Medical Transportation Providers (Emergency and Non-Emergency) and non-Medical Transportation Providers are required to submit their applications via PAVE (Provider Application and Validation for Enrollment). Included here is a PowerPoint presentation to assist you with starting your provider enrollment application in the PAVE system. It also describes the application review process.​​  

Cov neeg muab kev thauj mus los uas tam sim no tau cuv npe hauv Medi-Cal raws li Cov Kev Kho Mob Tsis Muaj Xwm Ceev (NEMT) cov chaw kho mob thiab cov uas xav muab cov kev pabcuam Kev Thauj Mus Los Tsis Muaj Kev Kho Mob (NMT) tuaj yeem thov los ua NMT cov chaw pabcuam thiab muab cov kev pabcuam NMT, raws li tau hais los ntawm W&I Code tshooj 14132 (ad)(2)(i) thiab 14132(ii). Cov neeg muab kev pabcuam NEMT tam sim no yuav tsum xa daim ntawv thov hloov pauv ntxiv kom ntxiv NMT cov kev pabcuam rau lawv cov kev tso npe uas twb muaj lawm siv PAVE online system. NEMT cov chaw muab kev pabcuam uas xav siv cov tsheb NEMT tau tshaj tawm los muab cov kev pabcuam NMT tseem yuav tsum tau tshaj tawm qhov ntawd rau Lub Tsev Haujlwm los ntawm kev xa daim ntawv thov hloov pauv ntxiv uas siv PAVE online system.​​ 

Currently enrolled providers may add new NMT vehicles or NEMT vehicles by submitting a complete Supplemental Change request using the PAVE online system. Copies of the Department of Motor Vehicles (DMV) commercial vehicle registration and proof of commercial vehicle insurance must be included.​​ 

Tus nqi thov​​  

Effective January 1, 2013, applicants requesting enrollment as a Medical Transportation Provider are subject to payment of an application fee upon submission of their application. The Medi-Cal Application Fee Requirements for Compliance with 42 Code of Federal Regulations Section 455.460 Regulatory Provider Bulletin offers specific information regarding this requirement. For current application fee information, please see the Resources Section of the Medi-Cal Provider Enrollment Division page.​​ 

Cov ntaub ntawv xav tau​​ 

Sau cov ntaub ntawv tsim nyog uas teev hauv qab no, raws li qhov siv tau, kom xa mus rau hauv PAVE thaum koj ua tiav koj daim ntawv thov PAVE.
Thov xyuas kom meej tias cov ntaub ntawv uas tau xa tuaj nyeem tau yooj yim:​​ 

Yog tias tsis siv tus lej social security, yuav tsum tau ua daim ntawv pov thawj ntawm Tus Neeg Ua Haujlwm Hauv Tebchaws (FEIN) lossis Tus Neeg Them Se (ITIN), los ntawm kev xa daim ntawv Internal Revenue Service (IRS) uas tau tsim tawm tam sim no. 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 Lub Peb Hlis), 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/ITIN rau 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 mus saib IRS hu rau lawv ntawm (800) 829-4933.

Daim Ntawv Tso Cai Ua Lag Luam Hauv Zos, Daim Ntawv Pov Thawj Se, thiab Daim Ntawv Tso Cai rau txhua lub nroog thiab/lossis lub nroog uas 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 daim ntawv 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."

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." 

Daim Ntawv Cog Lus Koom Tes Ua Ke Uas Tau Ua Tiav Tag Nrho, yog tias koj lub lag luam yog kev koom tes. Tej zaum yuav zam tau qhov kev ncua sij hawm ua tiav los ntawm kev qhia seb lub koom haum puas yog Kev Koom Tes Dav Dav lossis Kev Koom Tes Txwv thiab xa cov hauv qab no:
Rau Kev Koom Tes Dav Dav, daim ntawv teev npe ntawm txhua tus neeg koom tes nrog feem pua ntawm kev muaj tswv lossis kev tswj hwm rau txhua tus; lossis
Rau Kev Koom Tes Txwv, cov ntaub ntawv txheeb xyuas tus Neeg Koom Tes Dav Dav, thiab daim ntawv teev npe ntawm txhua tus neeg koom tes nrog feem pua ntawm kev muaj tswv lossis kev tswj hwm 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.

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 Lus Cog Tseg ntawm Lub Koom Haum 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.

