The Sichuan Provincial Medical Insurance Bureau issued 9 measures to ensure the treatment of mass medical treatment in the earthquake -stricken area
Author:Chuanguan News Time:2022.09.06
Chuanguan News reporter Liu Chunhua
On September 5, a magnitude 6.8 earthquake occurred in Luding County, Ganzi Prefecture. In order to implement the deployment requirements of the national and provincial and provincial governments, further do a good job of post -disaster medical insurance work, and make every effort to ensure the safety of the lives and property of the people in the disaster area. On September 6, the Sichuan Provincial Medical Security Bureau proposed 9 measures for post -disaster medical security work. At the same time, Ganzi Prefecture, Ya'an, and related cities (states) Medical Security Bureau should monitor the dynamic situation of drug prices in the earthquake -stricken area to ensure that urgently need drugs in a timely and effective supply; strengthen the supervision of medical insurance funds, resolutely crack down on having beds and hospitalization, false hospitalization and other fraud Deception, maintain the order of medical treatment in the earthquake -stricken area, and ensure the safety of medical insurance funds.
9 measures are ———
The medical expenses incurred by the patients who participated in the basic medical insurance were paid according to the relevant medical insurance policies, and the urban and rural medical assistance conditions were included in the scope of rescue in accordance with regulations. Persons who have not participated in the disaster due to basic medical insurance have implemented an emergency measure of "no treatment waiting period and insurance can enjoy related treatment".
The personal payment required by the subsistence allowances of the disaster -stricken areas and the special poverty -stricken supporters to participate in urban and rural residents' medical insurance shall be funded by urban and rural medical assistance funds in accordance with regulations.
Due to disasters caused by emergency and rescue injuries, the basic medical insurance payment scope of drugs and diagnosis and treatment items that must be used can be temporarily included in the payment scope of basic medical insurance funds.
The medical expenses of the urgent treatment of the insured in the non -fixed -point medical institution due to disaster injuries may be included in the payment scope of basic medical insurance funds in accordance with regulations.
If the insured person is injured and the insured person needs to be medical treatment due to treatment, it can be treated and filed first.
The medical expenses that are in accordance with the policy stipulated by the injured injuries are directly settled by the medical insurance agencies and medical institutions at all levels; if they cannot settle the settlement procedures, shorten the settlement cycle, and effectively reduce the burden on the pads of the injured in the disaster.
For the need for treatment of people who are injured in the disaster but not on the provincial pharmaceutical weapon's centralized procurement platform, the green filing procurement channel is opened in accordance with regulations. Medical institutions may implement first -procurement and filed for urgent need of medicines.
Corresponding to the medical expenses of emergency treatment during emergency treatment, the medical expenses of the rescue of the injured are not included in the total budget management of fixed -point medical institutions, and the paid settlement scope of paid and perfuge (DIP) is not included in the disease diagnosis -related group (DRG).
For medical institutions that be responsible for the treatment of injuries, medical insurance agencies have pre -allocated some medical insurance funds in a timely manner to ensure that the injured persons are treated in a timely manner.
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