Tsev Cov Chaw Muab Kev Pabcuam & Cov Neeg Koom Tes Cov Koom Haum Hauv Zej Zog, Cov Chaw Saib Xyuas Kev Noj Qab Haus Huv Hauv Zos, thiab Cov Ntaub Ntawv Thov rau Cov Menyuam thiab Tsev Neeg ntawm Lub Nroog​​ 

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

Cov Koom Haum Hauv Zej Zog (CBOs) uas muab kev pabcuam kho mob hauv zej zog (CHW), kev tiv thaiv mob hawb pob (AP), kev ncaj ncees koom nrog (JI), lossis kev kho mob tus cwj pwm, thiab cov chaw saib xyuas kev noj qab haus huv hauv zos (LHJs) thiab cov menyuam yaus thiab tsev neeg hauv nroog uas muab kev pabcuam CHW lossis AP tuaj yeem thov rau npe rau hauv qhov kev pab cuam Medi-Cal los ntawm kev xa daim ntawv thov hluav taws xob los ntawm Lub Vev Xaib Sau Npe thiab Kev Txheeb Xyuas Kev Sau Npe (PAVE) online, nrog rau txhua cov ntaub ntawv txhawb nqa. Thaum thov los ntawm PAVE, cov chaw muab kev pab cuam rau cov menyuam yaus thiab tsev neeg hauv nroog tuaj yeem xaiv LHJ los ntawm cov ntawv qhia zaub mov xaiv.
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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.​​ 

Cov CBO yuav tsum muab kev pabcuam rau cov neeg ua haujlwm hauv zej zog, kev ncaj ncees, kev pabcuam tiv thaiv mob hawb pob lossis kev pabcuam Autism uas tsim nyog kom thiaj li sau npe rau hauv PAVE. Cov CBOs uas muab kev pabcuam Enhanced Care Management thiab Community Supports rau cov tswv cuab ntawm managed care uas tsis muab cov kev pabcuam no, tam sim no tsis muaj txoj hauv kev los sau npe rau hauv Medi-Cal Fee-For-Service siv PAVE. Tsis tas li ntawd xwb, cov CBO uas tsuas yog muab thiab npaj yuav them nqi rau cov kev pabcuam kev noj qab haus huv ntawm lub hlwb uas cov kws kho mob tau tso cai muab, uas tsis muab cov kev pabcuam CHW, APS, JI lossis QAS tsis muaj txoj kev them nqi Medi-Cal thiab tsis tsim nyog rau npe siv PAVE.
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Yog xav paub ntxiv, thov saib daim ntawv tshaj tawm tshiab ntawm cov chaw muab kev pabcuam uas muaj npe hu ua, "Cov Kev Cai thiab Cov Txheej Txheem rau Kev Sau Npe Medi-Cal uas Tau Hloov Kho Tshiab rau Cov Koom Haum Hauv Zej Zog, Cov Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Zos, thiab Cov Pawg Neeg Saib Xyuas Menyuam Yaus thiab Tsev Neeg hauv Lub Nroog (Hloov Kho rau lub Tsib Hlis 5, 2025 rau Cov Chaw Muab Kev Pabcuam CBO uas Muab Kev Pabcuam Kho Mob Kev Noj Qab Haus Huv)." Tsis tas li ntawd xwb, tsab ntawv xov xwm no tsis hloov lossis tshem tawm txhua yam kev cai rau npe uas tau teev tseg hauv W&I Code Seem 14043.26.
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Txhua tus neeg thov kev pab yuav tsum ua tau raws li cov cai thiab cov qauv ntawm Medi-Cal cov neeg muab kev pab tam sim no nrog rau cov cai uas tau teev tseg hauv daim ntawv tshaj tawm uas tau hais los saum toj no. Ntxiv mus, cov qauv rau kev sau npe Medi-Cal yuav tsum tau cov neeg thov ua raws li txhua txoj cai lij choj thiab cov kev cai hauv xeev thiab hauv zos raws li California Code of Regulations (CCR), Title 22, Sections 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.​​ 

  • 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 hu rau lawv ntawm (800) 829-4933.​​ 
  • 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. 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 xav paub ntxiv, thov hu rau koj lub chaw ua haujlwm tso cai ua lag luam hauv nroog thiab/lossis mus saib lub vev xaib California State Association of Counties thiab nyem rau ntawm qhov txuas "California's Counties", thiab xaiv "Counties Websites & Profile Information."​​ 
  • 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.​​ 
  • 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.​​ 
  • 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.​​ 
  • 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.​​ 
  • Successor Liability with Joint and Several Liability Agreement (DHCS 6217), yog muaj.​​ 

PAUB Resources​​ 

Cov peev txheej ntxiv​​ 

PAUB Portal​​ 

Nkag mus rau PAVE portal.
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