On the 2009 new rural cooperative medical reimbursement work related to the supplementary provisions
According to the District Agricultural Medical Center on the 2009 new rural cooperative medical reimbursement work related to the adjustment of the policy, the 2009 reimbursement of the relevant new provisions, the new additions to do the following:
One of the payment standards:
20 yuan per person, of which 15 yuan as a family account, 5 yuan into the major disease co-ordination.
Second, designated hospitals and reimbursement standards
Townships:
Tengqiao Health Center, Dengfang Health Center
(there is a direct window; hospitalization costs can be reported minus the starting line of 100 yuan, reimbursement ratio: 75%)
District:
Lincheon District People's Hospital, Linchuan District Hospital, Linchuan District Hospital, Linchuan District Hospital Hospital of Traditional Chinese Medicine, Fuzhou Hospital of Traditional Chinese Medicine, Linchuan District Maternal and Child Health Center, Linchuan District Hospital of Injuries, Linchuan District Skin Prevention and Control Center, Fuzhou Gandong Hospital
(with a direct window; hospitalization costs can be reported minus the starting line of 300 yuan, reimbursement ratio: 60%)
Outside the district:
Fuzhou City, the first hospital, the city psychiatric hospitals, the People's Hospital of Jiangxi Province, the First Affiliated Hospital of Nanchang University, the Second Affiliated Hospital of Nanchang University Affiliated Hospital, the Second Affiliated Hospital of Nanchang University, the Fourth Affiliated Hospital of Nanchang University, Jiangxi Provincial Cancer Hospital, Jiangxi Provincial Chest Hospital, Jiangxi Provincial Maternal and Child Health Hospital, Jiangxi Provincial Children's Hospital, Jiangxi Provincial Hospital of Traditional Chinese Medicine.
(There is a direct window, hospitalization costs can be reported minus the starting line of 600 yuan, the reimbursement rate: 40%)
Note: the hospitals involved in the above are not designated hospitals, hospitalization in non-designated hospitals need to go through the procedures for reimbursement of the transfer of hospitals, incomplete reimbursement procedures will not be reimbursed. If the procedures are complete, the reimbursement will be based on the reimbursable cost of hospitalization, minus a threshold of 800 yuan, and a reimbursement rate of 30%.
Three, medical procedures
(a) medical:
Must bring the "two certificates a" (ID card, agricultural medical card, household registration), especially hospitalization, if not in advance to show the "two certificates a" lead to the medical expenses The company's website is a great source of information about the company's products and services, and it's a great source of information about the company.
(2) outpatient:
1, in the township health center, village health clinic outpatient clinic can be deducted from the total amount of the family, not exceeding the total amount of the family account, can be directly credited to reduce, if more than the total amount of the family account, in addition to the deduction of shortfalls in addition to the patient's own payment, the total amount of the family can also be balanced to the next year to use.
2. Chronic Disease Outpatient: The process is completed before July every year. Requirements within six months with a valid certificate of disease and inspection report form issued by the district-level and above hospitals, three recent photographs of the patient himself, to the town agricultural medical office to apply for, and then to the district agricultural medical center to confirm. The maximum amount of compensation per person per year is 2,000 yuan.
(C) hospitalization:
1, in the county (city, district) designated hospital patients can freely choose hospital hospitalization, to the county (city, district) outside the medical need to go to the county-level New Agricultural Cooperative agencies for transfer procedures (designated hospitals also need to be handled for the transfer), otherwise not be reimbursed.
Transfer procedures: the district medical institutions (including district hospitals and township health centers) to issue a referral certificate, approved by the Agricultural Medical Center can be. Patients who visit any hospital outside the district need to go through the transfer procedures (the designated hospitals also need to go through the transfer procedures), otherwise they will not be reimbursed. Emergency patients in critical condition must be reported to the district agricultural medical center or town agricultural medical office within 7 working days after hospitalization, and no reimbursement will be made if the transfer and reporting procedures are not carried out.
