Circular No. 04/2013/TT-BYT guiding the approval and application of medical examination and treatment service fees for healthcare facilities under the management of other ministries and sectors.

CIRCULAR

Guidelines for approving and applying service fees for medical examination and treatment at medical facilities under the management of other ministries and sectors

managed by other ministries and sectors

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Pursuant to the Health Insurance Law dated November 14, 2008;

Pursuant to Clause 4, Article 88 of the Medical Examination and Treatment Law dated November 23, 2009;

This Circular prescribes procedures for receiving, providing health care for domestic violence victims and statistical reports on domestic violence victims at medical facilities.

The Minister of Health issues this Circular guiding the approval and application of service fees for medical examination and treatment at state-owned medical facilities under the management of other ministries and sectors.

Article 1. Scope and Applicability

1. This Circular stipulates the approval and application of service fees for medical examination and treatment at state-owned medical facilities under the management of other ministries and sectors, including those under ministries, agencies equivalent to ministries, government agencies, state-owned corporations, and state-owned enterprises (hereinafter referred to as medical facilities under ministries and sectors).

2. This Circular does not apply to state-owned medical facilities under the Ministry of Health and state-owned medical facilities under local management.

Article 2. Provisions on the approval and application of service fees for medical examination and treatment

1. For special-class hospitals and Class I hospitals directly managed by ministries and sectors: The Minister of Health shall approve the service fees for medical examination and treatment for each facility.

2. For health stations of organizations, units, and military-civilian health stations, military-civilian outpatient clinics: Apply the service fees for medical examination and treatment prescribed by the People's Council and People's Committee of the province (hereinafter referred to as the province) for village-level health stations, ward-level health stations, and town-level health stations in that locality.

3. For military-civilian infirmaries: Apply the service fees for medical examination and treatment prescribed by the People's Council and People's Committee of the province for regional multi-disciplinary outpatient clinics in that locality.

4. For Class II, III, and IV hospitals directly managed by other ministries and sectors (including military-civilian hospitals): Apply the service fees for medical examination and treatment prescribed by the People's Council and People's Committee of the province for medical facilities of the same class in that locality.

5. For medical facilities under ministries and sectors that have not yet been classified: The health management agency of the ministry or sector shall coordinate with the provincial social insurance agency to unify the application of service fees for medical examination and treatment prescribed by the People's Council and People's Committee of the province for medical facilities of the same class in that locality during the waiting period for classification according to the regulations of the Ministry of Health.

6. In cases where medical facilities under ministries and sectors provide technical services not included in the prescribed service fees for medical examination and treatment of the locality, such medical facilities must develop pricing plans according to the guidelines of the Ministry of Health and report to the Ministry of Health for review and decision.

Article 3. Implementation Organization

1. The health management agency of the ministry or sector is responsible for organizing the classification or submitting to the competent authority for the decision on the classification of medical facilities under its management according to the regulations of the Ministry of Health.

2. Based on the provisions of this Circular, medical facilities are responsible for:

a) For medical facilities subject to the provisions of Clause 1, Article 2 of this Circular: Develop a pricing plan for service fees for medical examination and treatment of the facility according to the guidelines of the Ministry of Health and submit it to the Ministry of Health for approval;

b) For medical facilities subject to the provisions of Clauses 2, 3, 4, and 5, Article 2 of this Circular: Submit a report on the application of service fees for medical examination and treatment (specifying the equivalent level of medical facilities in the locality where the facility is located) along with the list of service fees for medical examination and treatment prescribed by the People's Council and People's Committee of the province for medical facilities in the locality where the facility is located and the decision on the classification of the medical facility (if any), while bearing full responsibility before the law for the decision on the application of service fees for medical examination and treatment of their own facility.

Article 4. Effective date

This Circular takes effect from March 15, 2013.

Article 5. Transitional Provisions

1. For medical facilities subject to the provisions of Clause 1 and Clause 5, Article 2 of this Circular: During the waiting period for the Ministry of Health to approve the service fees for medical examination and treatment or for the health management agency of the ministry or sector and the provincial social insurance agency to unify the application of service fees for medical examination and treatment, they may continue to collect service fees for medical examination and treatment at the approved rate until a new price list replaces it.

2. For patients who have entered medical facilities under ministries and sectors and are undergoing inpatient treatment before this Circular takes effect, they may continue to be charged at the approved rate until they leave the medical facility. If there are difficulties during implementation, please reflect them in writing to the Ministry of Health for consideration and resolution.

If there are difficulties during implementation, please reflect them in writing to the Ministry of Health for consideration and resolution. /