Cov ntaub ntawv thov kev kho hniav
Cov kws kho hniav tuaj yeem thov rau kev rau npe hauv Medi-Cal Fee-For-Service program ua tus kheej, pab pawg, muab cov kws kho mob, xaj/xa mus/sau ntawv rau cov kws kho mob, lossis cov kws kho mob hla kev xwb los ntawm kev xa daim ntawv thov hluav taws xob los ntawm Provider Application for Validation and Enrollment (PAVE) online enrollment portal, nrog rau txhua cov ntaub ntawv txhawb nqa. Yog xav paub ntxiv, thov saib cov ntawv xov xwm ntawm cov chaw muab kev pabcuam uas muaj npe hu ua, "Cov Kev Cai thiab Cov Txheej Txheem Hloov Kho Tshiab rau Kev Sau Npe ntawm Cov Chaw Muab Kev Pabcuam Kho Hniav Medi-Cal."
DHCS tsis txais daim ntawv thov ua ntawv los ntawm cov kws kho hniav txij li lub Kaum Hli Ntuj hnub tim 31, 2022.
Cov kws kho hniav muaj xws li cov kws kho hniav muaj ntawv tso cai, cov kws kho hniav sau npe, cov kws kho hniav sau npe hauv lwm txoj kev xyaum, thiab cov kws kho hniav sau npe hauv kev ua haujlwm txuas ntxiv. Txawm li cas los xij, cov kws pab kho hniav, cov kws pab kho hniav sau npe, lossis cov kws pab kho hniav sau npe hauv cov haujlwm txuas ntxiv tsis tau tso cai rau npe lossis sau nqi Medi-Cal ncaj qha.
Cov Kev Pab Kho Hniav rau PAVE
- Taw qhia rau PAVE rau Cov Kws Kho Hniav
- Basic Functions in PAVE for Dental Providers
- Demo 2: Intro to PAVE Dental FAQs
Daim ntawv thov yuav tsum tau rau cov kws kho hniav
Txhua tus neeg thov kev kho hniav thov rau npe, hloov pauv rau npe, lossis txuas ntxiv mus rau npe hauv Medi-Cal Fee-For-Service program yuav tsum xa daim ntawv e-Form los ntawm PAVE online system, muaj nyob ntawm PAVE lub vev xaib.
Kev Tsim Nyog Rau Tus Kws Pab Tswv Yim Zoo Tshaj Plaws
Cov kws kho hniav uas muaj ntawv tso cai tuaj yeem thov, thiab muab cov ntaub ntawv pov thawj thiab pov thawj rau, txiav txim siab rau kev tso npe rau hauv Medi-Cal qhov kev pab cuam raws li tus neeg muab kev pab cuam uas xav tau. Cov Kev Pabcuam Ib ntus uas xav tau ua kom luv luv rau lub sijhawm rau DHCS cov lus teb los ntawm 180 hnub mus rau 150 hnub. Txawm li cas los xij, txhua qhov kev xav tau tseem yuav tsum tau ua tiav. Cov xwm txheej xav tau tuaj yeem ntsib yog tias tag nrho cov lus hauv qab no muaj tseeb:
- Tus neeg thov tau txais daim ntawv tso cai tam sim no raws li kws kho hniav muab los ntawm Pawg Saib Xyuas Kev Kho Hniav ntawm California, uas tsis tau muab tshem tawm, txawm tias nyob los yog tsis, raug ncua, muab tso rau hauv kev sim, lossis raug rau lwm yam kev txwv;
- Tus neeg thov kev pabcuam tam sim no tau tso npe ua tus kws kho hniav los ntawm txoj kev pabcuam khomob uas muaj ntawv tso cai raws li Knox-Keene Health Care Service Plan Act xyoo 1975;
- Tus neeg thov kev pab yeej tsis tau muab tshem tawm thiab/lossis ncua kev tso cai los ntawm California Medicaid program Medi-Cal Dental; thiab
- Tus neeg thov tsis muaj qhov cuam tshuam tsis zoo hauv Healthcare Integrity and Protection Data Bank/National Practitioner Data Bank (HIPDB/NPDB).
