STATE NEWS

REPUBLIC OF INDONESIA No. 556, 2017 BPJS Healthcare. FKTP. MR.

REGULATION OF THE HEALTH SOCIAL SECURITY ORGANIZER

NUMBER 1 OF 2017

ABOUT

THE ALIGNMENT OF PARTICIPANTS AT THE FIRST-LEVEL HEALTH FACILITY

WITH THE GRACE OF THE ALMIGHTY GOD. ESA

MAIN DIRECTOR

GOVERNING BODY OF SOCIAL SECURITY ASSURANCE,

DRAWS: a. that to ensure and improve the quality of

the service to the Warranty Host Board participant

Social Health, it needs to be performed the amount

Participants at any First Level Health Facility;

b. that the Health Social Security Organizing Board

may transfer Participants from one Facility

First Level Health to the Health Facility

Other First Level still in the region

same;

c. that based on consideration as

referred to in letter a and letter b as well as for

running the provisions of Section 29 paragraph (2a) of Regulation

President Number 12 Year 2013 of Warranty

Health as has been several times changed,

last with the Presidential Regulation Number 28 of the Year

2016 on Third Amendment to the President Regulation

No. 12 Year 2013 on Health Guarantee, need

set the Guarantee Organizing Agency

Social Health on the Participant Alignment at the Facility

First-Level Health;

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2017, No. 556 -2-

Given: 1. Law No. 40 of the Year 2004 on System

National Social Security (Republican Gazette

Indonesia Year 2004 Number 150, Extra Sheet

State of the Republic of Indonesia No. 4456);

2. Law No. 24 Year 2011 on Agency

Social Security Organizing (State Sheet

Republic Of Indonesia In 2011 Number 116, Additional

Page Of State Of Republic Indonesia Number 5256);

3. Presidential Rule Number 12 of 2013 on

Health Guarantee (Republican Gazette

Indonesia Tahun 2013 No. 29) as it has

several times amended last with the Presidential Regulation

No. 28 Year 2016 about the Third Amendment for

Presidential Regulation No. 12 of 2013 on

Health Guarantee (Republic State News Sheet

Indonesia Tahun 2015 No. 62);

4. Health Minister Regulation No. 71 of 2013

on Health Care on Health Guarantee

National (Republic of Indonesia State News 2013

Number 1400) as amended with

Ministerial Regulation Health Number 99 Year 2015

about Changes to Health Minister Regulation

Number 71 of 2013 on Health Care

on National Health Guarantee (State News

Republic of Indonesia Year 2016 Number 15);

DECIDED:

Establits: SOCIAL SECURITY ORGANIZER

REGULATION ON THE ALIGNMENT OF PARTICIPANTS IN

FIRST-LEVEL HEALTH FACILITIES.

Article 1

In the Social Security Organizing Agency Regulation

The health is referred to:

1. Health Assurance is a guarantee of protection

health for Participants to benefit

health care and protection in

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meets the basic health needs granted

to any person who has paid dues or

his dues are paid by the government.

2. The Health Social Security Organizing Board

next is called BPJS Health is the agency

the law set up to host the program

Health Guarantee.

3. Participants are each person, including a foreigner who

works at least 6 (six) months in Indonesia, which

has paid dues.

4. A Health Facility is a health care facility

that is used to host efforts

individual health services, either promoting,

preventative, curative or rehabilitative performed

by Government, Local Government, and/or

Society.

5. The next First Level Health Facility

abbreviated as FKTP is a health facility that

performs a personal health service that

is non-specialistic for observation purposes,

promotively, preventative, diagnosis, treatment, treatment,

and/or other health services.

6. The Health Facility Association is the facilities association

health prescribed by the Ministerial Decree.

7. A Profession Organization is an organization that is usually

a non-profit, intended for a particular

profession and aims to protect the public interest

and professionals in that field.

Section 2

(1) To guarantee and improve service quality

to Participant, BPJS Health can do

transfer of Participants from one FKTP to another FKTP.

(2) Implementation of the Participant's transfer as intended

in paragraph (1) is done by considering:

a. ratio of the number of Participants and clinicians;

b. the same or adjacent region; and

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c. recommendations from County/City Health Service

after coordinating with the facilities association

health and profession organizations.

(3) BPJS Healthcare in carrying out removal

Participants are performed by considering the option

Participants after adequate socialization.

Article 3

(1) The beauty of the FKTP Participant as referred to

in Section 2 is done incrementally and selectively

based on priority scale.

(2) The displacement of the Participants inter FKTP as

referred to a paragraph (1) is implemented until

an ideal ratio is determined between the number of physicians

and the number of Participants in one FKTP.

(3) The ideal ratio as referred to in paragraph (2) is 1

(one) physician to 5000 (five thousand) Participants.

(4) The transfer of the Participant as intended

on the paragraph (1) is listed in the Attachment

is an inseparable part of the Regulation

BPJS This health.

