Hloov kho lub Cuaj Hlis 3, 2025​​ 

As of July 1, 2025, enrolled Qualified Autism Service (QAS) Providers may render and submit claims for reimbursement to the Department of Health Care Services (DHCS) directly for BHT services provided to children enrolled in fee-for-service (FFS) Medi-Cal. Information about Medi-Cal’s BHT policy is available in the Medi-Cal Provider Manual.​​  

1. Cov kws kho mob BHT twg yuav tsum tau rau npe hauv Medi-Cal?​​  ​​  

The enrollment pathway is only for Board Certified Behavioral Analysts (BCBA) and Educational Psychologists who will enroll as QAS Providers through Medi-Cal’s provider enrollment system. QAS Providers may enroll as individuals or organizations.​​  

2. Puas yog QAS Cov Kws Tshaj Lij lossis QAS Paraprofessionals yuav tsum tso npe?​​  

Tsis muaj. Tsuas yog QAS Cov Kws Kho Mob thiab CBOs uas yuav them nqi DHCS lossis Medi-Cal Managed Care Plan (MCP) yuav tsum tau tso npe.​​ 

3. Kuv puas yuav tsum tau tshaj tawm QAS Cov Chaw Kho Mob, QAS Cov Kws Tshaj Lij, thiab QAS Paraprofessionals hauv online cuv npe portal?​​  

Pib txij lub Kaum Ib Hlis 17, 2025, thiab raug ceeb toom thiab sib tham txog cov cai, QAS Cov Chaw Kho Mob thiab CBOs yuav tuaj yeem ua pov thawj rau lawv cov kev tsim nyog ntawm QAS Cov Kws Pab Tswv Yim, QAS Cov Kws Tshaj Lij, thiab QAS Paraprofessionals thiab yuav tsis tas yuav tsum tshaj tawm lawv tus kheej hauv cov chaw muab kev tso npe nkag. Hloov chaw, QAS Cov Chaw Pabcuam thiab CBOs yuav tsum tau tuav ib daim ntawv teev npe tam sim no ntawm txhua tus neeg muab kev pabcuam BHT uas ua haujlwm nyob rau hauv lawv txoj kev saib xyuas thiab ua kom cov ntaub ntawv ntawd muaj rau DHCS raws li kev thov thiab thaum muaj kev tshuaj xyuas hauv xeev lossis tsoomfwv. Daim ntawv teev npe yuav tsum suav nrog cov neeg muab kev pabcuam hauv tebchaws (NPI) tus lej, thawj thiab lub xeem, thiab cov lej ntawv pov thawj kev tshaj lij lossis tus lej pov thawj lossis tus lej sau npe ntawm cov neeg muab kev pabcuam BHT.  Txog thaum daim ntawv pov thawj no ntxiv rau hauv online rau npe nkag portal, QAS Cov Chaw Pabcuam thiab CBOs tuaj yeem xa daim ntawv thov sau npe tsuas yog ib tus neeg muab kev pabcuam BHT.​​ 

4. Ntev npaum li cas kuv yuav tsum tau tshaj tawm cov kev hloov pauv rau cov ntaub ntawv kuv tau nkag rau hauv lub vev xaib rau npe nkag online?​​ 

Thaum QAS Tus Muab Kev Pabcuam lossis CBO tau tso npe, txhua qhov kev hloov pauv rau cov ntaub ntawv tshaj tawm yav dhau los yuav tsum tau tshaj tawm rau DHCS tsis pub dhau 35 hnub ntawm qhov kev hloov pauv los ntawm kev xa daim ntawv thov ntxiv rau hauv qhov chaw muab kev pabcuam rau npe, raws li tshooj 51000.40 ntawm California Code of Regulations, Title 22. Cov kev hloov no yuav tsum tau ua nyob rau hauv qhov chaw muab kev tso npe nkag los ntawm kev nkag mus rau koj tus account.
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5. QAS Tus Muab Kev Pabcuam yuav sau npe li cas uas ntiav QAS Cov Kws Tshaj Lij thiab QAS Paraprofessionals?​​  

QAS provider organizations will not enroll as groups, but as a Healthcare Business.  When beginning the application in the enrollment, select the “I am a Healthcare Business” option (do not select the options for Group or Mixed Group).. BCBAs will not submit separate applications and will not individually enroll. For more information, please see Question #8 under the Provider Enrollment section of the Questions and Answers webpage.​​  