2. Patients hospitalized for visiting relatives, friends and relatives, or going out to work and do business must report to the township agricultural medical office or district agricultural medical center where they have their household accounts within 7 days of hospitalization; if they fail to complete the reporting procedures, they will not be reimbursed, and at the same time, the hospital must be the same as the one in which they are visiting relatives, friends and relatives, or going out to work and do business, or else they will not be reimbursed. The following two additional certificates must be issued for reimbursement:
①Certificate of the business enterprise: including the patient's name, gender, home address, ID number, whether the patient is working in the local business, whether he/she is injured or sick, and whether he/she has already been compensated for other damages (the specific amount of the damages).
②Village Committee certificate: the patient's name, gender, home address, identity card number, whether in the medical place of work and business, whether to participate in the specific medical folding number and so on.
3, childbirth: participating mothers in the designated medical institutions hospital delivery of flat birth each case of fixed compensation of 150 yuan; surgical delivery, obstetric complications in accordance with the hospitalization compensation, but at least not less than 200 yuan. When reimbursement is made, you must bring the birth medical certificate and birth certificate, and you must keep a copy of the above two certificates for reimbursement and filing.
Note:
The cumulative amount of reimbursement for hospitalization medical expenses per person per year shall not exceed RMB 30,000.
Participating farmers can be reimbursed expenses to the appropriate level of the starting line, the minimum compensation township (township) health centers for 30 yuan; district-level designated hospitals for 40 yuan; hospitals outside the district for 60 yuan.
Four, reimbursement procedures
(a) reimbursement of documents:
Hukou book (a copy of the bottom), ID card, cooperative medical card (a copy of the bottom), official invoices, discharge summary (stamped with the official seal), the list of costs or prescriptions, certificates of disease, hospitalization outside the region must bring the transfer certificate, hospital delivery must bring the birth certificate, incomplete procedures will not be reimbursed.
(2) the following costs are not reimbursable:
1, "Linchuan District New Rural Cooperative Medical Basic Drugs Catalog" outside of the drug
2, fights, suicides (disability), alcoholism, plastic surgery, orthopedics, sexual dysfunction, family planning, drug rehabilitation, venereal disease, medical accidents, traffic accidents, and other accidents occurring in the medical costs
3, belonging to the "Jiangxi Province," the medical expenses incurred in a traffic accident. >3, belonging to the "Jiangxi Province, the new rural cooperative medical fund does not pay for diagnostic and treatment programs and medical services and facilities related to the cost.
Consultation Address:
District Agricultural Medical Center: Shangdongdu District Yuming Road Extension District Disease Control Building, 2nd Floor
0794-8446619
Town Agricultural Medical Center: Township Government Convenience Service Center
0794-8828110 You Lingxia 13870417965 Xu Liqun 13879448409
Tengqiao Township Agricultural Medical Office
2008-12-5
Linfu Banfa [2007] No. 24
On the issuance of Linchuan District, a new type of rural cooperative
Notice of the implementation of medical care
The township people's government, reclamation farms, street offices, the district government departments:
The district government departments:
After the District Government's approval, the district government has issued a new type of medical care, which is the first time in the country. p>
The district government agreed to study, is now "Linchuan District, the new rural cooperative medical implementation program" issued to you, please follow the implementation.
Attachment: "Linchuan District new rural cooperative medical implementation program"
December 26, 2007
Linchuan District, the implementation of the new rural cooperative medical program
Chapter I General Provisions
Article 1 In order to establish and improve the rural health service system and the farmers' medical security system, improve the health of farmers, alleviate the poverty due to illness, illnesses. Disease to poverty, and promote the harmonious development of rural economic and social, according to "Jiangxi Province, the new rural cooperative medical management", combined with local practice, the development of the implementation of this method.
Second new rural cooperative medical system (hereinafter referred to as "New Rural Cooperative Medical Scheme") is organized, guided and supported by the government, farmers participate voluntarily, individuals, collectives and the government's financing, to the hospitalization of major illnesses co-ordination based on mutual cooperation, *** with the same to resist the risk of disease, a farmer's health protection system. Farmers voluntarily participate in the new rural cooperative, against the risk of disease and fulfill the obligation to contribute.
