus lej kawg ntawm tus neeg ua haujlwm Tus Naj Npawb Xaus Saus (SSN) lossis Tus Naj Npawb Tus Neeg Them Se (ITIN) uas muab los ntawm IRS. |
Hnub yug | Yog lawm | Hnub tim hom ntawv yuav tsum ua raws MM/DD/YYYY.
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Thaum cov templates tau ua tiav nrog tag nrho cov ntaub ntawv xav tau, thov xa mus rau
cov lus qhia kom paub meej txog kev hloov Excel template rau PDF ntaub ntawv los upload thiab xa nrog daim ntawv thov.