Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Cov Koom Haum Hauv Zej Zog, Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Hauv Zos, thiab Lub Nroog Cov Menyuam Yaus thiab Tsev Neeg Daim Ntawv Thov Cov Ntaub Ntawv​​ 

Cov Koom Haum Hauv Zej Zog (CBOs) uas muab cov neeg ua haujlwm saib xyuas kev noj qab haus huv hauv zej zog (CHW), kev tiv thaiv mob hawb pob (AP), kev ncaj ncees koom nrog (JI), lossis cov kev pabcuam kev coj tus cwj pwm, thiab cov chaw saib xyuas kev noj qab haus huv hauv cheeb tsam (LHJs) thiab lub nroog cov menyuam yaus thiab tsev neeg cov thawj coj uas muab CHW lossis AP cov kev pabcuam tuaj yeem thov rau npe rau hauv Medi-Cal qhov kev pab cuam los ntawm kev xa daim ntawv thov kev pabcuam online thiab siv hluav taws xob. rau npe nkag portal, nrog rau tag nrho cov ntaub ntawv txhawb nqa. Thaum ua ntawv thov los ntawm PAVE, lub nroog cov menyuam yaus thiab tsev neeg cov chaw muab kev pabcuam tuaj yeem xaiv LHJ los ntawm cov ntawv qhia zaub mov.
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Raws li txoj cai tau tso cai rau Tus Thawj Saib Xyuas Kev Pabcuam Kev Noj Qab Haus Huv (DHCS) raws li Welfare & Institutions Code (W&I) Tshooj 14043.75(b), DHCS Tus Thawj Coj tab tom tsim cov ntawv thov tshwj xeeb thiab kev tso npe nkag rau CBO, LHJ, thiab lub nroog cov menyuam yaus thiab cov tsev neeg cov nyiaj tau los uas tau thov rau cov kev pab cuam rov qab rau hauv cov kev pab cuam C. lawv muab rau Medi-Cal cov tswv cuab. Cov kev cai no siv thiab ua rau W&I Code Tshooj 14043.15 thiab 14043.26, thiab xws li muaj tag nrho cov quab yuam thiab cov nyhuv ntawm txoj cai. Yog xav paub ntxiv, thov mus saib daim ntawv tshaj tawm kev tswj hwm tshiab uas muaj lub npe, "Hloov kho Medi-Cal Cov Kev Nkag Mus Nkag Siab thiab Cov Txheej Txheem rau Cov Koom Haum Hauv Zej Zog, Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Hauv Zos, thiab Lub Nroog Cov Menyuam thiab Tsev Neeg Cov Cai (Hloov kho rau lub Tsib Hlis 5, 2025 rau CBO Cov Kws Kho Mob Muab Kev Pabcuam Kev Noj Qab Haus Huv). Tsis tas li, cov ntawv xov xwm no tsis hloov pauv, lossis tshem tawm, tag nrho lwm yam kev tso npe nkag tau teev tseg hauv W&I Code Tshooj 14043.26.
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Medi-Cal Cov Kev Xav Tau​​  

Tus kws kho mob CBO yuav tsum yog ib lub koom haum pej xeem lossis ntiag tug tsis muaj txiaj ntsig nrog 501(c)(3) raws li txoj cai lossis ib lub koom haum txhawb nqa nyiaj txiag ntawm 501(c)(3) lub koom haum tsis muaj txiaj ntsig. Tus kws kho mob LHJ yuav tsum yog lub chaw saib xyuas kev noj qab haus huv hauv cheeb tsam raws li tau teev tseg hauv Kev Noj Qab Haus Huv & Kev Nyab Xeeb Code Tshooj 101185. Ib lub nroog cov menyuam yaus thiab tsev neeg ua haujlwm yuav tsum raug tsim ua raws li H&S Code Tshooj 130100 thiab lwm yam.​​ 

Txhua tus neeg thov yuav tsum ua kom tau raws li Medi-Cal tus kws kho mob tam sim no cov cai thiab cov qauv kev tso npe nrog rau cov kev cai uas tau teev tseg hauv tsab ntawv tshaj tawm no. Tsis tas li ntawd, Medi-Cal cov qauv kev tso npe kawm ntawv xav kom cov neeg thov ua raws li txhua lub xeev thiab cov kev cai lij choj hauv zos thiab cov kab ke raws li California Txoj Cai Tswjfwm Ntiag Tug (CCR), Title 22, Tshooj 51000.30(e) thiab 51000.60(c).​​ 

Cov ntaub ntawv xav tau​​  

Sau cov ntaub ntawv xav tau hauv qab no, raws li tsim nyog, txhawm rau muab lawv tso rau hauv PAVE thaum koj ua tiav koj daim ntawv thov PAVE. Thov xyuas kom meej tias cov ntaub ntawv uas tau muab tso tawm yog pom tseeb.​​   

