IT ' S SMART

Guidelines for the implementation of the disease, cure health insurance for people infected with HIV

and users of HIV/AIDS-related health services.

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Health Insurance Law Base;

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

The Prevention of Defense, Anti-Virus Infection, causes an epidemic of HIV/AIDS.

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 105 /2014/ND-CP November 15, 2014 of the Government rules the details and guidelines for the implementation of some of the provisions of the Health Insurance Act;

The Minister of Health issued the practice of conducting an examination of the disease, treating health insurance on people with HIV and the use of HIV/AIDS-related health services as follows:

What? 1. The tuning range, subject

1. The basis of the disease, healing of health insurance (BHYT).

2. The basis of the disease, treating BHYT treatment with HIV-resistant drugs (later called ARV drugs) for people with HIV.

3. Medical Facility treatment of ARV drugs by regulation at Digital Information 09 /2011/TT-BYT 26 January 2011 by the Minister of Health for the condition and the professional scope of the medical facility in ARV drugs contracted the disease, treating BHYT.

4. participant of HIV infection, participant BHYT uses HIV/AIDS-related health services.

5. This information is not adjusted for HIV-based BHYT participants who are being managed at detention camps, detention facilities, detention facilities, compulsory education facilities, school of education, mandatory rehab facilities, social protection facilities.

What? 2. Common Principles

1. The person who joined BHYT infected with HIV when he discovered, treating HIV/AIDS and BHYT participants when using HIV/AIDS-related health services was entitled to the benefit of the disease, treating BHYT according to the scope of the rights and regulation of the law. About BHYT.

2. The participant of HIV infection is exploring, treating the disease at medical facilities treated with ARV drugs when there is a need to continue to be discovered, treating HIV/AIDS at that facility according to the regulation at No. 1. 32 /2013/TT-BYT October 17, 2013, of the Minister of Health guidance management, monitoring the treatment of HIV-infected people and people exposed to HIV to ensure favorable access to treatment, maintain stability and effectiveness in the management of care, treatment and care, and the treatment of patients. HIV/AIDS.

3. Pay the cost of an examination, cure for HIV/AIDS between the facility of the disease, cure the disease with the social insurance organization implemented by the rule of the BHYT law. The BHYT Foundation does not pay the cost of the disease, treating the disease for the patient with a BHYT card but those costs have already been funded by the state budget (national health target program, ODA aid projects, etc.) or other legal capital resources. Pay.

What? 3. The contract to examine the disease, cure health insurance

1. The medical examination facilities, which cure BHYT for the addition of medical treatment, treat HIV/AIDS in accordance with this information on the medical examination, treat BHYT annually with the social insurance organization.

2. The ARV drug treatment facility in the district health center, district, town, provincial city, center for HIV/AIDS, the provincial health center, the city and other medical treatment facilities, healing other diseases that are eligible for medical treatment, treatment and disease. The law of law is in charge of contracting the social insurance organization to organize the disease, cure the disease, pay the costs of the disease, treat BHYT for HIV/AIDS.

3. District General Hospital or district health center, district, town, provincial city, agency, unit is contracted to the social insurance organization on the examination, treating BHYT at the township health station and equivalent to the responsibility to add the content to the clinic. Disease, treatment of HIV/AIDS in the contract, cure BHYT at medical stations and equities.

What? 4. Register the medical exam, cure the initial medical insurance

1. The participant of HIV infection is registered to examine the disease, cure the original BHYT at the medical examination facilities, treating the disease according to the prescribed illness. 37 /2014/TT-BYT November 17, 2014 of the Minister of Health guidelines for the registration of the disease, the initial treatment and the transfer of the disease, treating BHYT.

2. The case with the need, the participant of HIV infection was registered for the disease, the initial BHYT treatment at one of the examination facilities, the treatment of BHYT initially found the disease, treating HIV/AIDS in the district-level site, provincial level.

3. The participant of HIV infection is changed where to register the disease, cure BHYT initially at the beginning of each quarter according to the regulation of the BHYT law under the guidelines of the social insurance organization where the BHYT card releases.

What? 5. Transfer of Disease, cure

1. Transfer the disease route, cure BHYT in accordance with regulation at Article 8, Article 9 Digital News 37 /2014/TT-BYT November 17, 2014 by the Minister of Health for the registration of the medical examination, the initial treatment and the transfer of the disease, the treatment of BHYT.

