Cov Kev Pabcuam Me Nyuam Me (CMS) yog lub vev xaib uas tso cai rau CCS thiab GHPP cov chaw muab kev pom zoo thiab Medi-Cal Managed Care Plans kom nkag mus rau hauv hluav taws xob raws li Kev Thov Kev Pabcuam / Kev Tso Cai. Cov chaw muab kev pabcuam thiab cov phiaj xwm muaj kev nkag mus saib cov ntawv tso cai pabcuam, muaj peev xwm luam tawm cov ntawv tso cai pabcuam, tsis kam lees thiab Daim Ntawv Ceebtoom Ua Haujlwm.  Tsis tas li ntawd, rau cov chaw muab kev pom zoo los ua Tus Neeg Koom Tes Ua Lag Luam, muaj peev xwm xa cov Ntawv Tso Cai Siv Hluav Taws Xob (eSARs) mus rau CCS lossis GHPP Cov Kev Pabcuam los ntawm PEDI web portal.​​ 

Visit the Provider Electronic Data Interchange: DHCS Portal – PEDI Website.​​ 

Lub luag haujlwm ntawm tus kws kho mob​​ 

CCS/GHPP cov chaw muab kev pabcuam/cov phiaj xwm/cov chaw uas xav koom nrog hauv CMS Net PEDI yuav tsum paub txog cov lus tseeb thiab cov cai hauv qab no thaum thov kev nkag mus:​​ 

• Cov ntaub ntawv tau los ntawm CMS Net PEDI yog lub sijhawm.​​ 
• Lub vev xaib uas yuav tsum tau siv los nkag rau CMS Net PEDI yog qhov zoo tshaj plaws kev txhawb nqa nrog Internet Explorer 9. Yog tias lwm qhov Internet Browser siv lub Xeev Cov Ntaub Ntawv Technology Section (ITS) tsis tuaj yeem lav cov txiaj ntsig.​​ 
• Each provider or plan shall have a minimum of one, designated PEDI liaison(s) that shall be responsible for all communication with the State Information Technology Section (ITS) for coordination of users within the organization and dissemination of PEDI id’s and passwords.  The PEDI liaison(s) shall also be responsible for submitting staffing changes (provider separation, user modification, new users, etc.) including status of their position, via the CMS Net PEDI web portal.​​  
• Txhua tus kws kho mob lossis cov phiaj xwm yuav tsum muaj kev pom zoo sab hauv ntawm lawv qhov chaw ntawm cov kev pabcuam suav nrog, tab sis tsis txwv rau: Cov Kev Pabcuam Hauv Tsev Khomob, Chaw Kho Mob Sab Nraud, Kev Pabcuam Xwm Ceev, CCS thiab GHPP tau pom zoo Cov Chaw Saib Xyuas Tshwj Xeeb hais txog kev faib tawm sab hauv ntawm CCS thiab GHPP cov ntaub ntawv tso cai kev pabcuam.​​ 
• Txhua tus kws kho mob lossis cov phiaj xwm yuav tsum paub tseeb tias lawv tau sau ntawv tso cai los ntawm cov kws kho mob hauv lawv lub npe kom nkag mus rau tus kws kho mob cov ntawv tso cai.  (Qhov kev xav tau no tsis siv rau cov phiaj xwm kev noj qab haus huv.)​​  
• Yog tias tus neeg muab kev pabcuam / phiaj xwm raug pom zoo rau PEDI, Lub Nroog thiab lossis / Lub Chaw Haujlwm Hauv Cheeb Tsam yuav tsis muab cov ntawv theej ntawm SARs, NOA lossis lwm cov ntawv xov xwm ntsig txog cov xwm txheej.  Kev zam rau txoj cai no yuav raug tsim rau cov menyuam mos uas siv niam lub Medi-Cal kev tsim nyog thiab kev ua haujlwm tsis zoo.​​ 
• Rau Managed Care Plans (MCP) uas daim ntawv cog lus nrog lwm Tus Kws Kho Mob lossis Txoj Kev Npaj, PEDI rau npe kawm Plan yog lub luag haujlwm muab SARs, NOAs lossis lwm cov ntaub ntawv siv tau rau cov phiaj xwm sib cog lus.​​ 
• Qhov twg ua tau rau txhua tus neeg muab kev pabcuam lossis phiaj xwm yuav tsum txaus siab nkag mus rau hauv daim ntawv cog lus sib koom nrog Lub Xeev thiab cov kev pabcuam CCS hauv zos uas tso cai nkag tau hluav taws xob rau cov ntaub ntawv kho mob txog CCS thiab GHPP cov neeg tau txais txiaj ntsig.​​ 
• Pharmacy Providers – Pharmacy providers are approved on a case-by-case basis.  Pharmacy providers will have access to SARs issued to their specific National Provider Identifier (NPI), which includes CCS-restricted drugs, enteral nutrition products, and certain medical supplies.   Pharmacy providers will not have access to view SARs issued to Physicians or Special Care Centers with Service Code Groupings (SCG 01, 02, etc.).​​ 

Yuav Thov Li Cas rau PEDI Access​​ 

Visit the PEDI website to apply for PEDI access online.​​  

Paper applications will not be accepted.  Application processing is approximately 4-6 weeks from submission.​​ 

Electronic Visit Verification (EVV)​​ 

For upcoming guidance, trainings, and resources regarding California’s EVV impacted programs, please visit the DHCS EVV Webpage.​​ 

Cov lus nug?​​ 

Yog xav tau kev pab, hu rau CMS Net pab pawg ntawm cmshelp@dhcs.ca.gov lossis (866) 685-8449.​​