Ordering/Referring/Prescribing (ORPs) tsuas yog cov kws kho mob yuav tsum xa lawv daim ntawv thov los ntawm PAVE (Kev Pabcuam Kev Thov thiab Kev Pabcuam rau Kev Sau Npe).

suav nrog ntawm no yog PowerPoint nthuav qhia los pab koj pib daim ntawv thov ORP hauv PAVE system. Nws kuj piav qhia txog txheej txheem tshuaj xyuas daim ntawv thov.

Hom kev sau npe no yog rau cov kws kho mob lossis cov kws kho mob uas tsis yog kws kho mob uas tsis xa cov ntawv thov ncaj qha mus rau Medi-Cal rau cov kev pabcuam uas tau muab, tab sis yuav tsum sau npe rau hauv qhov kev pab cuam Medi-Cal yog tias lawv xaj, xa mus lossis sau cov khoom lossis cov kev pabcuam rau cov neeg tau txais txiaj ntsig Medi-Cal.

Tsoom Fwv Teb Chaws Medicaid Regulations 42 Code of Federal Regulations (CFR) Section 455.410(b), mandates that the “State Medicaid agency yuav tsum kom tag nrho cov xaj lossis xa tus kws kho mob lossis lwm tus kws tshaj lij uas muab kev pabcuam raws li Lub Xeev Txoj Kev Npaj lossis zam ntawm txoj kev npaj rau npe kawm raws li kev koom tes. cov neeg muab kev pabcuam." Tsis tas li ntawd, Xeev California tau tsim cov cai lij choj uas ua raws li tsoomfwv txoj cai tshiab. Welfare and Institutions (W&I) Code, Seem 14043.1(b) & (o), pib txij lub Ib Hlis tim 1, 2013, tam sim no yuav tsum muaj kev tso npe ntawm kev txiav txim, xa mus thiab sau npe rau cov kws kho mob hauv Medi-Cal Program.

Raws li Txoj Cai Tswjfwm Saib Xyuas Kev Pabcuam tau tshaj tawm thaum Lub Ib Hlis 2013, DHCS tau tsim cov txheej txheem rau kev tso npe ntawm cov kws kho mob thiab cov kws kho mob uas tsis yog kws kho mob uas yuav tsum tau rau npe rau hauv qhov kev pab cuam Medi-Cal rau lub hom phiaj nkaus xwb lossis xaj, xa lossis sau cov khoom lossis kev pabcuam rau Cov neeg tau txais txiaj ntsig Medi-Cal.

Thov nco ntsoov tias hom kev tso npe no tsis tso cai rau Medi-Cal qhov kev pab cuam them rov qab rau qhov kev txiav txim, xa mus lossis sau npe rau cov kev pab cuam ncaj qha rau cov neeg tau txais txiaj ntsig Medi-Cal. Txhawm rau txiav txim siab seb koj puas tsim nyog lossis tsis tsim nyog, thov nyeem cov ncauj lus qhia ntxaws txog Tus Muab Kev Pabcuam "Medi-Cal Requirement for Ordering/Referring/Prescribing Providers Forms and Procedures."

Kev tsim nyog rau npe ua tus Ordering/Referring/Prescribing Provider

Muaj peb yam tseem ceeb rau kev tso npe ua ib qho kev txiav txim, xa mus lossis sau npe rau tus kws kho mob rau cov neeg tau txais txiaj ntsig Medi-Cal:

• Tus kws kho mob lossis tus kws kho mob tsis yog kws kho mob yuav tsum yog ib hom kws kho mob uas tuaj yeem tso npe rau hauv Kev Pabcuam Tus Nqi Medi-Cal.
• Kev txiav txim, xa mus lossis tus kws kho mob yuav tsum tau txais thiab xa lawv Tus Kheej (Hom 1) NPI. Ib Lub Koom Haum (Hom 2) NPI tsis tau txais.
• Tus kws kho mob lossis tus kws kho mob tsis yog tus kws kho mob yuav tsum yog hom tshwj xeeb tsim nyog tau txais kev txiav txim, xa thiab sau ntawv raws li Xeev txoj cai thiab tus kws kho mob lossis tsis yog kws kho mob Txoj Cai Ua Haujlwm.

Cov ntaub ntawv xav tau

Nco ntsoov 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 rub tawm hauv qab no yog qhov tseeb.  

• Tam sim no California Professional License ntawm tus neeg thov lossis tus neeg muab kev pabcuam (pocket license).
• Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm hauv 50 Tebchaws Meskas lossis Cheeb Tsam Columbia) ntawm tus kws kho mob uas kos npe rau daim ntawv. Daim ntawv kos npe yuav tsum yog tus kws kho mob lossis tus tsis yog kws kho mob thov.
• Kev lees paub ntawm National Plan thiab Provider Enumeration System (NPPES) rau txhua tus National Provider Identifier (NPI) uas koj teev nyob rau hauv pob ntawv thov. Cov ntaub ntawv NPI uas txais tau yog ib qho ntawm cov hauv qab no: 1) tsab ntawv ceeb toom NPI los ntawm NPPES, 2) email ceeb toom NPI los ntawm NPPES, lossis 3) tsab ntawv ceeb toom lossis email NPI los ntawm Electronic File Interchange Organization (EFIO). Lus Cim: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pab rau txhua daim ntawv yuav tsum phim lub npe thiab qhov chaw kho mob rau ntawm daim ntawv ceeb toom NPPES lossis EFIO. Yog xav paub ntxiv txog kev thov NPI lossis hloov kho koj cov ntaub ntawv hauv NPPES, mus saib lub vev xaib Medi-Cal ntawm www.medi-cal.ca.gov, thiab nyem rau ntawm qhov txuas "NPI", lossis mus rau https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do.   

Tej zaum koj yuav tau xa cov ntaub ntawv ntxiv yog tias tsim nyog.

PAUB Portal

Mus rau PAVE lub portal.