Article 3 of the new rural cooperative adhere to the principle of determining expenditures based on income, balance of income and expenditure, slight savings, moderate protection, fair and open, equal access, scientific management, democratic supervision.
Article 4 This Law shall apply to farmers participating in the New Rural Cooperative in this jurisdiction.
Article 5: The New Rural Cooperative Medical Scheme shall be coordinated throughout the region, and the system of district-run and district-administered shall be implemented.
Chapter 2: Organization, management and administration
Article 6 The Linchuan District New Rural Cooperative Medical Care Management Committee (hereinafter referred to as the "New Rural Cooperative Medical Care Management Committee") shall be responsible for organizing, coordinating and administering the New Rural Cooperative Medical Care in the district.
The township government (Wenchang Street Office) of the new rural cooperative management committee, responsible for the township of the new rural cooperative organization and implementation.
The village committee of the new rural cooperative work management group, is responsible for the village of the new rural cooperative work of organization and coordination, collection of funds and publicity and publicity work.
Article VII Linchuan District New Rural Cooperative Medical Management Center (hereinafter referred to as "District Agricultural Medical Center") for the district-level new rural cooperative agencies, is responsible for the district's new rural cooperative specific business management work.
The townships and townships, street agricultural medical office for the jurisdiction of the new rural cooperative medical institutions, responsible for the jurisdiction of the new rural cooperative specific business management work.
Chapter III Participation and Financing
Article VIII of the Linchuan District within the jurisdiction of the agricultural population (including township-run enterprises, village-run enterprises, private enterprises, "three-funded" enterprises and shareholding enterprises, migrant workers and primary and secondary school students), can participate in the New Farmers' Cooperative Program for the household as a unit (do not accept). Farmers over the age of 60 who are separated from their children are included in the family households of their children who are able to afford to join the New Farmers' Cooperative Program. Those who do not have children within their village or township (township) may participate separately.
Article IX Participating farmers pay an annual fee of 15 yuan per person, of which 12 yuan as outpatient family account, 3 yuan into the integrated fund for major diseases. The central financial and local financial subsidies for each participating farmer each year at a certain standard arrangement.
Farmers who donate more than 400 milliliters of blood without compensation in the city are exempted from paying the next year's participation funds for themselves and their immediate family members (parents, spouses and children) with their blood donation certificates; those who donate 200 milliliters of blood without compensation are exempted from the next year's participation funds for themselves; and those who donate unqualified blood can only be exempted from paying the next year's participation funds for themselves.
Article 10: Rural "five-guaranteed households" and rural households in special hardship shall be declared by the townships and villages, and after examination and confirmation by the district civil affairs departments, their individual contributions shall be resolved by the district civil affairs departments in the funds for rural assistance for the sick, and the funds for participation of disabled persons (farmers) with family difficulties may be financed by the District Disabled Persons' Federation. Funds are directly allocated to the district new rural cooperative fund financial account.
Article 11 of the farmers to participate in the new rural co-operation of the self-payment of funds by the people's governments of the townships, Wenchang Street Office to organize personnel unified collection. The village committee specific handling, and the funds collected unified payment of township (street office) financial office, the financial office in accordance with the provisions of the transfer to the district new rural co-operation fund account. Collection of farmers to participate in the funds, should be filled in the basic situation of the participating farmers, issued by the provincial financial department of the unified printing of special receipts, and fill in the timely issuance of the "New Rural Cooperative Medical Care Certificate".
Beyond the specified deadline for participation in the new rural cooperative, no longer admitted to the request to participate in the current year's cooperative medical care of farmers (newborn babies within two months after birth, after payment of funds for participation and financial subsidies at all levels of the need to participate in the new rural cooperative, more than the specified time will not be admitted).
Article XII of the farmers to participate in the New Rural Cooperative Medical Scheme to implement the principle of voluntariness. Social organizations and individuals are encouraged to donate to the cooperative medical fund. On the basis of full respect for the wishes of farmers, the collective economy is encouraged to contribute funds to subsidize farmers to participate in the New Rural Cooperative Medical Fund.
