Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Medi-Cal Qualified Autism Service (QAS) Tus kws kho mob Kev tso npe kawm Daim ntawv teev npe​​  

Daim ntawv teev npe kawm no yog only rau Board Certified Behavioral Analysts thiab Educational Psychologists los pab lawv nrog Medi-Cal rau npeua tus kws kho mob QAS. Thov nco ntsoov tias QAS cov kws tshaj lijthiab QAS cov kws tshaj lij (cov kws tshaj lij) tsis tas yuav thov rau Medi-Cal rau npe.​​   

Ua ntej rau rau npe raws li ib QAS tus muab kev pab (tus kheej los yog lub koom haum) hauv tus Medi-Cal tuskws kho mob rau npe, thov kom muaj cov ntaub ntawv, daim ntawv pov thawj thiab cov ntawv tso cai hauv daim ntawv teev npe hauv qab no muaj. Daim ntawv txheeb xyuas suav nrog cov kev cai ua lag luam hauv zos lossis xeev ntxiv rau kev tsim nyog tsim tawm los ntawm tus Department ntawm Kev noj qab haus huv Saib xyuas Kev pabcuam (DHCS) rau rau npe raws li a QAS provider. Thov mus saib Cov Lus Nug Txog Tus Cwj Pwm Kev Noj Qab Haus Huv Feem Ntau Cov Lus Nug rau Cov Kws Kho Mob, Nqe Lus Nug 3, rau cov ntaub ntawv hais txog kev ua pov thawj rau kev tsim nyog ntawm QAS cov kws kho mob, QAS cov kws tshaj lij, thiab QAS paraprofessionals ua ib feem ntawm daim ntawv thov, pib thaum nruab nrab Lub Kaum Ib Hlis, 2025.​​ 

Cov daim ntawv teev npe yuav pab koj txiav txim dab tsi cov ntaub ntawv koj yuav xav tau rau upload raws li ib feem ntawm koj daim ntawv thovkev pab Medi-Cal, nyob ntawm koj li cas yog cuv npe thiab nyob lub nroog twg koj yuav muab kev pab rau Medi-Cal cov tswv cuab. ​​  

Cov kws kho mob QAS uas tam sim no muaj txoj hauv kev rau npe, suav nrog tus kws kho mob,kws kho mob hlwb, kws kho lub cev, 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 mob, ua ​​ tsis yog​​  yuav tsum tau cuv npe dua raws li QAS tus muab kev pab them nqi rau cov kev pabcuam BHT. Cov chaw zov me nyuam no yuav tsis tas yuav qhia BCBAs, QAS cov kws tshaj lij, lossis QAS cov kws tshaj lij.​​  

Nco tseg: Medi-Cal tam sim no xav kom cov kws kho mob QAS muaj chaw tsim khoom lag luam (EPOB), ua raws li ​​ ntu 51000.60​​  ntawm Title 22 of the Code of Federal Regulations. DHCS npaj siab yuav tshaj tawm tsab ntawv tshaj tawm kev tswj hwm tom qab xyoo 2025 kom zam qhov kev xav tau no rau cov neeg BCBAs uas ua haujlwm tawm ntawm lawv lub tsev thiab muaj EPOB qhov chaw lawv pom cov neeg siv khoom. Ib tus BCBAs uas tau cog lus nrog Medi-Cal txoj kev npaj saib xyuas thiab tsis muaj EPOB ua ​​ tsis yog​​ curr ently xav tau rau npe. DHCS tab tom ua haujlwm los tshaj tawm cov ntawv xov xwm kev cai tshiab kom zam EPOB qhov yuav tsum tauua rau tus kheej BCBAs. Ib zaug luam tawm, tus kheej BCBAs yuav tsum tau tso npe. ​​  

Tshooj A - Yuav tsum tau Cov ntaub ntawv​​  

Qhov no ntu suav nrog tag nrho cov ntaub ntawv uas koj yog ​​ xav tau​​  rau xa raws li ib feem ntawm koj Medi-Cal daim ntawv thov kev tso npe ua tus kws kho mob QAS hauv 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.​​  
  • Cov ntaub ntawv txheeb xyuas seb koj ua haujlwm li cas koj lub lag luam, uas suav nrog a kev ua tswv cuab, tuam txhab, txwv Kev lav phib xaub Tuam txhab (LLC) los yog kev sib koom tes (Saib cov ntsiab lus hauv Cov Ntawv Ntxiv A: Definitions) ​​ 
  • National Provider Identification Number (NPI)​​  

Tshooj B - Muaj peev xwm Ntxiv Cov ntaub ntawv​​  

Tshooj lus no suav nrog tag nrho cov ntaub ntawv uas yuav tsum tau ua raws li lub nroogntxiv, lub nroog thiab/los yog xeev kev xav tau rau ua haujlwm ib kev lag luam hauv California. Nco tseg uas tag nrho ntawm Cov ntaub ntawv ntxivno yuav tsis siv rau koj daim ntawv thov, yog li tshuaj xyuas txhua yam khoom kom zoo los txiav txim siab seb koj puas xav xa cov ntaub ntawvntxiv.​​  

  • 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.​​  
    • Yog tias koj tsis tas yuav muaj kev tuav pov hwm rau Cov Neeg Ua Haujlwm Nyiaj Pov Hwm, koj​​  ua​​  tsis yog​​  yuav tsum tau txais kev pov hwm txhawm rau sau npe ua Medi-Cal tus kws kho mob.​​  
    • Yog xav paub ntxiv txog Kev Pov Hwm Nyiaj Pov Hwm Ua Haujlwm, mus saib hauv​​  Cov neeg ua haujlwm​​  Nyiaj Pov Hwm Pov Hwm​​  lub vev xaib.​​  
  • 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.​​  

Nco tseg:​​  Cov npe thiab chaw nyob ntawm tus kev lag luam daim ntawv tso cai yuav tsum sib tw tus npe thiab chaw nyob kev pab qhia nyob rau hauv daim ntawv thov.​​  

  • 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.​​  

Hnub hloov tshiab kawg: 9/4/2025 2:22 PM​​