Dhia mus rau cov ntsiab lus​​ 
Tsev Cov Chaw Muab Kev Pabcuam & Cov Neeg Koom Tes Cov Ntaub Ntawv Thov Kev Kho Mob Hauv Chaw Kuaj Mob​​ 

Clinical Laboratory Application Information​​ 

Cov chaw soj nstuam hauv tsev kho mob yuav tsum xa lawv daim ntawv thov los ntawm PAVE (Daim Ntawv Thov thiab Kev Txheeb Xyuas Kev Sau Npe).​​ 

Daim ntawv tso cai thiab ntawv pov thawj​​ 

Ua ntej koj thov Medi-Cal, koj yuav tsum tau txais Daim Ntawv Tso Cai lossis Daim Ntawv Sau Npe rau Chaw Kuaj Mob hauv California los nrog koj daim Ntawv Hloov Kho Kev Txhim Kho Chaw Kuaj Mob (CLIA). Tshawb xyuas nrog California Department of Public Health, Lab Field Services Branch ntawm (510) 620-3800 kom paub tseeb tias koj ua tau raws li txhua yam kev cai ntawm daim ntawv tso cai.​​ 

Tus nqi thov​​ 

Txij li Lub Ib Hlis Ntuj hnub tim 1, 2013, cov neeg thov uas thov rau npe ua Tus Kws Muab Kev Pabcuam Hauv Chaw Kuaj Mob yuav raug them tus nqi thov thaum xa daim ntawv thov. Cov Kev Cai Rau Tus Nqi Thov Medi-Cal rau Kev Ua Raws Cai nrog 42 Code of Federal Regulations Seem 455.460Regulatory Cov Ntawv Xov Xwm ntawm Tus Muab Kev Pab muab cov ntaub ntawv tshwj xeeb txog qhov yuav tsum tau ua no. Yog xav paub txog cov nqi thov tam sim no, thov saib daim ntawv/nplooj ntawv txog tus nqi thov tam sim no .​​ 

Cov ntaub ntawv xav tau​​ 

  1. 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 muab kev pabcuam, lossis tus neeg kos npe rau daim ntawv thov uas muaj txoj cai khi rau tus neeg thov lossis tus neeg muab kev pabcuam. Daim ntawv kos npe yuav tsum yog tus muab kev pabcuam, tshwj tsis yog tus neeg muab kev pabcuam yog lub koomhaum. Yog tias tus kws kho mob yog ib lub tuam txhab thiab daim ntawv thov yuav raug kos npe los ntawm ib tus neeg uas tsis yog tus muab kev pabcuam, thov xa ib daim ntawv theej ntawm ntu ntawm lub tuam txhab txoj cai lij choj uas txheeb xyuas tus neeg kos npe txoj cai rau kev cai lij choj lub koom haum.​​ 

  2. Yog tias tsis siv tus lej social security, yuav tsum tau ua daim ntawv pov thawj ntawm Tus Neeg Ua Haujlwm Hauv Tebchaws (FEIN) lossis Tus Neeg Them Se (ITIN), los ntawm kev xa daim ntawv Internal Revenue Service (IRS) uas tau tsim tawm tam sim no. Cov ntaub ntawv uas siv tau tsuas yog muaj xws li Tsab Ntawv 147-C uas IRS tsim, Daim Ntawv 941 uas IRS tsim (Daim Ntawv Se Rov Qab Los Ntawm Tus Tswv Haujlwm), Daim Ntawv 8109-C (Daim Coupon Tso Nyiaj) uas IRS tsim, lossis Daim Ntawv SS-4 uas IRS tsim (tsuas yog Daim Ntawv Ceeb Toom Txog Kev Muab FEIN/ITIN Ua Haujlwm). Lus Cim: Lub npe raug cai ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum phim lub npe ntawm daim ntawv IRS tsim; thiab tus neeg thov/tus neeg muab kev pabcuam yuav tsum yog tus tswv lossis tus tub ceev xwm ntawm lub koom haum uas teev nyob rau hauv daim ntawv IRS. Yog xav paub ntxiv, thov mus saib IRS lossis hu rau lawv ntawm (800) 829-4933.​​ 

  3. Daim Ntawv Pov Thawj Txhim Kho Kev Kuaj Mob Hauv Chaw Kho Mob (CLIA) (txhua nplooj ntawv), tsim nyog rau qib kev sim ua. Yog xav paub ntxiv, mus saib lub Chaw Pabcuam Medicare thiab Medicaid.
    ​​ 

    • Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov, daim ntawv pov thawj CLIA, thiab Lub Xeev Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv / Kev Sau Npe yuav tsum sib haum. Yog tias koj tab tom muab kev pabcuam hauv tsev kho mob thiab siv tsev kho mob CLIA, suav nrog sau ntawv lees paub los ntawm lub tsev kho mob tias koj raug tso cai siv tsev kho mob CLIA.​​ 

