Tsev Cov Kev Pabcuam Chav Haujlwm Pabcuam Kev Noj Qab Haus Huv Lub Siab Cov Ntaub Ntawv Txog Tus Muab Kev Pabcuam Kev Noj Qab Haus Huv Tshwj Xeeb

Cov Lus Qhia Tshwj Xeeb Tus Cwj Pwm Kev Noj Qab Haus Huv Kev Pabcuam

Rov qab mus rau MedCCC Home Page

Txog Peb

Nplooj ntawv no muaj cov ntaub ntawv qhia rau Cov Kws Kho Mob (thiab cov neeg muab kev pab muaj peev xwm) ntawm cov kev pabcuam tshwj xeeb rau kev puas siab puas ntsws (SMHS) rau Medi-Cal cov neeg tau txais txiaj ntsig hauv CA lossis hauv CA Ciam Tebchaws Zej Zog.

“Providers” are:

Cov tsev kho mob uas muaj hauv nroog thiab ua haujlwm uas muab kev pabcuam tshwj xeeb rau kev puas hlwb rau cov neeg tau txais Medi-Cal
Cov tib neeg thiab cov koom haum uas tau cog lus nrog lub nroog CA los muab kev pabcuam tshwj xeeb rau kev puas hlwb rau cov neeg tau txais txiaj ntsig Medi-Cal

Txhua Lub Nroog Mental Health Plan (MHP) yog lub luag haujlwm rau kev tso npe, lees paub, rov qab lees paub, thiab saib xyuas tag nrho nws cov Chaw Pabcuam Ncaj Ncees nrog rau Daim Ntawv Cog Lus Raws Cai Muab Kev Pabcuam. Rau tus kws kho mob muab thiab tau them rov qab rau cov kev pab cuam rau ib tug tswv cuab Medi-Cal, tus kws kho mob yuav tsum tau ntawv pov thawj los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv. MHP yuav tsum pab txhawb kom ua tiav cov ntaub ntawv tshwj xeeb rau kev lees paub thiab kev lees paub ntawm txhua tus neeg muab kev pabcuam.

Xa koj daim foos ntawm no

LEFU
The Legal Entity File Update (LEFU) Form is used by the MHP to update or correct information is related to the legal entity providing behavioral health services. This includes updates such as changes in ownership, tax identification numbers, addresses, or other important legal and organizational details. The LEFU form is critical for maintaining up- to-date records of entities that are participating in Medi-Cal funded programs.

LEFU Form

P FU
The Provider File Update (PFU) Form is used by the MHP to update or correct information related to behavioral health service providers in the Medi-Cal system. Like the LEFU form, the PFU form is designed to ensure that DHCS has accurate and up-to-date records for providers that offers services funded by Medi-Cal.

PFU Form

Cov peev txheej

LEFU Training Video

PFU Training Video

Specialty Mental Health (SMH) Forms FAQs

Kev nug

For questions related to the PFU and LEFU forms and/or facilitating Provider Information Management System (PIMS) access requests, please contact ProviderFile@dhcs.ca.gov.
For questions related to the DHCS 1735, DHCS 1736, and DHCS 1737, please contact DMHCertification@dhcs.ca.gov.