Job Recruitment Website - Job information - 20 17-20 18 Guangdong new rural cooperative medical care policy
20 17-20 18 Guangdong new rural cooperative medical care policy
20 17-20 18 policy financing principle of new rural cooperative medical system in Guangdong province
(a) the principle of overall planning at the city (county) level. The new rural cooperative medical fund takes the city as a unit to plan as a whole, and implements a financing mechanism combining individual contributions, collective support and government subsidies.
(2) The principle of full family participation. Participants must be households (subject to household registration book), and all family members must attend.
Fundraising target
1. All agricultural registered permanent residence residents in this city participate in the new rural cooperative medical system on a household basis. Family members are all from agricultural registered permanent residence, and all members must be households, otherwise they are not allowed to participate in the new rural cooperative medical system. Farmers' family members have urban hukou and agricultural registered permanent residence, and those who have urban hukou and live in rural areas for a long time can also participate. Agricultural registered permanent residence members require all members to participate in the cooperative medical system.
2, rural primary and secondary school students and children must follow their parents to participate in the new rural cooperative medical system.
3 rural residents who go out to work, do business or go to school shall participate in the new rural cooperative medical system in their registered permanent residence. Land-lost farmers and residents who have urban hukou but have no fixed occupation in cities and towns and actually live in rural areas for a long time can participate in the new rural cooperative medical system.
4. Allow farmers who have not participated in urban medical insurance, rural private teachers and other special groups to voluntarily participate in the household registration.
5, according to the provisions have participated in the urban medical insurance organs, enterprises and institutions on-the-job and retirees shall not participate in the new rural cooperative medical system, such as repeated participation in the new rural cooperative medical system, to be held accountable for the responsibility of local managers.
Financing standard of new rural cooperative medical system
In 20 17 years, according to the national and provincial new rural cooperative medical policy, the individual payment of participating farmers was per person 150 yuan.
Continue to encourage commercial insurance companies undertaking serious illness insurance to carry out supplementary medical insurance for accidental injuries in addition to the serious illness insurance of the new rural cooperative medical system, and establish a multi-level security system. In line with the principle of voluntariness, the premium will be collected together with the individual payment of the new rural cooperative medical system, with 20 yuan per person.
Time limit for fund-raising work
The time limit for raising funds is 20 16, 12.7 to 12.25.
Compensation capping line
In 20 17, the compensation cap line of the new rural cooperative medical system in the city was 80,000 yuan.
Proportion of reimbursement for hospitalization expenses
1, reimbursement ratio of hospitalization compensation in Beizhen municipal area
Township level: 0-300 yuan 55% 300-2000 yuan 80%
More than 2000 yuan 60%
County level: 0-400 yuan 40% 400-8000 yuan 75%
More than 8000 yuan 60%
2, municipal designated medical institutions deductible below 600 yuan, the reimbursement rate is 55% (the First Affiliated Hospital of Liaoning Medical University is 45%).
3. For provincial designated medical institutions and medical institutions outside the province, the deductible line is 1000 yuan, and the reimbursement ratio is 40%.
Compensation Policy for 24 Serious Diseases of New Rural Cooperative Medical System
We will implement a special safeguard policy for 24 major diseases. The compliance medical expenses incurred by participants in designated hospitals shall be compensated by 70% within the limit, and the over-limit part shall be compensated by the level of designated hospitals.
During the insured year, patients with lung cancer, esophageal cancer, gastric cancer, rectal cancer, colon cancer, cerebral infarction, hemophilia, type I diabetes, hyperthyroidism, abnormal myocardial infarction, cleft lip and palate, hypospadias, liver cancer, nasopharyngeal carcinoma, chronic myeloid leukemia and other major diseases can enjoy a critical illness insurance compensation policy for the same disease diagnosis. If the limit is not reached, the medical expenses incurred in re-hospitalization shall be compensated according to the proportion of common diseases.
Compensation policy of serious illness medical insurance in new rural cooperative medical system
The medical expenses incurred by the insured farmers for medical treatment that meet the scope of protection shall enjoy the treatment of serious illness insurance. The medical insurance compensation policy for serious illness in 20 17 years will continue to be implemented according to the policy of 20 16 years.
1, protection object: The protection object of serious illness insurance is the participating farmers who participated in the new rural cooperative medical system in our city that year. When the newborn is born, the parents will enjoy the critical illness insurance of that year.
