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。
Pursuant to the regulatory Provider Bulletin published in the February 2005 Medi-Cal Update, DHCS has established procedures for the enrollment of licensed or certificated healthcare providers, or applicants who are professional corporations, who render services to Medi-Cal beneficiaries exclusively in one or more licensed health facilities that are enrolled in the Medi-Cal program. This bulletin refers to such persons or professional corporations as “facility-based providers”. In order to determine whether or not you qualify for this type of enrollment, please read the detailed Provider Bulletin “Requirements and Procedures for Enrollment as a Facility-Based Provider”.
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:
- 医疗机构证明信必须使用机构抬头信纸,并且必须由您为 Medi-Cal 受益人提供服务的每家已注册并获得 Medi-Cal 许可的医疗机构出具。有关所需信息的要求以及此信函的建议格式,请参阅《机构服务提供者公告》的第二页和第四页。注: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。
- 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。
- Provider Cover Letter for an anesthesiologist or group of anesthesiologists who don’t have a contract with a licensed health facility(ies), a letter which lists all of the Medi-Cal enrolled and licensed health facilities 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 three and six of the “Facility-Based Provider Bulletin”.
PAVE 门户
请前往PAVE门户网站。