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Administrative Measures For The New Rural Cooperative Medical System In Harbin

Original Language Title: 哈尔滨市新型农村合作医疗管理办法

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New rural cooperative health management approach in Harhama

(Adopted at the 78th ordinary meeting of the People's Government of the city of Hamila on 17 March 2011, No. 228 of the People's Government Order No. 228 of 28 March 2011)

Chapter I General

Article 1, in order to strengthen the health management of new rural cooperation, to increase the level of medical security for rural residents, to promote social security, to develop this approach in line with the relevant provisions of the State and the province.

Article 2 Management and supervision of new types of rural cooperative medical treatment within the city's administration is applicable.

Article 3. This approach refers to new types of rural cooperation medical treatment (hereinafter referred to as new farmers), which are organized by the Government, directed, supported by the voluntary participation of rural residents, financed by individuals, groups and governments, and the basic health-care safeguards system established for rural residents.

Article IV's new agro-cognition system upholds broad coverage, basic and sustainable principles and is responsive to the level of economic and social development.

Article 5

Article 6. The municipal health administration is the competent authority for the new agro-industries in this city and is responsible for the organization of this approach.

The health administration in the district, the district (market) is responsible for the management of new farmers in the Territory.

The commune (commune) people's Government (at the streets' offices), the Village (NL) Commission should be well mobilized and promoted.

Relevant sectors and units such as development and reform, finance, audit, civil affairs, human resources and social security, agriculture, food medicine surveillance, disability-related work should be carried out in accordance with their respective responsibilities.

Article 7

Article 8. New agro-industries are managed in an integrated and gradual manner in the urban area by sector, district (market) units.

Part II Participants

Article 9. Any citizen residing in rural areas (hereinafter referred to as “the rural population”) may be allowed to participate in a new farming contract with the family as a unit of the household or residence.

States and provinces have other provisions for participation in new farmers (hereinafter referred to as “commissioned”).

Article 10 complicants shall not participate simultaneously in the urban dwellers, in the basic health insurance of their workers or in the repetitive participation of new farmers.

Article 11. The complicants shall be registered by a unit of the household to participate in the new agroconclusive (C) certificate (C) for medical treatment and for the treatment of new farmers.

Article 12

(i) Reimbursement treatment provided;

(ii) To choose, within the integrated area, targeted medical institutions;

(iii) Free access to counselling, medical services and fees;

(iv) Recorded free of charge, reconciliation of personal contributions and treatment;

(v) Oversight of the management and use of the new Agroforest fund;

(vi) To make observations and recommendations on the work of new farmers.

Article 13. The rural population participates in new farming in the year and enjoys the same annual new agro-industries.

Article 14.

(i) To pay in full and on time the cost of participation in the new agro-industry;

(ii) Provide personal information if available;

(iii) No withdrawal of new farmers shall take place in the year;

(iv) Compliance with other relevant regulatory provisions of the new agro-industry.

Chapter III

Article 15. New farmers combine personal contributions, collective support and government subsidies.

Citizens, legal persons and other organizations are encouraged to contribute to the new Agrogate Fund.

Article 16 Rural residents shall pay for the participation of family members in the new agro-industry at the residence of their families, in the village of residence (resident) or in the town.

Article 17 Special hardships such as rural low-insecution family members, five-insecutors, targeted persons with high priority and persons with disabilities, eligible persons with disabilities participate in new farming, and their personal contributions are funded by the Government.

Article 18 The rural population participates in the new Agrogation payment system, which is paid for the following year, from 1 September to 20 December.

The time was needed to be adjusted and the health administration was published to society after approval by the same-ranking people's Government.

Article 19

Article 20 Rural residents participate in new agricultural co-payments by households and governments, and funding standards are implemented in accordance with the relevant provisions of the State and the province.

Article 21 communes (communes) finances should open a dedicated collection of funds produced in the province-wide.

Chapter IV New Agribusiness treatment

Article 2

Article 23. Medical costs incurred by the complicants in the induction and inpatientation are reimbursed by the new Agrog Fund.

Article 24 provides for medical treatment and inpatient treatment by co-locators and for the implementation of the provisions of national and provincial drug inventories, medical treatment projects and medical facilities standards.