  1. Federal Employer Identification Number (FEIN) los yog Individual Taxpayer Identification Number (ITIN) verification, yog tsis siv tus social security naj npawb, los ntawm kev xa ib daim ntawv tam sim no Internal Revenue Service (IRS) generated. Tsuas yog cov ntaub ntawv lees paub muaj xws li IRS-tsim Tsab Ntawv 147-C, IRS-tsim Daim Ntawv 941 (Tsuas Ua Haujlwm Lub Peb Hlis Federal Tax Return), IRS-tsim Daim Ntawv Foos 8109-C (Daim Coupon Deposit), lossis IRS-tsim Daim Ntawv SS-4 (tsuas yog Daim Ntawv Pom Zoo/Kev Qhia Txog Tus Kheej). Nco tseg: Lub npe raug cai ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim lub npe ntawm IRS-tsim cov ntaub ntawv; thiab tus neeg thov kev pab yuav tsum yog tus tswv lossis tus tub ceev xwm ntawm lub chaw teev npe hauv daim ntawv IRS. Yog xav paub ntxiv, thov mus saib IRS hu rau lawv ntawm (800) 829-4933.​​ 
  2. Daim Ntawv Tso Cai Ua Lag Luam Hauv Zos, Daim Ntawv Pov Thawj Se, thiab Daim Ntawv Tso Cai rau txhua lub nroog thiab / lossis lub nroog uas muaj kev ua ub no. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum phim lub npe lag luam thiab chaw nyob ua lag luam ntawm txhua daim ntawv tso cai hauv zos thiab cov ntawv tso cai. Yog xav paub ntxiv, thov hu rau koj lub nroog lub chaw ua haujlwm daim ntawv tso cai ua lag luam thiab/lossis mus saib hauv California Lub Xeev Lub Koom Haum Koom Tes ntawm Lub Nroog lub vev xaib thiab nyem rau ntawm "California's Counties" txuas, thiab xaiv "Lub Nroog Lub Vev Xaib & Cov Ntaub Ntawv Ntaub Ntawv."​​  
  3. 501(c)(3) Cov ntaub ntawv rau CBO cov chaw muab kev pabcuam nrog 501(c)(3). CBO uas yog ib lub koom haum txhawb nqa nyiaj txiag ntawm 501(c)(3) lub koom haum tsis muaj txiaj ntsig yuav tsum muab tsab ntawv los ntawm lub koom haum txhawb nqa uas lees paub txog lawv txoj kev npaj thiab xwm txheej thiab pov thawj ntawm 501(c)(3) xwm txheej rau kev txhawb nqa. Tsab ntawv no yuav tsum muaj nyob rau ntawm qhov chaw txhawb nqa lub npe ntawv.​​ 
  4. Certificate of Commercial Liability Insurance (kev lag luam, kev lag luam, lossis kev lav phib xaub, lossis kev tuav pov hwm hauv chaw ua haujlwm) hauv tus nqi tsis pub tsawg dua $ 100,000 rau ib daim ntawv thov thiab qhov tsawg kawg ib xyoos ib zaug ntawm $ 300,000. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm cov ntawv pov hwm, hnub siv tau, thiab kev txwv ntawm kev pov hwm. Nco tseg: Lub npe thiab chaw nyob ua lag luam, suav nrog tus lej suite yog tias tsim nyog, ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim li tus neeg tuav pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm.​​ 
  5. Certificate of Workers 'Compensation Insurance yog xav tau los ntawm California txoj cai lij choj, yog tias koj lub lag luam muaj ib lossis ntau tus neeg ua haujlwm. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas tau muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe ntawm cov ntawv pov hwm, thiab hnub siv tau. Yog tias tsis muaj kev pov hwm them nyiaj rau Cov Neeg Ua Haujlwm, yuav tsum muaj lus piav qhia. Nco tseg: Lub npe ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li cov ntawv pov hwm lub npe ntawm daim ntawv pov thawj ntawm kev pov hwm.​​ 
  6. Kos Npe Daim Ntawv Pom Zoo, yog tias thaj chaw lag luam tsis yog los ntawm tus neeg thov lossis tus muab kev pabcuam. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li tus neeg xauj tsev lub npe thiab chaw nyob ntawm daim ntawv cog lus xauj tsev. Rau CBOs, ib daim ntawv pov thawj tuaj yeem muab los ntawm tus tswv qhov chaw uas qhov chaw tau pub dawb rau lub hom phiaj ntawm kev ua haujlwm CBO yam tsis muaj nqi.​​ 
  7. Successor Liability with Joint and Several Liability Agreement (DHCS 6217), yog muaj.​​ 
Hnub hloov tshiab kawg: 5/20/2025 8:50 AM​​