行为健康治疗常见问题解答 – 提供者注册
截至 7 月1 、 2025 ,注册合格自闭症服务 (QAS) 提供商可以直接向加州Department of Health Care Services (DHCS)提交 BHT 服务报销申请,这些服务是为参加按服务收费 ( FFS ) Medi-Cal的儿童提供的。 有关 Medi-Cal 的 BHT 政策的信息可在Medi-Cal 提供者手册中找到。
1. 哪些 BHT 提供商需要加入 Medi-Cal?
The enrollment pathway is only for Board Certified Behavioral Analysts (BCBA) and Educational Psychologists who will enroll as QAS Providers through Medi-Cal’s provider enrollment system. QAS Providers may enroll as individuals or organizations.
2. QAS 专业人员或 QAS 助理专业人员需要注册吗?
不。只有向 DHCS 或 Medi-Cal 管理式医疗计划 (MCP) 收费的 QAS 提供商和 CBO 才需要注册。
3. 我需要在在线注册门户中报告 QAS 提供商、QAS 专业人员和 QAS 辅助专业人员吗?
Starting November 17, 2025, and subject to notice and confer requirements, QAS Providers and CBOs will be able to attest to the qualifications of their QAS Providers, QAS Professionals, and QAS Paraprofessionals and will not need to report them individually in the provider enrollment system. Instead, QAS Providers and CBOs will need to maintain an active, current list of all BHT providers who work under their supervision and make that information available to DHCS upon request and in the event of a state or federal audit. The list will need to include the national provider identifier (NPI) numbers, first and last names, and any applicable professional license numbers or certification numbers or registration numbers of the individuals providing BHT services. Until this attestation is added to the online enrollment portal, QAS Providers and CBOs may submit an application listing only one individual BHT provider.
4. 我需要多久报告一次我在网上注册门户中输入的信息的变更?
Once a QAS Provider or CBO is enrolled, any changes to previously reported information are required to be reported to DHCS within 35 days of the change by submitting a supplemental application in the provider enrollment portal, in accordance with section 51000.40 of the California Code of Regulations, Title 22. These changes must be made in the provider enrollment system by accessing your account.
5. 雇用 QAS 专业人员和 QAS 辅助专业人员的 QAS 提供商如何注册?
QAS provider organizations will not enroll as groups, but as a Healthcare Business. When beginning the application in the enrollment, select the “I am a Healthcare Business” option (do not select the options for Group or Mixed Group).. BCBAs will not submit separate applications and will not individually enroll. For more information, please see Question #8 under the Provider Enrollment section of the Questions and Answers webpage.
6. 获得许可的 QAS 提供商是否需要注册或提交补充注册申请才能收取 BHT 服务费用?
否。DHCS 实施了系统编辑,以便让积极登记的计费医生、心理学家、物理治疗师、职业治疗师、持照婚姻和家庭治疗师、持照临床社会工作者、持照专业临床咨询师、言语语言病理学家和听力学家能够为 Medi-Cal FFS 成员在1年 7 月2025或之后提供的 BHT 服务开具账单,而无需采取其他行动。
7. 如果我只想向拥有 MCP 的 Medi-Cal 会员提供 BHT 服务,我还需要注册吗?
Yes. Once this enrollment pathway was established, all QAS Providers must enroll even if they only intend on continuing to contract with MCPs and will not provide BHT services to Medi-Cal FFS members. Please refer to the All Plan Letter 22-013 and APL 22-013 Frequently Asked Questions for more information about Medi-Cal Managed Care Screening and Enrollment Requirements.
8. 如果我是一名在家办公的 BCBA,并且没有固定的营业地点 (EPOB) 来接待客户,我该如何注册?
Medi-Cal policy currently requires that QAS Providers have an EPOB, in compliance with section 51000.60 of Title 22 of the California Code of Regulations. However, Medi-Cal individual BCBAs who are contracted with a Medi-Cal MCP and do not have an EPOB where they provide services to Medi-Cal members are currently exempted from enrolling. However, DHCS will publish a regulatory bulletin in September 2025 that will waive the EPOB requirement for these individuals, starting November 17, subject to notice and confer requirements. Once this enrollment pathway is available, individual BCBAs will have 120 days to enroll to continue to provide BHT services to Medi-Cal members in a Medi-Cal MCP. BCBAs will enroll through the “Healthcare Business” pathway. For more information, please see question #5 above.
9. 我需要 NPI 号码才能注册吗?
Yes. All enrolled, billing and rendering providers need an NPI. To apply and receive an NPI online, visit the National Plan & Provider Enumeration System website.
10. CBO 可以针对 BHT 服务开具账单吗?
Yes. A CBO may enroll and bill for BHT services provided to Medi-Cal FFS members on or after July 1, 2025. CBOs that have previously enrolled can submit a supplemental application to the provider enrollment system to allow them to bill for BHT services.
11.请问有什么可以帮助我报名的吗?
Yes. DHCS created an enrollment checklist to assist QAS Providers to identify what documents and information they will need when submitting their application in the online enrollment portal. Additional information is also available in the FAQ for Medi-Cal Provider Enrollment for QAS provider organizations, QAS individuals, and CBOs offering BHT services.
For more information, please see the provider enrollment FAQ for QAS Providers.