Cov Ntaub Ntawv Cov Ntaub Ntawv Archives

Daim Ntawv Qhia Txog Tus Neeg Laus Txhim Kho Kev Saib Xyuas Cov Neeg Laus (hnub nyoog 21 xyoos thiab tshaj)

Rau cov neeg laus xa mus rau Cov Kev Pabcuam Kev Kho Mob Ntxiv (ECM), cov kws kho mob yuav tsum ua kom tiav daim foos xa mus no.

Allied Health Professional Credentialing Application

Yog tias koj txaus siab los ua ib tus neeg muab kev pabcuam Alliance, mus ntsib Koom nrog peb Network nplooj.

Daim Ntawv Thov Kev Tso Cai

Cov kws kho mob tuaj yeem siv daim foos no los kuaj xyuas qhov xwm txheej ntawm kev thov kev tso cai.

California Advance Health Care Direective Form

Cov ntawv qhia ua ntej no yooj yim rau cov neeg mob nyeem thiab nkag siab.

Daim Ntawv Thov Kev Koom Tes Hauv California

Yog tias koj txaus siab los ua ib tus neeg muab kev pabcuam Alliance, mus ntsib Koom nrog peb Network nplooj.

Daim Ntawv Qhia Txog Kev Tswj Xyuas Kev Kho Mob

Cov kws kho mob tuaj yeem siv daim foos no rau kev xa mus rau Kev Tswj Xyuas Kev Kho Mob (CM), suav nrog Kev Tswj Xyuas Cov Ntaub Ntawv thiab Kev Sib Koom Tes.

Carelon Care Management Referral Form

Cov kws kho mob tuaj yeem ua tiav daim foos no kom xa ib tus tswvcuab mus rau cov kev pabcuam saib xyuas kev noj qab haus huv hauv zej zog.

Carelon Diagnostic Evaluation Form (Medi-Cal)

Ua tiav los ntawm kws kho mob, kws kho menyuam yaus, kws kho mob hlwb lossis kws kho mob puas siab ntsws (MD/DO/Ph.D./Psy.D.).

Carelon Primary Care Provider (PCP) Daim ntawv xa mus

Cov kws kho mob tuaj yeem siv daim foos no los thov kev txhawb nqa kev txiav txim siab, kev kho tus cwj pwm kev noj qab haus huv / siv cov kev pabcuam soj ntsuam tus cwj pwm, lossis xa mus rau ib tus tswvcuab rau kev kho mob sab nraud lossis kev saib xyuas kev noj qab haus huv.

Certification Hais txog Debarment Suspension, Ineligibility and Voluntary Exclusion

Cov kws kho mob tuaj yeem xa daim foos no mus rau Alliance nrog lawv daim ntawv cog lus Kev Pabcuam kos npe.

Certification Hais txog Lobbying – Exhibit D(F) Att 1 and 2

Cov neeg muab kev pabcuam tau txais kev them nyiaj raws li Daim Ntawv Pom Zoo Kev Pabcuam ntawm $100,000 lossis ntau dua yuav tsum xa daim ntawv pov thawj hais txog Lobbying daim ntawv mus rau Alliance.

Community Based Adult Services (CBAS) Inquiry Form

Cov kws kho mob tuaj yeem siv daim foos no los nug txog CBAS cov kev pabcuam rau cov tswvcuab Alliance.

Kev Pabcuam Hauv Zej Zog: Environmental Accessibility and Adaptability (EAA) Daim Ntawv Qhia Txog Tus Muab Kev Pab

Rau kev xa mus rau Community Supports Services (CS), cov kws kho mob yuav tsum ua kom tiav daim ntawv xa mus no.

Kev Pabcuam Hauv Zej Zog: Daim Ntawv Xa Mus Rau Tus Muab Vaj Tsev

Rau kev xa mus rau Community Supports Services (CS), cov kws kho mob yuav tsum ua kom tiav daim ntawv xa mus no.

Kev Pabcuam Hauv Zej Zog: Daim Ntawv Qhia Txog Khoom Noj Khoom Haus

Rau kev xa mus rau Community Supports Services (CS), cov kws kho mob yuav tsum ua kom tiav daim ntawv xa mus no.

