The Chinese medicine hall if you want to apply for medical insurance, first of all need to have the qualification of designated medical insurance. Medical insurance designated qualification means that the Chinese medicine hall has been approved by the health administrative department, and according to the relevant provisions of the designated medical institutions to participate in medical insurance. TCM centers need to have a certain level of medical equipment and professional and technical level, but also need to assume the corresponding responsibilities and risks of practice. Secondly, TCM centers need to comply with the scope of payment of medical insurance. The scope of medical insurance payment refers to the scope of medical services and drugs paid by the medical insurance fund. At present, the scope of medical insurance payment may cover the diagnosis and treatment of common and frequent diseases in TCM and proprietary Chinese medicines. Finally, the medical insurance department will authorize the TCM clinics. The approval is mainly for the hospital or other medical institutions to review the medical insurance charges, drugs and drug ratio, drug structure and clinical pathway, so as to enable patients to realize the rational use of drugs, and at the same time improve the quality and efficiency of medical services. TCM centers need to pass the professional audit of the medical insurance department to be eligible for medical insurance.
Besides applying for medical insurance, what other preferential policies can TCM centers enjoy? In addition to the health insurance policy, the Chinese medicine hall can also enjoy many other preferential policies. For example, tax incentives, talent introduction policy, research project support policy. In addition, Chinese medicine halls can also actively participate in various government procurement projects, so as to achieve the development of scale and branding. However, it should be noted that the Chinese medicine hall in the enjoyment of the policy at the same time also need to comply with the relevant laws and regulations to ensure the safety of diagnosis and treatment and quality of service.
The Chinese medicine hall wants to apply for medical insurance need to have the qualification of medical insurance, meet the scope of payment of medical insurance, approved by the medical insurance and other conditions. Chinese medicine center can also enjoy a variety of preferential policies to promote their own development. In the enjoyment of the policy at the same time, the Chinese medicine hall also need to assume the corresponding responsibilities and obligations, in strict accordance with the laws and regulations to carry out diagnostic and therapeutic activities, to ensure that the rights and interests of patients and safety.
Legal basis:
"Interim Measures for the Management of Medical Insurance Designation of Medical Institutions," Article 4 of the coordinated area of the medical insurance administrative department according to the public health needs of the slag limb Hui demand, management service needs, medical insurance fund revenue and expenditure, regional health planning, medical such as answer the institutional setup planning to determine the coordinated area of the designated medical service allocation of resources. Article 5 The following medical institutions to obtain a license to practice medicine or Chinese medicine clinic record certificate of medical institutions, as well as approved by the competent departments of the army has the qualification of civilian service military medical institutions can apply for medical insurance designated:
(a) general hospitals, Chinese medicine hospitals, hospitals of combined traditional Chinese and Western medicine, hospitals of ethnomedical sciences, specialized hospitals, rehabilitation hospitals;
(b) Specialized disease prevention and treatment hospitals (institutes, stations), Maternal and Child Health Center;
(c) community health centers (stations), central health centers, township health centers, street health centers, outpatient clinics, clinics, health centers (stations), village health offices (offices);
(d) independent first aid centers;
(e) hospice centers, hemodialysis centers, nursing homes;
(f) elderly institutions Medical institutions within. Internet hospitals may rely on their entity medical institutions to apply for the signing of a supplementary agreement, and the relevant costs arising from the medical services provided by them that are in line with the scope of payment of medical insurance shall be settled by the coordinating regional administrative organization and its entity medical institutions in accordance with the regulations.