Cov ntaub ntawv thov kev pabcuam kws khomob
Cov khw muag tshuaj yuav tsum xa lawv daim ntawv thov tus kheej thiab/lossis daim ntawv thov ua pab pawg los ntawm PAVE (Daim Ntawv Thov thiab Kev Txheeb Xyuas Kev Sau Npe).
Yog xav paub ntxiv txog kev sau npe them nqi rau Medi-Cal Pharmacies siv PAVE, thov saib Medi-Cal Fee-for-Service Enrollment rau Pharmacies Siv PAVE Online System PowerPoint.
Tus nqi thov
Txij li Lub Ib Hlis Ntuj hnub tim 1, 2013, cov neeg thov uas thov rau npe ua Tus Muab Tshuaj yuav raug them tus nqi thov thaum xa lawv daim ntawv thov. Cov Kev Cai Lij Choj Txog Tus Nqi Thov Medi-Cal rau Kev Ua Raws Cai nrog 42 Code of Federal Regulations Seem 455.460 Regulatory Provider Bulletin muab cov ntaub ntawv tshwj xeeb txog qhov kev cai no. Yog xav paub cov ntaub ntawv txog tus nqi thov tam sim no, thov mus saib ntu Cov Kev Pabcuam ntawm nplooj ntawv Medi-Cal Provider Enrollment Division.
Daim ntawv tso cai
Ua ntej ua ntawv thov rau Medi-Cal, ua ntej kos lub Xeev California Pawg Tswj Xyuas Tshuaj Kho Mob kom ntseeg tau tias koj ua tau raws li tag nrho cov cai ntawm 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.
- Daim Ntawv Tso Cai Ua Kws Muag Tshuaj hauv California rau Tus Kws Muag Tshuaj uas yog tus saib xyuas thiab Daim Ntawv Tso Cai Ua Kws Muag Tshuaj/Clinic hauv Xeev California, uas suav nrog lub npe ntawm Tus Kws Muag Tshuaj uas yog tus saib xyuas. Raws li siv tau, Daim Ntawv Pov Thawj Sau Npe Tshuaj DEA thiab Daim Ntawv Tso Cai Bureau of Home Furnishings and Thermal Insulation.
- Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm nyob rau hauv 50 Tebchaws Meskas lossis Cheeb Tsam ntawm Columbia) ntawm tus kws kho mob, lossis tus neeg kos npe rau daim ntawv thov uas muaj txoj cai khi rau tus neeg thov lossis tus muab kev pabcuam. Daim ntawv kos npe yuav tsum yog tus muab kev pabcuam, tshwj tsis yog tus neeg muab kev pabcuam yog lub koomhaum. Yog tias tus kws kho mob yog ib lub tuam txhab thiab daim ntawv thov yuav raug kos npe los ntawm ib tus neeg uas tsis yog tus muab kev pabcuam, thov xa ib daim ntawv theej ntawm ntu ntawm lub tuam txhab txoj cai lij choj uas txheeb xyuas tus neeg kos npe txoj cai rau kev cai lij choj lub koom haum.
- Cov Kev Hloov Kho Kev Txhim Kho Chaw Kuaj Mob (CLIA) Daim Ntawv Pov Thawj Zam thiab Daim Ntawv Pov Thawj ntawm California Kev Sau Npe Chaw Kuaj Mob, yog tias siv tau, rau cov kev kuaj mob CLIA-zam uas muab rau hauv qhov kev xyaum ntawm tus kws muag tshuaj raws li tau txhais los ntawm California State Board of Pharmacy thiab tau tso cai hauv Business and Professions Code Section 4052.4. Yog xav paub ntxiv, thov saib cov ntawv xov xwm ntawm cov chaw muab kev pabcuam uas muaj npe hu ua, "Cov Kev Cai thiab Cov Txheej Txheem rau Kev Sau Npe Medi-Cal rau Cov Chaw Muab Kev Pabcuam Tshuaj uas Tuav Daim Ntawv Pov Thawj Tso Cai Tso Cai Kho Mob Hauv Chaw Kuaj Mob (CLIA).