Kev Pabcuam Hauv Zej Zog: Kev Pabcuam Tus Kheej thiab Kev Pabcuam Hauv Tsev thiab Kev Pabcuam Ua Haujlwm rau Cov Neeg Saib Xyuas Kev Xa Mus

Rau kev xa mus rau Community Supports Services (CS), cov kws kho mob yuav tsum ua kom tiav daim ntawv xa mus no.

Kev pom zoo rau Sterilization lossis Hysterectomy Sample Form

Cov kws kho mob tuaj yeem siv daim ntawv qauv no kom tau txais kev tso cai rau kev ua kom tsis muaj menyuam lossis hysterectomy. Cov neeg muab kev pabcuam pub dawb luam tawm daim foos no thiab ntxiv lawv daim ntawv sau.

Kho daim ntawv thov kev thov

Cov kws kho mob tuaj yeem siv daim foos no los xa cov ntaub ntawv kho kom raug. Daim foos yuav tsum ua kom tiav tag nrho thiab daim ntawv thov yuav tsum tau txuas nrog. Txhawm rau tiv thaiv kev ua haujlwm qeeb, thov tsis txhob staple daim ntawv thov rau daim ntawv.

Daim Ntawv Qhia Txog Nyiaj Txiag

Cov kws kho mob koom nrog yuav tsum ua kom tiav thiab xa daim foos no mus rau Alliance nyob rau peb lub hlis twg.

DHCS Facility Site Review (FSR) Checklist

Xa mus rau DHCS Facility Site Review (FSR) Checklist los pab npaj rau kev tshuaj xyuas qhov chaw.

DHCS Medical Record Review (MRR).

Xa mus rau DHCS Medical Record Review (MRR) Checklist los pab npaj rau kev tshuaj xyuas cov ntaub ntawv kho mob.

Daim ntawv thov Doula Provider

Yog tias koj txaus siab los ua ib tus neeg muab kev pabcuam Alliance, mus ntsib Koom nrog peb Network nplooj.

Daim Ntawv Thov Cov Khoom Siv Kho Mob Siv Tau ntev

Yog tias koj txaus siab los ua ib tus neeg muab kev pabcuam Alliance, mus ntsib Koom nrog peb Network nplooj.

EDI Daim Ntawv Thov Kev Sau Npe

Daim ntawv thov no yog siv los tso npe rau cov chaw muab kev pabcuam ua lag luam rau ntau yam kev lag luam EDI, xws li 837 Electronic Claims Submission, 835 Electronic Remittance Advice thiab lwm yam.

Daim ntawv thov tus neeg txhais lus ntsej muag ntsej muag

Yuav tsum tau kev tso cai ua ntej kom nkag mus rau txhua qhov kev pab txhais lus tim ntsej tim muag.

FSR Cov Ntsiab Tseem Ceeb: Daim Ntawv Saib Xyuas Ib Ntus

Thov ua kom tiav qhov kev ntsuas tus kheej ntawm koj lub chaw ua raws li DHCS Cov Txheej Txheem Tseem Ceeb.

Daim ntawv xa mus rau Cov Kev Pabcuam Kev Noj Qab Haus Huv

Txhawm rau xa ib tus tswv cuab Alliance mus rau ib qho ntawm peb cov kev pabcuam, thov ua kom tiav Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv thiab xa fax mus rau Alliance Health Programs.

Hyaluronic Acid Derivatives Cov ntaub ntawv tso cai ua ntej thov

Thov fax daim ntawv no ua tiav, nrog rau Daim Ntawv Tso Cai Ua Ntej/TAR, mus rau Alliance Pharmacy Department ntawm (831) 430-5851.

Qhia tawm

Cov kws kho mob thiab cov neeg koom tes hauv zej zog tuaj yeem siv daim foos no los thov kom Alliance tso tawm cov ntaub ntawv ntsig txog Alliance tus tswv cuab uas suav tias yog cov ntaub ntawv tiv thaiv kev noj qab haus huv.

