專業行為健康服務提供者信息
關於我們
本頁包含向加州或加州邊境社區的加州醫療補助健康保健計劃受益人提供專業心理健康服務 (SMHS) 的提供者（和潛在提供者）的資訊。
“Providers” are:
- 縣所擁有和經營的診所，為 Medi-Cal 受益人提供特殊心理健康服務
- 與加州縣簽約向加州醫療補助健康保健計劃受益人提供專業心理健康服務的個人和組織
每個縣心理健康計劃（MHP）都負責註冊，認證，重新認證和監控其所有直接運營的提供商以及合同法人實體提供商。提供者才能向 Medi-Cal 會員提供服務並獲得賠償，提供者必須獲得衛生護理服務部的認證。MHP 必須協助填寫特定文件，以便其每個供應商的認證和重新認證。
在此處提交您的表格
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.
P 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.
資源
樂福培訓視頻
PFU 培訓視頻
Specialty Mental Health (SMH) Forms FAQs
查詢
- 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.