Application for basic medical insurance designated medical institutions must have the conditions: 1, in line with the regional medical institutions set up planning. 2, in line with the standard for accreditation of medical institutions. 3, to comply with the national and municipal laws, regulations and standards relating to the management of health care services, there is a sound and perfect medical services management system. A, the development and implementation of the Health Bureau of medical quality management standards of the common medical clinic;
B, there are drugs, medical equipment, medical materials, medical statistics, case management, financial and other management systems;
C, accurately provide outpatient emergency, hospitalization, single-patient costs and other relevant information.
4. Strictly implement the prices and charges of medical services and medicines set by the national and municipal price departments, and pass the inspection of the price departments.
5. Strictly implementing the relevant policies and regulations of the basic medical insurance system, establishing an internal management system compatible with the management of basic medical insurance, and equipping it with full-time (part-time) management personnel and specialized equipment.
A, according to the volume of business with a reasonable number of full-time (part-time) management personnel, and the Office of medical insurance in charge of the President of the Office;
B, equipped with the necessary computers and other equipment to meet the requirements of the medical insurance messaging system;
C, timely and accurate provision of participants in the medical costs of the information and reports:
D, the implementation of medical insurance settlement of medical expenses;
E. Participate in the monitoring network of medical insurance drug management.
Application and processing procedures for designated medical institutions:
Voluntary application by medical institutions, initial examination by the labor and social security bureaus of the districts and counties to which they belong, and review by the city. Medical institutions that pass the review can obtain the qualification of designated medical institutions for basic medical insurance, and the Municipal Medical Insurance Affairs Management Center will sign a service agreement on designated medical institutions for basic medical insurance with the medical institutions that have obtained the qualification of designated medical institutions.
Processing period of application for designated medical institutions:
After receiving the application from a medical institution, the district labor and social security bureau will review and approve the application within 30 working days if the materials are complete and report it to the municipal labor and social security bureau. Municipal Bureau of Labor and Social Security received the district labor and social security bureau to report the audit opinion and medical institutions application materials, within 30 working days for review. If there are special circumstances, the 30 working days can be extended.
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