Cov Kev Pab Txhais Lus Zoo Daim Ntawv Pov Thawj Zoo

Txhawm rau tshaj tawm cov kev txhawj xeeb lossis teeb meem nrog peb cov kev pabcuam hais lus, thov ua kom tiav peb Daim Ntawv Pov Thawj Kev Pabcuam Zoo.

Locum Tenens Daim Ntawv Ceeb Toom

Cov kws kho mob tuaj yeem siv daim foos no los ceeb toom rau Alliance ntawm txhua qhov chaw nyob ua ntej lawv muab kev pabcuam rau cov tswvcuab Alliance. Locum tenens yog cov chaw muab kev pabcuam uas muab qhov chaw ib ntus, lossis npog, rau lwm tus neeg muab kev pabcuam.

Daim ntawv tso cai kho mob mus sij hawm ntev

Cov kws kho mob tuaj yeem siv daim ntawv no los thov kev tso cai rau kev saib xyuas mus sij hawm ntev.

Medi-Cal Tus Muab Kev Pabcuam-Kev Tiv Thaiv Kev Tiv Thaiv Kev Tshaj Tawm Portal

Cov kws kho mob yuav tsum tau tshaj tawm cov xwm txheej tiv thaiv tus kws kho mob rau DHCS hauv tsib hnub ua haujlwm ntawm kev tshawb pom los ntawm lawv qhov kev nyab xeeb online tshaj tawm portal.

Kho Mob Clearance rau General Anesthesia los yog IV Sedation rau Dental Procedures

Cov kws kho hniav tuaj yeem siv daim foos no kom tau txais kev tawm tswv yim los ntawm Alliance tus tswvcuab tus kws kho mob thawj zaug (PCP) txog kev siv tshuaj loog lossis IV sedation rau cov txheej txheem kho hniav.

Daim Ntawv Pom Zoo Tswj Tshuaj (MMA)

Cov kws kho mob tseem ceeb tuaj yeem siv daim foos no los tsim Daim Ntawv Pom Zoo Tswj Xyuas Tshuaj rau lawv cov tswv cuab. Cov ntawv no muaj ua lus Askiv, Mev thiab lus Hmoob.

Daim Ntawv Tsis Txaus Siab Tus Tswv Cuab - IHSS

Cov neeg muab kev pabcuam tuaj yeem rub tawm thiab luam tawm Daim Ntawv Tsis Txaus Siab rau Cov tswvcuab xa daim ntawv tsis txaus siab

Daim Ntawv Thov Kev Tsis Txaus Siab rau Tus Tswv Cuab - Medi-Cal

Cov neeg muab kev pabcuam tuaj yeem rub tawm thiab luam tawm Daim Ntawv Tsis Txaus Siab rau Cov tswvcuab xa daim ntawv tsis txaus siab

Cov Ntawv Ceeb Toom Cov Tswv Cuab

Cov kws kho mob tuaj yeem siv cov qauv no los ceeb toom rau cov tswv cuab thaum thov rov ua dua. Cov qauv no muaj ua lus Askiv, Mev thiab lus Hmoob.

Daim Ntawv Pom Zoo Tus Muab Tswv Yim Tshiab

Tom qab tshuaj xyuas cov ntaub ntawv lees paub tias koj tau ua tiav qhov kev cob qhia. Thov nco ntsoov tias qhov kev tshuaj xyuas yuav tsum ua kom tiav ua ntej 10 hnub ua haujlwm ntawm lub hli.

Tus Muab Kev Pab Tshiab ECM/Cov Zej Zog Txhawb Kev Kawm Sau Npe Sau Npe

Tom qab tshuaj xyuas cov ntaub ntawv lees paub tias koj tau ua tiav qhov kev cob qhia.

Daim Ntawv Thov Kev Kho Mob Tsis Yog Tus Kws Kho Mob

Yog tias koj txaus siab los ua ib tus neeg muab kev pabcuam Alliance, mus ntsib Koom nrog peb Network nplooj.

Daim Ntawv Thov Kev Pabcuam Tswvcuab

Yog tias koj txaus siab los ua ib tus neeg muab kev pabcuam Alliance, mus ntsib Koom nrog peb Network nplooj.

