Notice on the Declaration of Medical Insurance Designated Medical Institutions and Designated Retail Pharmacies in Xi'an City
I. Scope of Declaration
The following medical institutions that have obtained the license to practice as a medical institution or the certificate of record for Chinese medicine clinics, as well as the military that have the qualification of serving the civilian population, approved by the competent authorities of the army Medical institutions can apply for medical insurance designated:
1. General hospitals, Chinese medicine hospitals, Chinese and Western medicine hospitals, ethnic hospitals, specialized hospitals, rehabilitation hospitals;
2. Specialized disease control hospitals (institutes, stations), maternal and child health care hospitals;
3. Community health service centers (stations), central health centers, township health centers, street health centers, outpatient clinics, clinics, Health center (station), village health room (office);
4. Independent emergency center;
5. Hospice centers, hemodialysis centers, nursing homes;
6. Pension institutions within the medical institutions.
Second, the declaration time
Quarterly declaration, the first month of each quarter.
Third, the reporting materials
1. Xi'an City medical insurance designated medical institutions contract application form (Annex 4);
2. A copy of the license to practice medical institutions or traditional Chinese medicine clinic filing certificate or the military medical institutions for the civil service license original and copies;
3. Medical institutions are required to provide a copy of the "private non-enterprise unit registration certificate" and a copy;
4. Medical institution level assessment or supporting materials;
5. Corresponding to the health insurance policy of the internal management system and the text of the financial system;
6. Health insurance related to the medical institution information system related materials;
7. Included in the fixed point of use of the medical security Predictive analysis report of the fund;
8. Xi'an Medical Insurance designated medical institutions to apply for commitment (Annex 5).
Fourth, the process
(a) submit an application
In accordance with the principle of "territorial and hierarchical management combined", the pharmaceutical institutions to all levels of medical insurance agency (Annex 7) to submit a written application, and submit the relevant information.
1. The principle of application of medical institutions: third-class B and above medical institutions to the Xi'an Municipal Health Insurance Service Center to declare, other medical institutions to the affiliated regional health insurance agency to declare.
2. Retail pharmacy application principles: large chain drugstores with more than 50 chain stores (including all types of directly-managed, franchised chain stores) have been included in the fixed-point agreement, which is registered in the New City District, Beilin District, Lianhu District, Yanta District, Weiyang District, Baqiao District, High-tech District, to the city health insurance service center to declare the registration of the Chang'an District, Lintong District, Yanliang District, Gaoling District, Shaanxi District, Zhouzhi County, Lantian District, and the city health insurance service center to declare the registration of the Chang'an District, LinTong District, YanLiang District, GaoLing District, ShaoYi District, ZhouZhi County, and Lantian County to report to the City. The other retail pharmacies will report to their respective regional health insurance agencies.
(B) data review
The health insurance agencies at all levels of the medical institutions to submit information on the completeness, authenticity of the audit, eligible, complete information, acceptance of the application; incomplete information should be received from the date of the material within five working days of the one-time advice to the medical institutions to make up for.
(C) inspection and assessment
All levels of health insurance agencies in accordance with the assessment of designated pharmaceutical institutions (Annex 8), the organization of the assessment team or commissioned a third-party agency, in writing, on-site and other forms of inspection and assessment.
(D) publicize the results
Xi'an Health Insurance Service Center summarizes the results of the investigation and evaluation of the health insurance agencies at all levels, and publicize the assessment of the list of qualified medical institutions, the publicity period of 5 working days.
(E) sign the agreement
The medical insurance agencies at all levels and the public period of no objection to the medical institutions, negotiation, reached agreement, signed the medical insurance service agreement. Medical insurance agencies at all levels will have signed an agreement with the designated list of pharmaceutical institutions reported to the same level of medical security administrative departments for the record, Xi'an City, medical insurance service center will be a summary list to the public and reported to the Municipal Bureau of Medical Security for the record.
Annex 1. Xi'an medical insurance designated medical institutions service agreement.pdf
Annex 2. Xi'an medical insurance designated retail pharmacy service agreement.pdf
Annex 3. Xi'an medical insurance designated medical institutions should have the conditions.doc
Annex 4. doc
Annex 5: Letter of Commitment of Xi'an Medical Insurance Designated Medical Institutions. doc
Annex 6: Application Form for Contracting of Xi'an Medical Insurance Designated Retail Pharmacies. doc
Annex 7: Addresses and Contact Numbers of Xi'an Medical Insurance Authorized Institutions. doc
Annex 8: Evaluation of Xi'an Medical Insurance Designated Pharmaceutical Institutions. doc
Annex 7: Addresses and Contact Numbers of Xi'an Medical Insurance Authorized Institutions.
Annex 8.