Article 25

(i) Inpatient hospitals in the communes, the pay line is not higher than $100;

(ii) Inpatient hospitals at district, district (community) hospitals, the pay line is not higher than $300;

(iii) Inpatient hospitals at provincial, municipal hospitals, the pay line is not higher than $500.

Article 26 Medical expenses incurred by associate personnel in hospitalization in targeted medical institutions, which exceeds the portion of the payment line criterion, are in line with the level of policy reimbursement and are reimbursed in proportion to the rate of inpatient expenses established by States and provinces.

In a natural year, the highest payment limit for medical expenses should reach more than 6 times the per capita income for rural residents in the current integrated region of the previous year and not less than 50,000 dollars.

After the payment of the maximum payment limit, the complicants still have difficulty in paying medical expenses and being the subject of medical assistance, in accordance with the relevant provisions of medical assistance.

Article 28 is hospitalized by special hardships such as rural low-insecure family members, five occupants, targeted persons with high priority and persons with disabilities, eligible persons with disabilities in poverty, which can properly increase the rate of hospital reimbursement by three to five percentage points or reduce or eliminate the pay line.

The second article is based on the medical expenses incurred by the new agro-condustry (C) in the integrated area for the medical care of the targeted medical institutions, which are paying for reimbursement directly to medical institutions.

Article 33 states that in-patient medical expenses are paid by an individual mattress, after the end of the treatment, and are subject to reimbursement procedures by a new agro-industry in the cocoa region:

(i) Accompanied workers outside the integrated area (non-considence outside of the region), visits, tourists, inpatient diseases and inpatient hospitals, which were communicated to host new agro-industries in the integrated area within 5 days of entry;

(ii) Medical treatment needs to be transferred to medical institutions outside the integrated area.

The proportion of individuals covered by this article shall be reimbursed in accordance with the standards of local counterparts.

The thirty-first area should be restructured in a timely manner, based on changes in the level of funding, to be made public to the community after approval by the same-ranking people.

Integrated areas should lead, encourage the attendance of co-consistants to consult at the grass-roots targeted medical institutions, with appropriate increases in the rate of inpatient medical care at the grass-roots level.

The integrated regions should, in accordance with the relevant provisions of the State and the province, properly reduce the pay line and raise the rate of reimbursement for those involved in the use of medical treatment.

Article 32 should be synthesized in the context of chronic diseases established by States and provinces, in conjunction with the actual identification of chronic diseases reimbursed by localities and the identification of reimbursement lines, rates of reimbursement and maximum payment limits.

Chronic patients who are identified by targeted medical institutions and confirmed by the new agro-industries may be treated and processed according to the relevant provisions of the integrated area.

The medical costs incurred by the complicators in the districts, districts (communes) and communes (communes) medical institutions are reported at the time.

The medical costs incurred by the computed personnel at the municipal level are gradually reported.

Article 344 medical expenses incurred by the complicants at the time of the introduction of the mandatory medical facility, which shall be paid from the time of the closure of the compound and receive compensation.

In other provinces, municipalities or in the absence of a medical facility, the new agro-industries should complete the reimbursement process within 30 working days of the date of their submission of all materials.

Article XV Reimbursement for hospitalization costs by complicants should be provided with identification cards, household books, participation in new agricultural cocoaments (ca), inpatient diseases, medical expenses checklists, referral certificates, medical fees receipts.

The following medical costs are not included in the reimbursements of the new Agroforest fund:

(i) Harmonization, charity and medical expenses incurred as a result of fighting, suicide, maiming, drug abuse and alcohol abuse;

(ii) Legal, legislative and regulatory provisions shall be subject to medical expenses incurred by the perpetrator;

(iii) Medical costs to be paid by the work injury and maternity insurance fund, as prescribed;

(iv) Medical costs that are not part of the new agro-industries and medical services projects;

(v) Other medical costs that are not reimbursed by new farmers.

Article 37 shall not include:

(i) The transfer of funds from the new agro-condustry (C) to another person for medical treatment or for the purchase of compensation payments from new farmers;

(ii) Contrarying, rehabilitating medical fees receipts, illnesses, or buying, using false medical fees receipts, illnesses and deceiving new farmers' compensation funds;

(iii) Disadvantage, collusion of medical personnel or other misappropriation of new agricultural co-payment funds;

(iv) Other violations of the provisions of the new agro-industry.

