Cov tsev kho mob tsim nyog yuav tsum tau sau npe nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) txhawm rau koom nrog Clinic Workforce Stabilization Retention Payments (CWSRP). Thaum sau npe, cov chaw kho mob tsim nyog yuav raug pom zoo los thov cov nyiaj tuav pov hwm sawv cev ntawm cov neeg ua haujlwm tsim nyog.​​ 

Kev taw qhia dav dav:​​ 

• Kev tso npe qhib rau lub Kaum Ib Hlis 15 thiab kaw rau lub Kaum Ob Hlis 28, 2022. Cov tsev kho mob uas tsim nyog tau raug txhawb kom ua tiav kev sau npe sai li sai tau kom txo qis kev pom zoo qeeb.​​ 

• Ib qhov txuas mus rau daim ntawv sau npe yuav muaj nyob rau ntawm CWSRP lub vev xaib thaum lub Kaum Ib Hlis 15.​​ 

• Yog tias koj yog ib feem ntawm cov kab ke kev noj qab haus huv loj, koj tuaj yeem sau npe ib zaug siv cov ntaub ntawv los ntawm koj lub chaw kho mob loj tshaj plaws lossis lub koom haum (nrog cov neeg ua haujlwm coob tshaj plaws), tsuav yog lub koomhaum tsim nyog thiab yog tus tswv haujlwm ntawm txhua tus neeg ua haujlwm thoob plaws lub cev.​​ 

• Cov chaw kho mob uas tsis yog Medi-Cal cov chaw kho mob yuav tsum ua kom tiav thiab xa Daim Ntawv Foos STD 204, Cov Neeg Them Nqi Cov Ntaub Ntawv thaum lub sijhawm sau npe.​​ 

• Muaj kwv yees li 10 yam khoom ua kom tiav ntawm daim ntawv sau npe, nyob ntawm koj hom chaw kho mob. Thov mus saib Daim Ntawv Ntxiv rau cov ntaub ntawv xav tau.​​ 

• Nws yuav siv li 15 feeb los ua kom tiav daim ntawv sau npe.​​ 

Tej yam uas yuav tsum paub ua ntej koj pib:​​ 

• Qhib koj lub browser kom txog thaum koj sau npe tiav. Kev kaw koj lub browser ua ntej ua tiav yuav ua rau koj rov pib dua kev sau npe.​​ 

• Koj yuav tsum nias 'Tom ntej' rau feem ntau nplooj ntawv kom txuas ntxiv mus rau nplooj ntawv tom ntej.​​ 

• Koj tuaj yeem rov qab mus rau nplooj ntawv dhau los los ntawm kev nyem rau ntawm 'Yav dhau los'.​​ 

• Txhawm rau pib txheej txheem sau npe, koj yuav tsum lees txais Cov Lus Qhia Tshaj Tawm thiab Tsis Pub Leej Twg Paub hauv qab no ua ntej pib ua haujlwm.​​ 

Kev Tshaj Tawm Ntawm Tus Kheej Cov Ntaub Ntawv: Txhawm rau kom lees paub tus kheej thiab tsim nyog rau kev koom nrog hauv Clinic Workforce Stabilization Retention Payments (CWSRP), tej zaum yuav tsim nyog los qhia cov ntaub ntawv uas koj muab rau cov chaw tso cai hauv xeev / tsoomfwv lossis cov neeg muag khoom thib peb. Thaum nws yog qhov koj xaiv los ua kom tiav cov ntawv sau npe thiab daim ntawv thov, tsis ua tiav tag nrho cov txheej txheem yuav ua rau tsis muaj peev xwm txiav txim siab txog kev tsim nyog thiab ua cov nyiaj khaws cia zoo sib xws.​​ 

