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(NAR) VOL. 20 NO.1 / JANUARY – MARCH 2009

[ PHIC PHILHEALTH CIRCULAR NO. 06, S. 2009, January 05, 2009 ]

EXTENSION OF MORATORIUM ON THE PROCESS OF APPLICATION FOR RENEWAL OF ACCREDITATION OF INSTITUTIONAL HEALTH CARE PROVIDERS



Pursuant to PhilHealth Board Resolution Nos. 1113 and 1189 s. 2008, and PhilHealth Circular No. 24, s. 2008 on the Amendment of the Guidelines in the Accreditation Process of IHCPS, for operational efficiency, administrative cost-effectiveness and in preparation for the full implementation of PhilHealth Benchbook in 2010, the following guidelines are hereby issued.

1. All licensed institutional providers such as hospitals, Free Standing Dialysis Clinics (FSDCs) and Ambulatory Surgical Clinics (ASCs) applying for renewal of accreditation for 2009-2010 shall be covered by this moratorium, unless recommended otherwise by the PROs and the legal sector based on quality and legal issues. Period for filing of applications shall be from January 1, to February 28, 2009. The amount of application fee shall be the same as defined in PhilHealth Circular No. 24, s. 2008.

To illustrate:

Type of Provider Application Period Processing Period Validity of Accreditation




Hospitals, FSDCs and ASCs Jan. 1 to Feb. 28, 2009 Up to March for PROs; up to April for CO May 1, 2009 to April 30, 2010

Requirement s for application for the above-mentioned facilities for 2009-2010 moratorium:

1. DOH license for 2009;
2. Fully accomplished application form:
3. Duly signed and notarized Warranties of Accreditation;
4. Application Fee.

2. All non-licensed institutional providers such as OPB Providers (RHUs/HCs), Maternity Care Clinics, Anti-TB/DOTS Clinics accredited until April 29 or 30, 2009 shall have their accreditation automatically extended until December 31, 2009, unless recommended otherwise by the PROs and the legal sector based on quality and legal issues upon payment of applicable application fees. The amount of application fee shall be the same as defined in PhilHealth Circular No. 24, s. 2008 (column for prescribed filing period only --- incentive period does not apply). The deadline of payment shall be on the last working day of the month of February 2009.

To illustrate:

Type of Provider Application Period Processing Period Validity of Accreditation




OPB, MCP and Anti-TB/DOTS Providers Up to last working day of February 2009 Up to March for PROs; Up to April for CO May 1, to December 31, 2009

Requirements for application for the above-mentioned facilities for 2009-2010 moratorium:

1. Application Fee

All accredited non-licensed institutions (OPB Providers (RHUs/HCs), Maternity Care Clinics, Anti-TB/DOTS Clinics) in regions 9, 10, 11, 12, CARAGA and ARMM which applied for accreditation under 2008-2009 moratorium during the prescribed filing period (October 2008) shall be given accreditation effective from January 31 to April 30, 2009. Thereafter, the validity shall be automatically extended until December 31, 2009, no need to pay the corresponding application fee.

3. Failure to apply within the aforesaid application period shall invalidate the moratorium, henceforth, the health care provider shall undergo the regular accreditation process and pay the applicable application fees to include the penalty charges.

4. All institutional health care providers applying for initial and re-accreditation and professional health care providers shall not be covered by this moratorium. They shall undergo the regular process of accreditation.

5. Activities during this moratorium shall include the following:

a. Self-assessment of hospitals in preparation for the implementation of Benchbook Standards;
b. Development of survey tools for accreditation of IHCPs;
c. Development of monitoring tools for provider performance using the new standards for accreditation;
d. Development of monitoring tools for the accreditation process;
e. Development of new manual of operations using the new standards for accreditation;
f. Orientation of health care providers and training of surveyors using the Benchbook;
g. Enhancement and expansion of the iPAS to include out-patient clinics (OPB, MCP, Anti-TB/DOTS Providers and FSDCs)
h. Monitoring inspections of accredited health care providers limited to compliance requirements and standards of accreditation as applicable (i.e. upgrading, increase in bed, etc).

This circular shall take effect fifteen (15) days from publication in the official gazette or any newspaper of general circulation.

Adopted: 05 Jan. 2009

(SGD.) DR. REY B. AQUINO
President and CEO

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