Kev zam los ntawm daim ntawv tso cai Clinic Cov ntaub ntawv thov
Cov neeg uas tsis tau txais daim ntawv tso cai yuav tsum xa lawv daim ntawv thov rau tus kheej thiab/lossis pab pawg los ntawm PAVE (Daim Ntawv Thov thiab Kev Txheeb Xyuas rau Kev Sau Npe).
Yuav tsum muaj ib tsab ntawv xa nrog koj daim ntawv thov hauv PAVE uas hais txog Tshooj Cai Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb uas piav qhia txog koj txoj kev lag luam 'Tsis suav nrog Daim Ntawv Tso Cai; yuav tsum teev tag nrho cov lej sau npe khoom siv thiab pov thawj ntawm kev sau npe nrog Radiological Health Branch yog tias siv tau; yuav tsum teev tag nrho cov kev pabcuam kuaj mob thiab CPT Codes uas koj npaj siab yuav them nqi; yuav tsum teev cov npe ntawm cov kws kho mob uas muab cov kev pabcuam kev txawj ntse (yog tias siv tau) thiab cov npe ntawm cov kws kho mob uas muab cov kev pabcuam kev txawj ntse.
Tus nqi thov
Txij li Lub Ib Hlis Ntuj hnub tim 1, 2013, cov neeg thov uas thov rau npe ua ib tug (n) Exempt los ntawm Licensure Clinic yuav raug them tus nqi thov thaum xa lawv daim ntawv thov. Cov Kev Cai Lij Choj Txog Tus Nqi Thov Medi-Cal rau Kev Ua Raws Cai nrog 42 Code of Federal Regulations Seem 455.460 Regulatory Provider Bulletin muab cov ntaub ntawv tshwj xeeb txog qhov kev cai no. Yog xav paub cov ntaub ntawv txog tus nqi thov tam sim no, thov mus saib ntu Cov Kev Pabcuam ntawm nplooj ntawv Medi-Cal Provider Enrollment Division.
Certificate of Registration thiab License
Ua ntej thov Medi-Cal, xub mus saib lub vev xaib Radiologic Health Branch (RHB) , nyem rau ntawm "Programs", tom qab ntawd "Radiological Health Branch" thiab xyuas kom meej tias koj ua tau raws li txhua daim ntawv pov thawj, kev sau npe thiab daim ntawv tso cai raws li siv tau rau koj lub tsev kho mob. Tsis tas li ntawd, nrog Pawg Neeg Saib Xyuas Kev Kho Mob ntawm Californiatham kom paub tseeb tias koj ua tau raws li txhua qhov yuav tsum tau ua rau daim ntawv tso cai. Yog tias siv tau, kuj tiv tauj 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.
- Daim Ntawv Sau Npe Rau Lub
Tshuab Rho Tawm Hluav Taws Xob RHB thiab/lossis Daim Ntawv Pov Thawj Rau Lub Tshuab Mammography Daim Ntawv Tso Cai Ua Haujlwm Saib Xyuas Radiology hauv California, Daim Ntawv Pov Thawj/Daim Ntawv Tso Cai Rau Tus
Kws Tshawb Fawb Txog Kev Siv Hluav Taws Xob thiab/lossis Daim Ntawv Tso Cai Rau Tus Kws Tshawb Fawb Txog Kev Siv Hluav Taws Xob X-Raythiab/lossis Daim Ntawv Pov Thawj Rau Tus Kws Tshawb Fawb Txog Kev Siv
Hluav Taws Xob Mammographic, raws li siv tau; daim ntawv tso
cai siv cov khoom siv hluav taws xob tam sim no uas DPH, Radiological Health Branch tau muab , raws
li siv tau; daim ntawv pov thawj chaw kuaj mob mammography uas tau ntawv pov thawj los ntawm FDA tam sim no, raws li siv tau Daim Ntawv Tso Cai Kho Mob California tam sim no rau tus kws kho mob saib xyuas. Tag nrho lwm daim ntawv pov thawj kho mob thiab kev sau npe raws li qhov xav tau raws li hom khoom siv uas siv. - 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. Cov kos npe yuav tsum yog tus neeg muab kev pab, tshwj tsis yog tias tus neeg muab kev pab yog ib lub koom haum. Yog tias tus neeg muab kev pabcuam yog ib lub koom haum thiab daim ntawv thov yuav raug kos npe los ntawm lwm tus neeg uas tsis yog tus neeg muab kev pabcuam, thov xa ib daim qauv ntawm ntu ntawm cov cai ntawm lub koom haum uas qhia txog lub hwj chim ntawm tus neeg kos npe los khi lub koom haum raws li txoj cai.
