(NAR) VOL. 29 NO. 2/ APRIL - JUNE 18
A. Free-standing family planning clinics - refer to health facilities that provide modern FP services such as contraceptive pills and injectables, natural FP methods, contraceptive implants, intrauterine device (IUD) and no-scalpel vasectomy (DOH AO 2017-002).IV. GENERAL GUIDELINES
B. Certificate of Compliance (as Family Planning Clinic) - is the certificate issued by the DOH Regional Office to a family planning facility after being assessed and evaluated based on a set of standards prescribed in DOH A.O. 2017-002.
1. Family Planning Clinics shall be considered as primary care facilities without beds and shall have a valid Certificate of Compliance as Free- Standing Family Planning (FP) Clinics from the Department of Health.
2. They shall be managed by a physician, nurse or midwife. The health staff should have training and proficiency on family planning.
3. They shall be accredited as PhilHealth providers of the following benefit packages:a. Insertion of IUD;4. They shall have a quality improvement program with a copy of the Manual of Procedures (at least on Family Planning) within their facilities.
b. No-scalpel vasectomy; and
c. Subdermal contraceptive implant.
5. They shall have a referral arrangement with higher level facility/ies or participation in a functional Service Delivery Network (SDN) for referral of patients who warrant higher level of care.
6. They shall follow the process of accreditation according to Provider Engagement through Accreditation and contracting of Health Services (PhilHealth Circular 54, s-2012) and any subsequent revisions.
7. For initial accreditation, they shall submit the following requirements:a. Valid Certificate of Compliance as Free-Standing Family Planning Clinic from Department of Health Regional Office;8. For renewal of accreditation, they shall submit the following within
b. Signed and notarized Performance Commitment;
c. Accomplished Provider Data Record (PDR);
d. Accreditation fee of Php1,500.00;
e. Statement of Intent (SOl) if applicable;
f. Electronic copies (in JPEG Format) of recent photos of the facility, both the interior and outside surroundings, with each picture completely labeled with the name of the facility and date taken; and
g. Location map.
January 1 to 31 of the succeeding year:
a. Valid Certificate of Compliance as Free-Standing Family Planning
Clinic from Department of Health Regional Office;
b. Signed performance commitment;
c. Accomplished Provider Data Record;
d. Accreditation fee (Php1,500.00); and
e. Latest audited financial statement (submit on or before June 30 of the succeeding accreditation cycle).
9. Facilities that are already PhilHealth accredited and providing family planning services arc not required to apply for separate accreditation as FP Clinics except for those birthing homes that intend to perform and claim for no-scalpel vasectomy. In this case, they have to apply for separate accreditation as FP Clinic.
10. Facilities with their Certificate of Compliance expiring within the accreditation period shall submit to PhilHealth an updated Certificate within sixty (60) calendar days prior to the expiration date.
11. Family Planning Clinic should be a PhilHealth Registered Employer with updated premium contribution (of their staff) as an employer.
12. For eligibility checking, claims submission, and processing, FP clinics shall have the following capabilities, facilities and equipment:
B. Accreditation of Professional Providersa. Access to Health Care Institution (HCI) Portal and submit claims electronically;
b. Knowledgeable staff authorized to access and send information;
c. Computer;
d. Document scanner;
e. Internet connection; and
f. Bank account for Auto Credit Payment Scheme (ACPS).
1. The following are qualified professional providers in free-standing family planning clinics:a. Physician;2. They shall have a valid license from the Professional Regulation Commission (PRC).
b. Nurse; and
c. Midwife.
3. They shall adhere to the standards of practice and codes of ethics of their respective professions.
4. They shall comply with the provisions set forth in the Performance Commitment for Professionals and other requirements that may be determined by PhilHealth.
5. The professional providers shall be allowed affiliation to a maximum of three (3) accredited FP clinics.
6. They shall be PhilHealth members with updated premium contributions.
7. They shall follow the PhilHealth accreditation process based on PhilHealth Circular 10, s-2014 and any subsequent revision.
8. They shall have the training and competence in performing FP procedures as duly certified by DOH recognized training providers.
9. For initial accreditation they shall submit the following requirements:a. Properly accomplished provider data record (PDR);
b. Signed performance commitment;
c. Valid PRC license;
d. 1 x1 photo (2);
e. Proof of payment of premium contributions (as members)
f. Certificate of good standing from Philippine Medical Association (for physicians);
g. Certificate of residency training (for physicians, if applicable);
h. Certificate from specialty board (for physicians, if applicable); and
i. Certificates of training or proficiency on family planning procedures from DOH recognized training institutions on the following:
Professional Providers | Procedure | Certificate of Training to Submit |
Physicians | Non - Scalpel Vasect o my (NSV) | Tra i ni ng on NSV |
I UD insertion as first case rate | Non e | |
Subdermal Contracepti ve Implant Package | Certifi cate of Trai ni ng on Subder m al I m pl ant Insertion and Removal | |
Midwives | IUD insertion as first case rate | Family Planning Competency Based Training (FPCBT) Level 2 or Comprehensive Family Planning Course |
Subdermal Contraceptive Implant Package | Certificate of Training on Subder m a l I m pl ant I nserti on and Re m oval | |
Nurse s | IUD i nsertion | Fa m ily Pl anni ng Co m pet ency Based Trai ni ng (FPCBT) Level 2 or Co m prehensi ve Fa mily Pl anni ng Course |
Subdermal Contraceptive Implant Package | Cer tifi cate of Trai ni ng on Subder m a l I m pl ant I nserti on and Re m oval |
10. Professionals who are already accredited need not apply for another accreditation. However, they shall have to submit a valid Certificate/s of Training to the nearest PhilHealth office.C. Monitoring and Evaluation
11. Professionals employed by the government who will practice in private institutions shall have a written permission (to practice their profession) from the head of their agency or its representative.
12. Nurse’s who are accredited as providers of FP services and affiliated in birthing homes and rural health units may be reimbursed for FP procedures they performed in these facilities. However, those who also aim to be providers of packages for normal deliveries (e.g. Maternity Care Package) and newborn care shall comply with the policies on “Accreditation of Nurses for Maternal and Child Health Services” (PhilHealth Circular 2017-0023).