Chapter IV Fund Management and Use
Article XIII of the New Rural Cooperative Fund, the implementation of the district, special account management, earmarked for special purposes, closed operation. Any unit or individual shall not be squeezed and misappropriated.
Article XIV of the new rural cooperative fund is divided into the family account fund, integrated fund and risk fund. The size of the risk fund should be maintained at 10% of the total annual funding, after reaching the required size, no longer continue to withdraw. Risk fund management in accordance with the "Jiangxi Province, the new rural cooperative medical care pilot counties risk fund management measures".
Article 15 of the family account fund for outpatient treatment, the implementation of the total amount of lump sum, the participating farmers can take the "new rural cooperative medical care card" to the village health center or the township (township) fixed-point health centers, not more than the "family medical care account" total amount of only the registration fee, more than the total amount of the total amount of the total amount of the medical fees charged outside. The savings can be carried over to the next year's right of use. Savings can be transferred to the next year's right to use, but shall not be offset against the next year's individual contributions to the new rural cooperative, and shall not be returned to cash.
Article 16 The unified fund is used to compensate for hospitalization, inpatient delivery and outpatient treatment of major illnesses (chronic diseases) where the reimbursable cost reaches the standard of the starting line.
(1) Compensation for hospitalization
1. Establishment of the starting line for compensation. Township health centers 100 yuan, 300 yuan for district hospitals, 600 yuan for designated hospitals outside the district, 800 yuan for non-designated medical institutions. If the same disease is hospitalized at different levels of medical institutions within a year, only the starting line of the highest level will be deducted once.
Rural "five-guaranteed households" will be reimbursed 50% of the out-of-pocket expenses for the starting line of hospitalization by the rural medical aid funds for major illnesses issued by the civil affairs department with a valid document issued by the civil affairs department and the approval form for the hospitalization-related medical expenses.
2, the establishment of graded compensation ratio. 60% for township health centers, 50% for district-level designated medical institutions, 35% for designated medical institutions outside the district, and 25% for non-designated medical institutions.
3, in view of the Shangdongdu township, singkai township, Wenchang Street Office does not have a health center, its jurisdiction to participate in the farmers were Shangdongdu township urban district hospitals, Linchuan District Third People's Hospital, Linchuan District, the second people's hospitals to undertake, the compensation standard is: reportable medical expenses in the more than 100 yuan of less than 400 yuan less than the $100 starting line at 60% compensation, reportable medical costs in the 400 yuan or more (including 400 yuan) minus the 300 yuan threshold is compensated at 50%.
4. Establishment of compensation ceiling. The cumulative amount of compensation for hospitalized medical expenses per person per year shall not exceed 15,000 yuan.
5. Establishment of a minimum compensation line. Participating farmers can be reimbursed expenses reach the appropriate level of the starting line, the minimum compensation, not less than 30 yuan. However, each person can only enjoy it once a year.
6. The compensation rate for the use of traditional Chinese medicine and traditional Chinese medicine techniques for the treatment of diseases at designated medical institutions in the district and townships is 10% higher than that for the same level of Western medical treatment.
7. Participating farmers suffering from mental illness are hospitalized in the Third Municipal Hospital, and their inpatient medical expenses are compensated in accordance with the Provisions on Adjustment of Mental Illnesses in the Hospitalization Compensation of New Rural Cooperative (Fuhui Medical Office [2007] No. 2).
(2) Compensation for hospitalized delivery
1. Participating mothers are compensated a fixed amount of RMB 150 for hospitalized delivery in designated medical institutions; hospitalized delivery in pathological obstetrics is performed according to the standard of hospitalized compensation, and the amount of compensation is not less than RMB 200.
2. Mothers who meet the requirements of the "Project for Reducing Maternal Mortality and Eliminating Neonatal Tetanus" will be compensated for their in-patient deliveries in accordance with the flat-rate subsidy policy stipulated in the project, and then in accordance with the provisions of the New Rural Development Plan, provided that the total amount of compensation will not exceed the actual total hospitalization costs.