Chapter V Fund management

Sources of the new Agroforest fund include:

(i) Costs paid by persons living in rural areas;

(ii) Funding for financial assistance at all levels of government;

(iii) Funding funds from the rural collective economic organizations;

(iv) Social donations;

(v) Interests of the new Agroforest fund;

(vi) Other income provided by law, regulations.

The percentage of the new Agrog Fund and the various funds are determined in accordance with the relevant provisions of the State and the province.

Article 40 Integrated regional financial sectors should open a dedicated account of the new Agroforest fund in accordance with national provisions.

Article 40 of the new Agrog Fund administers the principle of exclusive storage, specialization, receipt, balance of payments, slight balances and closed operations.

The integrated regions of article 42 should establish a financial system and accounting system of the Fund, in accordance with relevant national and provincial provisions, to strengthen fund management and ensure the safe operation of the Fund.

Article 43

(i) Upon review of the reimbursement rates for new farmers' associates in the various integrated areas, the Reimbursement for the Medical Clinic Medical Reimbursement for the New Agrogate and the Inpatient Medical Reimbursement voucher for the New Agribusiness, which is reported to be reviewed in the same financial sector.

(ii) Reimbursement for pre-emptive medical institutions, which are made available to the targeted medical institutions after review by the same level of financial sector, shall be made available to the targeted medical institutions for reimbursements paid by the individual mattressed by the co-located personnel, for the transfer to district, district (commune) or communes (communes), and for new agricultural co-located agencies in the district, district (urban) or town.

Article 44 new agro-condustries should address medical costs paid by their targeted medical institutions in a timely manner.

The forty-fifth integrated areas should establish a sound new agro-industry information management system and implement new agro-industry information management.

Article 46 provides recognition to all levels of the people of sectors, units and persons that have made a prominent contribution in the work of new farmers.

Chapter VI

Article 47 provides for the introduction of a targeted medical facility. The list of targeted medical institutions should be made available to society by the district-level health administration for the choice of preferences in medical institutions.

Targeted medical institutions are eligible, validated criteria and the management of the vetting method, which are developed by the municipal and integrated regional health administrations in accordance with the scheme, and are published to society after approval by the same-level people's Government.

Article 48 Eighteen municipalities and districts, districts (markets) new farming institutions should enter into service agreements with targeted medical institutions, depending on management needs, to clarify the rights and obligations of both parties.

The targeted medical institutions should provide reasonable and necessary medical services to the complicants and protect the legitimate rights and interests of the complicants.

Article 49 quantified medical institutions should accept the operational guidance and supervision of the new agro-industries and perform the following duties:

(i) Procedural diagnosis of new farmers;

(ii) To verify the authenticity of the diagnosis of new farmers and to prevent the use of toponyms;

(iii) Provision of health education for new farmers' patients, policy advice for new farmers and treatment projects;

(iv) Determine that specialized agencies and personnel are responsible for the clearance and settlement of medical costs for new farmers;

(v) Compliance with other management provisions of the new agro-industry.

Article 50 quantified medical institutions should implement the directory and the directory of new agricultural cocoacetics and diagnostic projects issued by the health administration to receive hospitalization for new farmers in accordance with the standards of entry, maintain reasonable inspection, reasonable treatment, reasonable charges and reasonable fees.

The use of self-cost medicines beyond the basic pharmacies or self-assessments or treatments that go beyond the list of medical treatment projects shall be subject to the consent and signature of new farmers or their families.

Target medical institutions are encouraged to treat new farmers in the use of medical treatment.

Article 50 quantified medical institutions should regulate the procedures for the procurement of medicines, establish and implement a system for the testing of medicines and refrain from buying and using medicines that are not in compliance with the provisions.

Article 52 should strictly implement medical standards and operating protocols developed by States and provinces, strengthen infrastructure and technical training of medical personnel, improve the quality of services and guarantee medical safety.

Article 53 Medical establishments should disclose new agricultural co-payments projects and prices, the rates of reimbursement and compensation, the conditions and procedures relating to personal privacy.

