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主页提供方& 合作伙伴设施提供方申请说明​​ 

设施内医疗服务提供者申请说明​​ 

合格​​ 

这种类型的注册适用于在一家或多家已注册 Medi-Cal 的持牌医疗机构中提供医疗服务的个人医疗保健提供者和医疗保健提供者团体。符合此类型注册条件的持证医疗机构是指California健康与安全法典第 1250-1250.3 条所定义的医疗机构。​​ 

根据 2005 年 2 月Medi-Cal更新中发布的监管提供者公告, DHCS已制定程序,允许获得许可或认证的医疗保健提供者或专业公司申请人注册,这些提供者或公司专门在一家或多家已注册Medi-Cal Program的持证医疗机构中为Medi-Cal受益人提供服务。 本公告将此类个人或专业公司称为“机构型服务提供者”。为了确定您是否符合此类注册的资格,请阅读详细的提供商公告“作为机构提供商注册的要求和程序”。​​ 

如果您符合注册成为机构提供者或提供者团体的资格:机构提供者需要通过 PAVE(提供者申请和注册验证)提交其个人和/或团体申请。如果您要提交团体申请,请确保您还在 PAVE 中提交至少两个渲染申请,以便组建您的团队。​​ 

需要上传到 PAVE 进行设施内医疗服务提供商注册的求职信:​​ 

  1. Health Care Facility Cover Letter must be on facility letterhead, from each Medi-Cal enrolled and licensed health facility at which you render services to Medi-Cal beneficiaries. The requirements for the information needed and a suggested format for this letter can be found on pages two and four of the “Facility-Based Provider Bulletin”.  N.B. This letter is not required for facility-based anesthesiologists who do not have a contract with a licensed health facility/facilities.​​ 
  2. Provider Cover Letter, a letter from you, the provider or provider group, that lists each Medi-Cal enrolled and licensed health facility at which you render services to Medi-Cal beneficiaries. The requirements for this letter and a suggested format for this letter can be found on pages two and five of the “Facility-Based Provider Bulletin”.  ​​ 
    • 对于没有与持牌医疗机构签订合同的驻院麻醉师,不需要此信函。​​  
  3. 麻醉师或麻醉师团队(未与持牌医疗机构签订合同)的提供者介绍信,信中列出所有已注册并获得许可的医疗机构,以便为 Medi Medi-Cal Medi-Cal受益人提供服务。 关于这封信的要求和建议格式,请参阅《机构服务提供者公告》的第三页和第六页。​​  

PAVE 门户​​ 

请前往PAVE门户网站。​​