(NAR) VOL. 29 NO. 2/ APRIL - JUNE 18
1. The health care institution shall be a DOH-recognized HIV treatment hub or satellite treatment hub/ Primary HIV Care Facilities. It shall be included on the official updated DOH list of recognized HIV treatment facilities.
2. The health care institution shall be accredited as providers of PhilHealth OHAT Package. It shall follow the rules and regulations set by PhilHealth and shall comply with the guidelines on benefit availment and claims processing prescribed in PhilHealth Circular 011-2015 “Outpatient HIV/AIDS Treatment (OHAT) Package” and their subsequent revisions.
3. It shall follow the latest Department of Health’s “Policies and Guidelines on the Use of Antiretroviral Therapy (ART) Among People Living with Human Immunodeficiency Virus (HIV) and HIV Exposed Infants”.
4. The health care institution shall be able to provide the following services to PLHIV:a. Laboratory services to monitor drug toxicity and response to treatment including CD4 testing and viral load determination or referral arrangement with other laboratory or treatment hubs which is documented through a memorandum of agreement;5. It shall follow the process of accreditation according to Provider Engagement through Accreditation and Contracting of Health Services (PhilHealth Circular 54, s-2012) and its subsequent revisions. requirements to the nearest PhilHealth Office:
b. Adherence and psychosocial counseling;
c. Management of PLHIV based on the current treatment guidelines;
d. INH and Co-trimoxazole prophylaxis; and
e. Referral mechanism to other services such as but not limited to: other treatment hubs; laboratories; hospital admissions; TB DOTS/PMDT treatment; and management of other co-infections and opportunistic infections.a. Performance Commitment - signed and properly accomplished;7. For renewal of accreditation, it shall submit the following requirements to the nearest PhilHealth Office (within January 1 to 31 of the succeeding year):
b. Provider Data Record (PDR) - properly accomplished;
c. Participation fee (Php1,000.00);
d. Electronic copies of recent photos of the facility (both interior and outside surroundings;
e. Location Map; and
f. Certification from DOH as Treatment Hub/Satellite Treatment Hub/Primary HIV Care Facility or a copy of the latest DOH Department Memorandum on the list of recognized facilities.
a. Performance Commitment - signed and properly accomplished;
b. Provider Data Record (PDR) - properly accomplished;
c. Participation fee (Php1,000.00);
d. Certification from DOH as Treatment Hub/Satellite Treatment Hub/Primary HIV Care Facility or a copy of the latest DOH Department Memorandum on the list of recognized facilities;
e. Latest audited financial statement (submit on or before June 30 of the succeeding accreditation cycle).
8. The health care facility shall be exempted from the three (3) year operation requirement for accreditation.IV. MONITORING AND EVALUATION
9. The physicians providing the health services shall be PhilHealth-accredited.
10. PhilHealth-accredited health care institutions which are also designated as HIV treatment hub and/or satellite treatment hub shall no longer apply for separate accreditation. They shall only submit an updated and signed Performance Commitment indicating OHAT as one of their services and a copy of Certification from DOH as treatment hub or the latest DOH Department Memorandum listing the treatment hubs and satellite treatment hubs.
11. The health care institutions shall use their reimbursement from OHAT Package only for providing health services to their PLHIV clients.
12. The Health Care Institution shall have a DOH-certified Electronic Medical Record or Hospital Information System.
Monitoring and evaluation shall be based on the Health Care Provider Performance Assessment System (PhilHealth Circular 2016-0026).V. REPEALING CLAUSE
The facility shall maintain a minimum set of information (electronic or paper based) for each patient including medical records, copies of HIV test results, summary of laboratory results particularly CD4 count, viral load and specific labs for monitoring of ART toxicity; schedule of refills (with pill count/treatment regimen booklet); and referral slips (if applicable) and filled-up client satisfaction forms. They shall be readily available to PhilHealth for monitoring and evaluation.
All other existing issuances and provisions of previous issuances inconsistent with this Circular are hereby repealed and/ or amended. All other rules and guidelines not contrary to this Circular shall remain in full force and in effect.VI. EFFECTIVITY
This circular shall take effect after fifteen (15) days following its publication in any newspaper of general circulation. It shall be deposited thereafter with the National Administrative Register at the University of the Philippines Law Center.