Article 54 should improve the quality and service levels of medical services and prohibit the following:

(i) The inclusion of medical fees for non-consistants in the scope of payments for the new Agroforest fund;

(ii) The inclusion of the cost of non-payment of new farmers in the coverage of the new Agroforest fund;

(iii) There is a need for screening, pharmacies and treatment beyond new farmers;

(iv) Urgently raise the fee rate and increase the charges project;

(v) Removal of new agricultural co-payments;

(vi) Other violations of the provisions of the new agro-industry.

Oversight

Article 55 states that the health administration should establish a sound, targeted medical institution to assess the nuclear system and to strengthen the supervision of targeted medical institutions.

Article 56 municipalities and areas of integration could be established as a new agro-cognition monitoring committee consisting of government representatives, representatives of the public sector, members of the coalition, representatives of the complicants and relevant experts to strengthen the monitoring of the quality of services of the new Agroforest fund for use, management and targeted medical institutions.

Any organization or individual has the right to report, complain about violations of the provisions of the new agro-management.

The health administration at all levels, the new agro-industries and finances, the audit sector should establish a system of sound complaints reporting, make complaints available to society, verify, process and respond in a timely manner, and communicate complaints, reports that fall outside the sector, the scope of the duties of the institution, reports, reports that should be promptly communicated to the parties or transferred to sectors, institutions that are entitled to deal.

Article 58 should enhance the supervision of the new Agribusiness fund at all levels.

The audit services at all levels should enhance the specific audit of the new Agroforest fund.

Article 599 should be monitored on a regular basis by new agro-industries at all levels.

Article sixtieth states that new agro-industries at all levels should provide regular briefings on the inpatient and integrated medical reimbursements for participants and ensure the right to information, participation and oversight of the participants.

Article 61. Persons engaged in the management of new farmers shall not have the following acts:

(i) Corruption, exclusion, misappropriation, interception and concealment of the new Agroforestry Fund;

(ii) Include medical costs for non-participatory personnel in the range of reimbursements;

(iii) Civic or non-payment of new agricultural co-financing;

(iv) A record of loss or falsification of payment records, receipt of new agricultural treatment;

(v) Constrainting, preparing or deliberately destroying the relevant books;

(vi) To favour private fraud and bribe;

(vii) In violation of new agro-management provisions, resulting in a loss of funds;

(viii) Other violations of the provisions of the new agro-management.

Chapter VIII Legal responsibility

Article 62 quantify medical institutions for fraud, forfeiture of documentation or other means to deceive the new Agrogation Compensation Fund, which is subject to a fine of more than three thousand dollars, and to remove the qualifications of the targeted medical institutions; and to the treatment of the competent and other responsible personnel directly responsible under the relevant laws, regulations.

There is a violation of the provisions of the service agreement by targeted medical institutions, which are addressed by the health administration in accordance with the provisions of the service agreement.

Article 63/3 Partners are charged with fraud, falsification of documentation or other means to obtain compensation for new agricultural co-payments, which is transferred by a sanitary administration to a fine of more than one thousand dollars; refusal to refund or pay a fine to remove the eligibility of their families to receive new agro-industries in the year; constitute a crime and transfer to the judiciary.

Article 63 quantify the staff of the new agro-industries, in violation of article XV of this approach, is being rectified by the executive order of the health administration, which is subject to administrative disposal in accordance with the management authority of the Ministry of the Interior; liability under the law for the loss of the new farmer funds or individuals; and the transfer of the judiciary to justice.

Article 65 XV Staff of the State organs, in the management of a new farmer, in the supervision of their duties, insecure, in favour of private fraud, are lawfully disposed of by the competent and other direct responsible persons directly responsible, in accordance with the competent authority of the Ministry; constitute a crime and transferred to the judiciary.

Article 46 correspondents believe that the conduct of a new agro-management body or management body violates their legitimate rights and may apply for administrative review or administrative proceedings in accordance with the law.

Chapter IX

Article 67 Other provinces residing in the city and the rural inhabitants of the city may participate in the new agro-industry under this scheme.

Article 68 Integrated areas may be developed in accordance with the provisions of national, provincial and present approaches, to be published in society after approval by the same-ranking people's Government.

Article 69 states and provinces have other provisions for the duration of payments, payment and subsidies for new farmers, the rates of reimbursement and the maximum payment thresholds.

Article 76 of this approach is implemented effective 1 May 2011. The Government of the city issued a medical treatment for rural cooperation in the city of Hara on 25 May 1998 (Government Order No. 6).