The latest notice of Hebei!It's about seeing a doctor ...

In order to continue to improve the sense of obtaining, happiness, and security of the people in different places, in accordance with the National Medical Insurance Bureau and the Ministry of Finance's "Notice on Further Doing Basic Medical Insurance Cross -Provincial Different Places Direct Settlement Work" (Medical Baofa [2022] 22 22 Number) Spirit, on September 7, Hebei Provincial Medical Insurance Bureau and the Provincial Department of Finance took the lead in issuing the "Notice on Further Optimizing Basic Medical Insurance Cross -Provincial Different Places to Direct Settlement Services" (Hebei Medical Insurance Regulations [2022] No. 6) The simultaneous integration of the "Detailed Rules for the Direct Settlement Implementation of Basic Medical Insurance Cross -provinces in Hebei Province" was synchronized.

Cross -provincial medical treatment is determined

Cross -provincial medical personnel mainly include: long -term residents of inter -provincial and different places, including retirees in different places, long -term residents in different places, and personnel in foreign provinces who have worked, residents, and live in foreign provinces. Including the referral of medical treatment, due to work, travel and other reasons for different places emergency rescue personnel, as well as other inter -provincial temporary medical treatment members.

Destroy the registration channel for medical treatment in different places to expand the outpatient clinic without filing

The notice proposes to broaden the channel for medical treatment for cross -provinces. Different places are hospitalized for record management. Do not request records in different places. In the province's original filing channels, a variety of registration and filing channels are added to the national medical insurance service platform APP and the national medical treatment applets. Extend the validity period of the medical treatment for inter -provincial and different places. Long -term residents for long -term residents have been valid for a long time; temporarily goes out to the medical staff for the validity period for one year.

Further regulations for medical settlement standards further standardized

In terms of direct settlement treatment for cross -provinces, the notice clearly clearly supports long -term residents of cross -provincial and different places to enjoy medical insurance treatment in both ways. When the long -term residents in different places need to return to the cosmetic place for medical treatment within the validity period of the record, in principle, not lower than the level of treatment of inter -provincial referrals and transfer to hospital; if it meets the regulations for medical treatment and filed percentage point. Standardize the policy of reimbursement treatment for inter -provincial temporary medical reimbursement. In principle, the percentage of the payment ratio of the referral personnel and the emergency rescue personnel in different places does not exceed 10 percentage points. The decline in the payment ratio of non -emergency and unprecedented inter -provincial temporary inter -provincial temporary medical staff does not exceed 20 percentage points. Realize that there is no third -party responsibility for external injuries and cross -provincial medical treatment directly. The medical expenses that meet the regulations of the local medical ground management and confirm that the incomplete injuries without third -party responsibilities are included in the direct settlement scope of cross -provincial medical treatment.

In addition, the notice proposes to strengthen the cooperative management of medical care business. The medical insurance departments at all levels should improve the working mechanism to form a cooperative management system for cross -provincial medical care business. It comprehensively improves the cooperative management capabilities of medical insurance agencies at all levels in terms of problem collaboration, online reimbursement, expenses, and information sharing. Coordinated management of medical business in different places.

Source: Hebei Provincial Medical Security Bureau website

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