Medi-Cal 服務供應商收費的供應商目錄要求
自 2025 年 7 月 1 日起，Medi-Cal 服務費（FFS）提供者必須提供以下列出的其他信息（除了已經通過 Medi-Cal 註冊申請收集的信息外）。根據醫療保險和醫療補助服務中心（CMS）的規定，醫療保健服務部（DHCS）正根據《合併撥款法》（CAA，2023）的 H 部，V 章，第 5123 條和州衛生官員 24-003 函件，部分提供者目錄數據要求，第 5 頁實施有關 FFS 提供者目錄要求的指導。
請參閱我們的常見問題以獲取更多信息。
立即更新您的提供商目錄信息
非帳單供應商
直接向 Medi-Cal 會員提供醫療保健服務且 不 就所提供的服務直接向 Medi-Cal 提出索賠的積極加入個人付費服務 (FFS) 提供者 ，必須透過填寫 提供者名錄調查表 提交資訊。非開單醫療服務提供者包括提供、訂購、轉診及提供 (ORP) 和非醫生醫療服務提供者 (NMP)。
背景
CAA, 2023 mandates Medicaid, and Children’s Health Insurance Program (CHIP) FFS programs and contracted Managed Care Plans publish searchable and regularly updated provider directories on a public website by July 1, 2025. The CAA, 2023 introduced new requirements for the FFS provider directory under Division H, Title V, Section 5123, titled “Requiring Accurate, Updated, and Searchable Provider Directories.” These requirements add to the minimum required information in the FFS provider directory, which must be updated at least quarterly. The “Enrolled Medi-Cal FFS Providers” dataset housed on the California Health & Human Services Open Data Portal is considered the FFS provider directory.
新政策
從 1 月 2025 開始，FFS 提供者必須提供下列資訊，這些資訊將包含在 FFS 提供者目錄中 (除了已經透過 Medi-Cal 註冊申請收集的資料元素之外)：
- 提供商辦公室電話號碼
- 提供者網站（如有）
- 提供者是否接受新的醫療補助患者
- 提供者是否接受新 CHIP 患者
- Cultural and linguistic capabilities including languages (including American Sign Language) offered by the Provider or by a skilled medical interpreter who provides interpretation services at the Provider’s office
- Which accommodations the Provider’s office or facility has provided for individuals with physical disabilities, including offices, exam rooms, and equipment
- 提供商是否通過遠程醫療提供涵蓋服務
季度更新
To ensure the accuracy of the provider directory, enrolled providers must review and update this information at least quarterly and by the end of each calendar month of January, April, July, and October.
Updates to existing provider directory information can be made at any time. If there are no changes to the provider directory information in future quarters, no action is required.
經常問的問題
將軍
哪些提供者需要更新其目錄資訊？
Under Section 5123 of the Consolidated Appropriations Act, 2023 (CAA, 2023), Medicaid, and Children’s Health Insurance Program (CHIP) Fee-For-Service (FFS) programs and their contracted Managed Care Plans must publish searchable, regularly updated provider directories on a public website by July 1, 2025.
目錄提供商包括但不限於醫生，醫院，藥房，精神健康服務提供商，藥物使用障礙服務提供商，長期服務提供商，以及提供者註冊網頁上所列的所有其他提供商。
我需要更新哪些資訊？
Enrolled providers must submit the following directory information, which will be used to update the existing Medi-Cal Fee-For-Service Provider Directory: provider office phone number, provider website (if available), whether the provider is accepting new Medicaid patients, whether the provider is accepting new CHIP patients, whether the provider offers covered services via telehealth, cultural and linguistic capabilities, and accommodations the provider’s office or facility has provided for individuals with physical disabilities.
什麼是服務收費供應商目錄？
Medi-Cal 服務供應商收費目錄是一個可公開訪問的數據集，可在 CalHHS 開放數據入口網站上找到。
我可以在 PAVE 中更新此信息嗎？
否，PAVE 不收集 2023 年《CAA》第 5123 條所要求的其他提供者目錄信息。
我需要多久更新我的資料？
為確保提供者目錄的準確性，註冊的提供者必須至少每季檢閱和更新此資訊，並在每個月份的一月、四月、七月和十月的每個日曆日結束前。您可以隨時更新現有提供者目錄資訊。
What if I don’t have any changes to make after the first update?
如果在初始提交後的後續季度沒有更新您的供應商目錄信息，則不需要進一步行動。
我可以在哪裡更新我的提供者資訊？
帳單提供者必須在 Medi-Cal 提供者入口網站內提交提供者目錄資訊。要訪問入口網站，註冊的 FFS 提供商必須首先通過在 Medi-Cal 提供商網頁上註冊來創建一個帳戶。
非開單醫療服務 提供者 必須填寫本頁上方的「醫療服 務提供者名錄調查 」（ Provider Directory Survey ）來提交資訊。
帳單供應商的提供者入口網站
我可以在哪裡更新我在提供者入口網站上的資訊？
After logging in, navigate to “NPI Agreements and Settings” and select “Public Fee-For-Service Provider Directory.”
I cannot access my account on the Provider Portal. Who do I contact?
The Telephone Service Center (1-800-541-5555) is available 8 a.m. to 5 p.m. PT, Monday through Friday, except national holidays.
Who is authorized to make updates in the Provider Portal?
Only Organization Administrators and NPI Administrators can update provider directory information. To update user permissions, an Organization Administrator must add the user and assign permission levels. Refer to the Provider Portal User Guide: Provider Organization for a description of each available role.
For other Provider Portal related questions, please visit the Provider Portal FAQ.
非帳單供應商的供應商目錄調查
我可以在完成調查問卷時儲存我的進度嗎？
No, the survey does not save incomplete responses. We recommend drafting responses in a separate document before entering them in the survey.
How can I edit my previous submission?
To make changes, please submit a new response using the Provider Directory Survey. The most recent response will overwrite previous submissions. Please allow one week upon submission for updates to reflect in directory.
How can I view my previous submission?
To request a copy of your response, please complete the Provider Inquiry Form.
有關 FFS 提供者名錄的任何其他問題，提供者可透過以下方式聯絡提供者註冊處 提供商查詢表。