Daim ntawv tso cai Midwife Application Information
Midwives (licensed by the Medical Board of California) are required to submit their individual and/or group applications via PAVE (Provider Application and Validation for Enrollment). If you are submitting a group application, please ensure you also submit at least two rendering applications in PAVE in order to form your group.
Raws li Txoj Cai Welfare and Institutions (W&I) Tshooj 14043.75(b), cov kev cai rau cov kws pab yug menyuam uas tau txais daim ntawv tso cai uas thov rau npe hauv qhov kev pab cuam Medi-Cal tau hloov kho tshiab lawm. Yog xav paub ntxiv, thov saib daim ntawv tshaj tawm ntawm cov chaw muab kev cai lij choj uas muaj npe hu ua, "Cov Kev Cai thiab Cov Txheej Txheem rau Kev Sau Npe Ua Lag Luam ntawm Medi-Cal uas Tau Hloov Kho Tshiab rau Cov Kws Pab Yug Me Nyuam uas Muaj Ntawv Tso Cai thiab Cov Kws Pab Yug Me Nyuam uas Muaj Ntawv Pov Thawj " thiab daim ntawv Cov Lus Nug thiab Cov Lus Teb los ntawm Lub Rooj Sib Tham Txog Cov Neeg Koom Tes uas tau muaj nyob rau lub Yim Hli 1, 2024. Tsis tas li ntawd xwb, thov saib cov lus qhia txog yuav ua li cas xa daim ntawv thov rau PAVE raws li koj hom koom haum:
- Daim ntawv tso cai Midwife Rendering Provider Application
- Daim ntawv tso cai Midwife Individual Billing Provider Application
- Daim Ntawv Thov Kev Pab Them Nqi Rau Pawg Kws Pab Yug Me Nyuam Uas Muaj Ntawv Tso Cai
Daim ntawv tso cai
Ua ntej koj thov Medi-Cal, xyuas seb Pawg Neeg Saib Xyuas Kev Kho Mob ntawm California puas ua raws li txhua yam uas yuav tsum tau ua kom tau daim ntawv tso cai.
Cov ntaub ntawv xav tau
Tom ntej no, sau cov ntaub ntawv xav tau hauv qab no, raws li tsim nyog, txhawm rau muab lawv tso rau hauv PAVE thaum koj ua tiav koj daim ntawv thov PAVE. Thov xyuas kom meej tias cov ntaub ntawv uas tau muab tso tawm yog pom tseeb.
1. Daim Ntawv Tso Cai Ua Tus Kws Pab Yug Me Nyuam hauv California rau tus neeg thov.
2. Daim ntawv tso cai tsav tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm hauv 50 Tebchaws Meskas lossis Cheeb Tsam Columbia) rau tus neeg thov.
3. Daim Ntawv Pov Thawj Pov Hwm Kev Lav Peev Xwm Ua Haujlwm uas muaj nqis tsis tsawg dua $100,000 rau ib daim ntawv thov thiab tsawg kawg yog $300,000 txhua xyoo. Daim ntawv pov thawj lees txais tau yog daim ntawv pov thawj pov hwm lossis daim ntawv tshaj tawm uas lub tuam txhab pov hwm muab uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe ntawm tus neeg pov hwm, hnub siv tau, thiab cov kev txwv ntawm kev them nqi. Lus Cim: Lub npe ntawm tus kws kho mob, raws li nws tshwm sim ntawm Daim Ntawv Tso Cai Pab Yug Me Nyuam hauv California, kuj yuav tsum qhia rau ntawm daim ntawv pov hwm kev lav phib xaub.
4. Rau 'kev sau npe ib leeg': Kev txheeb xyuas Federal Employer Identification Number (FEIN), yog tias tsis siv social security number, los ntawm kev xa ib daim ntawv tshiab uas Internal Revenue Service (IRS) tsim. 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 Ua Haujlwm xwb). 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 hu rau IRS ntawm (800) 829-4933.
5. Rau 'kev sau npe ib leeg': Daim Ntawv Pov Hwm Kev Lav Peev Lag Luam (kev lav phib xaub ua lag luam, dav dav, lossis kev lav phib xaub dav dav, lossis kev pov hwm chaw ua haujlwm) uas muaj nqi tsawg kawg $100,000 rau ib daim ntawv thov thiab tsawg kawg yog $300,000 txhua xyoo. Daim ntawv pov thawj lees txais tau yog pov thawj tias koj muaj kev pov hwm tus kheej, lossis daim ntawv pov thawj pov hwm lossis daim ntawv tshaj tawm uas lub tuam txhab pov hwm muab uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm tus neeg pov hwm, hnub pib siv, thiab cov kev txwv ntawm kev pov hwm. Lus Cim: Lub npe thiab chaw nyob ua lag luam, suav nrog tus lej chav tsev yog tias siv tau, ntawm tus neeg thov lossis tus neeg muab kev pab hauv daim ntawv thov yuav tsum phim lub npe thiab chaw nyob ntawm tus neeg pov hwm uas nyob rau ntawm daim ntawv pov hwm lossis daim ntawv tshaj tawm.
