Circular 37/2015/ttlt-Byt-Btc: Unified Regulating Price Examination, Cure Health Insurance Between The Hospitals Nationwide Class

Original Language Title: Thông tư liên tịch 37/2015/TTLT-BYT-BTC: Quy định thống nhất giá dịch vụ khám bệnh, chữa bệnh bảo hiểm y tế giữa các bệnh viện cùng hạng trên toàn quốc

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DEPARTMENT OF HEALTH CARE
Number: 37 /2015/TTLT-BYT-BTC
THE SOCIALIST REPUBLIC OF VIETNAM.
Independence-Freedom-Happiness
Hanoi, October 29, 2015

FEDERAL INFORMATION

Planning to unify the health insurance epidemic, cure health insurance.

They ' re in the middle of the world ' s hospitals. c

____________________

The School of Law Discovery, healing November 23, 2009;

The Cost of Law on June 20, 2012;

The amended Law Base, which complements some of the provisions of the Health Insurance Law June 13, 2014;

Base of Protocol 85 /2012/NĐ-CP October 15, 2012 Government of the Government on the Mechanism Of Operation, the financial mechanism for public health career units and the price of medical examination, the treatment of the disease facilities, the healing of public health;

Base of Protocol 16 /2015/NĐ-CP February 14, 2015 of the Government rules the autonomy of the public career unit;

Base of Protocol 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 215 /2013/ND-CP December 23, 2013 of the Government stipulated the functions, duties, powers, and organizational structure of the Ministry of Finance;

Minister of Health, Minister of Finance of the Ministry of Finance issued a uniformly consistent regulatory pricing of the disease, treating the health insurance among the national hospitals of the country.

What? 1. The adjustment range

1. This federated information regulates the price of the disease, treating the health of health insurance among the countries of the country.

2. For the disease services, the treatment is not subject to the scope of the payment from the health insurance fund, the price frame and the authority that regulates the specific price done by the regulation at the Law Price, the Clinic Law, Treatment, and Relevant Instructions.

What? 2. Subject applies

Medical facilities, units, organizations and individuals are involved in the course of the examination, healing and payment, the cost of the disease, treating the disease according to the health insurance regime.

What? 3. The service price of the disease, cure health insurance

1. The price of a medical exam, the treatment of the disease:

a) The service price of the disease specified in Annex I issued with this Relevant Information;

b) The date of the prescribed treatment bed at Annex II issued with this Conventional Collusion;

c) The price of the technical services specified in Appendix III is accompanied by this Relevant Information.

2. The medical examination price, the treatment of the prescribed disease at Clause 1 This includes the following expenses:

a) Direct expense:

-Cost of drugs, fluids, chemicals, consumerants, alternative supplies.

For some drugs, blood, transplants, chemicals, consumerant supplies, alternative supplies are not included in the price of medical discovery, the treatment of regulation at Appendix III is accompanied by this Relevant Information: based on the actual amount of use. It ' s for the sick, the buying price, the scope and the regulation of the law.

-Cost of electricity, water, fuel, waste disposal, environmental hygiene;

-Maintenance costs, equipment maintenance, tool replactions, tools.

b) The cost of permanent subordinate, surgical subside, the procedure (the following calls for a particular subsection) by regulation at Decision No. 1 73 /2011/QĐ-TTg December 28, 2011 by the Prime Minister on the stipulation of certain modes of special reliance on civil service, officials, workers in the public health facilities and the anti-translation sub-regime;

c) The cost of salaries according to the rank of rank, office, allowable allowable allowable subterms of the State of the State for the Public Career Unit; minus the provisions of the rule in paragraph 3 This.

3. The service price of the medical examination, the treatment of the prescribed disease at Clause 1 This does not include the regime-made-in-the-state budget states that govern the following texts:

a) Protocol number 64 /2009/NĐ-CP July 30, 2009 by the Government on Policy to the cadres, the medical official in the region has a particularly difficult economic-social condition;

b) The arithmetic decree 116 /2010/NĐ-CP December 24, 2010 The Government's Government on Policy, Public Administration, and Litigation of the Armed Forces of the Armed Forces of the Armed Forces of the United States is particularly difficult;

c) Decision No. 46 /2009/QĐ-TTg March 31, 2009 by the Prime Minister of the Government of the Government of the Government of the Government of the Government of the Government of the Government of the Government of the Government of the Government of the Government of the Government of the Government of the Government of the United States of Friendship, Hospital C Da Nang Hospital of the Ministry of Health, Department of Health Protection 1, 2, 2B, 3 and 5, Faculty A11 Central Military Hospital 108 and Faculty A11 Academy of Cervical Medicine (later called the No. No. 46 /2009/QĐ-TTg ) and Digital Decision 20 /2015/QD-TTg June 18, 2015 by the Prime Minister on the amendment, adding some of the provisions of the Digital Decision. 46 /2009/QĐ-TTg;

d) A paragraph 8 Article 6 Protocol 204 /2004/ND-CP December 14, 2004 The Government on the Wage Regime for the cadres, civil union, the official and the armed forces and the digital decree 76 /2009/NĐ-CP September 15, 2009 by the Government on amendments to some of the provisions of the Digital Protocol 204 /2004/ND-CP.

