IT ' S SMART

Regulation of medical examination, medical treatment and payment of medical treatment,

Medical insurance is related to medical treatment, TB treatment.

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Health Insurance Law Base;

The law of the law, the disease, the healing.

Base of Decree Stain. 63 /2012/NĐ-CP August 31, 2012 of the Government stipulated the function, mandate, jurisdiction and organizational structure of the Ministry of Health;

Base of Protocol 105 /2014/ND-CP 14 g 11 2014 Government rules i And the instructions for making one. Stain. The provisions of the Health Insurance Act;

On the recommendation of the Chief Health Insurance, the Ministry of Health,

Minister of Health Department of Health for Prescribed Medical Treatment, healing Oh. expense payment c haunt Disease, medical health insurance related to medical examination, TB treatment.

What? 1. The adjustment range and the I do apply

1. The adjustment range

a) This information regulates the examination, healing (later abbreviated as KCB), payment of KCB costs and the transfer of KCB health insurance (later abbreviated to BHYT) for people with tuberculosis, drug-resistant TB, tuberculosis, latuation, and users of the use of TB. Medical services related to KCB TB.

b) This information guidance on the KCB BHYT contract for the KCB facility and the health facility of the anti-TB defense network.

2. Subject applies

a) The state and private KCB facilities have the KCB BHYT contract.

b) The health facilities of the anti-TB defense network under the regulation of the Minister of Health.

c) The participant BHYT contracted tuberculosis, drug-resistant tuberculosis, tuberculosis, laterine tuberculosis and the use of medical services associated with KCB TB.

What? 2. Explain the word

1. The person with TB is the person who is diagnosed with TB in the direction of diagnosis, treatment, and tuberculosis prevention of the Ministry of Health.

2. The person who has TB resistance is the person with TB that has a drug-resistant TB condition that is determined by tests according to the diagnosis, treatment, and tuberculosis prevention of the Ministry of Health.

3. The suspect who has the symptoms of tuberculosis is diagnosed as a TB suspect in the direction of diagnosis, treatment, and tuberculosis prevention of the Ministry of Health.

4. The potential for the person with the risk of contracting TB is determined to be treated with anti-TB medication in the direction of diagnosis, treatment, and tuberculosis prevention of the Ministry of Health.

5. The user of the medical services associated with KCB TB is the person who is being KCB at the non-scientific facility but is designated as a test, imaging diagnosis, function probe and drug use to diagnose tuberculosis, diagnosis of exclusion, and diagnosis. tuberculosis by specialized requirement in KCB or needing KCB TB in coordination with other diseases when KCB is at that facility.

What? 3. Common Principles

1. People with tuberculosis, drug-resistant TB, tuberculosis, laterine tuberculosis and the use of medical services associated with KCB TB are employed by KCB, which payments KCB costs by law on BHYT and regulations at this Smart.

2. People with TB, drug-resistant TB, tuberculosis, laterine tuberculosis and the use of medical services related to KCB TB are transferred to the KCB BHYT route under the regulations on the transfer and by regulation at this Smart.

What? 4. Medical facilities have a medical exam, TB treatment and disease

1. KCB facilities and equipline KCB facilities in accordance with Article 3 Profile 40 /2015/TT-BYT November 16, 2015 by the Minister of Health Regulation Regulation KCB BHYT initially and the transfer of KCB BHYT (the following writing is Private). 40 /2015/TT-BYT).

2. KCB facilities the district and the equivalent include:

a) KCB facilities the district and the equivalent under regulation at Article 4 Information 40 /2015/TT-BYT;

b) The district health center, district, town, city of the province, the central city-based city that performs the expected reserve function that provides the provision of KCB TB in accordance with the Regulation. 02 /2013/TT-BYT 15 January 2013 by the Minister of Health regulations on the coordination of medical facilities in tuberculosis management; in the case of health care.

c) The private TB specialist hospital ranked equivalent to Grade III, equivalent to Class IV and has not yet been ranked equivalent; the private multi-department hospital is ranked the equivalent of Grade III, equivalent to Class IV and has not been ranked equivalent to scientific expertise. You know

3. Provincial and equivalent KCB facilities include:

a) The provincial and equivalent KCB facilities stipulate at Article 5 Information. 40 /2015/TT-BYT;

b) Hospital Lao and lung disease, Lung Hospital, Hospital with specialized TB and lung disease, central city city;

c) Hospital Lao and Lung Diseases, Lung Hospital, Hospital with specialist tuberculosis and lung disease, the central city of the central city is tasked with treating drug-resistant TB;

d) The private TB specialist hospital is ranked the equivalent of Grade I, equivalent to Grade II; the private multi-department hospital is ranked as equivalent to Grade I, the second equivalent of TB speciation;

The Provincial Medical Center, the central city of the commune with the faculty of the Lao department; the Centre for the Prevention of Social Sciences, the central city of the department of the Lao department; the Centre for the Prevention of TB, the Provincial Defence Station, the central city of the central city; and the Central Committee of the United States. Control of the provincial disease.

4. Central and equal-line KCB facilities include:

a) the KCB facility by regulation at Article 6 40 /2015/TT-BYT;

b) Hospitals, medical institutes have medical beds in the Ministry of Health.

What? 5. All right He ' s a pathology clinic. He ' s treating him.

1. KCB BHYT facilities are eligible for annual KCB TB to add the content of KCB TB by regulation at the KCB BHYT contract.

2. The KCB facility is regulated at Point 3 Article 4 This is responsible for the addition of content on the content of the content, receiving the recipient of the drug resistant TB from other KCB facilities into the KCB BHYT contract.

3. District General Hospital, District Medical Center or other agency with KCB BHYT contract at KCB-line facilities is responsible for the addition of KCB TB content at KCB-line facilities to the KCB BHYT contract.

