大姚县医疗保障局关于做好2020年度医疗保险门诊 特殊疾病慢性病医疗待遇复审工作的公告

作者:赵晓花 日期:2020/12/30 来源:本站原创 点击:4955 

GENJU《CHUXIONGZHOUYILIAOBAOXIANGUANLIJUGUANYUZUOHAO2020NIANDUYILIAOBAOXIANMENZHENTESHUJIBINGMANXINGBINGYILIAODAIYUFUSHENGONGZUODETONGZHI》(CHUYIBAOXIAN〔2020〕10HAO)WENJIANJINGSHEN,WEIZUOHAOWOXIAN2020NIANDUYILIAOBAOXIANMENZHENTESHUJIBINGMANXINGBING(YIXIAJIANCHENGTEMANBING)YILIAODAIYUFUSHENGONGZUO,JIEHEWOXIANSHIJI,XIANJIANGYOUGUANSHIYIGONGGAORUXIA:

一、复审病种范围

(YI)MEISANNIANFUSHENYICIDEBINGZHONG:GUANXINBING、MANXINGXINLISHUAIJIE、MANXINGFENGSHIXINGXINZANGBING、FEIYUANXINGXINZANGBING、MANXINGZUSAIXINGFEIQIZHONG、HUODONGXINGFEIJIEHE、ZHIQIGUANKUOZHANG、ZHIQIGUANXIAOCHUAN、NAOXUEGUANYIWAI(NAOCHUXUE、NAOXUESHUAN、NAOGENGSAI、NAOWEISUOJIHOUYIZHENG)、GANYINGHUA、MANXINGHUODONGXINGGANYAN、LAONIANXINGQIANLIEXIANZENGSHENGⅡ。∽Ⅲ。、MANXINGSHENXIAOQIUSHENYAN、SHENBINGZONGHEZHENG、LEIFENGSHIGUANJIEYAN(BAOKUOYOUNIANTEFAXINGGUANJIEYAN、YOUNIANXINGPIJIYAN)、JIAZHUANGXIANJINENGKANGJIN(JIANTUI)、DIANXIAN、XITONGXINGYINGHUAZHENG、GANZAOZONGHEZHENG、JINGSHENBING。

(ER)MEIWUNIANFUSHENYICIDEBINGZHONG:EXINGZHONGLIU、ERTONGSHENGZHANGFAYUZHANGAI(SHENGZHANGJISUQUEFAZHENG)、NAIYAOFEIJIEHE。

二、免于复审的病种范围

(YI)TESHUBINGBINGZHONG:MANXINGSHENGONGNENGSHUAIJIE、QIGUANYIZHISHUHOUKANGPAIYIZHILIAO、XITONGXINGHONGBANLANGCHUANG、ZAISHENGZHANGAIXINGPINXUE(BAOKUOYICHUANXINGQIUXINGHONGXIBAOZENGDUOZHENG、ZISHENMIANYIXINGRONGXUEXINGPINXUE)、DIZHONGHAIPINXUE、XUEYOUBING、PAJINSENSHIBING、ZHONGZHENGJIWULI(BAOKUOJIYINGYANGBULIANGZHENG)、YUNDONGSHENJINGYUANBING、ZHONGXINGJINGSHENBING(JINGSHENFENLIEZHENG、FENLIEQINGGANXINGZHANGAI、PIANZHIXINGJINGSHENZHANGAI、SHUANGXIANGQINGGANZHANGAI、DIANXIANSUOZHIJINGSHENZHANGAI、JINGSHENFAYUCHIZHIBANFAJINGSHENZHANGAI)、NAOTAN、ERTONGMIANYIQUEXIANBING。

(ER)MANXINGBINGBINGZHONG:YUANFAHUOJIFAXINGGAOXUEYAⅡ-ⅢJI、TANGNIAOBING、QIANGZHIXINGJIZHUYAN、AERZIHAIMOZHENG、YUANFAXINGQINGGUANGYAN。

三、复审办法和程序

GENJU《CHUXIONGZHOUYILIAOBAOZHANGJU CHUXIONGZHOUWEISHENGJIANKANGWEIYUANHUIGUANYUTONGYIQUANZHOUYILIAOBAOXIANMENZHENTESHUBING、MANXINGBINGBINGZHONGGUANLIFUWUGONGZUODETONGZHI》(CHUYIBAO〔2020〕64HAO)WENJIAN,DIAOZHENGLEBUFENTEMANBINGBINGZHONGFUSHENSHIXIAN,WEIJINYIBUJIANHUACHENGXU,FANGBIANCANBAOHUANZHE,2020NIANDUTEMANBINGFUSHENCHENGXURUXIA:

(YI)2020NIAN12YUE31RIDAOQIYINGFUSHENDETEMANBINGBINGZHONGCAIQU“YIBAOXINXIXITONGCHOUSHEN”DEFANGSHIJINXINGFUSHEN。ZHUYAOYOUZHOUYILIAOBAOXIANGUANLIJUZHIJIEDIAOQUYISHANGBINGZHONGHUANZHEDECANBAOZHUANGTAI、JIUYIJILU、ZHUYUANBINGSHIHUOMENZHENFUYAOJILUDENGXIANGGUANXINXIJINXINGFUSHEN,CANBAOHUANZHEWUXUZAIDAODINGDIANYILIAOJIGOUJINXINGZHUANJIAJIANDINGCHUSHEN,FUSHENJILUYIYIBAOXINXIXITONGWEIZHUN,JIUZHENZHENGSHANGDEFUSHENJILUBUYINGXIANGDAIYUXIANGSHOU。FUHETIAOJIANDEYOUZHOUYILIAOBAOXIANGUANLIJUTONGYIZAIYIBAOXINXIXITONGBANLIDAIYUYANQI,CANBAOHUANZHEJIXUXIANGSHOUTEMANBINGMENZHENYILIAODAIYU,DUIBUFUHETIAOJIANDECONG2021NIAN1YUE1RIQITINGZHIXIANGSHOUTEMANBINGMENZHENYILIAODAIYU。

(ER)DUIYUMIANYUFUSHENDETEMANBINGBINGZHONGZEYOUZHOUYILIAOBAOXIANGUANLIJUTONGYIZAIYIBAOXINXIXITONGWEIHUMENZHENTEMANBINGDAIYUXIANGSHOUZHONGZHISHIJIANJIKE,CANBAOYOUXIAOQINEIJUNKEJIXUXIANGSHOUTEMANBINGMENZHENYILIAODAIYU。

    QINGGECANBAODANWEIHEDINGDIANYILIAOJIGOUPEIHEYIBAOJUZUOHAOZHENGCEXUANCHUANJIESHIHEFUWUGONGZUO,JISHIJIANGBENTONGZHIYAOQIUZHUNQUECHUANDADAOMENZHENTEMANBINGCANBAOHUANZHE。

   TECIGONGGAO

DAYAOXIANYILIAOBAOZHANGJU

    2020NIAN12YUE30RI

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