6. Puas yog QAS Cov Chaw Muab Kev Pabcuam uas muaj ntawv tso cai yuav tsum tau tso npe lossis xa daim ntawv thov kev tso npe ntxiv rau daim nqi rau cov kev pabcuam BHT?​​   

Tsis yog. DHCS tau siv cov txheej txheem kho kom muaj kev koom tes rau cov kws kho mob sau nqi, kws kho mob hlwb, kws kho lub cev, cov kws kho mob ua haujlwm, muaj ntawv tso cai sib yuav thiab tsev neeg kho mob, cov neeg ua haujlwm kho mob uas muaj ntawv tso cai, cov kws pab tswv yim kws kho mob, cov kws kho mob hais lus, thiab cov kws kho suab hais lus kom them nqi rau {BHT-FF1} cov kev pabcuam rau Lub Xya 1, tom qab lub Xya 2025 FS cov tswv cuab, tsis tas yuav ua ntxiv.​​  

7. Kuv puas tseem yuav tau tso npe kawm yog tias kuv tsuas yog npaj yuav muab kev pabcuam BHT rau Medi-Cal cov tswvcuab nrog MCP?​​  

Yog lawm. Thaum txoj kev tso npe nkag no tau tsim lawm, txhua tus QAS Cov Kws Kho Mob yuav tsum tso npe txawm tias lawv tsuas yog npaj siab txuas ntxiv mus cog lus nrog MCPs thiab yuav tsis muab kev pabcuam BHT rau Medi-Cal FFS cov tswv cuab. Thov xa mus rau All Plan Letter 22-013 thiab APL 22-013 Cov Lus Nug Nquag kom paub ntau ntxiv txog Medi-Cal Managed Care Screening and Enrollment Requirements.​​  

8. Kuv yuav tso npe kawm li cas yog tias kuv yog BCBA uas ua haujlwm tawm ntawm kuv lub tsev thiab tsis muaj chaw tsim khoom lag luam (EPOB) qhov twg kuv pom cov neeg siv khoom?​​  ​​  

Medi-Cal policy currently requires that QAS Providers have an EPOB, in compliance with section 51000.60 of Title 22 of the California Code of Regulations. However, Medi-Cal individual BCBAs who are contracted with a Medi-Cal MCP and do not have an EPOB where they provide services to Medi-Cal members are currently exempted from enrolling. However, DHCS will publish a regulatory bulletin in September 2025 that will waive the EPOB requirement for these individuals, starting November 17, subject to notice and confer requirements.  Once this enrollment pathway is available, individual BCBAs will have 120 days to enroll to continue to provide BHT services to Medi-Cal members in a Medi-Cal MCP. BCBAs will enroll through the “Healthcare Business” pathway.  For more information, please see question #5 above.​​ 

9. Kuv puas xav tau tus lej NPI los tso npe?​​  

Yog lawm. Txhua tus kws kho mob sau npe, sau nqi thiab xa tawm xav tau NPI.  Txhawm rau thov thiab tau txais NPI online, mus saib National Plan & Provider Enumeration System lub vev xaib.​​  

10. Puas tuaj yeem CBO daim nqi rau cov kev pabcuam BHT?​​  

Yog lawm. CBO tuaj yeem tso npe thiab sau nqi rau BHT cov kev pabcuam muab rau Medi-Cal FFS cov tswvcuab rau lossis tomqab Lub Xya Hli 1, 2025. CBOs uas tau teev npe yav dhau los tuaj yeem xa daim ntawv thov ntxiv rau cov chaw muab kev tso npe nkag los tso cai rau lawv them nqi rau cov kev pabcuam BHT.​​  

11. Puas muaj kev pab los pab kuv rau npe?​​   

Yog lawm. DHCS tau tsim ib daim ntawv teev npe kawm los pab QAS Cov Kws Pab Tswv Yim txhawm rau txheeb xyuas cov ntaub ntawv thiab cov ntaub ntawv dab tsi uas lawv yuav xav tau thaum xa lawv daim ntawv thov hauv online rau npe nkag portal. Cov ntaub ntawv ntxiv kuj tseem muaj nyob rau hauv FAQ rau Medi-Cal Tus Muab Kev Sau Npe rau QAS cov koom haum muab kev pabcuam, QAS cov tib neeg, thiab CBOs muab cov kev pabcuam BHT.​​  

Yog xav paub ntxiv, thov mus saib tus kws kho mob sau npe FAQ rau QAS Cov Kws Kho Mob. 

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