Pib txij Lub Xya Hli 1, 2025, Medi-Cal Fee-for-Service (FFS) cov kws kho mob yuav tsum muab cov ntaub ntawv ntxiv hauv qab no (ntxiv rau cov ntaub ntawv uas twb tau sau los ntawm Medi-Cal daim ntawv thov nkag). Raws li Lub Chaw Pabcuam Medicare thiab Medicaid (CMS), Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom ua cov kev taw qhia ntawm Cov Kev Pabcuam Cov Cai rau FFS cov chaw muab kev pabcuam raws li Division H, Title V, Tshooj 5123 ntawm Consolidated Appropriations Act, 2023 (CAA, 2023), thiab State-Section 034 Tus Thawj Saib Xyuas Kev Noj Qab Haus Huv 24. 5.​​ 

Thov xa mus rau peb cov lus nug nquag nug kom paub ntau ntxiv.​​ 

Hloov kho koj cov ntaub ntawv qhia chaw muab kev pab tam sim no​​ 

Keeb kwm​​ 

CAA, 2023 mandates Medicaid, and Children’s Health Insurance Program (CHIP) FFS programs and contracted Managed Care Plans publish searchable and regularly updated provider directories on a public website by July 1, 2025. The CAA, 2023 introduced new requirements for the FFS provider directory under Division H, Title V, Section 5123, titled “Requiring Accurate, Updated, and Searchable Provider Directories.” These requirements add to the minimum required information in the FFS provider directory, which must be updated at least quarterly. The “Enrolled Medi-Cal FFS Providers” dataset housed on the California Health & Human Services Open Data Portal is considered the FFS provider directory.​​ 

Txoj Cai Tshiab​​ 

Pib txij Lub Xya Hli 1, 2025, FFS cov chaw muab kev pabcuam yuav tsum muab cov ntaub ntawv hauv qab no uas yuav suav nrog hauv FFS cov chaw muab kev pabcuam (ntxiv rau cov ntaub ntawv uas twb tau sau los ntawm Medi-Cal daim ntawv thov nkag):​​   

• Tus xovtooj ntawm chaw ua haujlwm​​  
• Tus kws kho mob lub vev xaib (yog tias muaj)​​  
• Seb tus kws kho mob puas kam txais cov neeg mob Medicaid tshiab​​  
• Seb tus kws kho mob puas kam txais cov neeg mob CHIP tshiab​​  
• Cultural and linguistic capabilities including languages (including American Sign Language) offered by the Provider or by a skilled medical interpreter who provides interpretation services at the Provider’s office​​  
• Which accommodations the Provider’s office or facility has provided for individuals with physical disabilities, including offices, exam rooms, and equipment​​  
• Seb tus kws kho mob puas muab Kev Pabcuam Covered ntawm telehealth​​  

Hloov tshiab Peb Hlis​​ 

To ensure the accuracy of the provider directory, enrolled providers must review and update this information at least quarterly and by the end of each calendar month of January, April, July, and October.​​ 

Updates to existing provider directory information can be made at any time. If there are no changes to the provider directory information in future quarters, no action is required.​​ 

Cov lus nug nquag​​ 

General​​ 

Cov kws kho mob twg yuav tsum tau hloov kho lawv cov ntaub ntawv teev npe?​​ 

Under Section 5123 of the Consolidated Appropriations Act, 2023 (CAA, 2023), Medicaid, and Children’s Health Insurance Program (CHIP) Fee-For-Service (FFS) programs and their contracted Managed Care Plans must publish searchable, regularly updated provider directories on a public website by July 1, 2025.​​ 

Cov chaw muab ntawv teev npe suav nrog, tab sis tsis txwv rau cov kws kho mob, tsev kho mob, khw muag tshuaj, cov chaw muab kev pabcuam kev puas siab puas ntsws, cov neeg muab kev pabcuam kev siv tshuaj yeeb dawb, cov chaw muab kev pabcuam mus ntev, thiab tag nrho lwm cov chaw muab kev pabcuam uas teev nyob rau hauv nplooj ntawv Kev Pabcuam Sau Npe.​​ 

Cov ntaub ntawv dab tsi kuv yuav tsum tau hloov kho?​​ 

Enrolled providers must submit the following directory information, which will be used to update the existing Medi-Cal Fee-For-Service Provider Directory: provider office phone number, provider website (if available), whether the provider is accepting new Medicaid patients, whether the provider is accepting new CHIP patients, whether the provider offers covered services via telehealth, cultural and linguistic capabilities, and accommodations the provider’s office or facility has provided for individuals with physical disabilities.​​ 