4. KCB Facility rules at point b, Clause 2 This Privacy Fair has qualified KCB TB is responsible for holding a contract with the Social Insurance agency to host KCB TB.

5. The medical facility stipulated at the Point, Clause 3 This Privacy Department has been granted a KCB operating license that is responsible for signing the KCB BHYT contract with the Social Insurance agency to host KCB TB.

What? 6. Transfer of technical expertise in medical examination, TB treatment

1. The transfer of technical expertise in KCB TB is carried out under the regulation at 40 /2015/TT-BYT, Other specific cases are regulated at the Article 2.

2. The identified cases are the right route of the disease, which cure health insurance:

a) The participant of BHYT contracted tuberculosis, drug-resistant TB, TB condition, laterine registration of the original KCB BHYT at the KCB facility stipulated at Clause 1 Article 4 This message transfers the route to the specified KCB facility at Clause 3 This Article 4;

b) The participant of BHYT has the initial KCB prescriptions for the initial KCB prescriptions at the KCB facility stipulated at Clause 2 This Information transfer the line to the specified KCB facility at Point 3 and Clause 4 This Article 4;

c) The KCB facility rules at point b, Section 2 Article 4 This information transfers KCB people with TB, drug-resistant TB, TB suspects, potential TB to the specified KCB facilities at Clause 2 and Clause 3 This April 4.

What? 7. A And the health insurance.

1. The participant of BHYT when KCB TB is entitled to the rights to the extent to be enjoyed and the degree in accordance with the rule of BHYT and the provisions at this Smart.

2. The BHYT Foundation pays the cost of KCB BHYT for potential TB with a BHYT card.

3. The KCB facility case is not qualified to perform technical services then transfer the sample of the disease (e.g. blood, urine, body fluids, translation, sputum, tissue, etc.) or the person who is sick to the KCB BHYT facility is qualified for testing, diagnosis, and diagnosis. image to diagnose tuberculosis. The BHYT Foundation pays the cost of carrying out the technical services to the KCB facility where the sample transfer of the disease, the patient goes or cost the cost to the KCB facility where performing technical services at the expense of the approved authority at the facility where the service is performed. the engineering case.

4. The KCB facility case does not have anti-TB drugs to treat the person who is treating the other disease detected with TB, the accompanying drug resistant TB but cannot transfer the person to another KCB facility that is done as follows:

a) The sick person is used for anti-TB drugs provided by the specialist TB KCB facility after a conference between two KCB facilities;

b) The BHYT Foundation pays the cost of the drug for the KCB facility where the drug receives.

5. The KCB facility case is likely to use specialized required drugs in KCB TB, drug-resistant tuberculosis (anti-TB and other drugs) in the category of medications that are under the BHYT fund ' s payment range but in addition to the rank-based range. of the KCB facility, the KCB facility reports the Ministry of Health (for facilities subordinated to the Ministry of Health) or the Department of Health (for facilities under the Department of Health and Department, industry on the province, city) to unify with Vietnam Social Insurance or Provincial Social Insurance, The central city is added to the list of medications used at the KCB facility.

What? 8. The organization performs

1. Department of Health of the Provinces, Central City

a) Command the implementation of the medical facilities that implement the implementation of the content prescribed in this Information;

b) Chair, in collaboration with the Provincial Social Insurance, the central city-central city defines the technical expertise in the addition of the drug portfolio at the prescribed KCB facilities at Section 5 Article 7 This Privacy;

c) In coordination with the Provincial Social Insurance, the central direct city guidelines for the implementation of the KCB BHYT contract at the KCB facilities that are eligible for KCB TB by regulation;

d) Coordinated with the agencies, organizations that are common in relation, guide participants BHYT with tuberculosis, drug-resistant TB, tuberculosis and potential TB of carrying out the laws of the BHYT, the law on the prevention of TB and regulations in the United States. Hey.

Built, the grant has the authority to decide the mechanism, the support level for the contracting person with a BHYT card in addition to the return portion of the BHYT fund from the KCB Foundation to the poor and other legal costs under the regulation.

2. Vietnam Social Insurance directed the Social Insurance of the provinces, the central city of the central city:

a) The implementation of the KCB BHYT contract and the cost payment of KCB BHYT for tuberculosis, drug-resistant TB, tuberculosis, laterally TB and the use of medical services related to KCB TB in the guidelines at this message and the laws of law on it. BHYT, the regulation of KCB TB and other law regulations is relevant;

b) Unity with the KCB facility how to pay the cost of the disease, cure for the specified case at Clause 3 and Clause 4 Article 7 This Information ensures the rights of the BHYT participant in accordance with the regulation.

3. KCB facilities under regulation at Article 4 This message is responsible:

a) The implementation of the KCB and the cost payment of KCB BHYT by the rule of the BHYT law and regulations at this Smart;

b) Implementiation of KCB for people with tuberculosis, drug-resistant TB, tuberculosis, laterine tuberculosis and the use of medical services associated with KCB TB to secure the rights to BHYT participants by regulation;

c) The KCB facility where the drug receives coordination with the KCB facility where the drug level and the Social Insurance agency to perform the cost payment of the prescribed medicine at paragraph 4 This Privacy;

d) KCB organization for people with tuberculosis, drug-resistant TB, tuberculosis, laterine tuberculosis and the use of medical services related to KCB TB in the direction of diagnosis, treatment, and tuberculosis prevention of the Ministry of Health.

What? 9. Effect of execution

It has been in effect since 1 May 2016.

What? 10. Terms of reference

The case where the text that is shown in this message is replaced or modified, supplemable, the written application has been replaced or the text has been modified, added.

In the process of organizing, if there is difficulty, the entanging of the agencies, the organization, the individual reflects on the Ministry of Health for consideration, the ./.