Tshuaj Medi-Cal Certification
Txhua tus kws kho mob DMC uas tam sim no DMC tau ntawv pov thawj los muab kev pabcuam Kev Kho Mob Hnub Nyoog (DCH) tsis tas yuav tsum xa daim ntawv thov kom tau txais txiaj ntsig ntxiv ntxiv rau Intensive Outpatient (IOP); Txawm li cas los xij, yog tias tus kws kho mob xav muab cov kev pabcuam uas tsis yog cov qauv uas tau pom zoo tam sim no, yuav tsum muaj daim ntawv thov tshiab.
Qhov no yog tag nrho cov ntaub ntawv uas yuav tsum tau ua rau thawj zaug Daim Ntawv Pov Thawj Tshuaj Medi-Cal daim ntawv pov thawj ntawm qhov kev pab cuam kho kev quav yeeb tshuaj uas tseem hu ua DMC Clinic. Daim ntawv thov DMC kuj tseem siv tau los ntxiv qhov chaw satellite; thov rov muab ntawv pov thawj tom qab hloov chaw kho mob lossis chaw satellite; ntxiv cov kev pabcuam lossis nyiaj txiag; thiab thov rau DMC daim ntawv pov thawj tom qab hloov pauv tswv cuab.
Thov luam tawm thiab / lossis khaws txhua daim ntawv hauv qab no. Koj yuav tau xa mus rau lawv ntau zaus. Cov ntaub ntawv tuaj yeem rub tawm hauv PDF hom ntawv.
You will be able to fill out the majority of all required form fields electronically. You will also be able to save a completed version (with your organization’s information) of the document locally. After doing so, the completed application can be printed, additional fields (eg. signatures) can be completed manually, and the complete application can be sent to DHCS. It is not recommended that you view or complete the Adobe application documents within your Internet browser window. Please download or save these documents first and then open them in Adobe.
You may download the application documents in Adobe’s .pdf format. This format CAN be electronically completed and saved. To access the PDF format you need Acrobat Reader on your computer. If you do not have Acrobat Reader on your computer, download and install Acrobat Reader for free on your computer.
Tom qab tshuaj xyuas tag nrho cov ntaub ntawv no, luam tawm thiab ua kom tiav tag nrho cov ntaub ntawv siv tau thiab xa ib daim ntawv nyuaj rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv, Chaw Pabcuam Sau Npe, MS 4704, PO Box 997412, Sacramento, CA 95899-7412. Khaws ib daim qauv ntawm txhua cov ntaub ntawv xa mus rau Lub Tsev Haujlwm rau koj cov ntaub ntawv.
Thov nco ntsoov:
Txhawm rau ua raws li ntau txoj cai ntawm Tsoom Fwv Teb Chaws Tiv Thaiv Tus Neeg Mob thiab Txoj Cai Saib Xyuas Nqis Nqis (Affordable Care Act), pib lub Ib Hlis Ntuj 1, 2014, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau txais cov kev pabcuam DMC ntxiv nrog rau hauv pob nyiaj pab kev noj qab haus huv tseem ceeb, raws li tau pom zoo los ntawm lub xeev thiab tau pom zoo los ntawm United States Secretary of Health thiab Human Services. Daim ntawv thov DMC kho dua tshiab (DHCS 6001) suav nrog cov kev pabcuam ntxiv no, uas suav nrog 'tus neeg mob hnyav' thiab 'cov chaw nyob tsis muaj tsev nyob'. Cov lus qhia rau niam txiv, satellite, thiab daim ntawv thov hloov chaw kuj tau suav nrog hauv DHCS 6001 kho dua.
Yog xav paub ntxiv thov mus saib SUD Tsab Ntawv #13-01.
- County Role in DMC Certification Webinar – 11/15/2013
- Medi-Cal Disclosure Statement – DHCS 6207
- Title 22, California Code of Regulations (CCR)
Tshooj 51341.1, 51490.1 5 1516.1 - Title 9, Division 4, Tshooj 8, Seem 13000 thiab seq., Counselor Certification Regulations, California Code of Regulations (CCR)
- Daim ntawv thov ntxiv rau Tus Tswv Tsim (PDF)
Kev lees paub dua
Yog tias koj muaj lus nug txog cov txheej txheem rov ua daim ntawv pov thawj DMC, thov hu rau DHCS' Provider Enrollment Division (PED) los ntawm Daim Ntawv Nug Online thiab cov neeg ua haujlwm ntawm PED yuav teb ncaj qha. PED kuj tseem tuaj yeem hu rau los ntawm xov tooj ntawm (916) 323-1945.
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- Tsab Ntawv Qhia Txog Cov Kws Muab Kev Pabcuam DMC (PDF | Cov Ntawv Sau)
- Tsab Ntawv Ceeb Toom 30-hnub (PDF | Cov Ntawv Sau)