Cov Kev Pabcuam Kev lees paub daim ntawv thov thiab cov cai

CAHQ Tus Muab Kev Pab - Tus Kws Kho Mob

Yog tias koj muaj CAQH profile thiab koj yog a(n):

• Tus kws kho mob Allopathic (MD).
• Tus Kws Kho Mob Osteopathic (DO).
• Podiatrist (DPM).

Daim Ntawv Thov CAHQ Tus Muab Kev Pab - NPMP & Allied

Yog tias koj muaj CAQH profile thiab koj yog:

• Tus Kws Kho Mob (PA).
• Nurse Practitioner (NP).
• Daim Ntawv Tso Cai Midwife (LM).
• Certified Nurse Midwife (CNM).
• Certified Registered Nurse Anesthetist (CRNA).

Ua kom tiav Daim Ntawv Thov Tus Kws Kho Mob Muab Ntawv Pov Thawj

Yog tias koj yog a (n):

• Tus kws kho mob Allopathic (MD).
• Tus Kws Kho Mob Osteopathic (DO).
• Podiatrist (DPM).

Ua kom tiav Daim Ntawv Thov Kev Kho Mob Tsis Yog Tus Kws Kho Mob Ua Haujlwm

Yog koj yog ib tug:

• Tus Kws Kho Mob (PA).
• Nurse Practitioner (NP).
• Daim Ntawv Tso Cai Midwife (LM).
• Certified Nurse Midwife (CNM).
• Certified Registered Nurse Anesthetist (CRNA).

Ua kom tiav Allied Provider Credentialing Application

Yog tias koj yog a (n):

• Tus kws kho mob lub cev.
• Tus kws kho mob ua haujlwm.
• Tus kws kho hais lus.
• kws kho mob.
• Hearing Aid Dispenser.
• Optometrist.
• Acupuncturist.
• Chiropractor.
• Psychologist *
• Daim ntawv tso cai sib yuav & Tsev Neeg Therapist *
• Daim ntawv tso cai Clinical Social Worker*
• Daim ntawv tso cai kws tshaj lij kws pab tswv yim kho mob *
• Board Certified Behavior Analyst*
• Tsim nyog Autism Services Provider*

* Cov hom kev pabcuam no yuav raug lees paub thiab ua haujlwm tsis pub dhau lub Xya Hli 1, 2025. Cov ntawv thov tseem yuav tsum xa ua ntej Lub Xya Hli 1, 2025.

Ua tiav Daim Ntawv Thov Kev Pabcuam Kev Pabcuam

Daim ntawv thov no yuav tsum ua kom tiav raws li hauv qab no:

• Ambulatory Surgical Center (freestanding nkaus xwb).
• Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Tsev.
• Tsev Kho Mob (txhua hom).
• Kev Pabcuam Saib Xyuas Neeg Mob / Kev Kho Mob Ntev.
• Tsev kho mob.
• Pw tsaug zog Center/Sleep Lab (freestanding nkaus xwb).
• CBAS (ADHC).
• Freestanding Birth Centers (tsuas muaj ntawv tso cai).
• Chaw Kho Mob Nyob Hauv Tsev *
• Chaw Nyob Detox Facility *
• Khoom noj khoom haus tsis zoo*
• Mental Health Rehabilitation Center*
• Cawv thiab Tshuaj Kho Mob Sab Nraud *

* Cov hom kev pabcuam no yuav raug lees paub thiab ua haujlwm tsis pub dhau lub Xya Hli 1, 2025. Cov ntawv thov tseem yuav tsum xa ua ntej Lub Xya Hli 1, 2025.

Ua kom tiav Daim Ntawv Thov Cov Khoom Siv Kho Mob Ua Haujlwm

Yog tias koj txaus siab muab cov CHW Benefit rau Alliance cov tswv cuab hauv Merced, Monterey thiab/lossis Santa Cruz counties, koj yuav tsum tau thov kom tau daim ntawv pov thawj.

Txhawm rau kom muaj kev lees paub thiab pib ua haujlwm ua tus muab kev pabcuam Alliance, koj yuav tsum ua tiav cov kauj ruam hauv qab no.

Tau tshuaj xyuas thiab tso npe ua Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) Medi-Cal tus kws kho mob.

Txhua lub koom haum CHW Care Based yuav tsum tso npe nrog DHCS. Cov kws kho mob yuav tsum tso npe rau hauv Medi-Cal yog tias muaj txoj hauv kev rau npe nkag hauv xeev. Txhawm rau ua qhov no, siv lub standardized daim ntawv thov rau DHCS Medi-Cal qhov kev pab cuam. Koj yuav tsum tsim ib tus neeg siv Profile ntawm lub vev xaib kom ua li ntawd.

Yog tias lub koom haum CHW Care Based yog ib hom kev pabcuam uas tsis yog ib txwm muaj rau cov uas tsis tau tsim txoj hauv kev lees paub, Alliance yuav txheeb xyuas tus kws kho mob cov ntaub ntawv pov thawj los ntawm Alliance credentialing ntxiv rau yuav tsum muaj ib lossis tag nrho cov ntaub ntawv hauv qab no:

• Muaj peev xwm ua lag luam lossis daim ntawv tso cai ua haujlwm.
• IRS Daim Ntawv 990.
• Nonprofit xwm txheej.
• Lwm cov ntaub ntawv qhia txog kev tsim kev lag luam thiab/los yog ib lub koom haum.

Xa daim ntawv thov kev lees paub Alliance thiab tag nrho cov ntaub ntawv ntxiv uas yuav tsum tau ua kom dhau los ua tus muab kev pabcuam Alliance.

Muaj daim ntawv cog lus nrog Alliance uas suav nrog cov kev pabcuam no.

Kev cob qhia tus kws kho mob tshiab

Thaum koj ua tiav cov kauj ruam no, koj tseem yuav tau ua kom tiav Alliance's New Provider Training.

Npaj txhij pib thov? Thov ua raws li cov lus qhia hauv Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Hauv Zej Zos Tus Neeg Ua Haujlwm Daim Ntawv Pov Thawj.

Yog tias koj muaj lus nug, thov hu rau [email protected].

Ua Doula ntawm Alliance Checklist

• Department of Health Care Services Medi-Cal Enrollment - Muab Daim Ntawv Thov Kev Pabcuam thiab validation Enrollment (PAVE)
  • NPI (National Provider Identifier) (Yuav ua li cas kom tau txais NPI)
  • HIPAA Daim Ntawv Pov Thawj Kev Kawm
  • CPR daim ntawv pov thawj
  • Daim ntawv tso cai ua lag luam
  • Kev pov hwm
• Daim ntawv cog lus & Daim ntawv pov thawj nrog rau Alliance
  • Daim ntawv thov kev lees paub
  • Thov Cov Ntaub Ntawv Thov
  • W 9
  • Kos npe rau daim ntawv cog lus
• Kev cob qhia
  • Kev Tsim Nyog Tswvcuab
  • Kev Xa Ntawv Thov (Coding, Modifiers)
  • CHC teeb tsa

Ua kom tiav Daim Ntawv Thov Kev Pab Cuam Doula