Daim Ntawv Ceeb Toom Txog Kev Ceev Ntiag Tug, Civ. Code ntu 1798.17: Cov ntaub ntawv ntiag tug uas tau sau rau ntawm daim foos no thiab nrog rau daim foos no yog khaws cia zais cia, raws li Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) Daim Ntawv Ceeb Toom Txog Kev Ua Haujlwm Tsis Pub Lwm Tus Paub uas tuaj yeem pom ntawm no: https://www.dhcs.ca.gov/formsandpubs/laws/priv/Documents/Notice-of-Privacy-Practices-English.pdf. DHCS xav tau cov ntaub ntawv los tswj hwm CWSRP. DHCS yuav tsis siv lossis qhia cov ntaub ntawv rau lwm lub hom phiaj tsuas yog koj tso cai lossis raws li txoj cai tso cai xwb. Koj yuav tsum muab tag nrho cov ntaub ntawv uas tau thov rau ntawm daim ntawv no. Yog koj tsis muab tag nrho cov ntaub ntawv uas tau thov, peb yuav tsis tuaj yeem txiav txim siab seb koj puas tsim nyog tau txais kev them nyiaj. Feem ntau, tus/cov neeg uas muaj cov ntaub ntawv no muaj cai nkag mus saib nws. DHCS tau tso cai sau cov ntaub ntawv no raws li Tshooj Cai Kev Ua Haujlwm 1492. Daim ntawv ceeb toom txog kev ceev ntiag tug no uas muab rau ntawm no yog qhov yuav tsum tau ua los ntawm California Civil Code ntu 1798.17.​​ 

• Yuav kom ua tiav qhov kev sau npe, koj yuav raug nug kom paub meej tias cov ntaub ntawv koj tau nkag mus thiab pom zoo rau daim ntawv pov thawj los ntawm kev sau koj lub npe thiab lub xeem thiab koj lub npe hauv lub koom haum, thiab tom qab ntawd nyem lub pob "ua tiav". Yog koj teb tau zoo ces yuav muab cov lus qhia ntxiv rau koj.​​ 

Kuv tshaj tawm raws li kev rau txim ntawm kev dag, raws li cov kev cai lij choj ntawm Lub Xeev California, tias cov ntaub ntawv saum toj no hauv daim ntawv no thiab cov ntaub ntawv txuas ntxiv yog qhov tseeb, raug, thiab tiav raws li kuv paub thiab ntseeg zoo tshaj plaws. Kuv tau tso cai xa cov ntaub ntawv no rau tus neeg thov. Kuv nkag siab tias los ntawm kev ntaus lub npe thiab lub xeem rau hauv lub thawv hauv qab no yog kuv cov kos npe hluav taws xob.​​ 

Lus Cim: Tus neeg pov thawj uas tau tso cai yuav tsum yog tus khub, tus thawj coj ntawm lub tuam txhab, lossis tus neeg sawv cev ntawm lub tsev kho mob uas tsim nyog uas muaj cai los khi tus neeg thov raws li txoj cai.​​ 

• Tom qab kev tso npe tso npe, cov chaw kho mob tsim nyog yuav tau txais email los ntawm DHCS lees paub tias lawv cov ntawv sau npe tau txais lossis xav tau cov ntaub ntawv ntxiv.​​ 

Xaiv koj hom chaw kho mob:​​ 

Nco ntsoov xaiv hom tsev kho mob uas zoo tshaj plaws qhia txog koj lub koom haum. Yog tias koj muaj ntau tshaj li ib lub tsev kho mob uas tau piav qhia hauv qab no nrog tib lub npe, Tus Naj Npawb Tus Kheej Tus Kheej (TIN), lossis Tsoom Fwv Teb Chaws Tus Neeg Ua Haujlwm Tus Naj Npawb (FEIN), xaiv hom tsev kho mob uas muaj pawg neeg ua haujlwm loj tshaj plaws.​​ 

• Chaw Kho Mob Tsim Nyog Los Ntawm Tsoom Fwv Teb Chaws (FQHC): Cov chaw kho mob lossis cov chaw kho mob uas tsis yog koom haum pab nyiaj los ntawm tsoom fwv teb chaws uas pab cov cheeb tsam thiab cov pej xeem uas tsis tau txais kev pab kho mob txaus. FQHCs muab cov kev pabcuam kho mob thawj zaug txawm tias koj muaj peev xwm them taus los xij.​​ 

