Independent Diagnostic Testing Facility Application Information
Raws li Lub Npe 42, CFR, Tshooj 410.33, Cov Chaw Pabcuam Medicare thiab Medicaid, thiab Phau Ntawv Qhia Medicaid ntawm Lub Xeev, Tshooj 3490 txog 3490.14, Cov chaw muab kev pab cuam ntawm Independent Diagnostic Testing Facility (IDTF) tsuas yog tsim nyog rau kev sau npe rau hauv qhov kev pab cuam Medi-Cal ua cov chaw muab kev pab cuam "Medicare Crossover Only" xwb thiaj li tau txais nyiaj rov qab rau Medicare Part B cov kev pab cuam.
Cov Chaw Kuaj Mob Ywj Pheej yuav tsum xa lawv daim ntawv thov los ntawm PAVE (Daim Ntawv Thov thiab Kev Txheeb Xyuas rau Kev Sau Npe).
1. Kev txheeb xyuas Tus lej cim tus tswv haujlwm hauv tsoomfwv (FEIN) lossis Tus lej cim tus neeg them se (ITIN), yog tias tsis siv tus lej kev ruaj ntseg hauv zej zog, los ntawm kev xa daim ntawv tsim 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 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.
2. Daim qauv ntawm tsab ntawv pom zoo ua tus kws kho mob uas yog Independent Diagnostic Testing Facility (IDTF) los ntawm Centers of Medicare and Medicaid Services (CMS).