Affordable Care Act (ACA) Cov Ntaub Ntawv
Cov ntaub ntawv pov thawj thib ob rau kev them nyiaj rov qab rau cov nqi ntxiv vim ACA Tus tswv ntiav ua haujlwm tau tshaj tawm txoj haujlwm
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom muab cov chaw tshwj xeeb them nyiaj rov qab los ntawm kev ntxiv rau Medi-Cal cov nyiaj them rov qab rau tus nqi ntxiv ntawm kev saib xyuas kev noj qab haus huv nkaus xwb vim tus tswv hauj lwm sib koom ua lub luag haujlwm hauv ACA embodied hauv Tshooj 4980H ntawm Internal Revenue Code (IRC).
Txij li xyoo 2016 - 2017 tus nqi, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom muab kev them nyiaj tshwj xeeb rau qhov chaw kho mob. Tus neeg muab kev pab cuam tuaj yeem xa Daim Ntawv Pov Thawj Thib Ob kom tau nyiaj rov qab yog tias nws tsis yog Tus Tswv Haujlwm Loj (ALE) hauv xyoo 2015, tab sis hauv xyoo 2016, nws tau dhau los ua Tus Tswv Haujlwm Loj raws li tau txhais los ntawm ntu 4980H thiab nws cov cai siv, thiab yog tias tus neeg muab kev pab cuam tau raug nqi ntxiv vim yog qhov yuav tsum tau ua ACA no. Tus neeg muab kev pabcuam kuj tseem tuaj yeem xa Daim Ntawv Pov Thawj Thib Ob nrog qhov sib txawv tiag tiag hauv cov nqi pov hwm xyoo 2016 yog tias nws yog Tus Tswv Haujlwm Loj Siv Tau hauv xyoo 2015 thiab xa Daim Ntawv Pov Thawj ACA thawj zaug.
DHCS tsis lees txais cov lus thov ntxiv lawm. Hnub kawg ntawm kev xa ntawv yog Lub Ob Hlis 28, 2017 .
Qhov add-on yuav siv rau cov chaw hauv qab no:
- Free-Standing Skilled Nursing Facilities Level B (NF-B)
- Free-Sstanding Adult Subacute
- Nursing Facilities Level A (NF-A)
- Distinct-Part Nursing Facilities Level B (DP/NF-B)
- Nyob deb nroog Swing txaj
- Distinct-Part Adult Subacute
- Distinct-Pab Pediatric Subacute
- Dawb-Sawv Pediatric Subacute
- Intermediate Care Facilities for the Developmentally Disabled (ICF/DD)
- Intermediate Care Facilities for the Developmentally Disabled/Habilitative (ICF/DD-H)
- Intermediate Care Facilities for the Developmentally Disabled/Nursing (ICF/DD-N)
Yuav kom tsim nyog tau txais ib qho ntxiv, cov kws kho mob yuav tsum xa Daim Ntawv Pov Thawj Thib Ob los xyuas kom meej tias tus tswv hauj lwm yog ALE raws li tau teev tseg los ntawm IRC Tshooj 4980H (thiab nws cov kev tswj hwm thiab kev taw qhia) thiab tau ua rau cov nqi kho mob ntxiv tsuas yog los ntawm ACA Employer Shared Responsibility. Qhov no yog ob xyoos ntxiv rau tus nqi kom txog rau thaum ACA tau txib cov nqi kho mob nyob rau hauv lub tsev kho mob daim ntawv tshaj tawm tus nqi.
- ACA Employer Shared Responsibility Second Certification Form Instructions (PDF)
- ACA Employer Shared Responsibility Daim Ntawv Pov Thawj Thib Ob (EXCEL)
Cov neeg muab kev pab tuaj yeem xa Daim Ntawv Pov Thawj hauv hluav taws xob mus rau supp1629@dhcs.ca.gov nrog rau kab ntawv "2016-2017 ACA Certification Form" nrog rau lawv lub chaw tus lej NPI lossis OSHPD (piv txwv li, "ACA Certification Form 206xxxxxx"). Cov chaw muab kev pab uas tsis tuaj yeem xa daim ntawv pov thawj hauv hluav taws xob tuaj yeem xa daim ntawv theej uas tau kos npe lawm mus rau:
Department of Health Care Services
Tus Nqi-rau-Service Rate Development Division
Ntu Kev Kho Mob Ntev Ntev
ACA Daim Ntawv Pov Thawj Thib Ob
PO Box 997417, Ste. 71.3052, MS 4600
Sacramento, CA 95899-7417
Cov ntaub ntawv no yog xa mus rau DHCS tsis pub dhau lub Ob Hlis Ntuj hnub tim 28, 2017. Yog xav tau kev pab, cov neeg muab kev pab tuaj yeem tiv tauj Chav Tsim Kho Kev Saib Xyuas Mus Ntev ntawm supp1629@dhcs.ca.gov.
