Portable Imaging Provider Application Information
Portable Imaging Provider Application Information
Portable Imaging Providers yuav tsum xa daim ntawv thov los ntawm PAVE (Kev Pabcuam Daim Ntawv Thov Kev Pabcuam thiab Kev Pov Hwm rau Kev Sau Npe).
PED thov kom koj xa daim ntawv npog nrog koj daim ntawv thov PAVE teev cov hom khoom siv duab, CPT Codes koj npaj siab yuav sau nqi rau, cov npe ntawm cov kws tshaj lij muab cov kev pabcuam kev pabcuam thiab cov npe ntawm cov kws kho mob muab cov npe. kev ua haujlwm feem ntawm cov kev pabcuam.
Tus nqi thov
Txij li Lub Ib Hlis Ntuj hnub tim 1, 2013, cov neeg thov uas thov rau npe ua Tus Muab Kev Thaij Duab Portable Imaging 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 Pab muab cov ntaub ntawv tshwj xeeb txog qhov yuav tsum tau ua no. Yog xav paub txog cov nqi thov tam sim no, thov mus saib ntu Cov Kev Pabcuam ntawm nplooj ntawv Medi-Cal Provider Enrollment Division.
Daim ntawv pov thawj ntawm kev sau npe
Ua ntej thov Medi-Cal, ua ntej tshaj, nug California Department of Public Health's Radiological Health Branch thiab nias rau ntawm "Programs", ces "Food, Drug and Radiation Safety" ces "Radiological Health Branch" thiab xyuas kom koj ua tau raws li tag nrho cov kev cai ntawm daim ntawv pov thawj, kev sau npe thiab 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.
- RHB Radiation Tshuab Kev Sau Npe thiab/lossis Mammography Tshuab Certification; California Radiology Supervisor Operator Permit(s), Radiologic Technologist Certificate(s) and/or X-Ray Technologist Permit(s) and/or Mammographic Radiologic Technologist Certificate(s), raws li muaj; California Medical License tam sim no rau tus kws kho mob saib xyuas. Tag nrho lwm cov ntawv pov thawj kho mob thiab cov ntawv sau npe raws li qhov yuav tsum tau ua raws li hom khoom siv.
- 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.
- Yog tias tsis siv tus lej social security, yuav tsum tau ua pov thawj tus lej Federal Employer Identification Number (FEIN) lossis tus lej Individual Taxpayer Identification Number (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), 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.
- 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 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 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."
- Tam sim no Commercial Vehicle Registration thiab pov thawj ntawm Commercial Vehicle Insurance tam sim no.
- 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 Neeg Koom Tes 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.
- 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 California Secretary of State (lossis Daim Ntawv Tshaj Tawm ntawm Domestic Stock Corporation yog tias koj lub koom haum nyob sab nraum California), 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.
- 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 Professional Liability Insurance nyob rau hauv ib tug npaum li cas ntawm tsis tsawg tshaj li $100,000 ib daim ntawv thov thiab ib tug tsawg kawg nkaus txhua xyoo tag nrho ntawm $300,000 rau txhua tus neeg muaj ntawv tso cai teev nyob rau hauv daim ntawv thov pob. Kev lees paub lees paub yog 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 ntawm cov ntawv pov hwm, hnub siv tau, thiab kev txwv ntawm kev pov hwm. Nco tseg: Tus kws kho mob lub npe, raws li pom nyob rau hauv daim ntawv tso cai tus kws tshaj lij (s) daim ntawv tso cai yuav tsum tau qhia nyob rau hauv kev txheeb xyuas ntawm daim ntawv pov hwm kev lav phib xaub.
- 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.
- Daim ntawv cog lus tam sim no ntawm tus kws kho mob thiab tus kws kho mob saib xyuas, yog tias muaj.
- Successor Liability with Joint and Several Liability Agreement (DHCS 6217), yog muaj.
PAUB Portal
Mus rau PAVE lub portal.