Inpatient bed extra bed into the medical insurance reimbursement! Thirteen measures to strengthen the epidemic prevention and control medical security in Chengdu

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Today, the Red Star News reporter learned from the Chengdu Municipal Medical Insurance Bureau, December 27, the Municipal Medical Insurance Bureau held a mobilization meeting on the new phase of the epidemic prevention and control of medical insurance services, focusing on the requirements of the municipal government on the prevention and control of the epidemic, around the epidemic prevention and control of services to arrange and deploy the work, and considered the city’s medical insurance system on the new phase of the epidemic prevention and control of the people to help enterprises related initiatives.

The “Do a good job in the new stage of the epidemic prevention and control “to help the people and enterprises – medical insurance 13” work measures have been introduced, as follows.

First, open a green channel for the supply of scarce drugs. The health department to develop the “new coronavirus infection pneumonia treatment program” involved in the drugs (medical supplies) to open a green network channel to help medical institutions to connect to the provincial drug and machinery procurement platform to carry out “first purchase after the record” temporary procurement. The establishment of key supply enterprise communication and liaison mechanism, real-time monitoring of the provincial pharmaceutical procurement platform procurement supply situation, to protect the timely distribution of drugs (medical supplies) in place.

Second, the hospital bed extra bed into the medical insurance reimbursement. In the new stage of epidemic prevention and control, the designated medical institutions overloaded with inpatients, the occurrence of inpatient bed extra bed behavior, as a normal bed service into the medical insurance reimbursement, not as an agreement to manage the number of beds assessment matters.

Third, the inter-hospital transfer of hospital preparations of Chinese medicine into the medical insurance reimbursement. Hospital preparations of traditional Chinese medicine approved by the drug regulatory department for use as antipyretic, analgesic and other functions are given priority to be included in the scope of health insurance payment in accordance with the regulations, and hospital preparations of traditional Chinese medicine used for cross-region transfer are included in the scope of health insurance payment in accordance with the regulations.

Fourth, support the public online medical consultation. Encourage eligible designated medical institutions to provide “Internet +” medical services in accordance with the prescribed procedures, to achieve registration, consultation, purchase of drugs integrated medical insurance online settlement, to achieve designated medical institutions “Internet +” medical services and offline medical services to implement the The same catalog, medical insurance payment categories and payment standards.

V. Pre-allocation of medical institutions’ treatment costs. According to the actual situation of the designated medical institutions, in principle, the advance payment will be fully allocated before January 5, 2023, in accordance with the standard of the average monthly payment of medical insurance for 2 months.

Sixth, strengthen the security of supply of drugs for special groups of people. Further optimize the process of handling according to drug coverage, relax the scope of genetic testing report recognition, for non-recognized, non-treatment medical institutions issued by the examination and test reports, allowing recognized medical institutions to adopt after a comprehensive assessment.

Seven, allowing medical institutions to cross-department, cross-professional implementation of rescue and treatment. Encourage medical institutions to optimize departmental settings, allowing interdisciplinary and interprofessional reasonable admission of seriously ill patients, the medical costs incurred in accordance with the provisions of the medical insurance payment range.

Eight, to protect the treatment of disabled persons. The insured apply for long term care insurance treatment through online, offline or on behalf of the staff, timely review and acceptance in accordance with the provisions. After the assessment of the conditions of entitlement, long-term care insurance treatment from the date of acceptance by the medical insurance agency 12 working days, according to the provisions of the calculation of treatment payment start time. Due to the new coronavirus infection suspended standardized training, training suspension time does not count in the home care staff within the three-month training time limit.

Nine, the establishment of medical insurance funds fast review and allocation mechanism. Accelerate the liquidation of designated medical institutions, designated medical institutions, designated retail pharmacies to initiate the liquidation of the application costs, no audit, 7 working days to allocate in place; need to audit, 20 working days to allocate in place.

X. Accelerate the allocation of surplus retained funds for the collection of pharmaceuticals. In accordance with the principle of allocating as much as possible, within 20 working days for medical institutions in accordance with the provisions of the surplus retained funds for personnel incentives to provide financial support.

Eleven, to promote the convenience of fever treatment service stations into the full coverage of medical insurance outpatient network settlement. In accordance with the Municipal Health Commission “renovation of nucleic acid sampling chamber construction fever diagnosis and treatment station pilot program” to complete the renovation, and by the city’s health insurance designated grassroots public welfare medical institutions managed by the convenient fever diagnosis and treatment service station, the local health insurance departments to guide the completion of the record, in accordance with the provisions of the health insurance network settlement management.

Twelve, continue to improve the capacity of medical services in rural areas. The fever clinics (outpatient clinics) set up in eligible village health offices are included in the management of medical insurance network settlement according to regulations, and the outpatient medical fees incurred during the period are not included in the general control management of urban and rural residents’ outpatient clinics and general medical fees in designated medical institutions.

Thirteen, increase medical insurance matters “help to do”. The company’s main goal is to provide the public with the best possible information on how to use the services of the company. For those who can’t finish on the spot, they can help and do it on their behalf and finish in 2 working days.