(C) compensation for major outpatient (chronic diseases)
1, the scope of disease: malignant neoplasm, aplastic anemia, mental illness, hyperthyroidism, diabetes, hypertension, uremia, cirrhosis of the liver, stroke or sequelae of traumatic brain injury, systemic lupus erythematosus, rheumatoid arthritis, and other 11 kinds.
2. Application procedures. In line with the above types of diseases of participating farmers, should be within six months with a district hospital or specialist hospital issued a valid certificate of disease and checklist, to the township agricultural medical office to apply for chronic disease management procedures, the district agricultural medical center to confirm, stamped with a special seal of chronic disease management, and at the same time, the issuance of chronic disease outpatient medical records. District Agricultural Medical Center for outpatient patients with major diseases should be re-determined once a year, the patients who have been cured to cancel the compensation eligibility.
3, visit management: treatment in the region, must use the chronic disease outpatient medical records, treatment of medication and examination to correspond to the disease suffered, outpatient a prescription for medication shall not exceed 4 weeks.
4, compensation standards: first pay the fee and then compensation, starting line 200 yuan, compensation ratio of 40%, the ceiling line of 2000 yuan, for hospitalization and has been hospitalization compensation capped participating farmers, no longer enjoy outpatient compensation for major diseases in the current year.
Article XVII of the New Rural Cooperative Medical Fund will not pay for the cost of items and services: 1, "Linchuan District, the new rural cooperative medical basic medication directory" outside the drug. 2, belonging to the "Jiangxi Province, the new rural cooperative medical fund will not pay for diagnostic and treatment items and medical service facilities," the relevant costs.
Article 18 of the New Rural Cooperative Medical Fund to pay for some of the items and services: belonging to the "Jiangxi Province new rural cooperative medical fund to pay for some of the costs of diagnostic and treatment items and medical service facilities" of the relevant costs, by the individual out-of-pocket payment of 50 percent of the cost of the reimbursement in accordance with the relevant provisions.
Article 19: Compensation procedures adhere to the principle of convenience and speed
(1) Outpatient compensation procedures. Participating farmers with the "cooperative medical card" in the township (street office) within the fixed-point medical institutions outpatient clinic, by the fixed-point medical institutions to directly reduce or waive the medical fees, exceeding the total amount of the family account, by the participating farmers to pay out of pocket. For medical expenses incurred in outpatient clinics of designated medical institutions outside the township, the patients will pay in advance, and then go to the Agricultural Medical Office of the township (Jieban) for compensation with invoices and duplicates of prescriptions.
(2) Hospitalization (including childbirth and chronic diseases) compensation procedures
1, participating farmers in the municipal, district and township designated hospitals for hospitalization treatment to implement the direct reporting, the first to pay the fees, after the end of treatment, with ID card or household register, the "Cooperative Medical Card", medical cost invoices, discharge summary or medical records, cost lists or prescription duplicates (print) pieces of the direct reporting window at the hospital to apply for compensation procedures, complete procedures, that is, the compensation of invoices and prescription duplicate (print) pieces of the hospital. If the procedures are complete, the reimbursement will be made immediately.
2. If a participating farmer is hospitalized in a designated medical institution or a non-designated medical institution outside of the city, he or she will be discharged from the hospital and return to the Agricultural Medical Office of the township or township where he or she is domiciled with the relevant compensation information to go through the compensation procedures. Reportable costs of more than 2,000 yuan (including 2,000 yuan) by the township (township) Agricultural Medical Institute to the District Agricultural Medical Center for review before compensation, should be completed within 10 working days.
3, compensation should bring the following information, household register or ID card, "cooperative medical card", medical cost invoices, hospital discharge summary, cost list or prescription copy (print), hospitalized delivery must bring the birth certificate and birth medical certificate, chronic diseases must bring special medical records.
Article 20 The District Finance Bureau and the Health Bureau shall *** with the establishment of a sound "Cooperative Medical Fund Management Measures", and constantly improve the financial, accounting, statistical, audit system, standardize the fund payment, inquiry, transfer procedures.
