Hloov tshiab: Lub Kaum Hli 3, 2014​​ 

LEA MEDI-CAL KEV XAIV THEM NYIAJ​​ 

DAIM NTAWV QHIA TXOG TXHUA XYOO​​ 

LUB SIJ HAWM TXIAV TXIM TXOG KEV XA NTAWV: LUB KAUM IB HLIS 30, 2014​​ 

YUAV TSUM TAU TXAIS KEV PAB CUAM LEA TXOG DAIM NTAWV QHIA TXOG TXHUA XYOO​​ 

Raws li tau teev tseg hauv Lub Chaw Haujlwm Kev Kawm Hauv Zos (LEA) Daim Ntawv Cog Lus Koom Tes ntawm Tus Muab Kev Pabcuam Kev Xaiv Them Nqi Medi-Cal (PPA), cov LEA uas koom nrog yuav tsum xa Daim Ntawv Qhia Txhua Xyoo ntawm LEA rau hnub tim 10 Lub Kaum Hli ntawm tib lub xyoo nyiaj txiag, txawm tias LEA tau xa cov ntawv thov Medi-Cal thaum lub xyoo nyiaj txiag los tsis tau. Yog tsis xa daim ntawv thov yuav raug tshem tawm ntawm LEA Program. Lub sijhawm kawg rau kev xa daim ntawv thov tau raug ncua mus txog rau lub Kaum Ib Hlis 30, 2014.​​ 

Daim Ntawv Qhia Txog Xyoo Xyoo 2013-14 rau cov ntawv qhia LEA rov qab txog cov lus thov tau txais thaum xyoo 2013-14, thiab hloov kho cov ntaub ntawv ntawm cov neeg muab kev pabcuam thiab cov koom haum xyoo 2014-15, thiab suav nrog:​​ 

• Xyoo 2014-15 Daim Ntawv Qhia Txog Kev Sau Npe Rau Cov Kws Muab Kev Pab Medi-Cal​​ 
• Xyoo 2014-15 Consortium Billing (yog siv tau)​​ 
• Daim Ntawv Qhia Txhua Xyoo Xyoo 2013-14​​      
• Cov Ntaub Ntawv Ntxiv 1 (Daim Ntawv Pov Thawj ntawm Cov Nyiaj Sib Tw ntawm Lub Xeev / Xyoo Nyiaj Txiag tam sim no)​​ 
• Cov Ntaub Ntawv Ntxiv 1A (Cov Ntaub Ntawv Qhia Txog Nyiaj Txiag)​​ 
• Daim Ntawv Txuas 2 (Kev Cog Lus Rov Ua Lag Luam)​​ 
• Cov Ntaub Ntawv Txuas 2A (Kev Cog Lus Rau Kev Rov Nqis Peb Dua/Cov Neeg Koom Tes Ua Ke)​​ 

TSEEM CEEB: Cov LEAs uas rov qab los uas tau hloov lawv lub Npe LEA, Chaw Nyob Pabcuam, EIN, lossis NPI yuav tsum ua kom tiav PPA rau Cov Neeg Muab Kev Pabcuam Tshiab kom hloov kho lawv cov ntaub ntawv nrog DHCS, thiab tsis yog Daim Ntawv Qhia Txhua Xyoo Xyoo 2013-14 rau cov LEAs uas rov qab los.​​ 

 (ua tiav kom raug)​​ 

COV LEA COV LUS NUG / COV NEEG SIB TXUAS LUS QHIA TXOG LUB PHAU NTAWV QHIA TXOG TXHUA XYOO​​ 

Thov xa cov lus nug txog LEA Daim Ntawv Qhia Txhua Xyoo mus rau: 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 DAIM NTAWV QHIA TXOG TXHUA XYOO UA NTEJ​​ 

Yog xav tau daim ntawv theej ntawm koj daim ntawv qhia txog txhua xyoo LEA xyoo dhau los, koj yuav tsum siv cov lus qhia hauv qab no:
Xa koj daim ntawv thov mus rau: LEA@dhcs.ca.gov.​​ 

Koj qhov kev thov email yuav tsum ua raws li cov lus qhia hauv qab no:​​ 

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

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

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

C) Lub Cev: (NPI Number), (Lub Npe LEA), (Lub Npe thiab Xov Tooj)​​ 

Piv txwv: 1234567890, Official LEA Name USD, Terry Administrator (817) 980-0987​​ 

COV NTAWV QHIA TXOG PPA LEA YAV DUA LI​​ 

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

1. Xa koj daim ntawv thov mus rau: PEDCorr@dhcs.ca.gov.​​ 

Koj qhov kev thov email yuav tsum ua raws li cov lus qhia hauv qab no:​​ 

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

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

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

C) Lub Cev: (NPI Number), (Lub Npe LEA), (Lub Npe thiab Xov Tooj)​​ 

Piv txwv: 1234567890, Official LEA Name USD, Terry Administrator (817) 980-0987​​