Ob Qhov Chaw Tshiab Tshwj Xeeb Ntxiv-Os rau LTC Nyiaj Rov Qab
- ACA Employer Mandate Certification Form FAQs (PDF) Hloov tshiab 1/8/16
Cov kab lus hauv qab no tau pib luam tawm nrog daim ntawv xa tawm hnub kawg ntawm Lub Ib Hlis 15, 2016. Hnub kawg ntawm kev xa daim ntawv thov tau txuas ntxiv mus txog Lub Ob Hlis 29, 2016.
Siv tau rau cov hnub ua haujlwm rau lossis tom qab lub Yim Hli 1, 2015, ob qhov txuas ntxiv hauv qab no muaj rau Long Term Care (LTC) cov chaw tshwj xeeb them rov qab rau Cov Neeg Ua Haujlwm Loj (ALE) kom rov qab tau cov nqi vim yog Patient Protection and Affordable Care Act (ACA) Employer Shared Responsibility and Internal Revenue Service (Internal Revenue Service). Hnub kawg rau kev xa daim ntawv thov rau ob qhov ntxiv-ons teev hauv qab no yog Lub Ib Hlis 15, 2016.
Kev them nyiaj rov qab rau Cov Nqi Ntxiv Ntxiv Vim ACA Employer Shared Responsibility Mandate
Pib txij xyoo 2015 – 2016 Rate Year, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom muab cov chaw kho mob tshwj xeeb los ntawm kev them nyiaj rov qab rau Medi-Cal tus nqi them rov qab rau tus nqi ntxiv ntawm kev saib xyuas kev noj qab haus huv nkaus xwb vim yog Tus Neeg Ua Haujlwm Sib Koom Lub Luag Haujlwm uas yuav tsum muaj nyob rau hauv ACA embodied Code 4980. Qhov add-on yuav siv rau cov chaw hauv qab no:
- Free-Standing Skilled Nursing Facilities Level B (NF-B)
- Free-Sstanding Adult Subacute
- Nursing Facilities Level A (NF-A)
- Distinct-Part Nursing Facilities Level B (DP/NF-B)
- Nyob deb nroog Swing txaj
- Distinct-Part Adult Subacute
- Distinct-Pab Pediatric Subacute
- Dawb-Sawv Pediatric Subacute
- Intermediate Care Facilities for the Developmentally Disabled (ICF/DD)
- Intermediate Care Facilities for the Developmentally Disabled/Habilitative (ICF/DD-H)
- Intermediate Care Facilities for the Developmentally Disabled/Nursing (ICF/DD-N)
Txhawm rau kom tsim nyog tau txais ib qho ntxiv, cov kws kho mob yuav tsum xa Daim Ntawv Pov Thawj Ua pov thawj tias tus tswv hauj lwm yog ALE raws li tau teev tseg los ntawm IRC Tshooj 4980H (thiab nws cov kev tswj hwm thiab kev taw qhia) thiab tau ua rau cov nqi kho mob ntxiv tsuas yog los ntawm ACA Employer Shared Responsibility. Qhov no yog ob xyoos ntxiv rau tus nqi kom txog rau thaum ACA tau txib cov nqi kho mob nyob rau hauv lub tsev kho mob daim ntawv tshaj tawm tus nqi.
