Kev Kho Tus Cwj Pwm Kev Noj Qab Haus Huv (BHT) Cov Lus Nug Nquag (FAQs) - Tus Muab Kev Sau Npe
Hloov kho lub Cuaj Hlis 3, 2025
Raws li lub Xya hli ntuj 1, 2025, cuv npe kawm Qualified Autism Service (QAS) Cov kws kho mob tuaj yeem xa thiab xa cov nyiaj them rov qab mus rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) ncaj qha rau BHT cov kev pabcuam muab rau cov menyuam kawm ntawv nqi-rau-kev pabcuam (FFS) Medi-Cal. Cov ntaub ntawv hais txog Medi-Cal txoj cai BHT muaj nyob rau hauv Phau Ntawv Qhia Medi-Cal Tus Muab Kev Pab.
1. Cov kws kho mob BHT twg yuav tsum tau rau npe hauv Medi-Cal?
Txoj kev rau npe kawm tsuas yog rau Pawg Neeg Saib Xyuas Tus Cwj Pwm Cuam Tshuam (BCBA) thiab Cov Kws Kho Mob Kev Kawm Ntawv uas yuav tso npe ua QAS Cov Kws Kho Mob los ntawm Medi-Cal tus kws kho mob rau npe. QAS Cov kws kho mob tuaj yeem tso npe ua ib tus neeg 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?
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.
5. QAS Tus Muab Kev Pabcuam yuav sau npe li cas uas ntiav QAS Cov Kws Tshaj Lij thiab QAS Paraprofessionals?
QAS cov koom haum muab kev pab yuav tsis tso npe ua pab pawg, tab sis raws li Kev Lag Luam Kev Noj Qab Haus Huv. Thaum pib daim ntawv thov kev tso npe nkag, xaiv qhov "Kuv yog Kev Lag Luam Kev Noj Qab Haus Huv" (tsis txhob xaiv cov kev xaiv rau Pab Pawg lossis Pawg Sib Koom). Yog xav paub ntxiv, thov mus saib Nqe Lus Nug #8 nyob rau hauv ntu Kev Sau Npe Rau Tus Kws Kho Mob ntawm nplooj ntawv Cov Lus Nug thiab 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 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 txoj cai tam sim no xav kom QAS Cov Chaw Kho Mob muaj EPOB, ua raws li tshooj 51000.60 ntawm Title 22 ntawm California Txoj Cai Tswjfwm. Txawm li cas los xij, Medi-Cal ib tus neeg BCBAs uas tau cog lus nrog Medi-Cal MCP thiab tsis muaj EPOB qhov chaw lawv muab kev pabcuam rau Medi-Cal cov tswvcuab tam sim no raug zam los ntawm kev tso npe. Txawm li cas los xij, DHCS yuav tshaj tawm cov ntawv xov xwm kev cai nyob rau lub Cuaj Hli 2025 uas yuav zam EPOB qhov yuav tsum tau ua rau cov tib neeg no, pib lub Kaum Ib Hlis 17, yuav raug ceeb toom thiab pom zoo cov cai. Thaum muaj txoj hauv kev rau npe kawm no, ib tus BCBAs yuav muaj sijhawm 120 hnub los tso npe mus txuas ntxiv muab kev pabcuam BHT rau Medi-Cal cov tswvcuab hauv Medi-Cal MCP. BCBAs yuav tso npe los ntawm "Kev Lag Luam Kho Mob" txoj hauv kev. Yog xav paub ntxiv, thov saib nqe lus nug #5 saum toj no.
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.
