儿童医疗服务网络提供商电子数据交换
The Children’s Medical Services (CMS) is a web-based tool that enables approved CCS and GHPP providers and Medi-Cal Managed Care Plans to electronically access the status of Requests for Services/Authorizations. Providers and plans have access to view service authorizations, have the ability to print service authorizations, denial and Notices of Action letters. In addition, for providers approved as a Trading Partner, have the ability to submit electronic Service Authorization Requests (eSARs) to the CCS or GHPP Programs through the PEDI web portal.
Visit the Provider Electronic Data Interchange: DHCS Portal – PEDI Website.
提供商责任
希望参与 CMS Net PEDI 的 CCS/GHPP 提供商/计划/设施在申请访问时应注意以下事实和要求：
- 通过 CMS Net PEDI 获取的信息是实时的。
- The site that shall be used to access the CMS Net PEDI is best supported with Internet Explorer 9. If an alternate Internet Browser is used the State Information Technology Section (ITS) cannot guarantee results.
- Each provider or plan shall have a minimum of one, designated PEDI liaison(s) that shall be responsible for all communication with the State Information Technology Section (ITS) for coordination of users within the organization and dissemination of PEDI id’s and passwords. The PEDI liaison(s) shall also be responsible for submitting staffing changes (provider separation, user modification, new users, etc.) including status of their position, via the CMS Net PEDI web portal.
- 每个提供商或计划必须在其站点内与各服务机构签订内部协议，包括但不限于：住院服务、门诊诊所、急诊服务、CCS 和 GHPP 批准的特殊护理中心，涉及 CCS 和 GHPP 服务授权信息的内部分发。
- Each provider or plan must assure that they have written permission from the providers within their domain to access the providers’ individual authorizations. (This requirement is not applicable to health plans.)
- If the provider/plan is approved for PEDI, the County and or/Regional Office will not provide hard copies of SARs, NOAs or other correspondence related to cases. Exceptions to this rule may be made for newborns using mom’s Medi-Cal eligibility and technical malfunctions.
- 对于与另一个医疗保健提供者或计划签订分包合同的管理式医疗计划 (MCP)，PEDI 登记计划负责向分包计划提供 SAR、NOA 或其他适用信息。
- 在可行的情况下，每个提供商或计划必须愿意与州和地方 CCS 计划达成互惠协议，允许以电子方式访问有关 CCS 和 GHPP 受益人的医疗信息。
- Pharmacy Providers – Pharmacy providers are approved on a case-by-case basis. Pharmacy providers will have access to SARs issued to their specific National Provider Identifier (NPI), which includes CCS-restricted drugs, enteral nutrition products, and certain medical supplies. Pharmacy providers will not have access to view SARs issued to Physicians or Special Care Centers with Service Code Groupings (SCG 01, 02, etc.).
如何申请 PEDI 访问权限
Visit the PEDI website to apply for PEDI access online.
Paper applications will not be accepted. Application processing is approximately 4-6 weeks from submission.
电子访问验证 (EVV)
有关加州受 EVV 影响的项目的后续指导、培训和资源，请访问DHCS EVV 网页。
有疑问吗？
如需帮助，请联系 CMS Net 帮助台，邮箱为cmshelp@dhcs.ca.gov ，电话为 (866) 685-8449。