Daim Ntawv Cog Lus Koom Tes ntawm LEA (PPA)/Daim Ntawv Qhia Txhua Xyoo (AR) rau Cov Neeg Muab Kev Pab Rov Qab Los
Hloov Kho Tshiab Kawg: Lub Yim Hli Ntuj 15, 2013
LEA MEDI-CAL KEV XAIV THEM NYIAJ
DAIM NTAWV POM ZOO KEV KOOM TES NTAWM TUS MUAB KEV PAB CUAM/DAIM NTAWV QHIA TXOG TXHUA XYOO
SIJ HAWM XA NTAWV: LUB KAUM HLI 10, 2013*
Lus Cim: Hnub xa daim ntawv cog lus koom tes ntawm tus neeg muab kev pab/Daim Ntawv Qhia Txhua Xyoo tau hloov mus rau lub Kaum Hli 10th. Cov LEA uas xa daim ntawv PPA/AR tom qab hnub kawg yuav raug ncua tsis pub koom nrog LEA qhov kev pab cuam.
YUAV TSUM MUAJ DAIM NTAWV QHIA TXOG TXHUA XYOO NTAWM LEA:
Raws li tau teev tseg hauv Lub Chaw Haujlwm Kev Kawm Hauv Zos (LEA) Medi-Cal Billing Option Program Provider Participation Agreement
(PPA), cov LEAs uas koom nrog hauv Qhov Kev Pab Cuam 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 los nqis peev txhua xyoo nyiaj txiag (FY). Txhua tus neeg koom nrog hauv qhov kev pab cuam yuav tsum xa daim ntawv qhia txhua xyoo ntawm LEA mus rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) rau hnub tim 10Lub Kaum Hli ntawm tib lub Xyoo Nyiaj Txiag seb LEA puas tau xa daim ntawv thov Medi-Cal thaum lub Xyoo Nyiaj Txiag.
Kev rau npe txuas ntxiv rau hauv Qhov Kev Pab Cuam yog nyob ntawm seb puas xa daim ntawv qhia txhua xyoo ntawm LEA raws sijhawm txhua xyoo. Yog tsis xa daim ntawv LEA PPA/Annual Report tuaj yeem ua rau raug tshem tawm ntawm qhov kev pab cuam.
DAIM NTAWV QHIA TXOG TXHUA XYOO FY 2012-13 LEA:
(Excel)
- Nyem rau ntawm cov tabs nyob rau hauv qab ntawm daim ntawv kom nkag mus rau cov ntawv teev tseg hauv cov lus qhia.
- (PDF) ua tiav kom raug.
DAIM NTAWV QHIA TXOG TXHUA XYOO LEA/LUS NUG PPA/COV NEEG SIB TXUAS LUS:
Thov xa cov lus nug txog LEA PPA/Annual Report mus rau:LEA@DHCS.CA.GOV
TXHEEJ TXHEEM XA DAIM NTAWV QHIA TXOG TXHUA XYOO RAU COV NEEG MUAB KEV PAB CUAM ROV QAB LOS
Rau xyoo 13-14 FY, cov LEA uas tam sim no koom nrog hauv LEA Medi-Cal Billing Option Program tuaj yeem xa daim ntawv theej los yog xa email daim ntawv qhia txhua xyoo tsis pub dhau lub Kaum Hli Ntuj hnub tim 10, 2013.
* TSIS TXHOB xa daim ntawv qhia txhua xyoo los ntawm kev xa ntawv thiab email .
Koj xa tau daim ntawv qhia txog txhua xyoo, nrog rau cov kos npe thawj, mus rau Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv mus rau qhov chaw nyob hauv qab no:
Department of Health Care Services
Chav Haujlwm Nyiaj Txiag ntawm Safety Net
Kev Xaiv Them Nqi LEA Medi-Cal
Attn: Angelia Johnson
1501 Capitol Avenue, MS 4603, PO Lub thawv 997436
Sacramento, CA 95899-7436
Cov LEAs tuaj yeem xa email cov ntaub ntawv hluav taws xob ntawm Daim Ntawv Qhia Txhua Xyoo mus rau: LEA.AnnualReport@dhcs.ca.gov
Cov ntaub ntawv email YUAV TSUM muaj cov hauv qab no:
- Daim Excel ntawm daim ntawv AR uas ua tiav lawm (tag nrho cov ntawv ua haujlwm)
- Daim qauv luam theej ntawm daim ntawv AR thawj uas tau kos npe (piv txwv li, PDF, JPEG, thiab lwm yam)
Cov ntaub ntawv hluav taws xob AR yuav tsum ua raws li cov kev cai no: Xyoo Nyiaj TxiagAR.NPI Tus lej.Lag luam LEA Lub Npe.Hnub Xa Ntawv
- Piv txwv li: 12-13AR.1234567890.DHCS Unified School District.6/14/2013.xls (los yog PDF)
Siv cov kev cai sau npe no los txuag koj AR thiab hauv kab ntawv ntawm kev xa email.
**** Cov ntawv qhia uas tsis muaj lub npe raug yuav raug xa rov qab*****
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 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)”
a. Piv txwv li: Daim Ntawv Thov Daim Ntawv Qhia Txhua Xyoo ntawm LEA xyoo 2008-2009 - 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: (Tus lej NPI), (Lub npe LEA raug cai), (Lub npe thiab tus xov tooj)
a. Piv txwv li: 1234567890, Lub Npe LEA Official USD, Terry Administrator (817) 980-0987
COV NTAWV QHIA TXOG DAIM NTAWV QHIA TXOG TXHUA XYOO UA NTEJ:
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@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)”
a. Piv txwv li: Daim Ntawv Thov Daim Ntawv Qhia Txhua Xyoo ntawm LEA xyoo 2008-2009 - 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: (Tus lej NPI), (Lub npe LEA raug cai), (Lub npe thiab tus xov tooj)
a. Piv txwv li: 1234567890, Lub Npe LEA Official USD, Terry Administrator (817) 980-0987