- ACA Employer Shared Responsibility Certification Form Instructions (PDF)
- ACA Employer Shared Responsibility Certification Form (EXCEL)
Cov neeg muab kev pab tuaj yeem xa Daim Ntawv Pov Thawj hauv hluav taws xob mus rau supp1629@dhcs.ca.gov nrog rau kab ntawv "ACA Certification Form" nrog rau lawv lub chaw tus lej OSHPD (piv txwv li, "ACA Certification Form 206xxxxxx"). Cov chaw muab kev pab uas tsis tuaj yeem xa daim ntawv pov thawj hauv hluav taws xob tuaj yeem xa daim ntawv theej uas tau kos npe lawm mus rau:
Department of Health Care Services
Tus Nqi-rau-Service Rate Development Division
Ntu Kev Kho Mob Ntev Ntev
Daim ntawv pov thawj ACA
PO Box 997417, Ste. 71.3052, MS 4600
Sacramento, CA 95899-7417
Cov ntaub ntawv no yuav tsum tau txais los ntawm DHCS tsis pub dhau lub Ib Hlis 15, 2016. Yog xav tau kev pab, cov neeg muab kev pab tuaj yeem tiv tauj Chav Tsim Kho Kev Saib Xyuas Mus Ntev ntawm supp1629@dhcs.ca.gov.
Kev them nyiaj rov qab rau Cov Nqi Ntxiv Ntxiv Vim yog IRS Tus Tswv Cuab Qhia Txoj Cai
Txij li xyoo 2015 - 2016 tus nqi, DHCS yuav muab kev them rov qab rau cov chaw kho mob los ntawm kev ntxiv rau lawv tus nqi them rov qab Medi-Cal rau tus nqi ntxiv ntawm kev ua raws li cov kev cai tshaj tawm uas IRC Tshooj 6056 tau tsim los tshaj tawm cov ntaub ntawv pov hwm kev noj qab haus huv rau cov neeg ua haujlwm rau IRS los ntawm kev ua tiav Daim Ntawv 1094-C thiab 1905-C. Qhov ntxiv yuav siv rau cov chaw hauv qab no:
- Intermediate Care Facilities for the Developmentally Disabled/Habilitative (ICF/DD-H)
- Intermediate Care Facilities for the Developmentally Disabled/Nursing (ICF/DD-N)
Tsuas yog cov chaw muab kev pabcuam ICF/DD-H lossis ICF/DD-N uas ua tau raws li ALE lub ntsiab lus yuav tsum xa Daim Ntawv Pov Thawj vim tias tus tswv ntiav haujlwm tshaj tawm ntxiv twb suav nrog rau hauv tus nqi them rov qab xyoo 2015 - 2016 rau cov chaw hauv qab no:
- Free-Standing Skilled Nursing Facilities Level B (NF-B)
- Free-Sstanding Adult Subacute
- Nursing Facilities Level A (NF-A)
- Distinct-Part Nursing Facilities Level B (DP/NF-B)
- Nyob deb nroog Swing txaj
- Distinct-Part Adult Subacute
- Distinct-Pab Pediatric Subacute
- Dawb-Sawv Pediatric Subacute
- Intermediate Care Facilities for the Developmentally Disabled (ICF/DD)
Yuav kom tsim nyog tau txais kev pabcuam ntxiv, cov neeg muab kev pabcuam ICF/DD-H lossis ICF/DD-N yuav tsum xa daim ntawv pov thawj uas lees paub tias tus tswv ntiav haujlwm yog ALE raws li tau txhais los ntawm IRC Tshooj 4980H (thiab nws cov cai tswjfwm thiab cov lus qhia) thiab tau raug nqi ntxiv rau kev kho mob vim yog ACA IRS tus tswv ntiav haujlwm tshaj tawm.
- ACA Employer Reporting Instruction and Certification Form (WORD)
Cov neeg muab kev pab tuaj yeem xa daim ntawv no hauv hluav taws xob mus rau LTCReimbursement@dhcs.ca.gov, nrog rau ICF/DD-H lossis ICF/DD-N National Provider Identifier (NPI), tus lej ZIP cuaj tus lej ntawm lub chaw, thiab "Employee Reporting Cert." hauv kab ntawv email. Daim foos no kuj tseem tuaj yeem xa los ntawm fax mus rau 1-916-449-5337. Cov ntaub ntawv no yuav tsum tau txais los ntawm DHCS tsis pub dhau lub Ib Hlis 15, 2016. Yog xav paub ntxiv, cov neeg muab kev pab tuaj yeem xa email rau LTCReimbursement@dhcs.ca.gov.