4. Rules of regulation at paragraph 2 This is determined on a rating basis issued by the Ministry of Health.

5. The price level of the medical examination services, the treatment of regulation at the Appendix accompanied by the Relevant Information, is considered by the Ministry of Health-the Ministry of Finance review, which regulates when the element of the price form changes.

What? 4. Apply the disease service price, cure health insurance in some cases, including:

1. The services of the disease, healing is not specified by the specific price on this Applicable Information: apply at the price level of the services assigned by the Ministry of Health in terms of engineering and the cost of execution.

2. The surgery, the procedure that has not yet been technically equivalent to the technical and cost of performing at the same time has not specified the specific price: applying the corresponding price to each surgical type, the procedure at the "surgery, the other remains" of each individual. It is dedicated to the United States Department of Appendix III.

3. The new Technical Services pursuant to Clause 1, paragraph 2 Article 69 The Law of the Disease, the cure, and other technical services are not yet regulated: applying the price to the Ministry of Health defined after the Ministry of Finance's unanimous opinion. The sequence, the statute of limitations, and the filing of the price variation in terms of the law of the price.

4. Hospitals with a hospital bed, a provincial health center that functions to find the disease, cure the disease; the district health center performs both the disease and disease functions; the treatment has been ranked: applying the price level of the equivalent class hospital.

5. Hospitals with hospital beds, medical infirmary, unranked treatment team; polyclinic, specialist, midwife; family doctor clinics; the medical clinic; the district medical center where the hospital has separated the hospital but has a medical examination, healing; medical station, ward, town; agency health, unit, organization, school; medical clinic, medical clinic, medical infirmary; hospital; uncharted hospital and other medical treatment facilities: applying the price of a class hospital. IV at the Appendix issued with this Relevant Information.

6. Clinic facilities, private treatment:

a) A disease price of the disease, the value of the date of the treatment: The health insurance organization united with the basis of the disease, the private treatment applies the price of one of the prescribed hospital classes at Annex I and Appendix II issued by this same information.

b) The services to the disease, curing the disease not part of this Point: The health insurance organization united with the basis of the disease, the private treatment applies the price specified in Annex III issued by this Article

What? 5. Roadmap

1. The price level of direct and special costs is made since March 1, 2016.

2. The price of a direct cost, the extra charge and the salaries are made since July 1, 2016. The timing of the specific implementation of the units, the locality is reviewed by the Ministry of Health, decided.

3. The medical examination facilities, curing the body with a taxable jurisdiction are the regular self-guarantee unit, the self-reassuring unit regularly and the investment spend is made in the price of direct costs, the privileged subside, and salaries since January 1. 3, 2016.

What? 6. Organization to execute

1. The Ministry of Health is responsible for regulating the portfolio of technical equivalent services and the cost of carrying out the service as a basis applicable to the prescribed price at Clause 1 Article 4 of this.

2. The Ministry of Health is responsible for presiding, in coordination with the Ministry of Finance, the Vietnam Social Insurance organization implementation and inspection, which oversees the implementation of this Privacy.

3. The Ministry of Finance is responsible for coordinating with the Ministry of Health, the Vietnam Social Insurance organization, which oversees the implementation of this Privacy Policy.

4. Vietnam Social Insurance directed local Social Insurance, Ministry of Defence Social Insurance, Social Security Insurance Social Security performs a payment of the cost of the disease, treating health insurance by regulation at this Federal Yugoslavia; in coordination with the Ministry of Health and Social Security. Health and the Ministry of Finance examined, supervising the implementation of this Relevant Information.

5. The state budget guarantees the provisions of the regulatory regime in the written states at the Article 3 Article 3 of this article by regulation and the distribution of the current budget.

6. Source from the service of the disease, cure the health insurance of the public health facility that is left with the prescribed use unit. The unit ' s case of financial resources does not guarantee regular activity, granted a taxable authority as a self-assured career unit that ensures a regular portion of the regular or public career unit guaranteed by the State to operate regularly, continuing on. is budget-guaranteed by the state budget.

What? 7. The reference clause

Where the text of the text that is shown in this Federal Information is replaced or modified, supplemated by an alternate text or text that has been modified, supplemable.

What? 8. Terms of execution

This joint venture has been effective since 1 March 2016.

What? 9. The transition clause

For the person with the treatment that begins before and the end after the implementation of the regulatory rates at Article 5 This link: apply the price of medical insurance according to the regulation of the competent level at the time adjoining the time of time. The price of regulation is specified in Article 5 of this federation until the hospital or the end of the outpatient treatment.

In the course of implementation if there is difficulty, the entanging of the units, the locality reflects on the text of the Ministry of Health and the Ministry of Finance for consideration, resolve.

KT. Minister of Health.
Chief.

KT. MINISTER OF FINANCE
Chief.

(signed)

(signed)

Mr. Lê Tuan

Xiaowen Chen