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(NAR) VOL. 20 NO.2 / APRIL - JUNE 2009

[ PHIC PHILHEALTH CIRCULAR NO. 19, S. 2009, April 11, 2009 ]

AMENDMENT TO THE TRANSITORY PROVISION OF PHILHEALTH CIRCULAR NO. 40, S. 2000, RE “IMPLEMENTING GUIDELINES FOR OUTPATIENT CONSULTATION AND DIAGNOSTIC PACKAGE UNDER THE MEDICARE PARA SA MASA (SPONSORED) PROGRAM



This policy amendment aims to provide our members increased accessibility and improved efficiency in the delivery of health care services. This also promotes primary health care and supports the holistic approach towards attaining and sustaining universal coverage of membership under the Sponsored Program and benefits delivery.

Chapter III, 3.2 Transitory Provisions

“In the event that the Rural Health Unit or Health Center where the indigent members are initially assigned is not accredited to provide the out- patient consultation and diagnostic package based on the set standards for accreditation, the following provisions shall be observed until such time the RHU qualifies for accreditation;

Implementing Unit - PhilHealth accredited city/municipal/district/provincial hospitals shall be the main implementing units and first line of providers. They shall be authorized by PhilHealth to provide the services under the program on a quarterly basis;”

shall be amended as follows:

“The Corporation shall honor all existing and all other accredited hospitals which are recommended for authorization to provide the out patient consultation and diagnostic (OPB) package for enrolled Sponsored Program members without prejudice to accredited rural health unit/center in the locality. These authorized hospitals, however, shall provide the OPB package for maximum of two (2) years only from the effectivity of this circular. Thereafter, the provider for the OPB package shall only be an accredited rural health unit/ center in the respective city/municipality.”

This order shall take effect immediately.

Adopted: 11 Apr. 2009

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

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