Key Benefits:
(2) The requirements for the practice of midwife and/or practices
the nurse as referred to in paragraph (1) consists of
top:
a. Practice License (SIP);
b. Mandatory Subject Number (NPWP); and
c. A statement of willingness to comply with the provisions
in relation to the National Health Guarantee;
(3) In addition to meeting the requirements as
referred to in paragraph (2) must obtain
recommendations from the Head of the Health Service
District/City and the profession organization.
6. Between paragraph (2) and paragraph (3) Section 9 is inserted 2 (two)
verses, i.e., paragraph (2a) and paragraph (2b), so that Article 9
reads as follows:
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2016, No. 15 -6-
Article 9
(1) In setting a Health Facility option, BPJS
Health performs selection and credensialing with
using technical criteria including:
a. human resources;
b. completeness of the means and amenities;
c. scope of service; and
d. service commitment.
(2) Technical Criteria as referred to in paragraph (1)
used for the assignment of cooperation with BPJS
Health, type and breadth of service, magnitude
capitation, and the number of Participants who can be served.
(2a) Selection and credensialing as intended
on paragraph (1) involves the Health Service
District/City and/or Facilities Association
Health.
(2b) In terms of the County/City Health Service
and/or the Health Facilities Association as
referred to the paragraph (2a) is not involved in selection
and credensialing, BPJS Healthcare in
performing the assignment the results must be shared
with the County/City Health Service and/or
The Health Facility Association.
(3) the BPJS Health in setting the technical criteria
as referred to in paragraph (1) guideline
Minister Rule.
7. The provisions of Article 10 of the paragraph (2) are changed so that Article 10
reads as follows:
Article 10
(1) The extension of the cooperation between the Health Facility
with BPJS Healthcare after it is done
recreational densialing.
(2) Recredensialing as referred to in paragraph (1)
is done using the technical criteria
as referred to in Section 9 of the paragraph (1) and
the mutually agreed performance assessment, as well as
the provisions of involve the County/City Health Service
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2016, No. 15 -7-
and/or the Health Facilities Association as
referred to in Article 9 of the paragraph (2a) and paragraph (2b).
(3) Recredensialing as referred to in paragraph (2)
is done the slowest (three) months before the time
the cooperation agreement expires.
8. The provisions of Article 11 are amended so that
The following:
Section 11
(1) The Health Facility may submit objections
to the credensialing and recreational results
as referred to in Section 9 and Article 10
to the Head of the Provincial Health Service.
(2) In following up the objections raised by
The Health Facility as referred to in paragraph (1),
The Head of the Provincial Health Service may form a team
resolve the objection.
(3) The team referred to in paragraph (2) consists of
the health service element and the Health Facility association.
9. Between Section 15 and Section 16 is inserted 1 (one) section,
that is Section 15A, which reads as follows:
Section 15A
All Health Facilities in cooperation with
BPJS Health is required to provide information regarding
the rights and obligations of the patient are included regarding the service
JKN.
10. The provisions of Article 16 are amended so that
below:
Article 16
First Service Level Health Service is a service
non-specialistic health including:
a. service administration;
b. a promotional and preventative service;
c. examination, treatment, and medical consultation;
d. non-specialistic medical actions, both operative and
non operative;
e. Drug services and medical materials run out;
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2016, No. 15 -8-
f. Level laboratory diagnostic support check
preview; and
g. First-level hospitalization in accordance with any indication
medical.
11. The provisions of Section 18 are amended so that
below:
Section 18
The First Level Inap Services Service is in accordance with any indication
the medical as referred to in Section 16 of the letter g
includes:
a. Outpatient at treatment/case treatment that
can be completed in the Health Service
First tier;
b. the help of pervagam childbirth is not a high risk;
c. help with complications with complications and/or
a PONED pusher for Puskesmas PONED; and
d. neonatal help with complications.
12. Between Section 22 and Section 23 of the section 1 (one) section,
that is Section 22A, which reads as follows:
Section 22A
(1) The hospital should inform the availability of space
hospitalization for JKN service.
(2) nformation as referred to in paragraph (1) may
be provided directly and/or indirectly
(3) the granting of information is directly performed to
providing an information service facility or
is performed by the Hospital Officer.
(4) Indirect information is performed
via the notice board and/or website.
13. The provisions of Section 25 are amended so that
below:
Article 25
(1) To guarantee the fulfillment of the drug program feedback
BPJS Healthcare must perform cooperation with
apothecary, pharmacy space or installation The pharmacy in the Facility
First level health that is easily accessible to
JKN participants.
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(2) Drugs as referred to in paragraph (1) are paid BPJS
Health beyond the capitation fee.
(3) Further provisions regarding the procedure of service
the drug program drug counter is set with the BPJS regulations
Health.
14. In between Section 32 and Section 33 of the section (one) section,
the Article 32A reads as follows:
Section 3">
2016, No. 15 -5-
(2) In addition to provisions must meet the requirements
as referred to in paragraph (1), BPJS
Health in doing cooperation with
Health facilities should also consider
accessibility, adequates between the number of Facilities
Health with the number of Participants who must
be served, the capacity of the Health Facility, as well as the amount
residents of the region.