- Federal Employer Identification Number (FEIN) los yog Individual Taxpayer Identification Number (ITIN) verification, yog tsis siv tus social security naj npawb, los ntawm kev xa ib daim ntawv tam sim no Internal Revenue Service (IRS) generated. Tsuas yog cov ntaub ntawv lees paub muaj xws li IRS-tsim Tsab Ntawv 147-C, IRS-tsim Daim Ntawv 941 (Tsuas Ua Haujlwm Lub Peb Hlis Federal Tax Return), IRS-tsim Daim Ntawv Foos 8109-C (Daim Coupon Deposit), lossis IRS-tsim Daim Ntawv SS-4 (tsuas yog Daim Ntawv Pom Zoo/Kev Qhia Txog Tus Kheej). Nco tseg: Lub npe raug cai ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim lub npe ntawm IRS-tsim cov ntaub ntawv; thiab tus neeg thov kev pab yuav tsum yog tus tswv lossis tus tub ceev xwm ntawm lub chaw teev npe hauv daim ntawv IRS. Yog xav paub ntxiv, thov mus ntsib IRS lossis 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 haujlwm tso cai ua lag luam hauv nroog thiab/lossis mus saib California State Association of Counties. Xaiv qhov txuas "California's Counties", tom qab ntawd 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 qhov txuas "California's Counties", qhov txuas "California's Counties", ces xaiv "Counties Web Sites."
- Daim Ntawv Tso Cai Muag Khoom uas tau muab los ntawm California State Board of Equalization. Lus Cim: Lub npe lag luam thiab chaw nyob lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam uas nyob rau hauv daim ntawv thov yuav tsum phim lub npe lag luam thiab chaw nyob lag luam uas nyob rau hauv daim ntawv tso cai ntawm tus neeg muag khoom. Yog xav paub ntxiv, mus saib Pawg Neeg Saib Xyuas Kev Sib Luag lossis hu rau lawv ntawm (916) 445-6362. N.B. Lub tsev muag tshuaj "Kaw qhov rooj" uas tsuas yog muag Cov Tshuaj Rau Cov Neeg Nyob Hauv Tsev lossis LTC xwb tsis tas yuav muaj daim ntawv tso cai los ntawm tus muag khoom.
- Ua tiav Daim Ntawv Pom Zoo Sib Koom Tes, yog tias koj lub lag luam yog kev koom tes. Kev ua haujlwm qeeb yuav raug zam los ntawm kev qhia seb lub koom haum puas yog General Partnership lossis Limited Partnership thiab tseem xa cov hauv qab no:
- Rau Kev Koom Tes Sib Koom Tes, ib daim ntawv teev npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj kev txaus siab rau txhua tus; los yog
- Rau Kev Koom Tes Ua Lag Luam Limited, 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 cov paj laum rau txhua tus.
- Yog xav paub ntxiv txog koj txoj kev koom tes, thov mus saib Secretary of State California Business Portalthiab 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 Qhia Txog Kev Koom Tes " thiab "Cov Lus Qhia Txog Cov Ntaub Ntawv rau Lub Koom Haum Tshuag Hauv Tebchaws" los ntawm Tus Tuav Ntaub Ntawv ntawm Lub Xeev, nrog rau feem pua ntawm kev muaj thiab kev tswj hwm rau txhua tus thawj coj thiab tus tub ceev xwm. 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.
- Certificate of Commercial Liability Insurance (business, general, or comprehensive liability, or office premises insurance) in an amount of not less than $100,000 per claim and a minimum annual aggregate of $300,000. Acceptable verification is either evidence of being self-insured, or a certificate of insurance or declaration sheet issued by the insurance company that contains the name of the insurance company, the name and business address of the insured, effective dates, and limits of coverage. Note: The name and business address, including suite number if applicable, of the applicant or provider on all forms must exactly match the insured’s name and address on the certificate of insurance or declaration sheet.
- Certificate of Commercial Liability Insurance (kev lag luam, kev lag luam, lossis kev lav phib xaub, lossis kev tuav pov hwm hauv chaw ua haujlwm) hauv tus nqi tsis pub tsawg dua $ 100,000 rau ib daim ntawv thov thiab qhov tsawg kawg nkaus txhua xyoo ntawm $ 300,000. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm cov ntawv pov hwm, hnub siv tau, thiab kev txwv ntawm kev pov hwm. Nco tseg: Lub npe thiab chaw nyob ua lag luam, suav nrog tus lej suite yog tias tsim nyog, ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim li tus neeg tuav pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm.
- Certificate of Workers 'Compensation Insurance yog xav tau los ntawm California txoj cai lij choj, yog tias koj lub lag luam muaj ib lossis ntau tus neeg ua haujlwm. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm cov ntawv pov hwm, thiab hnub siv tau. Yog tias tsis muaj kev pov hwm them nyiaj rau Cov Neeg Ua Haujlwm, yuav tsum muaj lus piav qhia. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li cov ntawv pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev pov hwm.
- Kos Npe Daim Ntawv Pom Zoo, yog tias thaj chaw lag luam tsis yog los ntawm tus neeg thov lossis tus muab kev pabcuam. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li tus neeg xauj tsev lub npe thiab chaw nyob ntawm daim ntawv cog lus xauj tsev.
- Successor Liability with Joint and Several Liability Agreement (DHCS 6217), yog muaj.
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