Clinic-Based Physician Application Instructions and Requirements
Kev tsim nyog
Hom kev tso npe no tsuas yog rau cov kws kho mob ib leeg xwb uas muab kev pabcuam khomob tshwjxeeb ntawm Medi-Cal rau npe, cov chaw kho mob uas muaj ntawv tso cai, tsis muaj lwm qhov chaw ua 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 tsev khomob muab rau cov neeg tau txais txiaj ntsig hauv lub tsev kho mob mob hnyav lossis lub tsev kho mob puas siab puas ntsws. Cov pab pawg tsis tsim nyog rau hom kev tso npe kawm no.
Raws li Txoj Cai Tswjfwm Saib Xyuas Cov Ntawv Tshaj Tawm tau tshaj tawm nyob rau lub Kaum Ob Hlis 2005 Medi-Cal Hloov Kho, DHCS tau tsim cov txheej txheem rau kev tso npe ntawm cov kws kho mob uas tsuas yog ua haujlwm los ntawm lossis muab cov kev pabcuam raws li daim ntawv cog lus nrog cov chaw kho mob uas muaj ntawv tso cai, tshwj tsis yog cov kev pabcuam muab los ua ib feem ntawm kev kawm tiav kev kawm khomob, thiab leej twg Medi-C tsis muaj ib tus neeg muab kev pabcuam rau clin. 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 tso npe no tso cai rau tus kws kho mob sau nqi rau cov kev pab cuam hauv tsev kho mob nkaus xwb thiab tsis yog rau cov kev pab cuam uas muaj nyob rau hauv Chaw Kho Mob Primary Care Clinic. Txhawm rau txiav txim siab seb koj puas tsim nyog lossis tsis tsim nyog rau hom kev tso npe no, thov nyeem cov ncauj lus qhia ntxaws txog Tus Kws Kho Mob: "Cov Lus Qhia thiab Cov Txheej Txheem rau 'Clinic-based Provider' rau npe".
Yog tias koj tsim nyog tau txais kev tso npe ua Tus Kws Kho Mob Hauv Tsev Kho Mob: Cov kws kho mob raws li Clinic yuav tsum xa lawv daim ntawv thov tus kheej thiab/lossis pab pawg los ntawm PAVE (Kev Pabcuam Daim Ntawv Thov Kev Pabcuam thiab Kev Pov Hwm rau Kev Sau Npe).
Daim ntawv 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.
Tam sim no California Daim Ntawv Tso Cai Kho Mob lossis Tus Kws Kho Mob Osteopathic thiab Surgeon Daim Ntawv Tso Cai ntawm tus neeg thov lossis tus kws kho mob. Thov suav nrog DEA Certificate, yog tias tsim nyog.
Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm hauv 50 Tebchaws Meskas lossis Cheeb Tsam Columbia) ntawm tus kws kho mob uas kos npe rau daim ntawv thov. Qhov kos npe yuav tsum yog tus kws kho mob thov.
Federal Employer Identification Number (FEIN) lossis Individual Taxpayer Identification Number (ITIN) ua pov thawj ntawm tus kws kho mob, yog tias tsis siv tus lej social security, los ntawm kev xa cov ntaub ntawv tam sim no Internal Revenue Service (IRS) generated. Tsuas yog cov ntaub ntawv lees paub suav nrog IRS-tsim Tsab Ntawv 147-C, IRS-tsim Daim Ntawv 941 (Tsuas Ua Haujlwm Lub Peb Hlis Ntuj Tso Nyiaj Rov Qab), IRS-tsim Daim Ntawv Foos 8109-C (Daim Daim Coupon), lossis IRS-tsim Daim Ntawv SS-4 (tsuas yog Daim Ntawv Pom Zoo/Kev Ceeb Toom). Nco tseg: Lub npe raug cai ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum phim 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 koom haum uas tau teev tseg hauv daim ntawv IRS. Yog xav paub ntxiv, thov mus ntsib IRS lossis hu rau lawv ntawm (800) 829-4933. Daim ntawv tso cai Primary Care Clinic Cover Letter los ntawm tsawg kawg yog ib lub tsev kho mob Medi-Cal-cuam npe uas koj muab kev pabcuam. Tsab ntawv no yuav tsum suav nrog cov ntaub ntawv xav tau raws li tau piav qhia nyob rau nplooj thib peb ntawm nplooj ntawv Phau Ntawv Qhia Txog Tus Kws Kho Mob. Daim Ntawv Tso Cai Tsis Muaj Npe (FNP) muab los ntawm Pawg Saib Xyuas Kev Kho Mob ntawm California lossis Osteopathic Medical Board of California, yog siv lub npe cuav rau koj qhov kev kho mob, raws li Pawg Neeg Saib Xyuas tau hais tseg. Nco tseg: Lub npe lag luam ntawm tus neeg thov lossis tus muab kev pabcuam hauv daim ntawv thov, txhua daim ntawv tso cai ua lag luam hauv zos / daim ntawv tso cai, thiab FNP yuav tsum sib haum.
Yog tias koj lub lag luam yog ib lub tuam txhab, kev ua haujlwm qeeb yuav raug zam los ntawm kev xa cov ntawv luam ntawm Cov Ntawv Sau Npe 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. Txhawm rau txheeb xyuas lossis hloov lub npe lossis xwm txheej ntawm koj lub tuam txhab, lossis xav paub ntxiv, thov mus ntsib Tus Thawj Fwm Tsav Tebchaws California Kev Lag Luam Portal xaiv qhov "California Lag Luam Tshawb Fawb" txuas lossis lwm qhov txuas tsim nyog. 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 tuav 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.
PAUB Portal
Txuas mus rau qhov PAUB portal.
