(NAR) VOL. 15 NOS. 3-4 / OCTOBER - DECEMBER 2004
A. The managing health care professional has had working experience in another accredited health care institution for at least three years provided that:
- The managing health care professional has three years experience as a medical director or hospital administrator in another accredited tertiary hospital or its equivalent;
- The tertiary hospital or its equivalent was accredited with PhilHealth for at least three years during the term of managing health care professional as medical director or hospital administrator;
- The three years experience as medical director or hospital administrator is supported by the applicable enumerated documentary proof:
- Service Record - for a government hospital
- Certification of the Board or the Hospital Owner - for a private hospital
- Certification of the Board - for a Corporation or a Foundation; and
- If the managing health care professional leaves the accredited health facility within three (3) years of the initial date of operation, he/she must be replaced by another managing health care professional who can also show the above proof of three (3) years of service.
B. The health care provider operates as a tertiary facility or its equivalent. Under the new DOH classification of hospitals, the equivalent facilities are Secondary Care Hospital and Tertiary Care Hospital.
C. The health care provider operates in a local government unit (LGU) where the accredited health care provider cannot adequately or fully serve its population as supported by the following documents:
- For primary hospitals or infirmaries
- PhilHealth records showing that the local government unit does not have any PhilHealth accredited health facility.- Secondary hospitals and their equivalent ambulatory health facilities such as ambulatory surgical clinics and free standing dialysis clinics
- PhilHealth records showing that there is no similar accredited PhilHealth health facility in the LGU
1. Outpatient Primary Care benefits or OPB
2. TB-DOTS Benefits
3. Non-hospital Maternity Care Benefits