专业行为健康服务提供商信息
关于我们
本页面包含为加州或加州边境社区的 Medi-Cal 受益人提供专业心理健康服务 (SMHS) 的提供者（和潜在提供者）的信息。
“Providers” are:
- 县属并经营的诊所，为 Medi-Cal 受益人提供专业心理健康服务
- 与加州县签约为 Medi-Cal 受益人提供专业心理健康服务的个人和组织
每个县心理健康计划 (MHP) 负责登记、认证、重新认证和监督其所有直接运营的提供商以及合同法人实体提供商。为了向 Medi-Cal 会员提供服务并获得报销，服务提供者必须获得卫生保健服务部的认证。MHP 必须协助完成每个提供商的认证和重新认证特定文件。
在此提交您的表格
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.
磷 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.
资源
乐福培训视频
PFU培训视频
Specialty Mental Health (SMH) Forms FAQs
咨询
- 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.