• Lub tsev kho mob nyob deb nroog (RHC): Ib lub tsev kho mob nyob rau hauv ib cheeb tsam nyob deb nroog, tsis muaj kev pab cuam uas tsis muaj chaw zov me nyuam, kev pab kho mob ntawm tus kheej, los yog ob qho tib si, thiab uas muab kev saib xyuas thiab kev tiv thaiv kev noj qab haus huv hauv cov cheeb tsam uas tsis muaj kev pab cuam.​​ 

• Zoo li FQHC: Ib lub koom haum uas ua tau raws li txhua yam kev cai ntawm FQHC uas tau txais nyiaj pab los ntawm Public Health Service (PHS) Section 330, tab sis tsis tau txais nyiaj pab.​​ 

• Tribal FQHC: Ib lub tsev kho mob uas muab kev pab cuam kho mob thawj zaug rau Medi-Cal cov neeg mob. Tribal FQHC cov kev pabcuam tej zaum yuav muab rau hauv ib lub tsev kho mob lossis sab nraud los ntawm Pawg Pabcuam thiab cov chaw pabcuam uas tsis yog Pab Pawg uas yog cov neeg cog lus ntawm Pab Pawg FQHC.​​ 

• Chaw kho mob Isdias: Ib lub chaw ua haujlwm hauv US Department of Health and Human Services uas muaj lub luag haujlwm muab kev kho mob thiab kev pabcuam kev noj qab haus huv rau pej xeem rau cov tswv cuab ntawm cov Pab Pawg Neeg Asmeskas Ib Txwm thiab cov neeg Alaska Ib Txwm uas tsoomfwv lees paub. Cov lus txhais no kuj suav nrog cov chaw kho mob Isdias nyob rau hauv thaj av ntawm cov neeg hauv zos uas nyob ib sab ntawm California hauv lub xeev nyob ze uas muab kev pabcuam rau cov neeg Isdias Asmeskas thiab lawv tsev neeg uas nyob hauv California.​​ 

• Pub dawb​​ c: Ib lub tsev kho mob uas muab kev kho mob, kev sab laj, kev kho hniav, thiab kev pab raws li txoj cai rau cov tib neeg thiab cov tsev neeg uas xav tau kev pab, tsis hais lawv muaj peev xwm them taus los xij. Qhov no suav nrog cov neeg txhua lub hnub nyoog, haiv neeg, kev ntseeg, thiab keeb kwm kev lag luam uas tsis tuaj yeem siv cov peev txheej ib txwm muaj hauv zej zog.​​ 

