Our city issues the application process for the designated medical insurance for the implementation of the medical institution

In order to do a good job in the access of pharmaceutical institutions, recently, the Municipal Medical Security Business Management Center issued the notice of the "Shantou Pharmaceutical Institutional Medical Institution Fixed -point Application Process (Interim)", which clarified the basic conditions and materials of the fixed -point application of the pharmaceutical institution, and the application process for the application process, etc. matter.

If the process is clear, if there is one of the following circumstances to apply for a fixed -point pharmaceutical institution, the medical insurance agency shall not accept the designated application: medical institutions take non -basic medical services such as medical beauty, auxiliary reproductive, living care, dental implants, etc. ; Basic medical services have not implemented the medical price policy formulated by the administrative department of the medical security; those who fail to perform administrative penalties in accordance with the law; apply for the qualifications of designated medical institutions such as fraudulent means, and those who have been spontaneously set up for less than 3 years; due to illegal laws; Those who have been lifted the medical insurance agreement for less than 3 years or have been over 3 years but have not fully fulfilled the legal responsibility of administrative penalties; the termination agreement for less than one year or over 1 year due to serious violations of the medical insurance agreement is not fully fulfilled ; The legal representative, the main person in charge, or the actual controller had been lifted the medical insurance agreement due to serious violations of laws and regulations. Other situations that are not accepted according to law. If retail pharmacies fail to perform the responsibility of administrative penalties in accordance with the law; apply for fixed retail pharmacies such as fraud and other unf oppresses means, which will not be over 3 years from the date of its spontaneous discounting; Those who fully fulfill the legal liability of administrative punishment; those who have been lifted for the medical insurance agreement for violation of the medical insurance agreement for less than one year or have been fully fulfilled for the liability for breach of contract; Those who have caused the original fixed -point retail pharmacy to be lifted by the medical insurance agreement for less than 5 years; the legal representative, the head of the enterprise, or the actual controller are included in the list of the dishonest;

According to the process, the qualification assessment work has been completed within 3 months from the date of acceptance of data review. For the pharmaceutical institutions that evaluate the qualified agreement to be signed, the medical insurance agencies and their rights and responsibilities of the two parties shall be negotiated with the scope of service scope, the payment standards involved in the service content, and the content of the service content provided by the pharmaceutical institution. If the agreement is reached, the two parties voluntarily signed a medical insurance agreement, and the period of the medical insurance agreement is generally one year. The medical insurance agency shall sign the designated pharmaceutical institution information to the same level of the medical insurance administrative department within 5 working days of the signing of the medical insurance agreement, and the information of the designated pharmaceutical institutions that sign the medical insurance agreement to the society, including the name, address, and service scope. For insured persons to choose.

(Source: Shantou Daily)

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