Article 2

Article 3. Medical institutions providing basic health insurance services in the administration of this province, retail pharmacies (hereinafter referred to as medical institutions, retail pharmacies) undertake basic health insurance services, and persons participating in basic health insurance (hereinafter referred to as collateral workers) for medical treatment, purchase of medicines and apply for access to basic health insurance treatment, participate in the internal management of the insured person (hereinafter referred to as collateral units) and carry out basic health insurance management services by the health insurance agencies, as well as the implementation of the basic health insurance services by the relevant authorities of the district level and their management practices.

Article IV. The Government of the people at the district level should establish a coordination mechanism for the protection of basic health insurance services, setting up a coordinating body composed of heads of government at this level and heads of sectors such as social insurance, hygienic, financial, audit, food drug surveillance management, material prices, public safety and security, to clarify oversight responsibilities in the relevant sectors and to coordinate timely and timely responses to key issues in the work of basic health insurance services.

Article 5

In accordance with the laws, regulations and national provisions, the Medical Insurance Service is responsible for the day-to-day management of basic health insurance services and is entrusted with the related oversight management of the basic medical care.

In accordance with the responsibilities set out in the relevant sections of the Government of the above-mentioned population, the basic health insurance services and the supervision of related activities are responsible.

Article 6. Medical institutions should establish systems for the protection of basic health insurance services, identify the day-to-day management of institutions or personnel responsible for the basic health insurance services of this unit, strengthen the training of basic health insurance services in the relevant sections and their staff and continuously increase the level of services.

The relevant sections of the medical institutions and their staff should provide timely, reasonable and necessary medical services to the insured person, in accordance with the agreement of the State, the present province and the directory of essential medical insurance medicines, the medical treatment project, the medical facility standards and the basic health insurance service agreement.

Article 7. The retail pharmacies should establish a sound basic health insurance service management system to determine the day-to-day management of personnel responsible for the basic health insurance services of this unit, to strengthen knowledge training on basic health insurance services for salesrs and to engage in activities such as drug sales, in accordance with the relevant provisions of national, present and present areas and the agreement on basic health insurance services agreements.

Article 8. Medical institutions, retail pharmacies and their staff shall not be charged with the payment of basic health insurance funds or resulting in the loss of the fund:

(i) Allow non-insecution agents to take advantage of the representative of the insured person or the insured person to take the medical care in the name of another person;

(ii) Allow the use of the basic health insurance fund to cover medical costs for non-insecution personnel or medical expenses to be paid by the insured person as prescribed;

(iii) The use of false, transgender diagnostic certificates, vectors, etc. certificate material or false medical documents, fees forbiding the expenditure of the basic health insurance fund;

(iv) Distinction of hospitalization or abundance of medical costs;

(v) Abuse of large-scale equipment inspections, predominant drug treatment, or other unnecessary medical services to members of the insured person, in accordance with the needs of medical treatment;

(vi) Allow the use of basic medical insurance vouchers for cash, price securities or purchase of non-medical supplies, such as food;

(vii) Removal, transfer to other units or individuals the use of basic health insurance costs information for the settlement of terminal equipment;

(viii) In violation of price management provisions to collect medical expenses that require the basic health insurance fund;

(ix) Other acts of fraud in the payment of the basic health insurance fund or the loss of the fund.

Article 9. The participating units should strengthen the internal management and service of the personnel involved in this unit and provide relevant material for the insured persons in a timely and accurate manner.

After the dismissal or termination of the labour relationship between the insured person and the participating in the insurance unit, the participating units should conduct the relevant procedures in a timely manner to the health insurance institutions.

Article 10

(i) In the case of medical treatment, purchase of medicines, the launch of a basic health insurance certificate, the identification of medical institutions, retail pharmacies, and the self-respect obligations;

(ii) The use of basic health insurance vouchers for other persons, forfeitures, diagnostic certificates, illnesses, prescriptions, etc., or forfeiture medical tickets, fees, etc.;

(iii) No medical insurance certificate may be obtained from other persons for medical treatment or by borrowing from medical agencies.

In accordance with the needs of the management services, the Medical Insurance Service may enter into a basic health insurance service agreement with medical institutions, retail pharmacies to regulate basic health insurance services.

The health insurance agencies should establish cost-recovery relationships, in accordance with the relevant provisions of the national, present and present integrated areas, as well as the agreement on basic health insurance services, for routine supervision of the implementation of agreements by medical institutions and retail pharmacies.

Article 12 Medical insurance institutions should strengthen internal control management, establish systems of sound operations, finance, security and risk management and job responsibilities, improve the operation of basic health insurance treatment clearance, cost payments, financial management, etc., and inform society of procedures, procedures for processing time limits.

Article 13 Medical insurance agencies should strengthen the construction of the basic health insurance services monitoring information system to incorporate health-care services, retail pharmacies and their staff's basic health-care information and in-service health-care providers in real-time control and to share information with information systems such as social insurance, financial services.

