Daim Ntawv Cog Lus Koom Tes ntawm Tus Muab Kev Pabcuam LEA (PPA)/Daim Ntawv Qhia Txhua Xyoo (AR)​​ 

Hloov Kho Tshiab Kawg: Lub Yim Hli 21, 201​​  

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, 2012*​​ 

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 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).  Txhua tus neeg koom nrog LBO Program 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 10 Lub 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 LBO Program yog nyob ntawm seb puas xa daim ntawv qhia txhua xyoo ntawm LEA raws sijhawm txhua xyoo.  Yog tias koj tsis xa daim ntawv LEA PPA/Annual Report tuaj yeem ua rau koj raug tshem tawm ntawm LBO Program.​​ 

DAIM NTAWV QHIA TXOG TXHUA XYOO FY 2011-12 LEA:​​ 

(Zoo kawg)​​ 

Thov nias 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 ib daim ntawv theej ntawm koj Daim Ntawv Qhia Txhua Xyoo / PPA nrog cov kos npe thawj mus rau:​​  

California Lub Tsev Haujlwm Saib Xyuas Kev Kawm Ntawv​​ 

Chaw Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb ntawm Tsev Kawm Ntawv​​ 

Attn: Shalonn Woodard​​ 

1430 N Txoj Kev, Chav 6408​​ 

Sacramento, CA 95814​​ 

Thov xa cov lus nug txog LEA PPA/Annual Report 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 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 LEA Daim Ntawv Qhia Txhua Xyoo dhau losC.    Lub cev: (Tus lej NPI), (Lub npe LEA raug cai), (Lub npe thiab tus xov tooj)​​ 

Piv txwv li: 1234567890, Lub Npe LEA Official USD, Terry Administrator (817) 980-098​​ 

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​​