Lus txhais:​​ 

Tus neeg tiv tauj (siv rau lub npe hu, Tiv tauj Email chaw nyob, thiab tus xov tooj hu)​​	Tus neeg tiv tauj yuav tsum yog tus neeg uas DHCS tuaj yeem tiv tauj, yog tias xav tau, hais txog koj daim ntawv sau npe.​​  Tus email chaw nyob yuav raug siv rau tag nrho DHCS cov ntawv xov xwm hais txog koj cov xwm txheej sau npe thiab cov kauj ruam tom ntej.​​
NPI​​	Tus Neeg Muab Kev Pabcuam Hauv Tebchaws: tus lej cim 10 tus lej tshwj xeeb tshaj tawm rau cov kws kho mob hauv Tebchaws Meskas los ntawm Lub Chaw Pabcuam Medicare & Medicaid (CMS).​​
TIN/FEIN​​	Tax Identification Number los yog Tsoom Fwv Teb Chaws Tus Neeg Ua Haujlwm Tus Naj Npawb: tus lej tseem ceeb uas tshwm sim hauv koj daim ntawv W9.​​
Hom Neeg Them Nyiaj​​  (raws li txhais los ntawm Xeev California - Department of Finance)​​	Ib Leeg Tswvcuab LLC - muaj los ntawm ib tus neeg: Lub Tuam Txhab Limited Liability (LLC) muaj los ntawm ib tus neeg thiab tsis saib xyuas rau tsoomfwv cov hom phiaj ua se.​​  Kev Sib Koom Tes: Kev Sib Koom Tes * Kev Koom Tes Tsis Muaj Cai Lij Choj (LLP) * thiab LLC raug kho raws li Kev Sib Koom Tes​​  Vaj tse los yog Trust: vaj tse * Trust (lwm yam tsis suav nrog Grantor Trust).​​  Corporation - Kev Kho Mob: Lub tuam txhab uas yog kev kho mob hauv qhov xwm txheej (xws li, kev kho mob thiab kev kho mob, kev kho mob, kev zov me nyuam, kev kho hniav, thiab lwm yam) * LLC uas yuav tsum tau them se zoo li lub tuam txhab thiab yog kev kho mob hauv xwm.​​  Corporation - Raws li txoj cai: Lub tuam txhab uas raug cai (piv txwv li, cov kev pabcuam ntawm kws lij choj, kws txiav txim plaub ntug, thiab cov neeg tsis lees paub txog kev cai lij choj lossis kev cai lij choj, thiab lwm yam.) * LLC uas yuav tsum tau them se zoo li lub tuam txhab thiab raug cai hauv xwm.​​  Corporation - Exempt: Lub tuam txhab uas tsim nyog tau txais kev zam txim, suav nrog 501(c) 3 thiab cov tuam txhab tsis muaj txiaj ntsig hauv tsev.​​  Corporation - Tag Nrho Lwm Tus: Lub tuam txhab uas tsis ua raws li qhov tsim nyog ntawm ib qho ntawm lwm hom kev lag luam tau teev tseg saum toj no. * LLC uas yuav tsum tau them se raws li lub koom haum thiab tsis ua raws li lwm yam kev lag luam uas tau teev tseg saum toj no.​​
Intermittent Clinic​​	Ib lub tsev kho mob uas ua haujlwm los ntawm lub chaw kho mob hauv zej zog lossis chaw kho mob dawb uas ua haujlwm ntawm qhov chaw sib cais los ntawm lub tsev kho mob uas muaj ntawv tso cai thiab tsuas yog qhib rau cov kev pabcuam txwv tsis pub tshaj 40 teev hauv ib lub lis piam. Hom tsev kho mob no tsis muaj npe raws li kev xaiv ntawm kev sau npe vim nws poob rau hauv daim ntawv tso cai ntawm FQHC, FQHC zoo ib yam, Indian chaw kho mob, lossis chaw kho mob dawb.​​

Yog xav paub ntxiv, thov mus saib hauv Clinic Workforce Stabilization Retention Payments webpage ntawm DHCS lub vev xaib thiab tshuaj xyuas cov lus nug uas nquag nug (FAQs).​​ 

Daim ntawv ntxiv: Cov ntaub ntawv xav tau​​ 

Cov ntaub ntawv hauv qab no yuav tsum muaj nyob rau hauv daim ntawv sau npe.​​ 

• Lub npe hu (thawj thiab xeem)​​ 
• Hu rau email chaw nyob thiab xov tooj​​ 
• Hom tsev kho mob (FQHC, RHC, FQHC zoo ib yam, Tribal FQHC, Indian chaw kho mob, tsev kho mob dawb)​​ 
• Lub tsev kho mob lub npe lossis lub lag luam / lub npe raug cai cuam tshuam nrog TIN / FEIN (raws li nws tshwm hauv Internal Revenue Service (IRS) daim ntawv W9)​​ 
• NPI num​​ 
• TIN/FEIN​​ 
• Kwv yees tus naj npawb ntawm cov neeg ua haujlwm tsim nyog​​ 
• Tus neeg txais nyiaj cov ntaub ntawv sau npe hom (piv txwv li, koom tes, koom tes)​​ 
• Ua tiav​​  TIAB SA 204​​  (Payee Data Record) daim foos, yog thov​​ 
• Tus kws kho mob lub npe thiab lub npe​​