Article 4

(1) The beauty of the FKTP participant is exercised with

paying attention to the number of Participants and the number of doctors

there is on:

A. FKTP of origin; and

b. FKTP destination.

(2) Attendees of Participant's FKTP origin as

referred to a (1) letter a done in matter

The ratio of the number of Participants and the number of doctors exceeds the ratio

ideal in accordance with the provisions of the stage

transfer of the Participants.

(3) The transfer of the Participant to FKTP purposes as

referred to in paragraph (1) the letter b is done in terms of:

a. adjacent to the Participant ' s domicile; dan/or

b. Ratio of the number of Participants and the number of doctors less than

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ideal ratio in accordance with the provisions in

relocating of the Participant.

Section 5

(1) The transfer mechanism of the InterFKTP participant is performed

in the way:

a. perform Participant and FKTP mapping by BPJS

Health;

b. set:

1. FKTP list of origin to be moved

Pesertanya;

2. FKTP destination list;

3. The number of participants moved to

each of the original FKTP; and

4.

c. received recommendations from the Head of the Service

Health after coordinating with the association

health facilities and the profession organization;

d. coordinate with FKTP origin and FKTP

destination;

e. Socializing the Participant's plan

to the Participant; and

f. perform the transfer of the Participant.

(2) The Socialization as referred to in paragraph (1) of the letter e

is executed at least 2 (two) months before

relocating the Participant.

Section 6

(1) The transfer process Participants as intended

in Section 5 are conducted via the information system that

applies at BPJS Healthcare.

(2) Participants who have been moved, can access

health care at the new FKTP since the 1st (one)

in the next month.

(3) The identity card of the displaced Participant remains In effect

up to the process of reimbursively

replacement.

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Article 7

(1) In the case of any objection from the Participant that has been

transferred, Participants are given the opportunity to

apply for a return to FKTP origin

transfer or other FKTP selected.

(2) Objection as referred to in paragraph (1)

delivered by Participant by coming to the Office

Branch/Office/City Operational Services Office

local and signed a statement letter

contains a request to be returned to the FKTP origin

transfer.

Article 8

(1) The BPJS Health Branch Office delivers a report

implementation of the transfer of Participants to the Regional Division

BPJS Health and County Health Service/City

by exhaling to the Service Province Health,

association of health facilities and profession organizations.

(2) The report as referred to in paragraph (1)

delivered by the BPJS Health Regional Division to

BPJS Healthcare Central Office.

Article 9

(1) BPJS Health along with the Health Service and

association health facilities performing monitoring and

evaluation of the implementation of the Participant displacement.

(2) The Monitoring and Evaluation Results as intended

in paragraph (1) are used as input in

performing mapping Participant data in FKTP.

Article 10

(1) In the event of a dispute between BPJS Healthcare

with the Health Facility, health facility association

and/or Health Services related to implementation

transfer of the FKTP Participant, The solution

is done in a deliberation.

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(2) In terms of the dispute cannot be resolved through

the deliberations as referred to in paragraph (1),

the dispute is submitted to the Monitoring Team and

Evaluation of the Guarantee National Health

at the Provincial level formed by the Head of the Service

Provincial Health for the decision.

Article 11

This BPJS Health Regulation is beginning to take effect on the date

promulgated.

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For everyone to know, ordered

the invitation of this BPJS Regulation with

its placement in the State News of the Republic of Indonesia.

Specified in Jakarta

on April 6, 2017

PRINCIPAL DIRECTOR

ORGANIZER

GOVERNING BODY

SOCIAL HEALTH ASSURANCE,

ttd

FACHMI IDRIS

It was promulded in Jakarta

on the 10th April 2017

DIRECTOR GENERAL

REGULATION

THE MINISTRY OF LAW AND HUMAN RIGHTS

REPUBLIC OF INDONESIA,

ttd

WIDODO EKATJAHJANA

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ATTACHMENT

GOVERNING BODY REGULATION

SOCIAL HEALTH CARE

NUMBER 1 2017

ABOUT

THE PARTICIPANT STRUCTURING AT THE FACILITY

FIRST-LEVEL HEALTH

RELOCATION OF REGISTERED PARTICIPANTS AT FKTP

Implementation of the Participant's removal at FKTP is implemented incrementally

with the following steps:

No. Year Criteria

1. 2017. Puskesmas with the number of participants > 30,000 and

physician ratio 1: > 10,000 participants

b. FKTP Private with a participant number > 15,000 and

physician ratio 1: > 5,000 participants

2. 2018 a. Puskesmas with the number of participants > 20,000 and

physician ratio 1: > 7,500 participants

b. FKTP Private with a participant number > 15,000 and

physician ratio 1: > 5,000 participants

3. 2019-... Puskesmas and FKTP private with the number of participants >

15,000 and doctor 1 ratio: > 5,000 participants

LEAD DIRECTOR

GOVERNING BODY

THE HEALTH SOCIAL GUARANTEE,

ttd

FACHMI IDRIS

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