Payment time for medical insurance for hemiplegia, cerebral palsy rehabilitation training is extended

Text/Yangcheng Evening News all -media reporter Chen Hui

The reporter learned from the Guangdong Provincial Medical Security Bureau that in order to further standardize the scope of medical insurance payment and enhance the fairness of medical services enjoyed by the participating people, Guangdong Province has implemented the "Guangdong Provincial Basic Medical Insurance, Work Injury Insurance and Maternity Insurance from July 1 The Catalog of Diagnosis and Treatment (2022) and the "Catalog of Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Medical Consumption (2022)", some of which extended medical insurance payment time for some rehabilitation items.

These rehabilitation projects extend medical insurance payment time

According to reports, a total of 4,337 diagnosis and treatment items were included in the catalog of 2022, which adjusted the limited payment scope of 12 rehabilitation projects, extended the time of medical insurance payment, and further supported the rehabilitation treatment of patients participating in the insurance.

Among them, three rehabilitation projects such as "large joint loosening training" and "electric standing training" have been extended to 90 days, and 9 rehabilitation projects such as "comprehensive training of hemiplegia" and "balance training" have been extended to 180 days. The cost of medical insurance for the "comprehensive training of cerebral paralytic limbs" before the age of 3 at the age of 3 can be paid for 12 months according to regulations.

Patients with hemiplegia and children with cerebral palsy have obvious benefits

Jia Chao, deputy director of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, introduced in an interview that "comprehensive training of hemiplegiability" is suitable for the restoration of limb functional function in patients with stroke. It is generally believed that the sooner the recovery, the better. "Stroke recovery period", that is, the golden period of rehabilitation training, is more than 6 months as the "sequelae of the stroke", and the rehabilitation training effect is not significant. In the 2021 "Catalog of Basic Medical Insurance, Work Injury Insurance, and Maternity Insurance Diagnosis and Treatment Projects in Guangdong Province", the medical insurance payment time for the "comprehensive training of hemiplegia limbs" project for "comprehensive training" project was 3 months, which means that patients had to rehabilitate for more than 3 months after rehabilitation training. At your own expense. The medical insurance payment time of this project in the diagnosis and treatment catalog was extended to 180 days, which is about 6 months. It can be said that the recovery of most patients with stroke patients with hemiplegia.

According to statistics, the incidence of cerebral palsy in my country is 2.48 ‰, and there are many means of cerebral palsy intervention. "Comprehensive training of cerebral palsy limbs" is one of the means of intervention. It can have obvious benefits. Children with cerebral palsy are 3 years before the age of 3. It is understood that before 3 years old, "comprehensive training of cerebral palsy limbs", medical insurance can pay 6 months in accordance with regulations, and the cost of 3 months can be paid for 3 months per year. In the diagnosis and treatment catalog in 2022, children under the age of 3 receive "comprehensive training of cerebral paralysis limbs". Medical insurance can pay 12 months in accordance with regulations, and medical insurance for children 3 to 7 years old can pay 6 months in accordance with regulations.

Source | Yangcheng Evening News · Yangcheng School

Editor -in -law | Wang Moyi

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