Doula Cov Kev Pab Cuam Tshuam Cov Lus Nug
Doula Cov Chaw Pabcuam- Sau npe ua Doula
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) them rau cov kev pabcuam doula hauv ob qho tib si kev saib xyuas kev tswj hwm thiab kev them nqi rau kev pabcuam (FFS) rau cov tswv cuab Medi-Cal cev xeeb tub thiab tom qab yug menyuam. Cov kev pab cuam suav nrog kev txhawb nqa uas tsis yog kev kho mob rau kev mus ntsib kws kho mob ua ntej yug menyuam thiab tom qab yug menyuam, thiab thaum lub sijhawm yug menyuam, kev rho menyuam, thiab kev rho menyuam.
1. Cov txheej txheem los ua ib tug doula yog dab tsi?
Cov Doulas tuaj yeem thov rau kev sau npe los ntawm DHCS PAVE - Daim Ntawv Thov Kev Pabcuam thiab Kev Txheeb Xyuas rau Kev Sau Npe portal. Cov yeeb yaj kiab txhawb nqa thiab cov ntaub ntawv ntxiv txog kev thov tuaj yeem pom hauv nplooj ntawv "Doula Application Information" .
Doulas kuj tseem tuaj yeem siv daim ntawv teev npe rau Medi-Cal Doula Provider Enrollment Checklist kom paub seb lawv xav tau cov ntaub ntawv twg ua ntej lawv pib thov.
2. Cov kev tsim nyog tau txais kev tso npe ua doula nrog Medi-Cal yog dab tsi?
Txhua tus doulas yuav tsum muaj hnub nyoog tsawg kawg yog 18 xyoo, muaj daim ntawv pov thawj rau cov neeg laus / menyuam yaus cardiopulmonary resuscitation (CPR), thiab tau ua tiav kev cob qhia yooj yim ntawm Health Insurance Portability and Accountability Act (HIPAA). Ntxiv rau, tus doula yuav tsum ua tau raws li ib qho ntawm cov kev tsim nyog hauv qab no:
Txoj kev cob qhia:
- Ua kom tiav yam tsawg kawg ntawm 16 teev ntawm kev cob qhia hauv cov chaw hauv qab no:
- Txhawb nqa lactation
- Kev kawm yug me nyuam
- Lub hauv paus ntawm lub cev ntawm cev xeeb tub thiab yug menyuam
- Cov kev ntsuas kev nplij siab uas tsis yog kho mob, kev txhawb nqa ua ntej yug menyuam thiab kev txhawb nqa kev ua haujlwm
- Tsim ib daim ntawv teev cov peev txheej hauv zej zog
- Ua pov thawj tias lawv tau muab kev txhawb nqa raws li doula yam tsawg kawg peb yug
Experience Pathway:
- Los yog ob qho tib si hauv qab no:
- Yam tsawg kawg yog tsib xyoos ntawm kev ua haujlwm doula hauv kev them nyiaj lossis kev ua haujlwm pab dawb hauv xya xyoo dhau los.
- Kev pov thawj txog kev txawj ntse hauv kev saib xyuas ua ntej yug menyuam, kev yug menyuam, thiab kev saib xyuas tom qab yug menyuam raws li tau pom los ntawm peb tsab ntawv pov thawj ntawm cov neeg siv khoom lossis tsab ntawv pom zoo los ntawm ib qho ntawm cov hauv qab no: tus kws kho mob, tus kws kho mob uas muaj ntawv tso cai, tus kws saib xyuas neeg mob, tus kws pab yug menyuam, tus kws pab yug menyuam uas muaj ntawv tso cai, tus kws pab yug menyuam uas tau sau npe, lossis lub koom haum hauv zej zog. Cov ntawv yuav tsum tau sau tsis pub dhau xya xyoo dhau los. Ib tsab ntawv yuav tsum yog los ntawm ib tus neeg muab kev pab uas tau tso cai, ib lub koom haum hauv zej zog, lossis ib tus doula uas tau sau npe.