Article 21 Implementation of the new rural cooperative fund use reporting and publicity system
District agricultural medical center quarterly to the district new rural cooperative fund management committee to report on the new rural cooperative fund expenditure, use of the situation, and to the township (street office) as a unit of publicity.
The townships (Wenchang Street Office) and village committees should set up a fixed, permanent public notice board of the new rural cooperative, before the 10th of each month for each participating farmer to obtain hospitalization compensation is announced.
Chapter V Medical Services
Article 22 The medical institutions participating in the New Rural Cooperative Service shall implement fixed-point management. The fixed-point medical institutions at the township level are: township (town) health centers; the fixed-point medical institutions at the district level are: district hospitals; the fixed-point medical institutions at the municipal level are: the First People's Hospital of the city, the Municipal Psychiatric Hospital; and the fixed-point medical institutions at the provincial level are: the First Affiliated Hospital of Nanchang University, the Second Affiliated Hospital of Nanchang University, and the Provincial People's Hospital.
Article 23 of the District Agricultural Medical Center and the designated medical institutions to sign a contract, including the content of services, quality of service, cost settlement, audit and medical cost control, penalties, etc., to clarify the rights and obligations of both parties and the implementation of dynamic management of the designated medical institutions.
Article 24 of the district agricultural medical center and the township (street office) agricultural medical institutions to strengthen the checking and auditing of the medical services of the designated medical institutions, and have the right to query the case, the doctor's orders, fee lists and prescriptions. The fixed-point medical institutions are obliged to provide all the required information on medical treatment and the list of accounts.
Article 25 The services of the fixed-point medical institutions are divided into outpatient and inpatient, village health centers can only carry out outpatient services, township health centers and district hospitals can carry out inpatient and outpatient services.
Article 26 The implementation of treatment outside the district referral and reporting system. Participating farmers are free to choose the appropriate district designated medical institutions, without the need to apply for referral procedures, due to the condition of the need to be transferred to medical institutions outside the district hospitalization should adhere to the principle of referral at each level, by the district medical institutions issued a referral certificate, approved by the District Agricultural Medical Center and the issuance of the notice of medical treatment (emergency can be referred to, but should be reported to the Township Agricultural Medical Institute within seven working days). Those who are hospitalized for visiting relatives, friends, or working outside the home should report to the agricultural medical office of the township where their household registration is located within 7 days after admission.
Article 27 The fixed-point medical institutions shall provide valid fee invoices and relevant medical records for the treatment of participating farmers. Shall not provide false invoices and medical records for others.
Article 28 The fixed-point medical institutions shall strengthen the construction and management of personnel, housing, equipment and technology, enhance the function of services, improve the quality of services, meet the needs of the farmers in preventing and treating diseases, and actively guide the farmers to seek medical treatment in a reasonable manner, and strictly implement the pricing policy.
Article 29 of the fixed-point medical institutions to medical services, medical fees, drug prices for publicity; to strengthen the cooperative medical policy of participating farmers and health knowledge propaganda, for each hospitalized participating farmers to be issued a hospitalization notice.
Article 30 of the fixed-point medical institutions, medical personnel shall adhere to the principle of treatment of illness, reasonable examination, reasonable treatment, reasonable referral, shall not prescribe drugs, abuse of large-scale examination, arbitrarily relax the admission criteria. In the use of "Jiangxi Province, the new rural cooperative medical service facilities" and basic medicines outside the catalog of drugs, must inform the patient or his family, the patient or his family to agree and sign. The above costs without the signature procedure shall be borne by the designated medical institutions. The cost of using drugs outside the basic medication list should be limited to 15% of the total cost of the drugs, and the cost of the exceeding part shall be borne by the designated medical institution.
