QAS cov koom haum muab kev pabcuam thiab cov tib neeg muab kev pabcuam kev noj qab haus huv coj tus cwj pwm tuaj yeem thov rau npe rau hauv qhov kev pabcuam Medi-Cal. QAS cov koom haum muab kev pabcuam thiab ib tus neeg thov yuav tsum thov rau npe rau hauv qhov kev pabcuam Medi-Cal los ntawm kev xa daim ntawv thov hluav taws xob los ntawm Kev Pabcuam Kev Pabcuam thiab Validation for Enrollment (PAVE) online enrollment portal, nrog rau tag nrho cov ntaub ntawv txhawb nqa.​​ 

Raws li txoj cai tau tso cai rau Tus Thawj Coj ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) raws li Welfare & Institutions Code (W&I) Tshooj 14043.75(b), DHCS Tus Thawj Coj tab tom tsim cov ntawv thov tshwj xeeb thiab kev tso npe nkag rau QAS cov koom haum muab kev pabcuam thiab cov tib neeg uas thov rau npe rau hauv Medi-Cal cov kev pabcuam them rov qab rau cov kev pabcuam kev noj qab haus huv Medi-Cal cov tswv cuab. Cov kev cai no siv thiab ua rau W&I Code Tshooj 14043.15 thiab 14043.26, thiab yog li ntawd muaj tag nrho cov quab yuam thiab cov nyhuv ntawm txoj cai. Yog xav paub ntxiv, thov mus saib daim ntawv tshaj tawm txoj cai tswj hwm lub npe, “Medi-Cal Kev Nkag Mus Rau Npe thiab Cov Txheej Txheem rau Cov Koom Haum Pabcuam Autism Tsim Nyog thiab Cov Tib Neeg Muab Kev Pabcuam Kev Noj Qab Haus Huv.” Tsis tas li, cov ntawv xov xwm no tsis hloov pauv, lossis tshem tawm, tag nrho lwm yam kev tso npe nkag tau teev tseg hauv W&I Code Tshooj 14043.26.
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Medi-Cal Cov Kev Xav Tau​​  

Behavioral health treatment services consist of Applied Behavioral Analysis and other evidence-based behavioral intervention services. These services include Behavioral-Analytic Assessment and development of behavioral treatment plans. In addition, behavioral health treatment intervention services are identified in the Behavioral Health Treatment Services Chart in the State Plan. Behavioral health treatment services must be provided by a QAS provider, QAS professionals, or QAS paraprofessionals as defined in the State Plan.​​  

A QAS provider organization or individual is defined as the applicant that submits the Medi-Cal application for enrollment to provide behavioral health treatment services. Note, QAS providers who currently have an enrollment pathway, including physician and surgeons, psychologists, physical therapists, occupational therapists, licensed marriage and family therapists, licensed clinical social workers, licensed professional clinical counselors, speech-language pathologists, and audiologists, do not need to enroll as a QAS provider to provide and bill for behavioral health treatment services. Individual Board Certified Behavior Analysts (BCBAs) and educational psychologists may enroll using the QAS application. The QAS applicant may be an individual or an entity such as a corporation and must meet all of the Medi-Cal enrollment requirements as specified in the Medi-Cal Enrollment Requirements and Procedures section of the aforementioned provider bulletin. Additionally, the enrolling QAS individual or organization must attest that all individuals providing services are reported to the DHCS and that all individuals meet the qualifications and follow supervision requirements listed in accordance with the State Plan for behavioral health treatment services. Please refer to the Attestation Requirement section of the aforementioned provider bulletin for more information.​​ 

Cov ntaub ntawv xav tau​​  

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.  ​​ 

• 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 suav nrog IRS-tsim Tsab Ntawv 147-C, IRS-tsim Daim Ntawv 941 (Tsuas Ua Haujlwm Lub Peb Hlis Ntuj Tso Nyiaj Rov Qab), IRS-tsim Daim Ntawv Foos 8109-C (Daim Daim Coupon), lossis IRS-tsim Daim Ntawv SS-4 (tsuas yog Daim Ntawv Pom Zoo/Kev Ceeb Toom). 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 saib IRS hu rau lawv ntawm (800) 829-4933.​​ 
• Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm hauv 50 Tebchaws Meskas lossis Cheeb Tsam ntawm Columbia) ntawm tus neeg muab kev pabcuam, lossis tus neeg kos npe rau daim ntawv thov uas muaj txoj cai khi rau tus neeg thov lossis tus neeg 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.​​ 
• Local Business License, Tax Certificate, and Permit for any city and/or county where business activities are conducted. Note: The name and business address of the applicant or provider on the application must exactly match the business name and business address on all local licenses and permits. If a business license/permit is not required, please submit a written statement from your local city/county indicating that your business does not require any license or permit. For further information, please contact your city business license office and/or visit the California State Association of Counties and click on the “California’s Counties” link, and select “County Web Sites.”​​ 
• Recorded/stamped Fictitious Business Name Statement (FBNS), issued by the county where the principal place of business is located, if using a fictitious business name AND the business name is different from the legal name on your application. For example, in the case of a corporation, any name other than the corporation name on record with the Secretary of State requires a FBNS. Note: The business name and business address of the applicant or provider on the application, all local business licenses/permits, and the FBNS must exactly match. To determine the applicable county agency where fictitious business names are filed, please visit the California State Association of Counties and  click on the “California’s Counties” link, and select “County Web Sites.”​​ 
• If your business is a corporation, processing delays may be avoided by attaching a copy of the filed Articles of Incorporation from the California Secretary of State (or a Statement of Domestic Stock Corporation if your corporation is based outside of California), and a list of directors’ and officers’ names and titles, with percent of ownership and control interest for each. To verify or change the name and/or status of your corporation or for further information, please visit the Secretary of State California Business Portal and click on the “California Business Search” link or other appropriate link.​​ 
• 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 ib xyoos ib zaug 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 tau 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, 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 ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li cov ntawv pov hwm lub npe 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.​​ 

Cov peev txheej​​ 

• Kev tso npe rau QAS Cov Chaw Pabcuam / Cov Neeg Siv Khoom siv PAVE​​ 
• Medi-Cal Provider Enrollment for QAS Provider Organizations, QAS Individuals, and CBOs Offering Behavioral Health Treatment Services – Frequently Asked Questions​​ 

PAUB Portal​​ 

Nkag mus rau PAVE portal.
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