Kev Sau Npe Kawm Qib Siab
Cov kws kho mob hauv tsev kawm ntawv tau lees paub University cov tsev kawm kho hniav. Cov kws kho mob yuav tsum tau qhia nyob rau hauv daim ntawv thov e-Form tias lawv tab tom thov ua tus kws kho mob hauv University thiab upload daim ntawv tso cai kws qhia ntawv lossis ib tsab ntawv los ntawm Lub Tsev Kawm Ntawv uas xaiv tus thawj coj kho hniav.
Rendering Physician Enrollment
Cov kws kho mob muab kev pabcuam rau cov pab pawg kws kho hniav yuav tsum xa daim ntawv thov e-Form ua tus muab kev pabcuam txuas rau lawv mus rau pawg kws kho hniav thiab yuav tsum xa daim ntawv tso cai kws khomob / kws phais mob siv tau nrog rau daim ntawv tso cai Medical General Anesthesia.
Cov Ntawv Teev Npe Tshwj Xeeb
- Facility-Based Dental Provider Enrollment
Ib tug "neeg muab kev pab cuam hauv chaw kho mob" yog txhais tias yog ib tus neeg lossis ib lub koom haum tshaj lij uas tau sau npe ua tus neeg muab kev pab cuam uas muab kev pab cuam rau cov neeg tau txais txiaj ntsig Medi-Cal tsuas yog hauv ib lossis ntau lub chaw kho mob uas tau tso cai lossis cov chaw kho mob uas muaj feem cuam tshuam. Cov ntsiab lus ntawm cov kev cai thiab cov txheej txheem rau hom kev sau npe no tau teev tseg hauv cov ntawv xov xwm ntawm cov chaw muab kev pabcuam uas muaj npe hu ua, "Cov Kev Cai thiab Cov Txheej Txheem Hloov Kho Tshiab rau Kev Sau Npe Ua "Tus Muab Kev Pabcuam Raws Li Chaw ". Cov chaw muab kev pab cuam hauv chaw kho mob yuav tsum qhia rau hauv daim ntawv thov e-Form tias lawv tab tom thov rau npe ua tus neeg muab kev pab cuam hauv chaw kho mob thiab xa cov ntawv pov thawj uas tau teev tseg hauv cov ntawv xov xwm ntawm cov chaw muab kev pab cuam uas tau hais los saum toj no.
- Kev Sau Npe Rau Tsev Kawm Ntawv Tus Kws Kho Hniav
Cov tsev kawm ntawv muab kev pabcuam rau cov tub ntxhais kawm theem pib, theem nrab, lossis theem siab hauv tsev kawm ntawv. Cov chaw zov me nyuam no yuav tsum tso npe siv lub tsev kawm ntawv chaw nyob ua lawv qhov chaw nyob, qhia hauv daim ntawv thov e-Form tias lawv tab tom thov ua tus kws kho mob hauv tsev kawm ntawv thiab xa daim ntawv cog lus kos npe ntawm tsev kawm ntawv thiab tus kws kho mob.
- Mobile Dental Clinic Sau npe
Cov chaw kho mob txawb yuav tsum tau qhia tias lawv tab tom thov rau npe ua lub chaw kho hniav mobile hauv daim ntawv thov e-Form. Cov neeg muab kev pabcuam no tseem yuav tsum tau:
- Nkag mus rau lawv lub chaw kho hniav mobile daim ntawv tso cai tus lej uas tau muab los ntawm Pawg Saib Xyuas Kev Kho Hniav ntawm California thiab xa ib daim qauv tsim nyog;
- Txuas lawv lub tsheb DMV rau npe, raws li txoj cai; thiab
- Txuas lawv cov ntawv pov hwm tsheb, raws li txoj cai.
