Tus Kws Kho Mob-Owned Surgery Center lossis Surgical Clinic Application Information
Yog tias koj lub chaw phais tsis muaj feem pua ntawm cov kws kho mob uas yog tus tswv, ces koj yuav tsum tiv tauj California Department of Public Health's Licensing and Certification Division kom tau cov ntaub ntawv hais txog kev sau npe ua tus kws kho mob Medi-Cal, es tsis txhob sau npe los ntawm PED.
Cov Kws Kho Mob-Owned Surgery Centers thiab Surgical Clinic Providers yuav tsum xa lawv cov ntawv thov rau ib tus neeg thiab/lossis pab pawg ntawm PAVE (Cov Ntawv Thov Kev Pabcuam thiab Kev Pov Hwm rau Kev Sau Npe).
Tus nqi thov
Txij li Lub Ib Hlis Ntuj hnub tim 1, 2013, cov neeg thov uas thov rau npe ua Chaw Phais Mob lossis Chaw Kho Mob Phais Mob uas Tus Kws Kho Mob Muaj yuav raug them tus nqi thov thaum xa daim ntawv thov. Cov Kev Cai Rau Tus Nqi Thov Medi-Cal rau Kev Ua Raws Cai nrog 42 Code of Federal Regulations Seem 455.460Regulatory Cov Ntawv Xov Xwm ntawm Tus Muab Kev Pabcuam muab cov ntaub ntawv tshwj xeeb txog qhov yuav tsum tau ua 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.
Kev lees paub thiab Medicare Certification
Ua ntej thov rau Medi-Cal, koj yuav tsum tau txais kev pom zoo rau Medicare Certification rau koj lub chaw phais mob / tsev kho mob. Cov chaw kho mob phais yuav nrhiav tau Medicare cov ntaub ntawv pov thawj los ntawm Lub Chaw rau Medicare thiab Medicaid Services (CMS) cov koom haum pom zoo lees paub raws li teev nyob rau hauv Pawg Kws Kho Mob ntawm California Lub Vev Xaib.
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.Kev pom zoo Medicare Certification.
2. Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav pov thawj uas lub xeev muab (muab tso 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 los 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.
3.Kev txheeb xyuas Tus lej cim tus tswv haujlwm hauv tsoomfwv (FEIN) lossis Tus lej cim tus neeg them se (ITIN), yog tias tsis siv tus lej kev ruaj ntseg hauv zej zog, los ntawm kev xa daim ntawv tsim tawm tam sim no ntawm Internal Revenue Service (IRS). 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/ITIN Ua Haujlwm). 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 lossis hu rau lawv ntawm (800) 829-4933.
4. 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 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 lub vev xaib California State Association of Counties , nyem rau ntawm qhov txuas "California's Counties", thiab xaiv "Counties Web Sites."
5. 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 loj 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. Yuav kom paub txog lub koom haum hauv nroog uas siv tau cov npe lag luam cuav, thov mus saib lub vev xaib California State Association of Counties , nyem rau ntawm qhov txuas "California's Counties", thiab xaiv "Counties Web Sites." ntawm qhov txuas "California's Counties", thiab xaiv "Counties Web Sites."
6.Daim Ntawv Tso Cai Muag Khoom uas tau muab los ntawm Pawg Neeg Saib Xyuas Kev Sib Luag ntawm Xeev California, yog tias siv tau. 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.
7. 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 General Partnership lossis Limited Partnership thiab 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 Portal thiab nias rau ntawm qhov txuas "California Business Search" lossis lwm qhov txuas uas tsim nyog.
8. 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.
9. Daim Ntawv Pov Thawj Txog Kev Pov Hwm Lub Luag Haujlwm Lag Luam (kev pov hwm rau kev lag luam, kev lav phib xaub dav dav, lossis kev lav phib xaub rau txhua qhov chaw ua haujlwm, lossis kev pov hwm chaw ua haujlwm) uas muaj nqi tsawg kawg yog $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.
10.Daim Ntawv Pov Thawj Pov Hwm Kev Lav Ris 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 Kuaj Mob hauv California, kuj yuav tsum qhia rau ntawm qhov kev pov hwm kev lav phib xaub.
11.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.
12.Daim Ntawv Cog Lus Xauj Tsev Uas Tau Kos Npe Lawm, yog tias tus neeg thov lossis tus neeg muab kev pab tsis yog tus tswv ntawm cov chaw ua lag luam. 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.
13.Lub Luag Haujlwm Tom Qab Nrog Daim Ntawv Cog Lus Ua Ke Thiab Daim Ntawv Cog Lus Ua Ke (DHCS 6217), yog tias siv tau.