5. The provisions of Section 8 are amended so that
below:
Section 8
(1) In terms of the district there is no doctor
based on the designation of the Head of the Health Service
local District/City, BPJS Healthcare can
work closely with the practice of midwife and/or
nurse practices to provide Services
First Level Health in accordance with
the authority defined in the regulations
l 2A
Against the noncapitation services provided by the network
Health Facility, BPJS Healthcare Paid immediate
claims of financing such services to the Facility network
Health.
15. The provisions of Article 39 of the paragraph (3) are amended so that Article 39
reads as follows:
Article 39
(1) The health facility is required to create an activity report
the health service provided periodically
every month to BPJS Healthcare.
(2) BPJS Health is required to apply Utilization Review
periodically and continuity and provide
feedback results Utilization Review to the Facility
Health.
(3) BPJS Healthcare is required to report the results Utilization
Review periodically to the Minister and DJSN.
(4) Terms on the reporting mechanism and
Utilization Review as referred to in paragraph (2)
and paragraph (3) is specified with the BPJS Regulation
Health.
16. Between Chapters VII and Chapter VIII inserted the chapter VIIA which
reads as follows:
BAB VIIA
HANDLING OF COMPLAINT
17. Between Section 39 and Section 40 is inserted in two (two) articles,
that is Section 39A and Section 39B, which reads as
below:
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Section 39A
(1) Any participant or society may deliver
the complaint against the Health Guarantee service.
(2) The complaint as referred to in paragraph (1)
delivered to Health and/or BPJS
Health facilities.
(3) The mandatory Health Facility or BPJS Healthcare
provides a means of managing which is managed
together or individually by the Facility
Health and BPJS Health.
(4) Health Service perform surveillance of
managing management as intended in
paragraph (3).
(5) In terms of the Participant or the public as
referred to the paragraph (1) is not satisfied with the settlement
the complaint by the Health and/or BPJS Facility
Health, the complaint can be delivered
berjenjang to the County/City Health Service,
Provincial Health Service, and the Minister.
Section 39B
(1) Health and BPJS Healthcare facilities are mandatory
compiling a complaint management mechanism from
Participants or the community as it means in
Section 39A paragraph (1) by depaning asas
A quick and tunnable finish.
(2) In terms of the Health Facility as intended
on the paragraph (1) of the first level Health Facility,
The drafting of the complaint management mechanism can
be done by the District/City Health Service.
18. The provisions of Article 41 are amended so that it reads:
Article 41
(1) At the time the Ordinance of the Minister comes into effect:
a. The entire first-level Health Facility
that cooperated with BPJS Health
excluded from accredited obligations
as referred to in Section 6 of the paragraph (2);
and
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b. whole hospitals cooperating with
BPJS Health is excluded from the requirements
certificate of accreditation as intended
in Section 7 of the letter b number 6.
(2) The first level Health Facility as
referred to in paragraph (1) the letter a must adjust
with the provisions in this Minister's Regulation in
the term of 7 (seven) years since the Regulation of this Minister
applies.
(3) The hospital is in question.
(3) The hospital is in effect.
(3) on paragraph (1) letter
b must conform to the provisions in
Regulation This minister is in the term of 5 (five) years
since the Minister ' s Ordinance came into effect.
19. The provisions of the Order of the letter E number 1 of the Drug Service
are changed so that it reads as follows:
1. Drug Services
a. Service procedure at Health Facility Level
First
1) Attendees get medical services
and/or medical action at the Facility
First-degree health
2) Doctors prescribe prescription drugs according to
Medical indications.
3) Attendees bring the recipe to Space
Pharmacy/Installation Pharmacy in puskesmas,
clinics and networking pharmacies.
4) Apoteker in puskesmas performing the ministry
kefarmasian according to standard.
b. INA-CBG's package Drug Service procedure at the Facility
Advanced Health Advanced Health Procedure
1) outpatient drug service procedures
a) Attendees get medical services
and/or medical action at the Facility
Health.
b) Doctors prescribe prescription appropriate
with medical indications.
c) Participants take the drug at Installation
Pharmacy of the Hospital or pharmacy
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the hospital network by bringing
identity and service evidence that
is required.
d) Apoteker performing the
to the standard of standard.
2) The treatment of the medical care procedure:
a) Attendees get medical services
and/or medical action at the Facility
Health.
b) Doctors write appropriate prescription drugs
with medical indications.
c) Participants taking drugs at Installation
Pharmacy Hospital or pharmacy
hospital network with carrying
identity and proof of service that
is required.
d) Apoteker performing the
to the pharmacies by default.
3) The procedure of the drug services program header
a) Participants get medical services
and/or medical action at the Facility
Health.
b) Doctors prescribe the program drug
reverse course according to the indication
medical.
c) Participants taking drugs at Apotek
and/or Health Facility level
first in partnership with
BPJS Health
d) Apoteker performing the
to the standard of the standard.
Article II
The Regulation of the Minister goes into effect on the date
promulred.
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For everyone to know, ordered
the invitational of the Minister's Rule with its placement
in the Republic of Indonesia News.
Specified in Jakarta
on December 31, 2015
HEALTH MINISTER
REPUBLIC OF INDONESIA,
ttd
NILA FARID MOELOEK
Reundrased in Jakarta
on January 8, 2016
DIRECTOR GENERAL
REGULATION
MINISTRY OF LAW AND RIGHTS MAN
REPUBLIC OF INDONESIA,
ttd
WIDODO EKA TJAHJANA
www.peraturan.go.id