- Sau npe Cov Kws Kho Hniav Hniav nyob rau hauv Kev Ua Lwm Yam
Cov kws kho hniav uas tau sau npe rau hauv lwm qhov kev coj ua uas muaj chaw ua haujlwm uas lawv pom cov neeg mob yuav tsum ua kom tau raws li qhov chaw tsim khoom lag luam raws li California Txoj Cai Tswjfwm Ntiag Tug, Title 22, Tshooj 51000.60.
Lwm txoj kev, cov kws tu hniav uas tau sau npe ua haujlwm lwm txoj hauv kev uas muab kev pabcuam tsuas yog ntawm cov chaw nyob, cov chaw nyob ntawm cov neeg nyob hauv tsev, cov tsev pab pawg, cov chaw kho mob uas tau tso cai, lossis raws li tau tso cai los ntawm Business and Professions (B&P) Code, Seem 1925 thiab 1926, tsis tas yuav ua raws li qhov chaw ua lag luam tshwj xeeb kom muab kev pabcuam rau cov neeg mob. Cov neeg muab kev pabcuam no tuaj yeem sau npe siv qhov chaw nyob hauv kev tswj hwm ua lawv qhov chaw nyob rau kev pabcuam thiab tuaj yeem thov kev zam rau qee qhov chaw ua lag luam uas tau teeb tsa los ntawm kev xa daim ntawv pov thawj uas tau teev tseg hauv cov ntawv xov xwm ntawm cov neeg muab kev pabcuam hauv qab no.
Tsis tas li ntawd xwb, cov kws tu hniav uas tau sau npe ua lwm txoj kev kho mob tau tso cai siv xov tooj ntawm tes ua lub xov tooj ua lag luam tseem ceeb. Cov ntsiab lus ntawm cov kev cai thiab cov txheej txheem rau hom kev sau npe no tau teev tseg hauv cov ntawv xov xwm ntawm cov chaw muab kev pabcuam uas muaj npe hu ua, "Cov Kev Cai thiab Cov Txheej Txheem Hloov Kho Tshiab rau Kev Sau Npe ntawm Cov Kws Muab Kev Pabcuam Kho Hniav Medi-Cal."
Daim ntawv tso cai
Ua ntej thov Medi-Cal, xub xyuas Pawg Neeg Saib Xyuas Kev Kho Mob Hniav kom paub tseeb tias koj ua tau raws li txhua yam kev cai ntawm daim ntawv tso cai uas tau qhia nyob rau hauv qab ntawm lub tab, "Cov Neeg Tau Txais Daim Ntawv Tso Cai".
Cov ntaub ntawv xav tau
- Tam sim no California Kev Kho Hniav, Sau Npe Kho Hniav Hniav, Sau Npe Kho Hniav Hniav hauv Lwm Txoj Kev Ua Haujlwm, thiab Sau Npe Kho Hniav Hniav hauv Kev Ua Haujlwm Ntxiv Daim Ntawv Tso Cai ntawm tus neeg thov lossis tus kws kho mob. Thov nco ntsoov cov kws kho mob sab nraud yuav tsum tau muab ib daim ntawv theej ntawm lawv daim ntawv tso cai ua haujlwm rau lawv lub xeev.
- Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav pov thawj uas lub xeev muab (muab tso rau hauv 50 Tebchaws Meskas lossis Lub Nroog Columbia) ntawm tus neeg muab kev pabcuam, lossis tus neeg kos npe rau daim ntawv thov uas muaj cai los khi tus neeg thov lossis tus neeg muab kev pabcuam raws li txoj cai.
- Kev txheeb xyuas Tus lej cim tus tswv haujlwm hauv tsoomfwv (FEIN), los ntawm kev xa daim ntawv tsim tawm tam sim no los ntawm Internal Revenue Service (IRS). 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 pab hauv daim ntawv thov yuav tsum phim lub npe ntawm daim ntawv IRS tsim. Yog xav paub ntxiv, thov mus saib IRS lossis 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 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 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 Web Sites."
- 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 phim. Yuav kom paub txog lub koom haum hauv nroog uas siv tau cov npe lag luam cuav, thov mus saib California State Association of Counties Web Site thiab nias rau ntawm qhov txuas "California's Counties", thiab xaiv "Counties Web Sites."
