Kev tsim nyog​​ 

Yog tias koj yog ib tus kws kho mob (Tus Kws Kho Mob lossis Tus Kws Kho Mob Osteopathic) thiab koj txoj kev kho mob yog nyob hauv ib lossis ntau lub tsev kho mob hnyav, cov tsev kho mob nyob deb nroog, lossis tsev kho mob puas hlwb; koj tsis muaj qhov tsis zoo nkag rau hauv Healthcare Integrity and Protection Databank; thiab koj tuav daim ntawv tso cai tam sim no, tsis tau muab tshem tawm, lossis tsis raug tshem tawm raws li tus kws kho mob thiab kws phais neeg uas tau muab los ntawm Pawg Saib Xyuas Kev Kho Mob ntawm California lossis Osteopathic Medical Board of California, koj muaj cai tso npe ua tus kws kho mob hauv tsev kho mob. Koj daim ntawv tso cai California rau kev xyaum tshuaj yuav tsis muaj kev tshem tawm, raug muab tso rau hauv kev sim, lossis raug rau lwm yam kev txwv.​​ 

Cov Kws Kho Mob Hauv Tsev Kho Mob yuav tsum xa lawv tus kheej thiab/lossis cov ntawv thov pab pawg los ntawm PAVE (Cov Ntawv Thov Kev Pabcuam thiab Kev Pov Hwm rau Kev Sau Npe).​​ 

Daim ntawv tso cai​​ 

Ua ntej thov rau Medi-Cal, ua ntej mus xyuas Pawg Saib Xyuas Kev Kho Mob ntawm California kom ntseeg tau tias koj ua tau raws li tag nrho cov cai ntawm daim ntawv tso cai lossis Osteopathic Medical Board of California kom ntseeg tau tias koj ua tau raws li tag nrho cov ntawv tso cai.​​ 

Cov ntaub ntawv xav tau​​ 

Tom ntej no, 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.​​ 

1. Tam sim no California Daim Ntawv Tso Cai Kho Mob lossis Tus Kws Kho Mob Osteopathic thiab Surgeons Daim ntawv tso cai ntawm tus neeg thov lossis tus kws kho mob. Thov suav nrog Daim Ntawv Tso Cai Tso Tshuaj Txhaum Cai, Daim Ntawv Tso Cai Tsis Txaus Siab thiab / lossis DEA Daim Ntawv Pov Thawj, yog tias muaj.​​ 

2. Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm nyob rau hauv 50 Tebchaws Meskas lossis Cheeb Tsam ntawm Columbia) ntawm tus kws kho mob, lossis tus neeg kos npe rau daim ntawv thov uas muaj txoj cai khi rau tus neeg thov lossis tus muab kev pabcuam.​​             

3. Federal Employer Identification Number (FEIN) los yog Individual Taxpayer Identification Number (ITIN) pov thawj, yog tias tsis siv tus lej social security, 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 phim 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 koom haum uas tau teev tseg hauv daim ntawv IRS. Yog xav paub ntxiv, thov mus ntsib IRS lossis hu rau lawv ntawm (800) 829-4933.​​ 

4. Clinical Laboratory Improvement Amendment (CLIA) Certificate (txhua nplooj ntawv), tsim nyog rau qib kev sim ua, yog tias muaj kev pabcuam hauv chaw kuaj mob. Yog xav paub ntxiv, mus saib hauv Lub Chaw rau Medicare thiab Medicaid Services.​​ 

   • 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.​​ 

5. State Clinical Laboratory License/Registration, los yog kev pov thawj ntawm kev zam los ntawm daim ntawv tso cai / sau npe, yog tias muaj kev pabcuam hauv chaw kuaj mob. Hu rau lub chaw ua haujlwm Laboratory Field Services ntawm (510) 620-3800 txhawm rau txiav txim siab seb daim foos tshwj xeeb uas koj yuav tsum xa, thiab tom qab ntawd rub tawm cov ntawv no.​​ 

   • 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 (lossis kev zam) yuav tsum sib haum.​​ 

6. Daim Ntawv Tso Cai Tsis Muaj Npe (FNP) muab los ntawm Pawg Saib Xyuas Kev Kho Mob ntawm California lossis Osteopathic Medical Board of California, yog siv lub npe cuav rau koj qhov kev kho mob, raws li Pawg Neeg Saib Xyuas tau hais tseg.​​ 

   • Note: The business name of the applicant or provider on the application, all local business licenses/permits, and the FNP must exactly match. For further information, visit the Medical Board  and click on the “Licenses” tab, then the Fictitious Name Permit” link or visit the Osteopathic Medical Board click on the “Forms and Publications” tab, and then “Fictitious Name Permit.”​​ 

7. 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.​​ 

8. f your business is a corporation, processing delays may be avoided by attaching a copy of the filed Articles of Incorporation from the Secretary of State, and a list of directors’ and officers’ names and titles, with percent of ownership and control interest for each. To verify or change the name 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.​​ 

9. 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 sim hauv California Daim Ntawv Tso Cai Kho Mob, yuav tsum tau qhia txog kev txheeb xyuas qhov kev pov hwm kev lav phib xaub.​​ 

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

PAUB Portal​​ 

Nkag mus rau PAVE portal.​​