Medi-Cal Kev Sau Npe ntawm Cov Kws Kho Mob Tsis Yog Kws Kho Mob
Cov Kws Kho Mob uas Tsis Yog Kws Kho Mob (NMPs) qee zaum raug xa mus rau cov kws kho mob theem nrab.
Title 22, CCR Tshooj 51240 hais txog kev tso npe kawm thiab kev saib xyuas rau NMPs. Cov kev cai no tau teev cov kev cai ntawm Cov Kws Kho Mob-Tus Kws Kho Mob Interface Daim Ntawv Pom Zoo rau ntau hom NMP thiab tseem hais tias lawv yuav tsum tau rau npe raws li Tshooj 51000.30. Cov ntaub ntawv kws kho mob-Practitioner Interface suav nrog cov txheej txheem tshwj xeeb thiab cov txheej txheem saib xyuas uas xav tau los ntawm Title 16, CCR Tshooj 1399.540, 1399.545 (e) thiab 1470.
Cov kws kho mob, cov kws kho mob kws kho mob thiab cov kws saib xyuas neeg mob muaj ntawv pov thawj
Cov Kws Kho Mob, Cov Kws Saib Xyuas Neeg Mob thiab Cov Kws Saib Xyuas Neeg Mob tau lees paub yog txhua tus suav tias yog NMPs rau lub hom phiaj ntawm Medi-Cal tus kws kho mob sau npe:
- Physician Assistants (PAs) must be supervised by a physician. PA’s enroll in Medi-Cal using PAVE. PA’s may not enroll as groups and may not enroll as stand-alone providers.
- Cov Kws Kho Mob (NPs) uas ua haujlwm rau cov kws kho mob lossis pab pawg kws kho mob siv PAVE los tso npe. NPs tso npe ua ib tus kws kho mob ib leeg siv PAVE los tso npe.
- Assembly Bill 1591 (2006) amended Welfare and Institutions Code section 14132.41, allowing Nurse Practitioners (NPs) to bill Medi-Cal independently for their services. This statutory change authorized the Department of Health Care Services (DHCS) to pursue federal approval through a State Plan Amendment (SPA). SPA Number 11-019 provides DHCS with the authority to make direct reimbursement to Nurse Practitioners across all specialties.
- Ntxiv rau kev tso npe nrog ib tus kws kho mob lossis pab pawg kws kho mob lossis tso npe ua tus kws kho mob ib leeg, NPs kuj tuaj yeem tso npe ua pab pawg, thiab ua cov tswv cuab ntawm NP Pawg. Tam sim no, txhawm rau tso npe ua Pab Pawg Saib Xyuas Neeg Mob, txhua qhov kev qhia NPs hauv pab pawg yuav tsum tau tshwj xeeb hauv Family Care lossis Pediatrics. NP Pawg siv PAVE los tso npe. Cov NPs uas tab tom muab cov tswv cuab ntawm pawg NP kuj tso npe rau hauv NP pab pawg siv PAVE. NPs nyob ib leeg thiab NP pab pawg kuj tseem tsim nyog rau npe ua Cov Chaw Pabcuam Hauv Tsev.
- CERTIFIED NURSE MIDWIFE (CNM)CNMs Certified Nurse Midwifes (CNMs) ua hauj lwm rau obstetric kws kho mob los yog pab pawg kws kho mob siv PAVE mus rau npe.
- CNMs enrolling as stand-alone providers, including enrollment as stand-alone “Clinic Based Certified Nurse Midwife” providers, use PAVE to enroll. “Stand-alone CNMs” are enrolled using their own NPI and the RN number from their license.>
- CNMs tuaj yeem tso npe ua pab pawg thiab ua cov tswv cuab ntawm CNM pawg. CNM pawg sau npe siv PAVE. CNMs uas yog cov tswvcuab pab pawg ua haujlwm rau CNM pab pawg, siv PAVE los tso npe li ntawd.
- CNMs nyob ib leeg thiab CNM pawg kuj tseem tuaj yeem tsim nyog rau npe raws li Cov Chaw Pabcuam Hauv Tsev.
PAUB Portal
Nkag mus rau PAVE portal.