2. Insurance scope: Serious illness insurance compensates the accumulated hospitalization medical expenses incurred by participating farmers for one or more visits in 1 year, and the self-paid compliant medical expenses exceed12,599 yuan after compensation by the new rural cooperative medical system.
3. Level of protection: The specific compensation standard of serious illness insurance for rural residents in our city in 20 17 years is: compliance expenses incurred by insured farmers for medical treatment. After the compensation of the new rural cooperative medical system, the part that the individual pays more than 12599 yuan will be paid at 50%, and there is no capping line for the time being. (medical expenses within the scope of compensation-proportional compensation amount = self-paid compliance medical expenses); Compensation amount for serious illness = (self-paid compliant medical expenses amount-12599 yuan)? 50%。
Reimbursement procedures for rumor patients and migrant workers
After leaving the hospital, foreign patients or migrant workers need to submit a referral form or (proof from the work unit and the village committee), hospitalization receipt, general list of expenses, a copy of hospitalization records, and a copy of the ID card of themselves and the agent to the joint management center for reimbursement.
Serious illness insurance reimbursement requires procedures.
1, copy of hospitalization receipt (not needed if the amount of compensation form is consistent with the amount listed)
2, a copy of hospitalization records
3, a copy of the total list of hospitalization expenses
4. Original salary table
5. Copy of the trustee's ID card (double-sided)
6. Copy of customer ID card (double-sided)
7. Open the copy of the first page of the postal savings passbook (it must be the name of the trustee). If you don't have a passbook, go to the Postal Savings Bank and pay for it.
Precautions for participants
1. You are not allowed to lend the ID cards of the contestants to others, and you are not allowed to be an impostor. If found, all the medical expenses incurred will not be reimbursed, and they will be suspended for one year and cannot participate in the competition for two years. If the circumstances are serious, it shall be handed over to judicial organs for handling.
2, fighting, traffic accidents, work-related injuries, medical accidents, sexually transmitted diseases, infertility, suicide, criminal acts and drunken troubles will not be reimbursed for medical expenses.
Relevant policies of the new rural cooperative medical system. What is the new rural cooperative medical system?
The new rural cooperative medical system is a mutual medical system for farmers, which is organized, guided and supported by the government, participated by farmers voluntarily, and jointly funded by individuals, collectives and the government, focusing on serious illness (hospitalization).
Second, the cooperative medical care fund raising
In 20 14, the financing standard of the new rural cooperative medical system is 380 yuan per person, in which the individual payment standard of the participating farmers is 60 yuan per person per year, and the financial subsidies of the central, provincial, municipal and district levels are 320 yuan per person per year.
Third, pay personal financing.
Individual contributions are paid by households in a lump sum at the township (town) joint management station where the household registration is located before February 20 of last year, and the agent issues a receipt, registers and issues a certificate of cooperative medical care. During the middle of the operation year (1 October 1 day to February1day), newborns, married people and retired soldiers enjoy participation. No exchange or refund procedures are allowed.
Four, the scope of personnel to participate in cooperative medical care
Farmers with local household registration voluntarily participate in cooperative medical care, pay the individual fund of cooperative medical care in one lump sum according to the prescribed time and place, and abide by the relevant provisions of cooperative medical care management. All personnel who fulfill the obligation to participate in cooperative medical care can participate in cooperative medical care.
Five, hospitalization compensation standard
The threshold of hospitalization compensation is the minimum hospitalization expenses required for hospitalization compensation, which is not within the scope of compensation.
The compensation ratio is the reimbursement ratio after deducting the deductible and self-funded expenses from the insured amount.
1, limitation of compensation
① The capping line of hospitalization compensation for illness in 2014 years is120,000 yuan (Yuetang District10,000 yuan).
(2) In yuhu district, Yuetang District and Jiuhua District, the annual compensation line for accidental injury hospitalization is 6,000 yuan. ③ The annual compensation line for accidental injury hospitalization in Xiangxiang City is 20,000 yuan, and that in Shaoshan City is 1 10,000 yuan.