Chapter VI Supervision and Evaluation
Article 31 establishes the Linchuan District New Rural Cooperative Medical Care Supervision Committee (hereinafter referred to as the "New Rural Cooperative Medical Care Supervisory Committee"), with a director and deputy director, respectively, the deputy director of the District People's Congress, the District Supervision Director, and members of the District Committee, the District Office, the District Office, the Working Committee on Education, Science and Health, the District Government, and the District Office. UNESCO Working Committee, the district government education, culture, health, sports and medical committees, the District Finance Bureau, the District Audit Bureau, the District Supervision Bureau responsible for the person in charge and the farmers on behalf of three people. Responsible for the region's new rural cooperative fund use, management and medical services to supervise and inspect.
Article 32 The district and township agencies shall strengthen financial management, accept the supervision and management of the health administrative departments and financial departments. The audit department shall regularly audit the income and expenditure of the new rural cooperative fund.
Article 33 The district new rural cooperative management committee once a year to organize the townships, Wenchang Street Office of the new rural cooperative implementation of the assessment; district agricultural medical center once a year to organize the district, townships, villages, fixed-point medical institutions services assessment, rewarding the good and punishing the bad.
Article 34 The district and township agencies have one of the following behaviors, by the relevant departments in accordance with the provisions of the penalties.
(1) unauthorized increase or decrease in the scope of reimbursement, reimbursement standards;
(2) misappropriation, misappropriation, embezzlement of the rural cooperative medical fund;
(3) mismanagement, resulting in a serious shortfall in the New Rural Cooperative Medical Care Fund;
(4) violation of the present measures of other acts.
Thirty-five fixed-point medical institutions and their related personnel in one of the following circumstances, reported to the relevant departments for punishment.
1, poor leadership of the new rural cooperative work, management measures are not in place, violations occur from time to time, affecting the normal work of the new rural cooperative work;
2, do not strictly implement the "Jiangxi Province, the new rural cooperative medical fund will not be paid for and part of the cost of diagnostic and treatment items and medical service facilities" and the Basic medication directory, resulting in the loss of cooperative medical fund;
3, do not verify the reception or to facilitate the impersonation of the medical practitioner, do not strictly implement the hospitalization management regulations, so that the patient's name, hospitalized in the bed;
4, do not strictly implement the national pricing policy, decomposition of the charges, indiscriminate fees;
5, do not strictly implement the diagnostic and treatment specifications, arbitrarily relax hospitalization approval signs, abuse of large examinations, repeat examinations;
5, do not strictly implement the diagnostic and treatment specifications, arbitrarily relax hospitalization approval signs, abuse of large examinations, repeat examinations. Abuse of large checkups, repeat checkups; basic medicines instead of self-financed drugs, health care products;
6, the issuance of false medical records, false prescriptions, false invoices, false certificates, false checks; can not provide hospitalization complete and true hospitalization medical records;
7, other violations of the management of the New Rural Cooperative Actions.
Article 36 If a participating farmer commits any of the following acts, the New Rural Cooperative Organization shall report to the relevant departments for punishment in accordance with the regulations.
(1) Anyone who transfers the Cooperative Medical Care Certificate to another person;
(2) Anyone who falsifies medical fee receipts, medical record information, etc.
(3) Anyone who violates any other acts of these measures.
Chapter VII Supplementary Provisions
Article 37 The medical expenses required for the rescue and treatment of a wide range of critically and seriously ill patients due to force majeure factors such as sudden epidemic diseases and natural disasters are not included in these Measures.
Article 38 These Measures shall be gradually improved with socio-economic growth and the operation of the cooperative medical fund, and a long-term mechanism shall be established to connect with rural medical assistance.
Article 39 The District Agricultural Medical Center may formulate relevant supporting management measures in accordance with these Measures. These measures shall be interpreted by the district agricultural medical center.
Article 40 These Measures shall come into force from January 1, 2008 onwards.
Subject: health new rural cooperative program notice
Copy: District Party Committee departments, the Office of the Standing Committee of the District People's Congress, the Office of the District Chinese People's Political Consultative Conference, District Discipline
Committee Office, District People's Armed Forces Political and Industrial Section, District Court, District Procuratorate, mass groups
Sports, news organizations.
Fuzhou City, Linchuan District People's Government Office issued on December 26, 2007
**Print 120 copies