Children's Medical Services Network Provider Electronic Data Interchange
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.
Mus ntsib Tus Muab Kev Hloov Cov Ntaub Ntawv Hluav Taws Xob: DHCS Portal - PEDI Lub Vev Xaib.
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.
- Txhua tus kws kho mob lossis cov phiaj xwm yuav tsum muaj tsawg kawg yog ib qho, raug xaiv PEDI tus neeg sib tham uas yuav tsum muaj lub luag haujlwm rau txhua qhov kev sib txuas lus nrog Lub Xeev Cov Ntaub Ntawv Xov Xwm Technology (ITS) rau kev sib koom tes ntawm cov neeg siv hauv lub koom haum thiab tshaj tawm PEDI id's thiab passwords. PEDI tus neeg saib xyuas yuav tsum muaj lub luag haujlwm xa cov neeg ua haujlwm hloov pauv (kev sib cais, kev hloov kho cov neeg siv, cov neeg siv tshiab, thiab lwm yam) suav nrog cov xwm txheej ntawm lawv txoj haujlwm, ntawm CMS Net PEDI lub vev xaib 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.
Cov Chaw Muab Tshuaj - Cov chaw muab tshuaj tau pom zoo raws li qhov xwm txheej. Cov chaw muab tshuaj yuav nkag tau rau SARs uas tau muab rau lawv qhov tshwj xeeb National Provider Identifier (NPI), uas suav nrog CCS txwv cov tshuaj, cov khoom noj khoom haus nkag mus, thiab qee yam khoom siv kho mob. Cov chaw muab tshuaj yuav tsis muaj kev nkag tau mus saib SARs muab rau Cov Kws Kho Mob lossis Chaw Kho Mob Tshwj Xeeb nrog Pab Pawg Code (SCG 01, 02, thiab lwm yam).
Yuav Thov Li Cas rau PEDI Access
Daim ntawv thov yuav tsis raug txais. Kev ua ntawv thov yog kwv yees li 4-6 lub lis piam tom qab xa.
Electronic Visit Verification (EVV)
Rau kev taw qhia yav tom ntej, kev cob qhia, thiab cov peev txheej hais txog California's EVV cuam tshuam cov kev pab cuam, thov mus saib ntawm 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.