④ The annual compensation line for accidental injury hospitalization in Xiangtan County is 1 10,000 yuan, and the hospitalization compensation service was officially entrusted to China PICC Xiangtan Branch at 0: 00 on June 6, 20 14. Participating farmers should report to China PICC Life Xiangtan Branch within 48 hours after hospitalization, and their 24-hour service telephone numbers are 073 1-526657 10 and 40088-955 18. After accepting the registration, China PICC Life Xiangtan Branch will promptly start the nationwide online survey mechanism for verification and issue a survey report. After the injury is cured, the discharge settlement should be handled in time. If the injured person is hospitalized in a medical institution outside the county, he shall go through the hospitalization expense compensation procedures at the service window of Xiangtan County Hospital of Traditional Chinese Medicine designated by Xiangtan County Branch of China Life Insurance within two months after hospitalization. The service number is 0731-57801113.
2. Fixed remuneration
(1) Compensation for outpatient operation of fat knife 150 yuan (Yuetang District, yuhu district), 200 yuan (Xiangtan County, Jiuhua District).
(2) Compensation fee for gravel treatment of stone crusher in 400 yuan.
③ Compensation for normal delivery in line with the family planning policy 1.250 yuan (yuhu district, Xiangtan County). ④ The maximum annual compensation for non-surgical treatment of degenerative diseases such as disc herniation is 1 1,000 yuan.
3. Free treatment of congenital heart disease
Our hospital is a designated hospital for free treatment of congenital heart disease in rural children.
Diseases: congenital atrial septal defect, ventricular septal defect, patent ductus arteriosus, pulmonary artery stenosis.
Six, at one's own expense
1, and the unit price of examination or treatment is 20% from 100 yuan (including 100 yuan) to 1000 yuan.
2, where the examination or treatment of a single price exceeds 1000 yuan (including 1000 yuan) of 30%.
3. Special examination and treatment items that should be partially paid: nuclear magnetic resonance, CT, fiberscope and other special examination and treatment items: 100 yuan to 1000 yuan, which will be included in the scope of reportable expenses after paying 20%. 30% exceeding RMB 1000 will be included in the scope of reportable expenses. And according to the diagnosis of 1 2, the report is limited to two times; Liver function test results are normal (including surface antigen), and the cost of hepatitis B examination will not be compensated; Intensive care is limited to 72 hours for critically ill patients; ECG monitoring is limited to patients with three types of surgery and functional impairment of important organs; Postoperative limit is 8 hours, and patients with major organ dysfunction are limited to 72 hours; Patients receiving endoscopic treatment such as hysteroscopy and laparoscopy will be included in the reportable expenses after 20% of the out-of-pocket expenses, and will be reimbursed according to the corresponding compensation ratio.
4. Expenses that should be borne in full: all kinds of physiotherapy and fumigation; All kinds of pathological section examination; Pathological stereology examination and image analysis fee, surgical specimen examination and diagnosis and wax block fee, micropump injection fee, arteriovenous catheterization fee, microcomputer infusion pump infusion fee, intravenous hyperoxia solution fee, tumor treatment drug deployment fee, computer graphic report fee, bedside examination and treatment fee, various artificial treatment plan planning fee, decoction fee; Microwave treatment fee, physiotherapy fee, laser treatment fee, magnetotherapy fee, ultrasonic treatment fee, postoperative analgesia fee, air cushion bed fee, ice blanket fee, treatment plan fee, air conditioning fee, newspaper fee, escort fee, bedding fee, etc.
5. Self-explanation of special inspection: The expenses for initial inspection and re-inspection of parts and large-scale special equipment for making clear the main diagnosis are within the scope of compensation, and those beyond the above-mentioned specified scope will not be compensated. Direct enhancement after plain ct scan is the second special examination.
Radiotherapy and chemotherapy are not special treatments.
Seven, discharge settlement compensation provisions
On the day of discharge, the patient shall go through the formalities of discharge, settlement and compensation payment in time, and the special circumstances shall not exceed 3 working days.
VIII. Materials required for compensation and payment
1, cooperative medical certificate, ID card and its copy, household registration book and copy of this page of patients' household registration, summary list, disease diagnosis certificate, hospitalization invoice, participating patients' identity audit form and village committee certificate (Jiuhua District).
2, referral need to provide proof of referral, emergency need to provide proof of emergency.
3. Accidental injury compensation shall provide proof of accidental injury, which shall be proved by the village committee (Yuetang District, Jiuhua District and yuhu district).
4, hospital delivery compensation to provide birth medical certificate and copy, birth medical certificate and copy.
Nine, does not belong to the scope of cooperative medical compensation.
1. Medical expenses incurred in violation of laws and regulations, fighting, sexually transmitted diseases, alcoholism, self-mutilation and suicide.
