Dhia mus rau cov ntsiab lus​​ 
Tsev Cov Chaw Muab Kev Pabcuam & Cov Neeg Koom Tes Daim Ntawv Qhia Txhua Xyoo ntawm LEA​​ 

Daim Ntawv Qhia Txhua Xyoo ntawm LEA​​ 

Nplooj Ntawv Hloov Kho Tshiab: Cuaj Hlis 30, 2010​​ 

DAIM NTAWV QHIA TXOG TXHUA XYOO NTAWM LEA MEDI-CAL KEV XAIV THEM NYIAJ​​ 

SIJ HAWM XA NTAWV: LUB KAUM HLI 30, 2010*​​ 

*Ceeb Toom: Vim tias cov ntawv thiab cov ntaub ntawv tau muab ncua sijhawm, LEA yuav muaj 'lub sijhawm pub dawb' los xa daim ntawv qhia txog txhua xyoo ntawm LEA xyoo 2009/2010. Daim Ntawv Qhia Txog Xyoo 2009/2010 LEA yuav tsum tau txais los ntawm Lub Kaum Ob Hlis Ntuj hnub tim 31, 2010 kom zam tau los ntawm cov txheej txheem nplua 'xa ntawv lig'. Txhua daim ntawv xa tuaj tom qab Lub Kaum Ob Hlis 31, 2010 yuav raug nplua.​​ 

Yuav tsum muaj daim ntawv qhia txhua xyoo ntawm LEA:​​ 

Raws li tau teev tseg hauv Lub Chaw Haujlwm Kev Kawm Hauv Zos (LEA) Medi-Cal Billing Option (LBO) Program Provider Participation Agreement (PPA), LEAs uas koom nrog hauv LBO Program yuav tsum xa Daim Ntawv Qhia Txhua Xyoo ntawm LEA uas piav qhia txog lawv txoj kev koom tes, kev pabcuam tseem ceeb, thiab kev siv nyiaj rov qab txhua xyoo nyiaj txiag (FY).​​ 

Cov neeg koom nrog LBO Program tshiab uas muaj hnub sau npe ua tus kws kho mob ua ntej Lub Xya Hli 1 ntawm txhua xyoo nyiaj txiag yuav tsum xa Daim Ntawv Qhia Txhua Xyoo LEA mus rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) rau lossis ua ntej Lub Kaum Hli 30 ntawm tib lub xyoo nyiaj txiag. Cov neeg koom nrog LBO Program tam sim no yuav tsum xa daim ntawv qhia txhua xyoo ntawm LEA ua ntej lub Kaum Hli 30 txhua xyoo txawm tias LEA tau xa cov ntawv thov Medi-Cal thaum lub xyoo nyiaj txiag los tsis tau.​​ 

Kev rau npe txuas ntxiv rau hauv LBO Program yog nyob ntawm seb puas xa daim ntawv qhia txhua xyoo ntawm LEA raws sijhawm txhua xyoo. Yog tsis xa daim ntawv qhia txog txhua xyoo ntawm LEA yuav raug rho tawm ntawm LBO Program.​​ 

DAIM NTAWV QHIA TXOG TXHUA XYOO FY 2009-10 LEA:​​ 

 (PDF)​​ 

 (Excel)​​ 

COV LUS QHIA TXOG KEV XA DAIM NTAWV QHIA TXOG TXHUA XYOO NTAWM LEA:​​ 

1. Rub tawm thiab khaws cov ntawv Excel ntawm LEA Daim Ntawv Qhia Txhua Xyoo rau hauv koj lub computer​​ 

a. Siv cov ntaub ntawv hauv qab no kom ua raws li cov qauv kev teev npe cov ntaub ntawv uas yuav tsum tau ua​​ 

Xyoo Nyiaj Txiag nrog cov ntawv 'AR' los txheeb xyuas nws yog Daim Ntawv Qhia Txhua Xyoo​​ 

1. Piv txwv: FY0910AR​​ 

ii. Tus lej cim qhia tus neeg muab kev pabcuam hauv tebchaws (NPI)​​ 

1. Piv txwv: 1234567890​​ 

iii. Lub Npe LEA raug cai​​ 

1. Piv txwv: Lub Npe LEA raug cai Unified School District​​ 

iv. Hnub Xa Ntawv (MM.DD.YYYY) hom ntawv​​ 

1.Piv txwv: 11.30.2010​​ 

b. Cov qauv kev cai raus npe cov ntaub ntawv tag nrho:​​ 

i.FY0910AR.1234567890.OfficialLEANameUSD.11.30.2010.xls​​ 

1. Txhua daim ntaub ntawv uas suav nrog saum toj no raug cais los ntawm ib lub sijhawm​​ 

2. Tsis muaj qhov chaw nruab nrab ntawm cov lus (piv txwv li Lub Npe OfficialLEAUSD)​​ 

2. Thaum ua tiav lawm, luam daim ntawv qhia txog txhua xyoo ntawm LEA​​ 

3. Xyuas kom tseeb tias tau txais tag nrho cov kos npe uas yuav tsum tau kos npe rau hauv tus cwj mem xiav.​​ 

4. Luam theej cov ntawv luam tawm thiab kos npe ntawm LEA Daim Ntawv Qhia Txhua Xyoo thiab khaws cia rau hauv hom ntawv Adobe PDF.​​ 