3. Puas yog DHCS xav kom doulas muaj daim ntawv pov thawj los ntawm cov koom haum tshwj xeeb?
Tsis yog. Daim ntawv pov thawj tsis tas yuav yog los ntawm ib lub koom haum tshwj xeeb tsuav yog nws npog cov kev cai teev nyob rau hauv Phau Ntawv Qhia Txog Kev Muab Kev Pabcuam Medi-Cal: Doula Services. Cov ntaub ntawv ntxiv txog kev sau npe muaj nyob rau ntawm Doula Application Information webpage.
4. Puas muaj kev paub txog doulas yuav tsum tau lees paub, yog tias muaj, daim ntawv pov thawj puas yuav raug nqi?
DHCS tsis muaj daim ntawv teem sijhawm rau kev rov lees paub dua. Yog tias yuav tsum tau rov ua daim ntawv pov thawj dua yav tom ntej, nws yuav yog lub luag haujlwm ntawm doula los them txhua yam nqi cuam tshuam nrog kev ua tiav qhov kev tsim nyog tsawg kawg nkaus ntawm doula thiab kev cob qhia / kev paub dhau los uas tau teev tseg hauv Phau Ntawv Qhia Txog Tus Muab Kev Pabcuam.
5. Kuv yuav sau npe ua tus kws kho mob Medi-Cal li cas?
Doulas can enroll through DHCS’ Provider Application and Validation for Enrollment (PAVE) portal: PAVE page. Additional resources on how to enroll in PAVE can be found on the Doula Application Information webpage and Doula – Training and Medi-Cal Providers webpage.
Cov Doulas kuj tseem yuav tsum tau cog lus sib cais nrog txhua tus neeg Medi-Cal managed care plan (MCP) uas ua haujlwm hauv lawv thaj chaw pabcuam los muab cov kev pabcuam them rau cov tswv cuab Medi-Cal uas tau txais Medi-Cal los ntawm lub kaw lus managed care delivery system. Thov saib daim ntawv teev npe hu rau Medi-Cal Managed Care Plan kom paub cov npe thiab cov ntaub ntawv tiv tauj rau txhua tus MCP uas tuaj yeem pab cov doulas nrog kev cog lus nrog MCP. Thov saib ntu rau kev sau npe MCP kom paub ntau ntxiv.
6. Puas muaj lwm yam kev cai ntxiv uas kuv yuav tsum ua kom tau raws li kom tau sau npe rau hauv Medi-Cal ua tus doula?
Cov tib neeg uas rau npe rau hauv Medi-Cal kuj tseem yuav tsum ua raws li cov cai hauv zos (lub nroog, lub nroog, thiab lwm yam) lossis lub xeev kom ua lag luam hauv California. Qhov no tseem ceeb heev rau kev sau npe rau pawg doula. Thov saib daim ntawv teev npe rau Medi-Cal Doula Provider Enrollment Checklist kom paub seb koj yuav tsum xa cov ntaub ntawv twg ua ib feem ntawm koj daim ntawv thov hauv PAVE system.
Cov kev cai no yog ntxiv rau DHCS cov kev cai raws li tau teev tseg hauv Medi-Cal Tus Muab Kev Pab Cuam: Doula Services.
7. Kuv puas yuav tau txais tus lej NPI?
Yog. Cov Doulas yuav tsum tau sau npe rau National Provider Identifier (NPI) thiaj li sau npe nrog DHCS. Tus NPI yog tus lej cim uas tau muab rau tus kws kho mob los ntawm Lub Chaw rau Medicare & Medicaid Services (CMS). Doulas tuaj yeem thov rau NPI online lossis xa ntawv los ntawm CMS NPI Daim Ntawv Thov / Hloov Kho nplooj ntawv.
