Notice on the application for designated medical institutions and designated retail pharmacies for medical security in Xi'an

1. Scope of application

The following medical institutions that have obtained a medical institution practice license or a traditional Chinese medicine clinic registration certificate, as well as military medical institutions that have been approved by the military authorities and are qualified to serve the people, can apply for designated medical insurance:

1. General hospitals, traditional Chinese medicine hospitals , hospitals of integrated traditional Chinese and Western medicine, ethnic hospitals, specialist hospitals, rehabilitation hospitals;

2. Specialist disease prevention and treatment hospitals (institutes, stations), maternal and child health hospitals;

3. Community health services Center (station), central health center, township health center, street health center, outpatient department, clinic, health center (station), village clinic (station);

4. Independent emergency center;

5. Hospice centers, hemodialysis centers, and nursing homes;

6. Nursing homes with built-in medical institutions.

2. Declaration time

Declaration must be made quarterly, in the first month of each quarter.

3. Application Materials

1. Xi’an Medical Security Designated Medical Institution Signing Application Form (Attachment 4);

2. Copy of Medical Institution Practice License Or the original and copy of the registration certificate of a traditional Chinese medicine clinic or the civilian service license of a military medical institution;

3. Medical institutions located in nursing homes must provide a copy and copy of the "Private Non-Enterprise Unit Registration Certificate"; < /p>

4. Medical institution grade review or certification materials;

5. Internal management system and financial system text corresponding to the medical insurance policy;

6. Related to medical insurance Materials related to the information system of medical institutions;

7. Predictive analysis report on the use of medical security funds after inclusion in the designated areas;

8. Application letter of commitment for designated medical institutions in Xi’an ( Attachment 5).

IV. Process

(1) Submit application

In accordance with the principle of “combination of territorial and hierarchical management”, medical institutions shall submit applications to all levels of medical insurance The organization (Annex 7) submits a written application and submits relevant information.

1. Application principles for medical institutions: Class III B and above medical institutions apply to the Xi'an Medical Insurance Service Center, and other medical institutions apply to their respective regional medical insurance agencies.

2. Application principles for retail pharmacies: Large chain pharmacies with more than 50 affiliated chain stores (including various direct-operated and franchised chain stores) have been included in the designated location agreement, among which the registration places are in Xincheng District, Beilin District, Lianyungang District, etc. Those in Hu District, Yanta District, Weiyang District, Baqiao District, and High-tech Zone must apply to the Municipal Medical Security Service Center, and their registration places are Chang'an District, Lintong District, Yanliang District, Gaoling District, Huyi District, Zhouzhi County, Lantian County, Xixian New Area, International Port Area, and aerospace base shall declare to their respective regional medical insurance agencies; other retail pharmacies shall declare to their respective regional medical insurance agencies.

(2) Document review

Medical insurance agencies at all levels will review the completeness and authenticity of the documents submitted by medical institutions. If the conditions are met and the documents are complete, the application will be accepted; documents If it is incomplete, the medical institution should be notified to complete it at once within 5 working days from the date of receipt of the materials.

(3) Inspection and evaluation

Medical insurance agencies at all levels shall organize evaluation teams or entrust third-party agencies to conduct evaluations in writing, on-site, etc. Carry out inspection and evaluation in the form.

(4) Disclosure of results

The Xi’an Medical Insurance Agency Service Center summarizes the inspection and evaluation results of medical insurance agencies at all levels, and announces to the public the list of medical institutions that have passed the evaluation. The deadline is 5 working days.

(5) Signing an agreement

Medical insurance agencies at all levels will conduct consultations and negotiations with medical institutions that have no objections during the publicity period. If an agreement is reached, a medical insurance service agreement will be signed. Medical insurance agencies at all levels will submit the list of designated medical institutions that have signed agreements to the medical security administrative department at the same level for record. The Xi'an Medical Security Service Center will publish the summary list to the public and report it to the Municipal Medical Security Bureau for record.

Attachment 1. Xi’an Medical Insurance Designated Medical Institution Service Agreement.pdf

Attachment 2. Xi’an Medical Insurance Designated Retail Pharmacy Service Agreement.pdf

Attachment 3. The conditions that Xi’an’s medical security designated medical institutions should meet.doc

Attachment 4. Xi’an’s medical security designated medical institution signing application form.doc

Attachment 5. Xi’an Commitment Letter for Medical Security Designated Pharmaceutical Institutions.doc

Attachment 6. Xi’an Medical Security Designated Retail Pharmacy Signing Application Form.doc

Attachment 7. Xi’an Medical Security Agency Address and Contact number.doc

Attachment 8. Evaluation content of Xi’an medical security designated medical institutions.doc