Txij li Lub Xya Hli 1, 2025, cov neeg muab kev pabcuam Autism Service (QAS) uas tau sau npe tuaj yeem thov thiab xa cov ntawv thov kom them rov qab rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) ncaj qha rau cov kev pabcuam BHT uas tau muab rau cov menyuam uas tau sau npe rau hauv Medi-Cal uas them tus nqi rau kev pabcuam (FFS). Cov ntaub ntawv hais txog Medi-Cal txoj cai BHT muaj nyob rau hauv Phau Ntawv Qhia Txog Kev Muab Kev Pabcuam Medi-Cal.​​ 

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

Txoj kev sau npe tsuas yog rau cov Board Certified Behavioral Analysts (BCBA) thiab Educational Psychologists uas yuav sau npe ua QAS Providers los ntawm Medi-Cal lub tshuab sau npe rau cov kws kho mob. Cov Chaw Muab Kev Pabcuam QAS tuaj yeem sau npe ua tus kheej lossis cov koom haum.​​ 

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?​​ 

Txij lub Kaum Ib Hlis 17, 2025, thiab raws li cov kev cai ceeb toom thiab kev pom zoo, Cov Neeg Muab Kev Pabcuam QAS thiab CBOs yuav muaj peev xwm ua pov thawj txog kev tsim nyog ntawm lawv Cov Neeg Muab Kev Pabcuam QAS, QAS Cov Kws Tshaj Lij, thiab QAS Cov Neeg Ua Haujlwm Pab Neeg thiab yuav tsis tas yuav tshaj tawm lawv ib tus zuj zus hauv lub kaw lus sau npe rau cov neeg muab kev pabcuam. Hloov chaw, cov Chaw Muab Kev Pabcuam QAS thiab CBOs yuav tsum khaws cov npe ntawm txhua tus neeg muab kev pabcuam BHT uas ua haujlwm nyob rau hauv lawv txoj kev saib xyuas thiab muab cov ntaub ntawv ntawd rau DHCS thaum thov thiab yog tias muaj kev tshuaj xyuas los ntawm lub xeev lossis tsoomfwv. Daim ntawv teev npe yuav tsum muaj cov lej cim tus neeg muab kev pabcuam hauv tebchaws (NPI), lub npe thiab lub xeem, thiab txhua tus lej daim ntawv tso cai ua haujlwm lossis tus lej ntawv pov thawj lossis tus lej sau npe ntawm cov tib neeg uas muab kev pabcuam BHT. Txog thaum daim ntawv pov thawj no raug ntxiv rau hauv lub portal rau kev sau npe online, Cov Chaw Muab Kev Pabcuam QAS thiab CBOs yuav xa daim ntawv thov uas teev tsuas yog ib tus neeg muab kev pabcuam BHT xwb.​​ 

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 twg tus QAS Provider lossis CBO tau sau npe lawm, txhua qhov kev hloov pauv rau cov ntaub ntawv uas tau tshaj tawm ua ntej yuav tsum tau tshaj tawm rau DHCS hauv 35 hnub ntawm qhov kev hloov pauv los ntawm kev xa daim ntawv thov ntxiv hauv lub portal sau npe rau tus kws kho mob, raws li ntu 51000.40 ntawm California Code of Regulations, Title 22. Cov kev hloov no yuav tsum tau ua nyob rau hauv lub kaw lus sau npe rau tus kws kho mob los ntawm kev nkag mus rau hauv koj tus account.​​ 

5. QAS Tus Muab Kev Pabcuam yuav sau npe li cas uas ntiav QAS Cov Kws Tshaj Lij thiab QAS Paraprofessionals?​​ 

Cov koom haum muab kev pabcuam QAS yuav tsis sau npe ua pawg, tab sis ua ib lub Lag Luam Kev Kho Mob. Thaum pib daim ntawv thov hauv kev sau npe, xaiv qhov kev xaiv "Kuv yog Lub Lag Luam Kev Kho Mob" (tsis txhob xaiv cov kev xaiv rau Pawg lossis Pawg Sib Xyaws).. BCBAs yuav tsis xa cov ntawv thov sib cais thiab yuav tsis sau npe ib leeg. Yog xav paub ntxiv, thov saib Lo Lus Nug #8 nyob rau hauv seem Kev Sau Npe Muab Kev Pabcuam ntawm nplooj ntawv Webpage Cov Lus Nug thiab Cov Lus Teb.​​ 