2. Transfer the disease route, cure the disease between the treatment facilities with ARV drugs, the district, the provincial line, the central line according to the specialized management hierarchy prescribed at the Digital Information. 09 /2011/TT-BYT January 26, 2011, of the Minister of Health for the Health and Antibiotic Treatment of the Health of the Medical Center, the medical facility is treated with HIV and Digital. 32 /2013/TT-BYT October 17, 2013, of the Minister of Health for the management of the management, monitoring the treatment of people infected with HIV and people who are exposed to HIV.

What? 6. Range of rights and health insurance benefits

1. The participant BHYT is infected with HIV and the participant BHYT in the use of health services related to HIV/AIDS is entitled to the benefit of the range of rights, the statutory level of the law on BHYT.

2. The participant BHYT is infected with HIV and the participant BHYT when the use of HIV/AIDS related health services is paid by the BHYT Foundation:

a) Drugs (including ARV drugs), chemicals, medical supplies, technical services belonging to the BHYT fund ' s pay range;

b) HIV testing for women during pregnancy and when childbirth requires specialized in the examination, treatment if not other cost sources pay;

c) The suspension of pregnancy in pregnant women with HIV;

d) Exploring, HIV testing, ARV drugs and disease services, other HIV/AIDS treatment for babies born from mothers with HIV;

The HIV test is required to specialize in medical examination, treatment (except for the cost of HIV testing for the donor body of the human body, who for sperm, ovules);

e) HIV testing, treatment of HIV-resistant drugs for people exposed to HIV, people infected with HIV due to a risk accident (except cases of occupational risk accidents have been paid by the state budget);

) Treatment for an opportunal infection.

What? 7. The organization performs

1. Department of Health of the Provinces, Central City

a) The direction of the examination facilities, healing of the implementation of the implementation of the implementation of the content prescribed in this information;

b) presided over, in coordination with the Provincial Social Insurance, the central direct city guidelines for the specific registration of the examination, the initial BHYT treatment for patients with HIV infection/AIDS;

c) Chair, in coordination with the Provincial Social Insurance, the central city-bound city that guides the implementation of the medical examination, the treatment of BHYT at the facilities of the disease, the treatment of adequate conditions and the scope of specialist treatment with ARV drugs by regulation;

d) Coordinated with the relevant agencies, organizations that are common, instruct the participants of the BHYT infection with HIV implementation of the laws of BHYT, the law on HIV/AIDS prevention and regulations.

2. Social Insurance of the provinces, the central-central city is responsible for the signing of the medical examination, the treatment of BHYT and payment of the cost of the disease, treating BHYT for HIV infection and the participant BHYT when using HIV-related medical services. following guidelines at this message and the provisions of the law on BHYT, the regulation of disease discovery, HIV/AIDS treatment, and other laws of law are related.

3. The medical examination facilities, the treatment for regulation at Clause 1, 2 and 3 Article 3 This message is responsible:

a) Implementiation of the disease, treating BHYT for HIV people and participants of BHYT when using HIV/AIDS-related health services, ensuring the rights to the BHYT participants by regulation;

b) Perform the disease, cure HIV/AIDS according to diagnostic guidance, treatment of HIV/AIDS and management guidelines, monitoring the treatment of people infected with HIV and who is exposed to HIV by the Department of Health;

c) In coordination with the social insurance organization that performs the payment of the cost of the examination, the treatment of BHYT pursues to the rule of law on BHYT and the regulations at this Smart.

What? 8. Reference clause

1. Digital News 09 /2011/TT-BYT 26 January 2011 by the Minister of Health for the condition and the professional scope of the medical facility treated with HIV-resistant drugs.

2. Digital News 32 /2013/TT-BYT October 17, 2013, of the Minister of Health for the management of the management, monitoring the treatment of people infected with HIV and people who are exposed to HIV.

3. Digital News 37 /2014/TT-BYT November 17, 2014 by the Minister of Health for the registration of the medical examination, the initial treatment and the transfer of the disease, the treatment of BHYT.

The case of this reference text has alternative or modified text, the addition then execution of an alternate text or modified text, supplematuation.

What? 9. Effect of execution

1. This information has been in effect since August 15, 2015;

2. In the course of execution, if there is difficulty, entanged, recommend the units, local report of the Ministry of Health to timely review, resolve.