- Daim Ntawv Pom Zoo Lub Npe (FNP), muab los ntawm pawg thawj coj saib xyuas tsim nyog (xws li Dental Board of California thiab Dental Hygiene Board of California), yog tias muaj. Txhawm rau txiav txim siab seb FNP puas siv tau, thov mus saib hauv Dental Board of California los yog Dental Hygiene Board of California lub vev xaib.
- 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, hu rau Pawg Neeg Saib Xyuas Kev Sib Luag ntawm (916) 445-6362 lossis mus saib lawv lub Vev Xaib.
- Ua tiav Daim Ntawv Pom Zoo Kev Sib Koom Tes thiab Kev Hloov Kho, 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:
- Rau Kev Koom Tes Sib Koom Tes, ib daim ntawv teev npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj kev txaus siab rau txhua tus; los yog
- Rau Kev Koom Tes Ua Lag Luam Limited, cov ntaub ntawv txheeb xyuas Tus Neeg Koom Tes General thiab cov npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj cov paj laum 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.
- Cov Lus Qhia Txog Kev Koom Tes, yog tias koj lub lag luam yog ib lub koom haum. Yog xav paub ntxiv, thov mus saib Secretary of State California Business Portal thiab nyem rau ntawm qhov txuas "California Business Search" lossis lwm qhov txuas uas tsim nyog.
- Daim Ntawv Pov Hwm Kev Lav Peev Lag Luam (kev lav phib xaub rau kev lag luam, kev lav phib xaub dav dav, lossis kev lav phib xaub rau txhua qhov chaw ua haujlwm) uas muaj nqi tsis tsawg dua $100,000 rau ib daim ntawv thov thiab tsawg kawg yog $300,000 txhua xyoo, tshwj tsis yog thov rau kev sau npe tshwj xeeb (saib ntu Kev Sau Npe Tshwj Xeeb saum toj no kom paub ntau ntxiv). Daim ntawv pov thawj lees txais tau yog pov thawj tias koj muaj kev pov hwm tus kheej, lossis daim ntawv pov thawj pov hwm lossis daim ntawv tshaj tawm uas lub tuam txhab pov hwm muab uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm tus neeg pov hwm, hnub pib siv, thiab cov kev txwv ntawm kev pov hwm. Lus Cim: Lub npe thiab chaw nyob ua lag luam, suav nrog tus lej chav tsev yog tias siv tau, ntawm tus neeg thov lossis tus neeg muab kev pab hauv daim ntawv thov yuav tsum phim lub npe thiab chaw nyob ntawm tus neeg pov hwm uas nyob rau ntawm daim ntawv pov hwm lossis daim ntawv tshaj tawm.
- Daim Ntawv Pov Hwm Kev Lav Peev Xwm Ua Haujlwm hauv qhov nyiaj tsawg kawg yog $ 100,000 rau ib qho kev thov thiab tsawg kawg yog $ 300,000 txhua xyoo. Daim ntawv pov thawj lees txais tau yog daim ntawv pov thawj pov hwm lossis daim ntawv tshaj tawm uas lub tuam txhab pov hwm muab uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe ntawm tus neeg pov hwm, hnub siv tau, thiab cov kev txwv ntawm kev them nqi. Lus Cim: Lub npe ntawm tus neeg muab kev pab, raws li nws tshwm sim ntawm daim ntawv tso cai ua haujlwm, kuj yuav tsum pom ntawm qhov kev pov hwm lub luag haujlwm ua haujlwm.