  4. Daim Ntawv Tso Cai/Kev Sau Npe Hauv Chaw Kuaj Mob hauv California, lossis kev pov thawj ntawm kev zam los ntawm daim ntawv tso cai/kev sau npe. Hu rau chaw ua haujlwm Laboratory Field Services ntawm (510) 620-3800 kom paub seb koj yuav tsum xa daim ntawv twg, thiab tom qab ntawd rub tawm cov ntawv no. Lus Cim: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pab cuam hauv daim ntawv thov, Daim Ntawv Pov Thawj CLIA, thiab Daim Ntawv Tso Cai/Kev Sau Npe Hauv Chaw Kuaj Mob Hauv Xeev (lossis kev zam) yuav tsum sib xws.​​ 

  5. 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 ua lag luam. Lus Cim: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pab uas nyob rau hauv daim ntawv thov yuav tsum phim lub npe ua lag luam thiab chaw nyob ua lag luam uas nyob rau hauv txhua daim ntawv tso cai thiab daim ntawv tso cai hauv zos. Yog tias tsis tas yuav muaj daim ntawv tso cai ua lag luam, thov xa ib daim ntawv sau los ntawm koj lub nroog/lub nroog hauv zos uas qhia tias koj lub lag luam tsis tas yuav muaj daim ntawv tso cai lossis daim ntawv tso cai. Yog xav paub ntxiv, thov hu rau koj lub chaw ua haujlwm tso cai ua lag luam hauv nroog thiab/lossis mus saib California State Association of Counties nias rau ntawm qhov txuas "California's Counties", thiab xaiv "Counties Web Sites."​​ 

  6. Daim Ntawv Qhia Txog Lub Npe Lag Luam Cuav (FBNS) uas tau sau/muab luam tawm, uas lub nroog uas qhov chaw ua lag luam tseem ceeb nyob, yog tias siv lub npe lag luam cuav THIAB lub npe lag luam txawv ntawm lub npe raug cai ntawm koj daim ntawv thov. Piv txwv li, yog tias muaj ib lub koom haum, txhua lub npe uas tsis yog lub npe koom haum uas tau sau tseg nrog Tus Tuav Ntaub Ntawv ntawm Lub Xeev yuav tsum muaj FBNS. Lus Cim: Lub npe lag luam thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam rau ntawm daim ntawv thov, txhua daim ntawv tso cai ua lag luam hauv zos, thiab FBNS yuav tsum sib xws. Yog xav paub ntxiv txog lub koom haum hauv nroog uas siv tau cov npe lag luam cuav, thov mus saib California State Association of Counties nias rau ntawm qhov txuas "California's Counties", thiab xaiv "Counties Web Sites."​​ 

  7. Daim Ntawv Tso Cai Muag Khoom uas tau muab los ntawm Pawg Neeg Saib Xyuas Kev Sib Luag ntawm Xeev California, yog tias siv tau. Lus Cim: Lub npe lag luam thiab chaw nyob lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam uas nyob rau hauv daim ntawv thov yuav tsum phim lub npe lag luam thiab chaw nyob lag luam uas nyob rau hauv daim ntawv tso cai ntawm tus neeg muag khoom. Yog xav paub ntxiv, mus saib Pawg Neeg Saib Xyuas Kev Sib Luag lossis hu rau lawv ntawm (916) 445-6362.
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  8. Ua tiav Daim Ntawv Pom Zoo Sib Koom Tes, yog tias koj lub lag luam yog kev koom tes. Kev ua haujlwm qeeb yuav raug zam los ntawm kev qhia seb lub koom haum puas yog General Partnership lossis Limited Partnership thiab tseem xa cov hauv qab no:​​ 

    • a) Rau General Partnership, ib daim ntawv teev npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj cov paj laum rau txhua tus; los yog​​ 

    • b) Rau Kev Koom Tes Ua Lag Luam Txwv, cov ntaub ntawv txheeb xyuas tus khub General, thiab cov npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj kev txaus siab rau txhua tus.​​ 

    • Yog xav paub ntxiv txog koj txoj kev koom tes, thov mus saib Secretary of State California Business Portal thiab nias rau ntawm qhov txuas "California Business Search" lossis lwm qhov txuas uas tsim nyog.​​ 

  9. Yog tias koj lub lag luam yog ib lub koom haum, kev ncua sijhawm ua tiav yuav raug zam los ntawm kev muab daim ntawv theej ntawm Cov Lus Cog Tseg ntawm Lub Koom Haum los ntawm Tus Tuav Ntaub Ntawv ntawm Lub Xeev, thiab daim ntawv teev cov thawj coj thiab cov tub ceev xwm lub npe thiab lub npe, nrog rau feem pua ntawm kev muaj thiab kev tswj hwm rau txhua tus. Yog xav paub ntxiv txog koj lub koom haum, thov mus saib Tus Tuav Ntaub Ntawv ntawm Lub Xeev California Business thiab nias rau ntawm qhov txuas "California Business Search" lossis lwm qhov txuas uas tsim nyog.​​ 

  10. 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.​​ 

  11. 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 nyob rau hauv California Clinical Laboratory License, yuav tsum tau qhia txog kev txheeb xyuas qhov kev pov hwm kev lav phib xaub.​​ 

  12. 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 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, 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 thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li cov ntawv pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev pov hwm.​​ 

  13. 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.​​ 

  14. Successor Liability with Joint and Several Liability Agreement (DHCS 6217), yog muaj.​​ 

PAUB Portal​​ 

Mus rau PAVE portal.​​