跳至內容​​ 
供應商和合作夥伴獨立診斷檢測機構申請訊息​​ 

獨立診斷測試設施應用信息​​ 

根據《聯邦法規》第 42 篇第 410.33 條,美國醫療保險和醫療補助服務中心,以及州醫療補助手冊,第 3490 至 3490.14 節,獨立診斷檢測機構 (IDTF) 提供者只有作為「僅限 Medicare 交叉」提供者才能註冊 Medi-Cal 計劃,從而獲得 Medicare B 部分服務的報銷。​​ 

獨立診斷檢測機構必須透過 PAVE(供應商申請和註冊驗證)提交申請。​​ 

1. Federal Employer Identification Number (FEIN) or Individual Taxpayer Identification Number (ITIN) verification, if a social security number is not used, by submitting a current Internal Revenue Service (IRS) generated document. The only acceptable documents include an IRS-generated Letter 147-C, IRS-generated Form 941 (Employer’s Quarterly Federal Tax Return), IRS-generated Form 8109-C (Deposit Coupon), or IRS-generated Form SS-4 (only the official Confirmation Notification of FEIN/ITIN assignment). Note: The legal name of the applicant or provider on the application must exactly match the name on the IRS-generated document; and the applicant/provider must be an owner or officer of the entity listed on the IRS document. For further information, please visit the IRS  or call them at (800) 829-4933.​​ 

2. Copy of approval letter as an Independent Diagnostic Testing Facility (IDTF) provider from the Centers of Medicare and Medicaid Services (CMS).​​ 

繼續鋪路​​