Daim Ntawv Pov Hwm Kev Lav Peev Lag Luam (kev lav phib xaub rau kev lag luam, kev lav phib xaub dav dav, lossis kev lav phib xaub rau txhua qhov chaw ua haujlwm) uas muaj nqi tsis tsawg dua $100,000 rau ib daim ntawv thov thiab tag nrho 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.

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 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, 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 ntawm tus neeg thov kev pab lossis tus neeg muab kev pab yuav tsum phim lub npe ntawm tus neeg pov hwm uas nyob rau ntawm daim ntawv pov hwm.

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 nyob rau ntawm daim ntawv cog lus xauj tsev.

Lub Luag Haujlwm Tom Qab Nrog Daim Ntawv Cog Lus Ua Ke Thiab Ntau Lub Luag Haujlwm (DHCS 6217), yog tias siv tau.

Cov Ntaub Ntawv Txog Tsheb Thauj Neeg Mob, yog tias siv tau
Daim Ntawv Pov Thawj CHP 301 tam sim no
Daim Ntawv Pov Thawj EMS Hauv Zos
Daim Ntawv Tso Cai Tsheb Thauj Neeg Mob CHP
Cov Ntaub Ntawv Tsav Tsheb Thauj Neeg Mob
Daim Ntawv Pov Thawj Tsav Tsheb Thauj Neeg Mob {cph0} Daim Ntawv Tso Cai Tsav Tsheb Thauj Neeg Mob
Daim Ntawv Tso Cai Tsav Tsheb Thauj Neeg Mob

Cov Ntaub Ntawv Dav Hlau, yog tias siv tau
Daim Ntawv Pov Thawj FAA {cph0} Daim Ntawv Pov Thawj EMS

Cov Lus Qhia Txog Lub Tuam Txhab Tsab Ntawv Sau Npe Qhov Chaw Nres Tsheb Dav Hlau
Cov Ntaub Ntawv Txog Tus Tsav Dav Hlau {
Daim Ntawv Tso Cai Tsav Dav Hlau FAA
Daim Ntawv Tso Cai Tsav Tsheb

Cov Ntaub Ntawv Txog Lub Tsheb Thauj Neeg Poob Thiab/lossis Lub Rooj Zaum MuajLog
Daim Ntawv Sau Npe Tsheb Lag Luam DMV
Daim Ntawv Pov Thawj Pov Thawj Kev Pov Hwm Tsheb Lag Luam
Daim Ntawv Tshuaj Xyuas Kev Nyab Xeeb Tsheb (VSSI) Daim Ntawv Pov Thawj (yog siv tau)
Daim Ntawv Tso Cai Tsav Tsheb Tshwj Xeeb (yog siv tau)

Cov Ntaub Ntawv Tsav Tsheb Van Rau Cov Neeg Muaj Rooj Zaum
Daim Ntawv Luam Tawm ntawm Cov Ntaub Ntawv Tsav Tsheb DMV
Daim Ntawv Pov Thawj Rau Kev Pab Thawj Zaug
Daim Ntawv Pov Thawj Rau CPR
Daim Ntawv Ntsuas Tshuaj Ua Ntej Ua Haujlwm (sau cov tshuaj uas tau kuaj rau)
Daim Ntawv Ntsuas Cov Txiaj Ntsig ntawm Kev Ntsuas Cawv
Daim Ntawv Tso Cai Tsav Tsheb California
Daim Ntawv Tso Cai Tsav Tsheb MCSA 5875 thiab MCSA 5876 rau txhua tus neeg tsav tsheb
Daim Ntawv Tso Cai Tsav Tsheb Tshwj Xeeb (yog siv tau)

Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav pov thawj uas lub xeev muab (muab rau hauv 50 Tebchaws Meskas lossis Lub Nroog Columbia) ntawm tus neeg muab kev pabcuam, lossis tus neeg kos npe rau daim ntawv thov uas muaj cai khi tus neeg thov lossis tus neeg muab kev pabcuam raws li txoj cai. Cov kos npe yuav tsum yog tus neeg muab kev pab, tshwj tsis yog tias tus neeg muab kev pab yog ib lub koom haum. Yog tias tus neeg muab kev pabcuam yog ib lub koom haum thiab daim ntawv thov yuav raug kos npe los ntawm lwm tus neeg uas tsis yog tus neeg muab kev pabcuam, thov xa ib daim qauv ntawm ntu ntawm cov cai ntawm lub koom haum uas qhia txog lub hwj chim ntawm tus neeg kos npe los khi lub koom haum raws li txoj cai.​​