a.Siv cov qauv kev sau npe ua ntaub ntawv yav dhau los rau PDF version​​ 

i.Example: FY0910AR.1234567890.OfficialLEANameUSD.11.30.2010.pdf​​ 

5. Xa koj daim ntawv qhia txog txhua xyoo ntawm LEA mus rau DHCS los ntawm kev xa email mus rau: LEA.ANNUALREPORT@DHCS.CA.GOV​​ 

a. Cov Excel thiab PDF YUAV TSUM muab tso ua cov ntawv txuas​​ 

b. Khaws cov ntawv theej thawj, kos npe rau ntawm Daim Ntawv Qhia Txhua Xyoo ntawm LEA rau cov neeg ua haujlwm ntawm DHCS Audits thiab Investigations, yog tias tsim nyog.​​ 

i. Koj tsis tas yuav xa daim ntawv theej rau DHCS; daim PDF yuav yog daim ntawv xa thawj.​​ 

Lus Cim: Cov LEAs yuav tau txais email lees paub tias tau txais Daim Ntawv Qhia Txhua Xyoo ntawm LEA uas xa tuaj raws li qhov tsim nyog. Daim ntawv lees paub tias tau txais qhia tias DHCS tau txais Daim Ntawv Qhia Txhua Xyoo ntawm LEA; txawm li cas los xij, nws yuav tsis lees paub qhov tseeb ntawm cov ntaub ntawv muaj nyob hauv.​​ 

COV LEA COV LUS NUG/COV NEEG SIB TXUAS LUS TXOG DAIM NTAWV QHIA TXOG TXHUA XYOO:​​ 

Cov Ntawv Qhia Txog Txhua Xyoo ntawm LEA Cov Ntawv Xa Mus: LEA.ANNUALREPORT@DHCS.CA.GOV​​ 

Cov Lus Nug Txog Daim Ntawv Qhia Txhua Xyoo ntawm LEA: LEA@DHCS.CA.GOV​​ 

COV CAI YUAV TSUM TAU CIA COV NTAUB NTAWV:​​ 

LEA Daim Ntawv Qhia Txhua Xyoo thiab cov ntaub ntawv txhawb nqa yuav tsum tau khaws cia los ntawm txhua tus LEA rau tsawg kawg peb xyoos txij li hnub xa mus rau DHCS thiab cov ntaub ntawv muaj nyob rau hauv yuav tsum tau lees paub los ntawm DHCS Cov Neeg Ua Haujlwm Kev Tshawb Fawb thiab Kev Tshawb Fawb, yog tias tsim nyog.​​ 

COV NTAWV QHIA TXOG XYOO UA NTEJ NTAWM LUB XYOO FY LEA:​​ 

Yuav kom tau txais daim ntawv theej ntawm koj daim ntawv qhia txhua xyoo LEA xyoo dhau los, koj yuav tsum siv cov lus qhia hauv qab no:​​ 

1. Xa koj daim ntawv thov mus rau: LEA.ANNUALREPORT@DHCS.CA.GOV​​ 

a. Koj daim ntawv thov email YUAV TSUM ua raws li cov lus qhia hauv qab no:​​ 

i.Kab Lus Qhia: “(FY) LEA Daim Ntawv Thov Daim Ntawv Qhia Txhua Xyoo - (NPI Tus lej)”​​ 

1.Piv txwv li: Daim Ntawv Thov Daim Ntawv Qhia Txhua Xyoo ntawm LEA xyoo 2008-2009 - 1234567890​​ 

ii.Daim Qauv (CC): Txhua tus neeg ua haujlwm LEA uas yuav xav tau daim qauv ntawm Daim Ntawv Qhia Txhua Xyoo LEA ua ntej​​ 

iii.Lub cev: (Tus lej NPI), (Lub npe LEA raug cai), (Lub npe thiab tus xov tooj)​​ 

1. Piv txwv li:​​ 

1234567890​​ 

Lub Npe LEA raug cai USD​​ 

Terry Administrator​​ 

(817) 980-0987​​ 

Qhov txuas hauv qab no yuav coj koj mus rau cov ntawv qhia txog txhua xyoo yav dhau los:​​