Daim ntawv xa mus rau Lwm Qhov Kev Pov Hwm Kev Noj Qab Haus Huv (OHC).

Cov kws kho mob tuaj yeem siv OHC Daim Ntawv Qhia Txog Kev Tshaj Tawm los tshaj tawm Alliance tus tswv cuab lwm qhov kev pab them nqi kho mob.

Daim Ntawv Thov Kev Pab Kho Mob Sab Nraud Tus Kws Kho Mob

Yog tias koj txaus siab los ua ib tus neeg muab kev pabcuam Alliance, mus ntsib Koom nrog peb Network nplooj.

Tus Neeg Mob Tsis Txaus Siab/Kev Tsis Txaus Siab Nrhiav Daim Ntawv Teev Npe

Cov kws kho mob tuaj yeem siv daim foos no txhawm rau taug qab tus neeg mob thov rau daim ntawv tsis txaus siab / tsis txaus siab.

Tus Kws Kho Mob Certification Nqe Lus Qhia Txog Kev Kho Mob Xav Tau rau NEMT

Cov kws kho mob yuav tsum ua kom tiav daim foos no rau txhua tus tswv cuab uas xav tau kev thauj mus los tsis yog xwm txheej ceev (NEMT) ua ntej kev thauj mus los tuaj yeem pom zoo.

Tus kws kho mob Orders for Life-Sustaining Treatment (POLST)

Lub Alliance txhawb cov kws kho mob kom muaj kev sib tham txog kev npaj lub neej kawg uas tshwm sim nrog cov neeg mob hnyav, tso cai rau lawv xaiv cov kev kho mob uas lawv xav tau thiab pab xyuas kom lawv cov kev xav tau raug qhuas los ntawm cov kws kho mob.

Daim Ntawv Tso Cai Ua Ntej lossis Daim Ntawv Thov Kev Them Nqi Kho Mob

Siv daim foos no los xa cov ntawv sau tshuaj ua ntej tso cai thov rau Alliance Care IHSS cov tswv cuab.

Cov ntaub ntawv tso cai ua ntej thov rau Cov Tshuaj Txhaj Tshuaj

Siv daim foos no rau kev kho mob, HCPCS J-code thov thiab lwm yam kev thov tshuaj IV uas yog tus kws kho mob / tsev kho mob.

Tus txheej txheem Reimbursement Rate Request

Cov neeg muab kev cog lus tuaj yeem siv daim ntawv no los thov cov ntaub ntawv them rov qab los ntawm Alliance. Thov nyeem cov lus qhia tab kom tag nrho ua ntej sau thiab xa daim foos.

Kev Thov Hloov Tus Muab Kev Pab (PCR)

Cov kws kho mob tuaj yeem siv daim ntawv no los hloov pauv yooj yim rau kev tso cai ua ntej.

Daim Ntawv Qhia Txog Tus Muab Kev Pabcuam Cov Ntaub Ntawv Pov Thawj

Senate Bill 137 xav kom Alliance thov cov ntaub ntawv tshiab los ntawm cov chaw muab kev pabcuam tsis tu ncua los xyuas kom meej tias cov ntaub ntawv raug tshaj plaws rau koj cov kev coj ua suav nrog hauv peb Cov Chaw Pabcuam.

Tus kws kho mob pom daim ntawv them nyiaj tshaj

Cov kws kho mob tuaj yeem siv daim ntawv no los qhia txog kev them nyiaj ntau dhau los ntawm Alliance.

Daim ntawv hloov pauv ntawm tus kws kho mob

Ua kom lub Alliance paub txog cov kev hloov pauv rau koj qhov kev coj ua yuav ua kom cov ntaub ntawv xa mus rau qhov chaw nyob kom raug, cov nyiaj them poob haujlwm raug them, thiab tsuas yog cov neeg ua haujlwm tam sim no tau nkag mus rau cov ntaub ntawv hauv Chaw Pabcuam Portal.

Daim Ntawv Thov Kev Pab

Cov peev txheej

Tau txais kev pab

Kev Pabcuam Tswvcuab

Lub Alliance

Cov cuab yeej siv tau yooj yim