The health insurance agencies have found that in violation of national, present and present integrated areas, the fraud of capital fund expenditures or the possible loss of the fund should be promptly identified and, if necessary, the expert may be organized. The medical institutions and retail pharmacies that exist may speak about their heads and those directly responsible and provide advice on the management of deadlines. Medical fees that violate basic health insurance are not paid by the basic health insurance fund.

The health insurance agencies have found violations of basic health insurance laws, regulations, regulations and regulations, which are not dealt with in accordance with the prescribed responsibilities and the delegated authority, and should transfer lines and evidence to the relevant sectors.

Article 14. Medical institutions, retail pharmacies should be strengthened to ensure that their information systems are intertwined with the basic health-care services monitoring information systems and cost-recovery systems of the health insurance agencies and that information is transmitted to the health insurance agencies in a timely, accurate and complete manner, as required.

Article 15. Business insurance institutions and financial institutions that host the basic health insurance cost-saving operations should provide convenient and expedited services to medical institutions, retail pharmacies and insured persons, in accordance with the agreement.

Article 16 The Social Insurance Administration should strengthen monitoring of basic health insurance services and related activities by investigating violations of basic health insurance laws, regulations, regulations and regulations by law. The social security administration should be treated in accordance with the law or in a timely manner in the relevant sector.

Article 17, when the Social Insurance Administration conducts oversight inspections of basic health insurance services and related activities, the following measures may be taken:

(i) To enter into a survey of places related to oversight matters, to enquire about units and individuals related to investigation matters, and to request clarifications on the relevant issues and to provide relevant documentation;

(ii) Access, record, replication of materials related to the payment of management by the basic health insurance services and the basic health insurance fund, which may be transferred, concealed or lost by law;

(iii) In accordance with the need to monitor inspections, social intermediary organizations are entrusted with auditing inspections;

(iv) To put an end to and responsibly to the fraud of expenditures incurred by the basic health insurance fund or the possible loss of the fund.

When the Social Insurance Administration conducts oversight inspections of basic health insurance services and related activities, the inspector shall assist, if any, by making a statement, providing information, not to be false, concealed, shall not refuse or obstruct the performance of the social insurance administration.

Article 19 The Social Insurance Administration should establish a Social Insurance Monitoring Committee, consisting of representatives of all sectors of society and experts, to carry out regular social oversight of basic health insurance management, services and related activities, including through the conduct of specialized audits, the organization of expert review, the hiring of social monitors.

Any unit or individual has the right to report to the Social Insurance Administration, the Medical Insurance Service, or other relevant departments the alleged violation of the basic health insurance services and related activities.

The Social Insurance Administration, the Medical Insurance Service, or other relevant departments should establish a system of reporting complaints and public reporting of complaints telephones, boxes or email addresses. Departments and agencies that have received reports of complaints should be investigated in a timely manner.

Article 21, the Social Insurance Administration should strengthen the construction of the basic health insurance service credit system, conduct regular evaluation of the units carrying out basic health insurance services, establish a system of record-keeping for violations, and make it possible for the society to publish violations and address results.

Section II of the Social Insurance Administration and other relevant departments and staff members do not carry out the management duties of the basic health insurance services in accordance with the law, are not dealt with in a timely and non-legal manner in violation of this scheme, or other abuses of authority, omissions, instructions, in favour of private fraud, and are punishable under the law by the competent and other persons directly responsible; constitutes a crime and are criminally prosecuted by law.

Article 23 of the Medical Insurance Agency and its staff are one of the following acts, which are being restructured by the Social Insurance Administration; disposed of directly responsible supervisors and other direct responsibilities by law; liability under the law for losses caused by the Basic Health Insurance Fund; and criminal liability by law:

(i) The failure to perform the duties of basic health insurance management services in accordance with the law;

(ii) Certified or refused to pay the basic health insurance fund on time;

(iii) Removal or alteration of records of treatment for basic health insurance;

(iv) To deceive or assist others in the collection of capital health insurance funds;

(v) Other violations of basic health insurance laws, regulations and regulations.

Article 24, in violation of article 8, paragraph 8, of this scheme, is punishable by price authorities in accordance with price laws, regulations and regulations; in violation of other provisions of article 8 of this scheme, by the Social Insurance Administration, in accordance with the relevant provisions of the Social Security Act of the People's Republic of China.

Article 25, in violation of article 9 of this approach, is warned by the Social Insurance Administration and is rectified.

Article 26, in violation of article 10, paragraph 2, of this scheme, is dealt with by the Social Insurance Administration in accordance with the relevant laws, regulations, such as the Social Insurance Act of the People's Republic of China; in violation of article 10, paragraph 3, of this scheme, by the Social Insurance Administration, which reorders and allows for fines of up to five million dollars.

Article 27 supplements and medical insurance for major illnesses, maternity insurance, work injury insurance, and supervision of the evacuation of medical services are implemented in the light of this approach.

The twenty-eighth approach was implemented effective 1 February 2016.