Ethnic medicine will be included in the scope of medical insurance reimbursement
In order to ensure that drugs that are necessary for clinical treatment, widely used and have good curative effect are included in the scope of medical insurance reimbursement, the Provincial Medical Insurance Bureau will, together with relevant provincial departments, formulate procedures for including ethnic medicines, Chinese herbal pieces and hospital preparations into the scope of medical insurance reimbursement in our province as soon as possible, and include drugs that meet the requirements into the scope of medical insurance reimbursement.
At the same time, the "Measures" explicitly allow the insured to pay for the use of non-vaccination vaccine products by himself and his relatives with personal accounts. This is a concrete measure to support key enterprises in vaccine production. On the basis of the original policy, strengthen the implementation, and include public health institutions and primary medical institutions that can provide vaccination services into the scope of designated medical institutions for medical insurance to ensure the effectiveness of the vaccine medical insurance payment policy.
Treat private medical institutions equally.
The "Measures" also clarified the time limit for the settlement of medical insurance funds, requiring timely disbursement of medical insurance expenses to ensure the normal operation and healthy development of designated medical institutions. Medical insurance agencies at all levels shall check the medical insurance expenses incurred last month with designated medical institutions before each month 10, and the audit shall be completed and appropriated in the current month; Medical expenses in different places in the province and across provinces shall be allocated in the next month of reconciliation to ensure the normal operation and healthy development of designated medical institutions.
Social medical institutions are treated equally with public medical institutions in terms of fixed-point access to medical insurance, supervision and management, cost settlement, and violation handling.
Acupuncture will be gradually included in the scope of medical insurance payment.
The payment category of traditional Chinese medicine decoction pieces has also been adjusted, and the proportion of individual prepayment has not been set, and the traditional Chinese medicine decoction pieces within the scope of medical insurance payment in our province have been included in the scope of chronic diseases and special diseases in the basic medical insurance outpatient service for urban workers and urban and rural residents. At present, the scope of medication for chronic diseases and special diseases in outpatient clinics of urban workers and urban and rural residents has not been completely unified. After the introduction of the policy, the medication for urban workers and urban and rural residents will be further standardized and improved.
In addition, acupuncture, cupping, health massage and other Chinese medicine non-drug diagnosis and treatment projects, as well as the appropriate technology of Chinese medicine through efficacy and safety evaluation, will gradually be included in the scope of basic medical insurance payment in our province.