基於設施的提供者申請說明
合格
這種類型的註冊適用於在一家或多家已註冊 Medi-Cal 的持牌醫療機構中提供醫療服務的個人醫療保健提供者和醫療保健提供者團體。符合此類型註冊條件的持證醫療機構是指California健康與安全法典第 1250-1250.3 條所定義的醫療機構。
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”.
如果您符合註冊成為機構提供者或提供者團體的資格:機構提供者需要透過 PAVE(提供者申請和註冊驗證)提交其個人和/或團體申請。如果您要提交團體申請,請確保您也在 PAVE 中提交至少兩個渲染申請,以便組建您的團隊。
需要上傳到 PAVE 以便基於設施提供者註冊的求職信:
- 醫療機構證明信必須使用機構抬頭信紙,並且必須由您為 Medi-Cal 受益人提供服務的每家已註冊並獲得 Medi-Cal 許可的醫療機構出具。有關所需資訊的要求以及此信函的建議格式,請參閱《機構服務提供者公告》的第二頁和第四頁。註:對於沒有與持牌醫療機構簽訂合約的駐院麻醉師,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”.
- 對於沒有與持牌醫療機構簽訂合約的駐院麻醉師,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”.
鋪路門戶
請前往PAVE入口網站。