Medi-Cal Qualified Autism Service (QAS) Cov Ntawv Teev Npe Nkag Mus Kawm
This enrollment checklist is only for Board Certified Behavioral Analysts and Educational Psychologists to assist them with Medi-Cal enrollment as a QAS provider. Please note that QAS professionals and QAS paraprofessionals (technicians) do not need to apply for Medi-Cal enrollment.
Prior to enrolling as a QAS provider (individual or organization) in the Medi-Cal provider enrollment system, please have the documents, certificates and licenses in the checklist below available. The checklist includes local or state business requirements in addition to qualifications established by the Department of Health Care Services (DHCS) to enroll as a QAS provider. Please see the Behavioral Health TreatmentFrequently Asked Questions for Providers, Question No. 3, for information about attesting to the qualifications of rendering QAS providers, QAS professionals, and QAS paraprofessionals as part of the application, starting in mid-November, 2025.
The checklist will help you determine what documents you will need to upload as part of your Medi-Cal provider application, depending on how you are enrolling and in which counties you will provide services to Medi-Cal members.
QAS providers who currently have an enrollment pathway, including physicians, psychologists, physical therapists, occupational therapists, licensed marriage and family therapists, licensed clinical social workers, licensed professional clinical counselors, speech-language pathologists, and audiologists, do not need to enroll again as a QAS provider to bill for BHT services. These providers will not need to report BCBAs, QAS professionals, or QAS paraprofessionals.
Note: Medi-Cal currently requires that QAS providers have an established place of business (EPOB), in compliance with section 51000.60 of Title 22 of the Code of Federal Regulations. DHCS intends to publish a regulatory bulletin later in 2025 to waive this requirement for individual BCBAs who work out of their home and do have an EPOB where they see clients. Individual BCBAs who are contracted with a Medi-Cal managed care plan and do not have an EPOB do not currently need to enroll. DHCS is working to publish a new regulatory bulletin to waive the EPOB requirement for individual BCBAs. Once published, individual BCBAs would then need to enroll.
Section A – Mandatory Documentation
This section includes all documents that you are required to submit as part of your Medi-Cal provider enrollment application as a QAS provider in Medi-Cal.
- Daim ntawv luam ntawm Daim Ntawv Tso Cai Tsav Tsheb tam sim no lossis daim ntawv qhia tawm hauv lub xeev rau txhua tus neeg uas muaj 5 feem pua los yog ntau dua cov tswv cuab rau ib tus neeg kos npe rau daim ntawv thov sawv cev ntawm lub koom haum.
- Document identifying how you operate your business, which includes asole-proprietorship, corporation, Limited Liability Company (LLC) or partnership (See definitions in Appendix A: Definitions)
- National Provider Identification Number (NPI)
- To apply and receive an NPI online, visit the National Plan & Provider Enumeration System website.
- Yog tias koj tau tsim ib lub LLC lossis kev koom tes, koj yuav tsum tau txais thiab siv hom 2 NPI rau LLC lossis koom nrog, txawm tias koj yog tus tswv.
Section B – Potential Additional Documentation
This section includes all documentation that may be required based upon additional city, county and/or state requirements to operate a business in California. Note that all of these additional documents may not apply to your application, so review each item carefully to determine if you need to submit additional documentation.
- Workers' Compensation Insurance (Source: Xeev txoj cai)
- Cov Nyiaj Pov Hwm Cov Neeg Ua Haujlwm yuav tsum muaj rau qee lub lag luam. Yog tias California txoj cai lij choj hauv xeev xav kom koj lub lag luam kom muaj Nyiaj Pov Hwm Cov Neeg Ua Haujlwm, ces koj yuav tsum xa cov ntaub ntawv pov thawj ntawm kev pov hwm nrog koj daim ntawv thov.
- If you are not otherwise required to have Workers’ Compensation insurance, you do not have to obtain insurance to enroll as a Medi-Cal provider.
- For more information on Workers’ Compensation Insurance, visit the Workers’ Compensation Insurance website.
- Daim ntawv tso cai ua lag luam / Daim ntawv tso cai (Source: City/county rules)
- Feem ntau lub nroog xav kom txhua lub lag luam kom tau daim ntawv tso cai ua lag luam. Qhov no muaj tseeb txawm tias kev lag luam yog ua los ntawm ib tus neeg.
- Hauv qee lub nroog, daim ntawv tso cai ua lag luam yuav raug hu ua daim ntawv pov thawj se ua lag luam lossis daim ntawv pov thawj kev lag luam.
- Yog tias koj tsis tau muaj daim ntawv tso cai ua lag luam, tshuaj xyuas lub vev xaib rau koj lub nroog thiab tau txais daim ntawv tso cai ua lag luam ua ntej xa koj daim ntawv thov.
- Yog tias koj lub nroog tsis xav tau daim ntawv tso cai ua lag luam, koj tuaj yeem sau qhov no ntawm koj daim ntawv thov, tab sis nco ntsoov tias feem ntau lub nroog xav tau cov no rau txhua hom kev lag luam.
- Yog tias koj tsis nyob hauv qhov txwv ntawm lub nroog koom nrog, koj lub nroog yuav xav tau daim ntawv tso cai ua lag luam. Tshawb xyuas lub vev xaib rau koj lub nroog txhawm rau txheeb xyuas qhov xav tau.
Note: The name and address on the business license must match the name and service address reported on the application.
- Lub Npe Lub Npe Ua Lag Luam (FBNS) (Source: Xeev txoj cai)
- Qhov yuav tsum tau txais FBNS yog nyob rau hauv lub xeev txoj cai. Txawm li cas los xij, cov txheej txheem kom tau txais FBNS yog los ntawm lub nroog. Yog tias ib tug neeg nyob hauv ib lub nroog thiab xav tau daim ntawv tso cai ua lag luam thiab FBNS, lawv yuav tsum tau txais daim ntawv tso cai ua lag luam los ntawm lub nroog thiab FBNS los ntawm lub nroog.
- Koj yuav tsum tau txais FBNS thaum:
- Koj tab tom ua haujlwm ua ib tus tswv lag luam thiab siv lub npe rau koj lub lag luam uas tsis suav nrog koj lub xeem.
- Koj tab tom ua haujlwm ua LLC lossis koom nrog thiab siv lub npe lag luam uas tsis haum rau lub npe uas tau teev tseg hauv Cov Khoom Siv Khoom Siv lossis Cov Khoom ntawm Lub Koom Haum tau thov rau California Tus Tuav Ntaub Ntawv ntawm Lub Xeev.
- Koj tab tom ua haujlwm ua kev koom tes thiab siv lub npe lag luam uas tsis suav nrog lub xeem ntawm txhua tus khub.
- Mus saib lub vev xaib rau koj lub nroog kom paub ntau ntxiv thiab cov lus qhia txog kev tau txais FBNS.