BAo HIEM XA HOI VIeT NAM CONG HoA xA HOI CHiT NGHiA VI~T NAMBAo HIEM xA HOI THUA THIEN HUE IlQc l~p - TV do - H~nh phuc

S6 : t.tO'D IBHXH-GDBHYT Thua ThienHui, ngay elf thang 4 nam 2017V/v sao chuyen Cong van s6 1360/BHXH-CSYT cua Bao hi€m xii h9i Vi~t Nam

Kinh gui: Cac don vi kham chua benh bao hi@my tS.

Bao hi@mxa h9i (BHXH) tinh Thira Thien HuS nhan duoc Cong van s61360IBHXH-CSYT ngay 19/4/2017 cua BHXH Viet Nam vS viec ap dungthanh toan bao hiern y tS d6i voi chi phi v~t tu y tS Ian hon 40 thang hrong cosa.

BHXH tinh Thira Thien HuS sao giri Cong van neu tren d@cac don viphoi hop thirc hi~n./9£---

Not nh~n:- Nhu tren;- Sa Y t~ (d~ phoi hop);- Giam d6e (d~ bao cao);- Cac Ph6 Giarn d6c;- Trang TIDT;- Liru: VT, GDBHYT. J._

BAo HIEM xA HOI VI¢T NAM CONG HO.A.xA HO~ CHU NGHiA VIlJ:T NAMDQc l~p - ~\l' do - H~nh phuc

S6: Aj6D IBHXH-CSYTVIv ap dung thanh toan bao hiSm y t~

ct6i voi ehi phi v~t tuy t8 1611han40 thang luang eo sa

Ha N9i, ngay.-ilJ thdng 4 ndm 2017

~g'i:BA~ HIEMXAHOIT.T.H'J' .0 hiem xii hoi cac tinh, thanh ph<3tnrc thuoc [rung irong;

S6: ~.6 :J? 0 hi~m xii hoi BQQuoc phong, Bao hi~m xii QiCong an nhan dan.Ngiy:J5J~.}:EL.... (sau ddy goi chung la Bao hzim xd h(5r tinh)

.~:~;~~;:·::·.·:::.:·.·.·.·:.·:~:.~~:ELi~ 13/41:0: 7, B(\ Y t~ co Cong ~an s6 191+YT -BH vS viec thanh

toan bao hiem y te doi voi chi phi y~t tir y te Ian hon 49 thang hrong co So' (dinh

kern Cong van nay). Theo do, tnrong hop tong chi phi ~~t tu YtS chua duoc tinhi

vao g~a(gill cua dich vu Icy thuat, ngay giuimg, kham ~1nhv~ thu tron goi) ~ong

mot Ian sir dung dich vu kY thuat' duqc quy Bao hier y te thanh toan toi da

nhung khong vuqt qua 40 thling Iuong co sa k~ tll' ngay 01/12/2016 dSn ngayI

NO'i nhQ.n:

Thong tu ban hanh Danh m\lc va ty I~, diSu ki~n thanli toan d6i vai v~t tu y tSi

thuQc ph~m vi duqc huang cua nguai tham gia bao ht~m y tS cua BQ Y tS co

hi~u h!c thi hanh. IDS nghi Bao hi~m xa hQi tinh ph6i hqp vai co ~akham, chua b~nh tri~n

~ai thVe hi,~n,n:u e~,kh6 ~an, vuOng mlle boo eao Bto hiSm xii h(\i Vi~t Nam

de duQ'chuong dan glal quyet./. tV Ii

KT;TO}tG GIA}'1 DO,CP ~ GIAMDOC

')- Nhu tren;- T&llgGiam ct6e (d~ b/e);- Cae Ph6 T6ng Gichn d6e;- Cae don vi: TCKT, TTKT, DVT,KTNB, GDB, GBN;- Ltm: VT, CSYT (3b).~/

BO YTE!

CONG HOA xA H~I CHU NGHiA VI:e:T NAMDQc l~p - Tl! do - Hanh.phuc

IHd Noi, ngay)f3 thang 1ndm 20] 7

I

S6:;f5,ftf IBYT -BHV': tbanh toan baa hiem y t~

'1-----_-'dU.l.6l.1..i~vU.l(riw.c.:.Ub~phi v~t nr y t~BAO RIEhl xl H(n Vr~TNAM

I ~, Sf;: ...•. A2?3......DEN Ngay; .~:t.(fl./.1r.:. .Chuyen: .Ltru hI) sO' s6': . • . • . . . . . . . . . . • I

