Dhia mus rau cov ntsiab lus​​ 
Tsev Cov Txheej Txheem Sau Npe thiab Daim Ntawv Thov Kev Them Nyiaj Rau Cov Neeg Ua Haujlwm COVID-19 Hauv Tsev Kho Mob thiab Chaw Saib Xyuas Neeg Mob​​ 

Tsev Kho Mob thiab Kws Kho Mob Kws Kho Mob COVID-19 Cov Neeg Ua Haujlwm Tuav Pov Hwm Cov Nyiaj Them Nqi rau npe thiab cov txheej txheem thov​​ 

Cov Chaw Pabcuam (CEs), Cov Chaw Pabcuam Kev Pabcuam (CSEs), thiab Pawg Kws Kho Mob (PGEs) yuav tsum tau tso npe nrog DHCS txhawm rau koom nrog Tsev Kho Mob thiab Chaw Pabcuam Kws Kho Mob COVID-19 Cov Nyiaj Them Nqi Ua Haujlwm. Thaum sau npe, CEs, CSEs, thiab PGEs yuav raug pom zoo los thov cov nyiaj tuav pov hwm sawv cev ntawm cov neeg ua haujlwm tsim nyog.​​ 

Kev sau npe​​  

A link to the registration form will be available on the Hospital and Skilled Nursing Facility COVID-19 Worker Retention Payment webpage on October 21, 2022. While the deadline for completing the registration form is December 23, 2022, CEs, CSEs, and PGEs are encouraged to complete the registration form soon after it is available to minimize delays in registration approval.​​   

Tom qab kev tso npe tso npe, CEs, CSEs, thiab PGEs yuav tau txais email los ntawm DHCS lees paub tias lawv cov ntawv sau npe tau txais lossis xav tau cov ntaub ntawv ntxiv.​​ 

Cov ntaub ntawv hauv qab no yuav tsum muaj nyob rau hauv daim ntawv sau npe:​​ 

CEs:​​ 

  • Lub npe hu (thawj thiab xeem)​​ 
  • Hu rau email chaw nyob thiab xov tooj​​ 
  • Daim ntawv tso cai tus naj npawb (CDPH-xa 9 tus lej)​​ 
  • Lub npe chaw ua haujlwm / lub npe lag luam thiab chaw nyob (raws li nws tshwm sim hauv IRS daim ntawv W9, Thov Tus Naj Npawb Tus Kheej thiab Ntawv Pov Thawj)​​ 
  • Hom chaw​​  
  • Tus neeg txais nyiaj cov ntaub ntawv sau npe hom (piv txwv li, tuam txhab, koom tes, tus tswv cuab)​​ 
  • Tus neeg txais nyiaj nyob hauv xeev (California neeg nyob lossis California tsis nyob hauv)​​ 
  • Cov npe ntawm cov ntawv cog lus CSEs thiab PGEs muab cov kev pabcuam hauv chaw​​ 
  • National Provider Identification Number (NPI)​​ 
  • Tus Naj Npawb Taxpayer Identification (TIN) lossis Tsoom Fwv Teb Chaws Tus lej ID (FEIN)​​ 

CSEs:​​  

  • Lub npe (thawj thiab xeem) lossis Lub Lag Luam / lub npe raug cai cuam tshuam nrog TIN / FEIN​​ 
  • Chaw nyob (raws li nws tshwm sim ntawm IRS daim ntawv W9)​​ 
  • TIN los yog FEIN​​ 
  • Tus neeg txais nyiaj cov ntaub ntawv sau npe hom (piv txwv li, tuam txhab, koom tes, tus tswv cuab)​​ 
  • Tus neeg txais nyiaj nyob hauv xeev (California neeg nyob lossis California tsis nyob hauv)​​ 
  • Lub npe hu (thawj thiab xeem)​​  
  • Hu rau email chaw nyob thiab xov tooj​​  
  • Cov chaw tsim nyog tau txais kev pab (CEs tau cog lus nrog los muab kev pabcuam hauv tsev).​​  
  • Hom(s) ntawm qhov chaw pab (s) muab​​   
  • Kev xa tawm digital ntawm feem cuam tshuam ntawm daim ntawv cog lus cog lus nrog CEs, suav nrog kev ua haujlwm thiab nplooj ntawv kos npe​​ 

PGEs:​​  

  • Tus kws kho mob lub npe (thawj thiab xeem) lossis lub lag luam / lub npe raug cai cuam tshuam nrog TIN​​ 
  • Chaw nyob (raws li nws tshwm sim ntawm IRS daim ntawv W9)​​ 
  • NPI​​ 
  • Tus kws kho mob daim ntawv tso cai naj npawb (yog tias tus kheej)​​ 
  • TIN los yog FEIN​​ 
  • Tus neeg txais nyiaj cov ntaub ntawv sau npe hom (piv txwv li, tuam txhab, koom tes, tus tswv cuab)​​ 
  • Tus neeg txais nyiaj nyob hauv xeev (California neeg nyob lossis California tsis nyob hauv)​​ 
  • Lub npe hu (thawj thiab xeem)​​ 
  • Hu rau email chaw nyob thiab xov tooj​​ 
  • Cov npe ntawm cov chaw tsim nyog uas tau muab kev pabcuam​​ 

Daim ntawv sau npe yuav nrog rau cov lus qhia ntxaws kom ua tiav.​​ 

Txheej txheem thov​​ 

On November 29, 2022, all registered CEs, CSEs, and PGEs will receive a link to the application for submitting worker information. All requests for payment must be submitted no later than 5 p.m. (PST) on January 6, 2023. DHCS encourages early submissions so all applications can be validated prior to the final due date. DHCS anticipates issuing payments to CEs, CSEs, and PGEs in March 2023.​​  

To expedite the submission process, CEs, and CSEs are encouraged to begin gathering the following information for each eligible worker:​​   

  • Lub npe​​ 
  • Hnub yug​​ 
  • Tus nqi them / yuav tsum tau them nyiaj ntxiv thaum lub Kaum Ob Hlis 1, 2021, thiab Lub Kaum Ob Hlis 31, 2022​​  
  • Last four digits of either the worker’s Social Security Number issued by the Social Security Administration or Individual Taxpayer Identification Number issued by the IRS​​ 
  • Sijhawm tus neeg ua haujlwm tau ua haujlwm lossis yuav tau ua haujlwm yog tias tau tso cai tawm lossis koom nrog kev tsis sib haum xeeb ntawm kev ua haujlwm / kev ua haujlwm thaum lub sijhawm ua haujlwm tsim nyog (Lub Xya Hli 30, 2022, txog Lub Kaum Hli 28, 2022)​​ 
  • Qhov chaw nyob xa ntawv tam sim no​​ 
  • Sijhawm pib (ib nrab sijhawm / puv sijhawm)​​ 

To expedite the application submission process, PGEs are encouraged to begin gathering the following information for each eligible physician:​​   

  • Lub npe (thawj thiab xeem)​​ 
  • Hnub yug​​ 
  • NPI​​  
  • Daim ntawv tso cai kho mob naj npawb​​  
  • Last four digits of either the physician’s Social Security Number issued by the Social Security Administration or Individual Taxpayer Identification Number issued by the IRS​​ 

Kev taw qhia ntxiv txog kev sau npe thiab cov txheej txheem thov yuav muab rau hauv lub lis piam tom ntej.​​