2. Medical expenses incurred by the responsible party of the traffic accident.
3, there are false or false hospitalization, dispensing and other deceptive acts.
4 medical expenses due to medical accidents, work-related injuries, occupational diseases, family planning operations and violations of family planning policies.
5, all kinds of beauty, rehabilitation and health care projects and non-functional plastic surgery, such as cutting six fingers, double eyelids, myopia surgery, etc.
X. accidental injury events
Accidental injury refers to accidents that cause physical injury, and refers to external, sudden, unintentional and non-disease objective events that cause physical injury. Including falls, burns, food poisoning,
Drug poisoning, animal bites, etc.
XI。 Supplementary provisions on accidental injury compensation report
1. Anyone who violates the provisions of the Road Traffic Safety Law of the People's Republic of China and causes accidental injury to be hospitalized shall not be compensated.
2. If driving a motor vehicle causes accidental injury and there is no responsible party, you must issue a driver's license and vehicle driving license to declare compensation, otherwise you will not be compensated.
3, accidental injury patients in the hospital, the door (emergency) diagnosis of the first doctor in the outpatient medical records to record the cause of injury, can not be simply described as? Trauma? 、? Car accident? Wait a minute.
4. If the party responsible for the traffic accident escapes, it must report to the traffic police and other relevant departments. Failure to report to the traffic police and other relevant departments and failure to provide normative proof materials from the traffic police and other relevant departments will not be compensated.
5. The new rural cooperative medical system will not compensate individual families and migrant workers for accidental injuries in the process of assistance, as well as accidental injuries caused by riding other people's motor vehicles.
6. Accidental injuries must be reported to the rural cooperative medical system audit window of the Medical Insurance Office within 48 hours of admission. The report includes the patient's injuries, time, place and reasons. Those who fail to declare within the prescribed time limit will not be accepted by the medical insurance office, and the new rural cooperative medical system will not be compensated.
7. The new rural cooperative medical system does not compensate for accidental injuries caused by business facilities defects.
Twelve, rural cooperative medical patients should pay attention to the problems in the process of hospitalization and compensation payment.
1. Please fill in the name, gender and age in the outpatient medical record carefully before seeing a doctor, which should be consistent with the ID card, household registration book and cooperative medical certificate. If there is any mistake, please go to the relevant department to change it.
2. When going through the hospitalization formalities, you should inform that you have purchased the rural cooperative medical insurance and affix it on the first page of the medical record? Rural cooperative medical care? Chapter.
3, participated in the rural cooperative medical care patients, doctors should try to choose according to the condition of rural cooperative medical care.
Drugs in the list of essential drugs to improve the payment rate of hospitalization compensation.
4. Accidental injury compensation requires proof of accidental injury. The first copy of the Certificate of Accidental Injury shall be filled out by the attending doctor, the second copy shall be filled out by the rural cooperative auditor of the hospital, and the third copy shall be sealed and signed by the rural cooperative management office after investigation and verification.
5. On the day of hospitalization, the expenses of outpatient examination and laboratory tests can be compensated by including outpatient medical records, outpatient invoices and outpatient expense lists into the hospitalization expenses, but the expenses of repeated outpatient examinations during hospitalization will not be compensated. After discharge from hospital, pay with hospitalization compensation payment materials and outpatient information to the cooperative medical compensation audit window.
6. The proportion of compensation without referral decreased 10% (Xiangtan County, Jiuhua District and Shaoshan City).
7. Cooperative medical patients who have purchased commercial insurance should pay compensation for cooperative medical care first, and then claim compensation from the insurance company with a copy of the insurance policy and an invoice.
Thirteen. Review and payment of compensation
Our hospital cooperation medical compensation audit payment point: inpatient department podium hall
The contact numbers of the audit window of rural cooperative medical system are 582 14703, 582 1488 1.
Payment time of compensation: Monday to Friday all day.
Remarks: Patients in yuhu district, Yuetang District, Jiuhua District, Xiangtan County, Xiangxiang City and Shaoshan City will go through the payment procedures directly in our hospital after discharge and settlement. Patients in different places of rural cooperative medical care should bring all compensation payment materials back to the local cooperative management office for compensation payment procedures.
The detailed requirements of audit rules in cities, counties and districts are not exactly the same. For details, please refer to 20 14 detailed requirements of the audit rules of the new rural cooperative medical system and the hospitalization instructions of the new rural cooperative medical system patients.
