Clinic-based Certified Nurse Midwife Application Information
Kev tsim nyog
Hom kev cuv npe no tsuas yog rau cov kws saib xyuas neeg mob uas muaj ntawv pov thawj nkaus xwb uas muab kev pabcuam thawj zaug nkaus xwb ntawm Medi-Cal rau npe, cov chaw kho mob uas muaj ntawv tso cai, tsis muaj lwm qhov chaw tsim khoom lag luam (xws li chaw kho mob) uas lawv muab kev pabcuam thiab cov uas yuav tsum tau them nqi rau cov kev pabcuam hauv maternity muab rau cov neeg tau txais txiaj ntsig hauv tsev kho mob mob hnyav. Cov pab pawg tsis tsim nyog rau hom kev tso npe kawm no.
Raws li Txoj Cai Tswjfwm Saib Xyuas Kev Pabcuam tau tshaj tawm thaum Lub Rau Hli 2009, pib lub Xya Hli 15, 2009, DHCS tau tsim cov txheej txheem rau kev tso npe ntawm tus kws saib xyuas neeg mob uas muaj ntawv pov thawj uas yog ib tus neeg ua haujlwm los yog muab kev pabcuam raws li daim ntawv cog lus nrog cov chaw kho mob uas muaj ntawv tso cai, thiab leej twg tsis muaj tus lej Medical muab rau lawv rau c-Cal. Cov neeg tau txais txiaj ntsig Medi-Cal ntawm lwm qhov chaw thiab zoo li no, siv lub tsev kho mob uas muaj ntawv tso cai los ua lawv qhov chaw ua lag luam. Hom kev cuv npe no tso cai rau tus kws saib xyuas neeg mob uas muaj ntawv pov thawj los them nqi rau cov kev pab cuam hauv tsev kho mob nkaus xwb thiab tsis yog rau cov kev pabcuam uas muaj nyob rau hauv Lub Tsev Kho Mob Licenced Primary Care. Txhawm rau txiav txim siab seb koj puas tsim nyog lossis tsis tsim nyog rau hom kev tso npe no, thov nyeem cov ntawv qhia ntxaws ntxaws: "Cov Cai thiab Cov Txheej Txheem rau 'Clinic-Based Certified Nurse Midwife' Enrollment".
Yog tias koj tsim nyog tau txais kev tso npe los ua Tus Kws Saib Xyuas Neeg Mob raws li Lub Tsev Kho Mob Certified Nurse Midwife: Clinic-Based Certified Nurse Midwives yuav tsum xa lawv daim ntawv thov kev pab los ntawm PAVE (Provider Application and Validation for Enrollment) .
Daim ntawv tso cai
Ua ntej thov rau Medi-Cal, ua ntej kos lub California Pawg Saib Xyuas Kev Noj Qab Haus Huv Lub Vev Xaib kom paub meej tias koj ua tau raws li txhua qhov kev tso cai.
Cov ntaub ntawv xav tau
Tom ntej no, 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.
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Tam sim no California Nursing License thiab Current Nurse Midwife Certification. Thov kuj suav nrog koj daim ntawv pov thawj DEA thiab/lossis Tus Neeg Saib Xyuas Tus Menyuam Yaus Tus Naj Npawb Furnishing, yog tias muaj.
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Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm hauv 50 Tebchaws Meskas lossis Cheeb Tsam ntawm Columbia) ntawm tus neeg thov uas kos npe rau daim ntawv thov. Daim ntawv kos npe yuav tsum yog tus kws saib xyuas mob midwife tau lees paub.
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Federal Employer Identification Number (FEIN) kev txheeb xyuas ntawm tus kws saib xyuas neeg mob tus neeg thov kev pab cuam, tsuas yog tsis siv tus lej social security, los ntawm kev xa cov ntaub ntawv tam sim no Internal Revenue Service (IRS) tsim. Tsuas yog cov ntaub ntawv lees paub suav nrog IRS-tsim Tsab Ntawv 147-C, IRS-tsim Daim Ntawv 941 (Tus Tswv Cuab Lub Plaub Hlis Federal Tax Return), IRS-tsim Daim Ntawv Foos 8109-C (Daim Coupon), lossis IRS-tsim Daim Ntawv SS-4 (tsuas yog Daim Ntawv Pom Zoo Ua Haujlwm ntawm Kev Pom Zoo). 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 ntsib IRS lossis hu rau lawv ntawm (800) 829-4933.
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Daim Ntawv Tso Cai Pabcuam Primary Care Cover Letter los ntawm txhua lub tsev kho mob Medi-Cal-cuam npe uas koj muab kev pabcuam. Tsab ntawv yuav tsum muaj cov ntaub ntawv xav tau raws li tau piav qhia nyob rau nplooj peb thiab tsib ntawm cov ntawv xov xwm muab lub npe hu ua, "Cov Lus Qhia thiab Cov Txheej Txheem rau 'Clinic-based Certified Nurse Midwife' Enrollment".
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Certified Nurse Midwife Cover Letter (tsawg kawg ib qho) uas suav nrog cov ntaub ntawv xav tau raws li tau piav qhia nyob rau nplooj plaub thiab tsib ntawm cov ntawv xov xwm muab lub npe hu ua, "Kev Xav Tau thiab Cov Txheej Txheem rau 'Clinic-Based Certified Nurse Midwife' Enrollment".
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Certificate of Professional Liability Insurance nyob rau hauv ib tug npaum li cas ntawm tsis tsawg tshaj li $100,000 ib daim ntawv thov thiab ib tug yam tsawg kawg nkaus txhua xyoo ntawm $300,000. Kev lees paub lees paub yog 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 ntawm cov ntawv pov hwm, hnub siv tau, thiab kev txwv ntawm kev pov hwm. Nco tseg: Tus kws kho mob lub npe, raws li nws tshwm sim hauv California Daim Ntawv Tso Cai Kho Mob, yuav tsum tau qhia txog kev txheeb xyuas ntawm kev pov hwm kev lav phib xaub.
- Yog tias koj koom nrog, kev ua haujlwm qeeb yuav raug zam los ntawm kev xa ib daim ntawv luam ntawm Cov Ntawv Teev Npe ntawm Kev Koom Tes ntawm Lub Xeev, thiab cov npe ntawm cov thawj coj thiab cov tub ceev xwm cov npe thiab cov npe, nrog rau feem pua ntawm cov tswv cuab thiab tswj kev txaus siab rau txhua tus.
- Luam ntawm koj Daim Ntawv Qhia Lub Npe Ua Lag Luam, tsuas yog siv tau.
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