- 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. Cov kos npe yuav tsum yog tus neeg muab kev pab, tshwj tsis yog tias tus neeg muab kev pab yog ib lub koom haum. Yog tias tus neeg muab kev pabcuam yog ib lub koom haum thiab daim ntawv thov yuav raug kos npe los ntawm lwm tus neeg uas tsis yog tus neeg muab kev pabcuam, thov xa ib daim qauv ntawm ntu ntawm cov cai ntawm lub koom haum uas qhia txog lub hwj chim ntawm tus neeg kos npe los khi lub koom haum raws li txoj cai.
- Yog tias tsis siv tus lej social security, thov daim ntawv pov thawj Federal Employer Identification Number (FEIN) lossis Individual Taxpayer Identification Number (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.
- 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 daim ntawv tso cai ua lag luam hauv nroog thiab/lossis mus saib
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 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 thiab xaiv qhov txuas "California's Counties", tom qab ntawd xaiv "Counties Web Sites." - Daim Ntawv Pov Thawj Kev Hloov Kho Kev Kho Mob Hauv Chaw Kuaj Mob (CLIA) (txhua nplooj ntawv), tsim nyog rau qib kev kuaj mob, yog tias muaj kev pabcuam hauv chaw kuaj mob. Yog xav paub ntxiv, mus saib
Lub Chaw rau Medicare thiab Medicaid Cov Kev Pabcuam.- Thov Nco Ntsoov: 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 yuav tsum sib xws.
- Daim Ntawv Tso Cai/Kev Sau Npe Hauv Chaw Kuaj Mob Hauv Xeev, lossis kev pov thawj ntawm kev zam los ntawm kev tso cai/kev sau npe,
yog tias muaj kev pabcuam hauv chaw kuaj mob. 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 ntawm 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.
- Daim Ntawv Cog Lus Koom Tes uas
tau ua tiav tag nrho, yog tias koj lub lag luam yog kev koom tes. Yog xav paub ntxiv txog koj txoj kev koom tes, thov mus saib
Tus Tuav Ntaub Ntawv ntawm Lub Xeev California Business Portal thiab nias rau ntawm qhov txuas "California Business Search" lossis lwm qhov txuas uas tsim nyog. Tej zaum yuav zam tau qhov kev ncua sij hawm ua tiav los ntawm kev qhia seb lub koom haum puas yog General Partnership lossis Limited Partnership thiab 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 khub 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 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 California Secretary of State (lossis Daim Ntawv Tshaj Tawm ntawm Domestic Stock Corporation yog tias koj lub koom haum nyob sab nraum California), 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 Portal thiab nias rau ntawm qhov txuas "California Business Search" lossis lwm qhov txuas uas tsim nyog.
- Certificate of Commercial Liability Insurance (business, general, or comprehensive liability, or office premises insurance) in an amount of not less than $100,000 per claim and a minimum annual aggregate of $300,000. Acceptable verification is either evidence of being self-insured, or a certificate of insurance or declaration sheet issued by the insurance company that contains the name of the insurance company, the name and business address of the insured, effective dates, and limits of coverage. Note: The name and business address, including suite number if applicable, of the applicant or provider on the application must exactly match the insured’s name and address on the certificate of insurance or declaration sheet.
- Daim Ntawv Pov Thawj Txog Kev Lav Ris Haujlwm uas muaj nqis tsis tsawg dua $100,000 rau ib daim ntawv thov thiab tsawg kawg yog $300,000 rau txhua tus neeg uas muaj daim ntawv tso cai uas teev nyob rau hauv pob ntawv thov. 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 pabcuam, raws li muaj nyob rau ntawm daim ntawv tso cai ua tus kws tshaj lij, yuav tsum tau qhia rau ntawm daim ntawv pov hwm kev lav phib xaub.
- 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.
- Successor Liability with Joint and Several Liability Agreement (DHCS 6217), yog muaj.
PAUB Portal
Mus rau PAVE portal.
Zam tsis pub hloov pauv qhov xwm txheej ntawm Licensure Clinic mus rau FQHC:
Yog tias koj yog ib lub tsev kho mob uas tsis tau txais daim ntawv tso cai thiab tau hloov koj txoj cai mus rau Chaw Kho Mob uas tau tsim nyog los ntawm Tsoom Fwv Teb Chaws (FQHC) koj yuav tsum tshaj tawm qhov Kev Hloov Pauv ntawm Kev Muaj Tswv Cuab thiab
Hloov Chaw Nyob siv daim ntawv thov Medi-Cal. Thov xa cov ntawv hauv qab no thiab tag nrho cov ntaub ntawv xav tau:
- Daim Ntawv Thov Kev Pab Cuam Medi-Cal
(DHCS 6204) - Cov Lus Qhia Txog Kev Tshaj Tawm Txog Tus Muab Kev Pabcuam Medi-Cal (DHCS 6207)
- Daim Ntawv Cog Lus Muab Kev Pabcuam Medi-Cal
(DHCS-6208)