All self-funded projects shall be implemented after notification, signature and consent procedures, and the self-funded project signature form shall be used as compensation payment information.
Scope of Basic Diagnosis and Treatment Projects of New Rural Cooperative Medical System in Guangdong Province (Version 20 10)
According to the new rural cooperative medical fund? Fixed expenditure based on income, moderate security, and slight savings? Payment principle, combined with the needs of farmers in our province for basic medical services, the following project scope is formulated.
First, the new rural cooperative medical fund does not pay medical expenses. The new rural cooperative medical fund does not pay:
(1) Suicide and self-mutilation (except mental illness);
(two) fighting, drinking, drug abuse and other illegal acts causing harm;
(3) Traffic accidents, accidents, medical accidents, etc. Obviously, it is the responsibility of the other party;
(4) being treated abroad or in Hongkong, Macao Special Administrative Region or Taiwan Province Province;
(five) the other party has a clear responsibility for the work-related injury;
(six) other circumstances that do not pay according to the regulations.
Two, the new rural cooperative medical fund will not pay the cost of diagnosis and treatment projects.
The new rural cooperative medical fund shall not pay the following treatment items:
(1) service items.
1. Registration fee, outpatient consultation fee (including general outpatient consultation fee, emergency consultation fee, expert outpatient consultation fee), out-of-hospital consultation fee (no charge for in-hospital consultation), various special consultation fees, medical records fees, various information fees, etc.
2. Special medical services such as visiting fees, visiting fees, expedited fees for examination and treatment, overtime pay, self-invited intensive care, family medical care services, beds in family wards, and high-quality and low-cost fees. (such as: call surgery, hourly surgery, call consultation, call examination, call nursing, special ward fees, etc.). );
3 outpatient transportation fees, ambulance visits, stretcher bearers with ambulance visits;
4. Air conditioning fee, TV fee, telephone fee, infant incubator fee, food incubator fee, electric stove fee, coal fire fee, refrigerator fee and compensation fee for damage to public property, self-contained fan electricity fee, shampoo and hair dryer fee;
5. Escort fee, bed fee, nursing fee, washing fee, outpatient decoction fee and diaper fee;
6 meals (including nutritious meals and medicated meals);
7 books, periodicals, newspapers, entertainment activities and other special life services;
8. Various expenses not directly related to diagnosis and treatment (such as washbasin fee, cup fee, tableware and dental utensils fee, daily cleaning fee, sanitary plastic bag fee, slippers fee, toilet paper fee, toilet equipment fee, sewage fee, bottling fee, etc.). ).
(2) Non-disease treatment projects.
1. Various beauty and bodybuilding projects and non-functional beauty and plastic surgery (such as double eyelid surgery, breast augmentation surgery, strabismus correction, stuttering correction, freckle treatment, senile plaque, pigmentation, bromhidrosis, hair loss, cosmetic scar removal, laser cosmetic wart removal, cosmetic tooth cleaning, tooth inlay, tooth correction and colored tooth treatment);
2. All expenses of various weight loss, weight gain and increase projects;
3. Medical expenses (including medicines) during working abroad, visiting relatives, inspecting, further studying and giving lectures;
4. All kinds of medical consultation and medical appraisal (such as psychological consultation, health consultation, sex consultation, marriage and childbearing consultation, disease prediction fee, medical accident appraisal, psychiatric judicial appraisal, various injury and disability grade appraisal, labor ability appraisal, fetal sex appraisal, paternity test, genetic gene appraisal done by pregnant women, etc.). );
5. It is a health care full-body massage fee;
6. All kinds of health care and nutrition expenses, daily life and entertainment articles for rehabilitation treatment and their supplies.
(3) Diagnostic equipment and medical materials.
1. Expenses for examination and treatment with positron emission tomography (PET), electron beam CT, ophthalmic excimer laser therapeutic instrument and human information diagnostic instrument;
2 glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation devices;
3. Various self-used health care, massage, examination and treatment instruments (such as massagers, wheelchairs, crutches, various household detection and treatment instruments, leather steel carapace, waist circumference, steel head and neck, stomach support, kidney support, uterine support, hernia belt, knee pads, testicular straps, brain tonic drugs, medicine pillows, medicine pads, hot compress bags, magic vitality bags, etc.). )
Disposable medical materials that cannot be charged separately as stipulated by the provincial and municipal price departments.
(4) Treatment items.