8. Feem ntau nws yuav siv sijhawm ntev npaum li cas thiaj tau txais tus lej NPI?
Tus neeg muab kev pabcuam uas xa daim ntawv thov hluav taws xob ua tiav tau zoo tuaj yeem tau txais NPI hauv tsawg dua 10 hnub ua haujlwm. Kev tshuaj xyuas daim ntawv thov siv sijhawm kwv yees li 20 hnub ua haujlwm. Kev thov yuam kev tuaj yeem ncua cov txheej txheem.
9. Kuv puas xav tau tus lej Social Security (SSN) thiaj li sau npe ua doula?
Tsoom Fwv Teb Chaws thiab lub xeev txoj cai lij choj xav kom cov tib neeg xa lawv daim SSN thiaj li tso npe ua Medi-Cal tus kws kho mob. DHCS tsuas tuaj yeem pom zoo daim ntawv thov doula los ntawm doulas uas tau xa SSN ua ib feem ntawm lawv daim ntawv thov nkag.
10. Cov doulas puas yuav tsum muaj lawv tus kheej kev pov hwm lossis DHCS puas yuav muab kev pov hwm rau cov doulas?
DHCS tsis muab kev pov hwm rau ib tus neeg muab kev pab, suav nrog cov doulas. Raws li ib feem ntawm cov kev cai rau npe rau cov kws kho mob Medi-Cal, cov doulas ib leeg tsis tas yuav nqa kev pov hwm dab tsi los sau npe ua tus kws kho mob Medi-Cal FFS. Txawm li cas los xij, ib pawg doula yuav muaj lwm yam uas yuav tsum tau ua thaum sau npe ua tus kws kho mob Medi-Cal FFS, thiab cov ntawd yuav raug qhia ua ib feem ntawm cov txheej txheem thov. Ntxiv mus, cov MCP ib leeg yuav muaj cov kev cai pov hwm sib txawv, xws li kev pov hwm lub luag haujlwm rau cov doulas ib leeg lossis kev pov hwm kev raug mob rau cov neeg ua haujlwm rau cov pab pawg doula, thiab cov doulas yuav tsum ua raws li cov txheej txheem cog lus thiab daim ntawv pov thawj kom thiaj li pab tau cov tswv cuab MCP.
11. Cov pab pawg doula hauv zej zog, cov koom haum, thiab cov koom haum puas tuaj yeem tso npe ua pawg doula?
Yog, yog tias lawv ua tau raws li cov qauv los thov ua ib pawg doula. Thaum koj sau npe ua ib tus neeg muab kev pab rau pawg neeg, yuav muaj ib daim ntawv thov rau pawg neeg ntawd, thiab yuav muaj ib daim ntawv thov sib cais rau txhua tus neeg muab kev pab. Thov mus saib nplooj ntawv Doula Application Information .
12. Puas muaj peev xwm them rov qab rau cov kev pabcuam uas tau muab rau cov tswv cuab Medi-Cal thaum lawv daim ntawv thov PAVE raug ua tiav?
Thaum lawv daim ntawv thov raug pom zoo, cov doulas tuaj yeem xa daim ntawv them nqi rau DHCS rau cov kev pabcuam uas tau muab rau cov tswv cuab Medi-Cal FFS rov qab mus txog hnub uas lawv xa daim ntawv thov uas tau pom zoo.
Cov Doulas uas xav muab kev pabcuam rau cov tswv cuab ntawm MCP yuav tsum nkag mus rau hauv cov ntawv cog lus lossis cov ntawv ntawm lub hom phiaj / daim ntawv pom zoo (LOI / LOA) nrog MCPs kom tau txais nyiaj rov qab rau cov kev pabcuam doula uas tau muab rau cov tswv cuab ntawm MCP.
13. Puas muaj ib tus neeg uas kuv tuaj yeem tiv tauj yog tias kuv muaj lus nug txog kuv daim ntawv thov?
Yog lawm. Cov neeg thov tuaj yeem xa email rau PAVE@dhcs.ca.gov yog tias lawv muaj lus nug lossis lus nug txog lawv daim ntawv thov lossis kev tso npe hauv PAVE.