Tus Nqi-For-Service Directory yog dab tsi?​​ 

Medi-Cal Fee-For-Service Directory yog cov ntaub ntawv siv tau rau pej xeem muaj nyob hauv CalHHS Open Data Portal.​​ 

Kuv tuaj yeem hloov kho cov ntaub ntawv no hauv PAVE?​​ 

Tsis yog, PAVE tsis sau cov ntaub ntawv qhia chaw kho mob ntxiv uas xav tau los ntawm Tshooj 5123 ntawm CAA, 2023.​​ 

Kuv yuav tsum hloov kho kuv cov ntaub ntawv ntau npaum li cas?​​ 

Txhawm rau kom ntseeg tau qhov tseeb ntawm cov ntaub ntawv muab kev pabcuam, cov chaw muab kev pabcuam yuav tsum tshuaj xyuas thiab hloov kho cov ntaub ntawv no tsawg kawg peb lub hlis twg thiab thaum kawg ntawm txhua hnub ntawm lub Ib Hlis, Plaub Hlis, Lub Xya Hli, thiab Lub Kaum Hli. Kev hloov kho tshiab rau cov ntaub ntawv qhia chaw kho mob uas twb muaj lawm tuaj yeem ua tau txhua lub sijhawm.​​ 

What if I don’t have any changes to make after the first update?​​ 

Yog tias tsis muaj kev hloov kho tshiab rau koj cov ntaub ntawv qhia chaw muab kev pabcuam hauv peb lub hlis tom ntej tom qab xa thawj zaug, tsis tas yuav tsum tau ua ntxiv.​​ 

Kuv yuav hloov kho kuv cov ntaub ntawv kho mob qhov twg?​​ 

Cov chaw muab kev them nqi yuav tsum xa cov ntaub ntawv qhia chaw kho mob nyob rau hauv Medi-Cal Provider Portal. Txhawm rau nkag mus rau lub portal, cov chaw muab kev pabcuam FFS uas tau sau npe yuav tsum xub tsim ib tus as-qhauj los ntawm kev tso npe rau ntawm Medi-Cal Cov Chaw Pabcuam webpage.​​ 

Cov chaw muab kev pab uas tsis them nqi yuav tsum xa cov ntaub ntawv los ntawm kev ua kom tiav Daim Ntawv Soj Ntsuam Cov Npe Chaw Muab Kev Pab , uas muaj nyob rau sab saum toj ntawm nplooj ntawv no.​​ 

Tus Muab Kev Pabcuam Portal rau Tus Muab Nyiaj Txiag​​ 

Kuv yuav hloov kho kuv cov ntaub ntawv nyob qhov twg ntawm Tus Kws Kho Mob Portal?​​ 

After logging in, navigate to “NPI Agreements and Settings” and select “Public Fee-For-Service Provider Directory.”​​ 

I cannot access my account on the Provider Portal. Who do I contact?​​ 

The Telephone Service Center (1-800-541-5555) is available 8 a.m. to 5 p.m. PT, Monday through Friday, except national holidays.​​ 

Who is authorized to make updates in the Provider Portal?​​ 

Only Organization Administrators and NPI Administrators can update provider directory information. To update user permissions, an Organization Administrator must add the user and assign permission levels. Refer to the Provider Portal User Guide: Provider Organization for a description of each available role.​​ 

For other Provider Portal related questions, please visit the Provider Portal FAQ.​​ 

Kev Tshawb Fawb Cov Ntawv Teev Npe rau Cov Kws Kho Mob Tsis-Billing​​ 

Kuv puas tuaj yeem khaws kuv qhov kev nce qib thaum ua tiav daim ntawv ntsuam xyuas?​​ 

No, the survey does not save incomplete responses. We recommend drafting responses in a separate document before entering them in the survey.​​ 

How can I edit my previous submission?​​ 

To make changes, please submit a new response using the Provider Directory Survey. The most recent response will overwrite previous submissions. Please allow one week upon submission for updates to reflect in directory.​​ 

How can I view my previous submission?​​ 

To request a copy of your response, please complete the Provider Inquiry Form.​​ 

Yog tias koj muaj lus nug ntxiv txog daim ntawv teev cov chaw muab kev pab FFS, cov chaw muab kev pab tuaj yeem tiv tauj Lub Chaw Sau Npe Rau Cov Chaw Muab Kev Pab los ntawm​​  Daim Ntawv Nug Txog Tus Muab Kev Pabcuam.​​