8Q Y t§ nhan diroc Cong van 56 4784/BHXH-CSYT ngay 01112/2016 vaCong ~aJ1 56 4969/BHXH-CSYT ngay 12/] 2/2016 [ua Bao hi~m XR hQi Vi~tNam ve viec thanh toan chi phi v~t tu y t~ thuoc ph~ vi diroc huang cua ngiroitharn ·gia bao hiern y t~ (BHYT) , Sau khi xern xet, BQ ly t@co y ki§n nhir sau:

Khoan 3, f)i~u 20 Thong tv lien tich s6 4112P14/TTLT-BYT-BTC quydinh: "Truong hop ngtroi benh duoc ca sa y t~ chi di~ sir dung dich vu ky thuatg~y di~ t~i 9~uy§t.dln~ 56 36/2005/Qf)~BYT ngay i1~10/2005 ~ua ~Q, trlIOn~BQ Y te ve VlyC ban hanh Danh Ill\lC dtch VI) ky tqUqt cao, Chl phi lOTI, quyBHYT thanh to{m trong ph'iun vi mere huang nhunglkhong vugt qua 40 t,hangluang ca sa cho mQt l~n SLr dl,mg djcb VI) ky thu$.t O]~cho d§n kbi BQ Y, te banhanh danh m~c, t~ I~ v." di€u .ki~n thanh to.~n 0.6i V.Oi ich V\l ky thu$.t y te thu9Cph~m VI ou-qc huang ella nguO"l tham gla BtfYT".

Ngay 28/9/2016, B9 Y t~ da: ban hanh Thong t s6 3SI2016ITT-B);:'T banhunhDanh lTIl,lC va ty l~, di~u ki~n thanh toan d6i voi dich vv ky thu$.t y te thuQcph~m vi dugc hLrang cua ngu·6'i tbam gia BHYT va hi~~ ll,l'C tu ngay 01112/2016.Nhu v~~, til' ngay. 01/1~12016 .~uy dinh _lien 9uan d~rdi.~hV\l ~Y th~?t thu9~ph<;il1l VI OlfgC huang cua ngLfO'I tham glGi BHYT thlJc hlyn thea Thopg, tu so35/20 16/TT-BYT. Ben qmh do, cac guy djnh lien gudn d§n V?t tu·y te tiep tl,lcthlJC hi~n thea Thong tu s6 27/20] 3/TI-BYT ngay I ~/9/20 16 clla .Bo Y;te banhanh l?anh ml)c V?t tLl' Y t~ thuQc ph?ITI vi thanh toan c~a guy bao hiem y teo

~(i~n nay, BO Y t~ dang xciy dl,rng dl,l' thao Thong 1u ban hanh Daz:h ffil)Cv~ttLl' y te thuQc ph?-lTI vi du\yc huang ella nguai tham gia BHYT thay ~he Thong tlIS? 27/2013/TT-B.YT. Trong do, ojnh huang guy dinh muc thanh toan t01 da chotong chi phf v~t tu y t~ chua dlIQ'C tinh vilo gia clla nVKT, ngay giu6'ng, khamb,~nh va thu tr9n goi (sau day duqc gQi tit la chua dude tinh vao gia) trong mQtIan SLYd~lI1g djch V~l ky thu?t. I

, \',i V?y, d~ bao dam kba nang can d6i Ctla Quy ba~ hi~m y t§ va tin,h th6ngnhat, on dinh c~a ehinh sach, trong thai gian tu ng~y 01112/201,6 ?en ngayT~10n&tU' thay the Thong tLr s6 27/2013/IT-BYT co hi~LhJc? BQ Y te dong y vaide xuat eLl8, BilO hi~m xa h0i Vi~t Nam t~i Cong van ~164784/BHXH-C~YT vaCong Vall so 4969fBHXH-CSYT, thea do: Quy bao hi~ y t~ thanh toan tong chiphi vat tu' v t~ chua c.1uac tinh chi Dhi VilO £ria (Q:ia eu dieh vu kV thuat. m!8.y

!,

II

Kinh giri: Bao hiem xii hQi Vj~lNam

j//

4

sir dung dich V1,1 ky thuatgiuong, kham benh va thu tron goi) trong mot 1khong vuot qua 40 l§n rmrc luang ca so.'.

NO'i nh{in:- Nhtr tren;- BQtnrong (dS baa cao);- V1,lKHTC, PC, ITB&CTYT;- C1,lCQLD, KCB;- Sa Y ts cac tinh, thanh ph6 true thuoc Trung irong;- Cac BV, vien co giuong benh tnrc thuoc BQY ts;- Y t~ cac Bo/Nganh.- LIIU: VT, BH.