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. Thaum txoj kev sau npe no tau tsim tsa lawm, txhua tus QAS Provider yuav tsum sau npe txawm tias lawv tsuas yog xav txuas ntxiv cog lus nrog MCPs thiab yuav tsis muab cov kev pabcuam BHT rau cov tswv cuab Medi-Cal FFS. Thov saib tsab ntawv All Plan Letter 22-013 thiab APL 22-013 Cov Lus Nug Feem Ntau Nug kom paub ntxiv txog Medi-Cal Managed Care Screening thiab Cov Kev Cai Rau Kev Sau Npe.​​ 

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?​​  ​​ 

Txoj cai Medi-Cal tam sim no yuav tsum tau kom cov neeg muab kev pabcuam QAS muaj EPOB, raws li ntu 51000.60 ntawm Title 22 ntawm California Code of Regulations. Txawm li cas los xij, cov BCBAs ib tus neeg ntawm Medi-Cal uas tau cog lus nrog Medi-Cal MCP thiab tsis muaj EPOB qhov twg lawv muab kev pabcuam rau cov tswv cuab ntawm Medi-Cal tam sim no zam tsis pub sau npe. Txawm li cas los xij, DHCS yuav tshaj tawm tsab ntawv xov xwm txog kev cai lij choj thaum lub Cuaj Hlis 2025 uas yuav zam qhov yuav tsum tau ua EPOB rau cov tib neeg no, pib txij lub Kaum Ib Hlis 17, raws li qhov yuav tsum tau ua ntawm kev ceeb toom thiab kev pom zoo. Thaum txoj kev sau npe no muaj lawm, cov BCBA ib leeg yuav muaj 120 hnub los sau npe kom txuas ntxiv muab cov kev pabcuam BHT rau cov tswv cuab Medi-Cal hauv Medi-Cal MCP. Cov BCBAs yuav rau npe los ntawm txoj kev "Kev Lag Luam Kho Mob". Yog xav paub ntxiv, thov saib lo lus nug #5 saum toj no.​​ 

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

Yog. Txhua tus neeg muab kev pabcuam uas tau sau npe, sau nqi thiab muab kev pabcuam xav tau NPI.  Yog xav thov thiab tau txais NPI hauv online, mus saib lub vev xaib National Plan & Provider Enumeration System .​​ 

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

Yog. Ib tug CBO yuav sau npe thiab them nqi rau cov kev pabcuam BHT uas tau muab rau cov tswv cuab Medi-Cal FFS rau lossis tom qab Lub Xya Hli 1, 2025. Cov CBOs uas tau sau npe ua ntej lawm tuaj yeem xa daim ntawv thov ntxiv rau lub tshuab sau npe rau cov neeg muab kev pabcuam kom lawv thiaj li them nqi rau cov kev pabcuam BHT.​​ 

11. Puas muaj kev pab cuam los pab kuv sau npe?​​ 

Yog. DHCS tau tsim ib daim ntawv teev npe rau kev sau npe los pab cov neeg muab kev pabcuam QAS txheeb xyuas seb lawv yuav tsum tau cov ntaub ntawv thiab cov ntaub ntawv twg thaum xa lawv daim ntawv thov hauv lub portal sau npe online. Cov ntaub ntawv ntxiv kuj muaj nyob rau hauv FAQ rau Kev Sau Npe Muab Kev Pabcuam Medi-Cal rau cov koom haum muab kev pabcuam QAS, cov tib neeg QAS, thiab CBOs uas muab cov kev pabcuam BHT.​​ 

Yog xav paub ntxiv, thov saib cov lus nug nquag nug txog kev sau npe rau cov neeg muab kev pabcuam rau QAS Providers.

​​