Cov Ntaub Ntawv Thov Cov Khoom Siv Kho Mob Ntev
DME Cov Lus Qhia Thov Kev Pabcuam
Cov chaw muab khoom siv kho mob tau ntev yuav tsum xa lawv daim ntawv thov los ntawm PAVE (Cov Ntawv Thov Kev Pabcuam thiab Kev Pov Hwm rau Kev Sau Npe).
suav nrog ntawm no yog PowerPoint nthuav qhia los pab koj pib daim ntawv thov DME hauv PAVE system. Nws kuj piav txog cov txheej txheem tshuaj xyuas daim ntawv thov.
Tus nqi thov
Effective January 1, 2013, applicants requesting enrollment as a Durable Medical Equipment Provider are subject to payment of an application fee upon submission of their application. The Medi-Cal Application Fee Requirements for Compliance with 42 Code of Federal Regulations Section 455.460 Regulatory Provider Bulletin offers specific information regarding this requirement. For current application fee information, please see the Resources Section of the Medi-Cal Provider Enrollment Division page.
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.
- Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev 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 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.
- Federal Employer Identification Number (FEIN) los yog Individual Taxpayer Identification Number (ITIN) pov thawj, yog tsis siv tus lej social security, los ntawm kev xa daim 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 ua raws nraim 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 chaw teev npe hauv daim ntawv IRS. Yog xav paub ntxiv, thov xyuas nrog IRS lossis hu rau lawv ntawm (800) 829-4933.
- Local Business License, Tax Certificate, and Permit for any city and/or county where business activities are conducted. Note: The name and business address of the applicant or provider on the application must exactly match the business name and business address on all local licenses and permits. If a business license/permit is not required, please submit a written statement from your local city/county indicating that your business does not require any license or permit. For further information, please contact your city business license office and/or visit the California State Association of Counties select the “California’s Counties” link, then select “County Web Sites.”
- Recorded/stamped Fictitious Business Name Statement (FBNS), issued by the county where the principal place of business is located, if using a fictitious business name AND the business name is different from the legal name on your application. For example, in the case of a corporation, any name other than the corporation name on record with the Secretary of State requires a FBNS. Note: The business name and business address of the applicant or provider on the application, all local business licenses/permits, and the FBNS must exactly match. To determine the applicable county agency where fictitious business names are filed, please visit the California State Association of Counties and click on “California’s Counties” link, and select “County Web Sites.”
- Daim Ntawv Tso Cai Muag Khoom uas muab los ntawm California State Board of Equalization, yog muaj. Nco tseg: Lub npe lag luam thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum phim lub npe lag luam thiab chaw nyob ua lag luam ntawm tus muag daim ntawv tso cai. Yog xav paub ntxiv, mus saib hauv Pawg Neeg Saib Xyuas Kev Ncaj Ncees lossis hu rau lawv ntawm (916) 445-6362.
- Daim Ntawv Tso Cai Hauv Tsev Kho Mob Hauv Tsev Kho Mob (HMDR) Daim Ntawv Tso Cai, muab los ntawm California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Lub Tsev Haujlwm Saib Xyuas Khoom Noj thiab Tshuaj, yog tias koj lub lag luam suav nrog cov cuab yeej siv kho mob thiab cov cuab yeej siv hauv tsev los kho mob lossis raug mob. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim lub npe thiab chaw nyob ua lag luam ntawm daim ntawv tso cai HMDR. Yog xav paub ntxiv txog kev tso cai, thov hu rau HMDR Licensing System ntawm (916) 650-6500.
- Daim Ntawv Tso Cai Kho Mob Hauv Tsev Kho Mob Retailer Exemptee License, muab los ntawm California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv ' Food and Drug Branch, yog tias koj lub lag luam suav nrog cov tshuaj txaus ntshai lossis cov cuab yeej kho mob txaus ntshai thiab cov khoom siv xws li cov khoom siv oxygen thiab cov khoom siv. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum yog raws nraim lub npe thiab chaw nyob ua lag luam ntawm HMDR exemptee license. Yog xav paub ntxiv txog kev tso cai, thov hu rau HMDR Licensing System ntawm (916) 650-6500.
- Furniture Retailer License, los yog Bedding Retailer License, los yog Furniture and Bedding Retailer License (tso tawm los ntawm California Bureau of Home Furnishings and Thermal Insulation [BHFTI]), raws li qhov xav tau yog tias koj lub lag luam suav nrog cov ntaub pua tsev thiab/los yog cov rooj tog zaum xws li lub rooj zaum muaj log. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim lub npe thiab chaw nyob ua lag luam ntawm daim ntawv tso cai HMDR lossis BHFTI.
- Yog xav paub ntxiv txog kev tso cai, thov hu rau HMDR Licensing System ntawm (916) 650-6500. Thov hu rau BHFTI ntawm (916) 574-0280.
- 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.
- To verify or change the name and/or status of your partnership or for further information, please visit the Secretary of State California Business Portal and click on the “California Business Search” link or other appropriate link.
- If your business is a corporation, processing delays may be avoided by attaching a copy of the filed Articles of Incorporation and the “Statement of Information for a Domestic Stock Corporation” from the Secretary of State, with the percentage of ownership and control interest listed for each director and officer.
- To verify or change the name and/or status of your corporation or for further information, please visit the Secretary of State California Business Portal and click on the “California Business Search” link or other appropriate link.
- Yog tias koj lub lag luam yog ib lub tuam txhab kev lav phib xaub (LLC), kev ua haujlwm qeeb yuav raug zam los ntawm kev xa cov ntawv luam ntawm Lub Koom Haum los ntawm Tus Tuav Ntaub Ntawv ntawm Lub Xeev, nrog rau cov npe ntawm cov tswv cuab thiab feem pua ntawm cov tswv cuab thiab tswj cov paj laum rau txhua tus.
- To verify or change the name and/or status of your LLC or for further information, please visit the Secretary of State California Business Portal and click on the “California Business Search” link or other appropriate link.
- 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 nkaus txhua xyoo 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 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 kws kho mob yuav tsum ua raws nraim li cov ntawv pov hwm lub npe thiab chaw nyob 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.
- Successor Liability with Joint and Several Liability Agreement (DHCS 6217), yog muaj.
PAUB Portal
Nkag mus rau PAVE portal.