6. Rau 'kev sau npe ib leeg xwb': Daim Ntawv Pov Thawj ntawm Kev Pov Hwm Kev Raug Mob ntawm Cov Neeg Ua Haujlwm yog qhov yuav tsum tau ua los ntawm txoj cai lij choj California, yog tias koj lub lag luam muaj ib lossis ntau tus neeg ua haujlwm. Daim ntawv pov thawj lees txais tau yog pov thawj tias koj muaj kev pov hwm tus kheej, lossis daim ntawv pov thawj pov hwm lossis daim ntawv tshaj tawm uas lub tuam txhab pov hwm muab uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm tus neeg pov hwm, thiab hnub siv tau. Yog tias tsis tas yuav muaj kev pov hwm rau cov neeg ua haujlwm raug mob, yuav tsum muaj lus piav qhia. Lus Cim: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pab yuav tsum phim lub npe thiab chaw nyob ntawm tus neeg pov hwm uas nyob rau ntawm daim ntawv pov hwm.
7. F lossis 'kev sau npe ib leeg xwb': Daim Ntawv Cog Lus Xauj Tsev Uas Tau Kos Npe, yog tias cov chaw ua lag luam tsis yog tus neeg thov lossis tus neeg muab kev pabcuam li. Lus Cim: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pab yuav tsum phim lub npe thiab chaw nyob ntawm tus neeg xauj tsev uas nyob rau ntawm daim ntawv cog lus xauj tsev.
8. Rau 'kev sau npe ib leeg': Daim Ntawv Tso Cai Lag Luam Hauv Zos, Daim Ntawv Pov Thawj Se, thiab Daim Ntawv Tso Cai rau txhua lub nroog thiab/lossis lub nroog uas muaj kev ua lag luam. Lus Cim: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pab uas nyob rau hauv daim ntawv thov yuav tsum phim lub npe ua lag luam thiab chaw nyob ua lag luam uas nyob rau hauv txhua daim ntawv tso cai thiab daim ntawv tso cai hauv zos. Yog tias tsis tas yuav muaj daim ntawv tso cai ua lag luam, thov xa ib daim ntawv sau los ntawm koj lub nroog/lub nroog hauv zos uas qhia tias koj lub lag luam tsis tas yuav muaj daim ntawv tso cai lossis daim ntawv tso cai. Yog xav paub ntxiv, thov hu rau koj lub chaw ua haujlwm tso cai ua lag luam hauv nroog thiab/lossis mus saib California State Association of Counties thiab nyem rau ntawm qhov txuas "California's Counties", thiab xaiv "Counties Web Sites."
9. Rau 'kev sau npe ib leeg': Daim Ntawv Qhia Txog Lub Npe Lag Luam Cuav (FBNS) uas tau sau/muab luam tawm, uas lub nroog uas qhov chaw ua lag luam tseem ceeb nyob, yog tias siv lub npe lag luam cuav THIAB lub npe lag luam txawv ntawm lub npe raug cai ntawm koj daim ntawv thov. Piv txwv li, yog tias muaj ib lub koom haum, txhua lub npe uas tsis yog lub npe koom haum uas tau sau tseg nrog Tus Tuav Ntaub Ntawv ntawm Lub Xeev yuav tsum muaj FBNS. Lus Cim: Lub npe lag luam thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam rau ntawm daim ntawv thov, txhua daim ntawv tso cai ua lag luam hauv zos, thiab FBNS yuav tsum sib xws. Yog xav paub ntxiv txog lub koom haum hauv nroog uas siv tau cov npe lag luam cuav, thov mus saib California State Association of Counties thiab nias rau ntawm qhov txuas "California's Counties", thiab xaiv "Counties Web Sites."
10. Flossis 'kev sau npe ib leeg xwb ‘ Yog tias koj lub lag luam yog ib lub koom haum, kev ncua sijhawm ua tiav yuav raug zam los ntawm kev muab daim ntawv theej ntawm Cov Cai ntawm Kev Koom Tes los ntawm Tus Tuav Ntaub Ntawv ntawm Lub Xeev, thiab daim ntawv teev cov thawj coj thiab cov tub ceev xwm lub npe thiab lub npe, nrog rau feem pua ntawm kev muaj thiab kev tswj hwm rau txhua tus. Yog xav paub ntxiv txog koj lub koom haum, thov mus saib Secretary of State California Business Portal thiab nias rau ntawm qhov txuas "California Business Search" lossis lwm qhov txuas uas tsim nyog.
11. Rau 'kev sau npe ib leeg xwb': Yog tias koj lub lag luam yog kev koom tes, Daim Ntawv Cog Lus Koom Tes uas tau ua tiav tag nrho. Tej zaum yuav zam tau qhov kev ncua sij hawm ua tiav los ntawm kev qhia seb lub koom haum puas yog General Partnership lossis Limited Partnership thiab xa cov hauv qab no:
a) Rau General Partnership, ib daim ntawv teev npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj cov paj laum rau txhua tus; los yog
b) Rau Kev Koom Tes Ua Lag Luam Txwv, cov ntaub ntawv txheeb xyuas tus khub General, thiab cov npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj kev txaus siab rau txhua tus.
Yog xav paub ntxiv txog koj txoj kev koom tes, thov mus saib Secretary of State California Business Portal thiab nias rau ntawm qhov txuas "California Business Search" lossis lwm qhov txuas uas tsim nyog.
12. Rau 'kev sau npe ib leeg xwb': Kev lav ris ntawm tus neeg ua tiav nrog Daim Ntawv Cog Lus Ua Ke thiab Ntau Tus Neeg Lub Luag Haujlwm (DHCS 6217), yog tias siv tau.