- Daim Ntawv Pov Thawj ntawm Kev Pov Hwm Kev Raug Mob ntawm Cov Neeg Ua Haujlwm yog qhov yuav tsum tau ua los ntawm txoj cai lij choj California, yog tias koj lub lag luam muaj ib lossis ntau tus neeg ua haujlwm, tshwj tsis yog thov rau kev sau npe tshwj xeeb (saib ntu Kev Sau Npe Tshwj Xeeb saum toj no kom paub ntau ntxiv). Daim ntawv pov thawj lees txais tau yog pov thawj tias koj muaj kev pov hwm tus kheej, lossis daim ntawv pov thawj pov hwm lossis daim ntawv tshaj tawm uas lub tuam txhab pov hwm muab uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm tus neeg pov hwm, thiab hnub siv tau. Yog tias tsis tas yuav muaj kev pov hwm rau cov neeg ua haujlwm raug mob, yuav tsum muaj lus piav qhia. Lus Cim: Lub npe ntawm tus neeg thov lossis tus neeg muab kev pab yuav tsum phim lub npe ntawm tus neeg pov hwm uas nyob rau ntawm daim ntawv pov hwm.
- Daim Ntawv Cog Lus Xauj Tsev Uas Tau Kos Npe, yog tias cov chaw ua lag luam tsis yog tus neeg thov lossis tus neeg muab kev pab li, tshwj tsis yog thov rau kev sau npe tshwj xeeb (saib ntu Kev Sau Npe Tshwj Xeeb saum toj no kom paub ntau ntxiv). Lus Cim: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pab yuav tsum phim lub npe thiab chaw nyob ntawm tus neeg xauj tsev nyob rau ntawm daim ntawv cog lus xauj tsev.
- Successor Liability with Joint and Several Liability Agreement (DHCS 6217), yog muaj.
- Cov ntaub ntawv ntxiv rau Kev Sau Npe Tshwj Xeeb
- Facility-Based Dental Provider Enrollment
Cov chaw zov me nyuam yuav tsum tau qhia nyob rau hauv daim ntawv thov e-Form tias lawv tab tom thov kev tso npe ua tus kws kho mob hauv chaw kho mob thiab xa cov ntawv pov thawj uas tau teev tseg hauv cov ntawv xov xwm hais saum toj no.
- Kev Sau Npe Rau Tsev Kawm Ntawv Tus Kws Kho Hniav
Cov chaw zov me nyuam hauv tsev kawm ntawv yuav tsum tso npe siv lub tsev kawm ntawv qhov chaw nyob ua lawv qhov chaw nyob, qhia hauv daim ntawv thov e-Form tias lawv tab tom thov ua tus muab kev pabcuam hauv tsev kawm ntawv thiab xa daim ntawv cog lus kos npe ntawm lub tsev kawm ntawv thiab tus kws kho mob.
- Mobile Dental Clinic Sau npe
Cov chaw kho mob txawb yuav tsum tau qhia tias lawv tab tom thov rau npe ua lub chaw kho hniav mobile hauv daim ntawv thov e-Form. Cov neeg muab kev pabcuam no tseem yuav tsum tau:
- Nkag mus rau lawv lub chaw kho hniav mobile daim ntawv tso cai tus lej uas tau muab los ntawm Pawg Saib Xyuas Kev Kho Hniav ntawm California thiab xa ib daim qauv tsim nyog;
- Txuas lawv lub tsheb DMV rau npe, raws li txoj cai; thiab
- Txuas lawv cov ntawv pov hwm tsheb, raws li txoj cai.
- Sau npe Cov Kws Kho Hniav Hniav nyob rau hauv Lwm Txoj Kev Xyaum Sau Npe
Cov kws kho hniav uas tau sau npe ua haujlwm lwm txoj hauv kev uas muab kev pabcuam tsuas yog ntawm cov chaw nyob, cov chaw nyob ntawm cov neeg nyob hauv tsev, cov tsev nyob ua pawg, cov chaw kho mob uas tau tso cai, lossis raws li tau tso cai los ntawm B&P Code, Seem 1925 thiab 1926, tuaj yeem sau npe siv qhov chaw nyob hauv kev tswj hwm ua lawv qhov chaw nyob pabcuam thiab tuaj yeem thov kev zam rau qee qhov chaw ua lag luam uas tau teeb tsa los ntawm kev xa daim ntawv pov thawj uas tau teev tseg hauv cov ntawv xov xwm ntawm tus neeg muab kev pabcuam uas tau hais los saum toj no.
PAUB Portal
Mus rau PAVE portal.