1. Organ source or tissue source of all kinds of organ or tissue transplantation (except skin transplantation of burn patients);
2. Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow;
3. Orthopedic surgery for myopia;
4. Qigong therapy, music therapy, balanced medicine therapy, healthy nutrition therapy, psychotherapy, magnetic therapy and other treatment projects.
(5) others.
1. Various infertility (pregnancy) and sexual dysfunction diagnosis and treatment items (such as male infertility, female infertility examination, treatment fee, STD identification examination, treatment fee, and all medical expenses in violation of family planning);
2 all kinds of teaching, scientific research and clinical verification of the diagnosis and treatment project costs;
3. Other insurance premiums collected during hospitalization (such as insurance premiums for various artificial organ implantation operations such as installing pacemakers) and various late fees.
Three, the new rural cooperative medical fund to pay part of the cost of diagnosis and treatment projects
The new rural cooperative medical fund to pay part of the cost of diagnosis and treatment projects are:
(1) Diagnostic equipment and medical materials.
1.x-ray computed tomography (CT), stereotactic radiation device (? -Knife), cardiac and angiographic X-ray machine (including digital subtraction equipment), magnetic resonance imaging device (MRI), single photon emission computer scanning device (SPECT), color Doppler instrument, cobalt 60, linear accelerator and other large medical equipment inspection and treatment projects. Examination items 30%, treatment items 20%.
2. Extracorporeal shock wave lithotripsy, hyperbaric oxygen chamber therapy, radio frequency therapy and other projects are paid by individuals.
3. Install various artificial organs and implant materials (such as pacemakers, artificial joints, intraocular lenses, artificial larynx, artificial ossicles, artificial ventilators, artificial femoral heads, artificial heart valves, vascular stents, etc.). ). Materials are limited to domestic products, and imported materials are paid according to the price of domestic materials. The individual pays 50%.
4. The provincial and municipal price departments stipulate that disposable medical materials can be charged separately to pay 30%.
(2) Treatment items.
1. Payment for hemodialysis and peritoneal dialysis 10%.
2 kidney, heart valve, cornea, skin, blood vessels, bone and bone marrow transplantation to pay 30%.
3. Cardiac bypass surgery, balloon dilatation of cardiac catheter, cardiac stenting, drainage, cardiac laser drilling, coronary angiography, cardiac electrophysiological radiofrequency ablation, anti-tumor cell immunotherapy, fast neutron therapy and various interventional treatments pay 20%.
Belonging to the "new rural cooperative medical fund to pay part of the cost of the diagnosis and treatment project", the participants first pay in accordance with the provisions of the proportion, and then pay according to the provisions of the new rural cooperative medical system.
Four, the new rural cooperative medical fund limited payment scope of diagnosis and treatment projects
(1) Exercise therapy: for patients with muscle strength, joint range of motion and balance dysfunction caused by organic diseases, 1 the disease course should not exceed 3 months; Pay no more than 2 times a day (including project consolidation calculation). When combined with comprehensive limb training for hemiplegia, cerebral palsy or paraplegia, you only need to pay 1 item.
(2) Comprehensive training of hemiplegic limbs: 1 The course of treatment should not exceed 3 months. Only when 1 item will be paid, it is used with exercise therapy.
(3) Comprehensive physical training for cerebral palsy: limited to children. Before the age of 3, the annual payment shall not exceed 6 months; After the age of 3, the annual payment shall not exceed 3 times.
Last month. The cumulative payment period shall not exceed 5 years. Only 1 item is paid when used with exercise therapy.
(4) Comprehensive training of paraplegic limbs: 1 The payment for the disease process shall not exceed 3 months. With exercise therapy, only 1 item is required.
(5) Occupational therapy: limiting the living and working ability caused by organic diseases. 1 The payment for disease process shall not exceed 3 months; The daily payment shall not exceed 1 time.
(6) Training of cognitive and perceptual dysfunction: limiting cognitive and perceptual dysfunction caused by organic diseases. 1 The payment for the disease process shall not exceed 3 months.
(7) Speech training: limited to moderate and severe language barriers caused by organic diseases. 1 The payment for disease process shall not exceed 3 months; The daily payment shall not exceed 1 time.
(eight) swallowing dysfunction training: limited to moderate and severe dysfunction; Only in the rehabilitation department of tertiary hospitals or rehabilitation specialist hospitals. 1 The payment for the disease process shall not exceed 3 months.
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