March 21, the National Health Protection Bureau issued "on effectively do a good job in the current epidemic prevention and control of medical protection work notice",
Clearly put forward in accordance with the procedures of the new coronavirus antigen detection reagents and the corresponding test items temporarily included in the province's basic medical insurance medical services catalog, timely adjustment of the inclusion of the scope of payment for medical insurance New crown treatment drugs.
The National Health Insurance Bureau pointed out that, at present, the new crown pneumonia epidemic situation is grim and complex, epidemic prevention and control is at a critical stage. In order to further strengthen the new crown pneumonia epidemic prevention and control of medical insurance work, the provincial medical insurance departments should be based on the "new coronavirus pneumonia diagnosis and treatment program") and "new coronavirus pneumonia prevention and control program", taking into account the needs of the epidemic prevention and control, the ability of the regional health insurance fund to pay, in accordance with the scientific and accurate, active and prudent, the principle of controllable risk, timely adjustment and optimization of health insurance related policies.
First, the new coronavirus antigen detection reagents and the corresponding test items are temporarily incorporated into the province's basic health insurance medical service catalog in accordance with the procedures, and the relevant costs incurred by the insured in the designated primary health care institutions are paid in accordance with the current provisions of the integrated region, and the costs of the test reagents purchased in the designated retail pharmacies can be paid using the personal account.
Pharmaceutical centralized purchasing agencies around the world should do a good job of listing the new coronavirus antigen test reagents, and actively promote the listing of procurement and rely on the national unified health insurance information platform for information **** enjoy. At the same time to strengthen the measurement and monitoring, synergistically promote the price, procurement, payment and information system transformation work.
The second is the timely adjustment of the new crown treatment medicines included in the scope of payment of health insurance; for the new medicines added to the Diagnostic and Treatment Program, the provincial medical security departments refer to the relevant requirements, and will be temporarily included in the scope of payment of the health insurance fund of the province; for the medicines transferred out of the directory of the basic health insurance and are not included in the directory of the basic health insurance, the provincial medical security departments should stop the payment of the health insurance on the date of the release of the Diagnostic and Treatment Program.
Provincial medical security departments should do a good job of adding new drugs to the network, for the drugs that have not yet been listed on the network, allowing medical institutions to first offline procurement of emergency use. Nematodevir tablets / ritonavir tablets added to the "Diagnosis and Treatment Program", by the medical institutions in accordance with the enterprise and the relevant departments to communicate with the price of procurement, health insurance department in accordance with the provisions of the good payment.