Application Requirements for Nanning Medical Insurance Designated Retail Pharmacies

Application conditions:

Medical institutions within the jurisdiction of Nanning City that apply for designated medical insurance in Nanning City must meet the following basic conditions:

(1) Obtain a medical institution practice license or a traditional Chinese medicine clinic registration certificate, and be a military medical institution with the qualification to serve the people approved by the military competent department and other medical institutions of the following categories:

1. General hospitals, traditional Chinese medicine hospitals, traditional Chinese medicine hospitals, etc. Integrated Western medicine hospital, ethnic medicine hospital, specialist hospital, rehabilitation hospital;

2. Specialty disease prevention and treatment hospital (institute, station), maternal and child health hospital;

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

4. Independent emergency center;< /p>

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

6. Medical institutions within nursing homes.

Internet hospitals can rely on their physical medical institutions to apply to sign supplementary agreements. The relevant expenses incurred by the medical services they provide that are within the scope of medical insurance payment shall be borne by the medical insurance agency and the physical medical institutions they rely on according to regulations. proceed to checkout.

(2) There should be at least one physician who has obtained a physician’s practicing certificate, a rural physician’s practicing certificate, or a traditional Chinese medicine (specialty) physician qualification certificate and whose first registration place is in the medical institution;

(3) It has been officially operational for at least 3 months;

(4) The main person in charge is responsible for medical insurance work and is equipped with full-time (part-time) medical insurance management personnel; medical institutions with more than 100 beds should have an internal medical insurance management department , arrange full-time staff;

(5) Have a medical insurance management system, financial system, statistical information management system, medical quality and safety core system, etc. that meet the management requirements of the medical insurance agreement;

( 6) Have hospital information system technology and interface standards that meet the medical insurance agreement management requirements, achieve effective docking with the medical insurance information system, transmit all patient-related information to the medical insurance information system as required, and provide direct online settlement for insured persons. Establish a basic database of medical insurance drugs, diagnosis and treatment items, medical service facilities, medical consumables, disease types, etc., and use the national unified medical insurance codes as required;

(7) According to the medical institution practice license or traditional Chinese medicine clinic registration Practice within the service scope approved by the military medical institution's civilian service license.