山西推出多项医保便民措施

    发布时间:2019-06-19   来源:中华康网   
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新华社太原6月18日电(记者刘翔霄)记者从山西省医保局了解到,为方便参保群众,山西省医疗保险管理服务中心推出多项便民措施,包括下放门诊大额疾病鉴定、中医适宜技术纳入门诊支付范围、下放转诊权限、简化转诊手续、谈判药品实现网上办理等。

真性红细胞增多症、原发性血小板增多症、原发性骨髓纤维化、血友病和再生障碍性贫血5种门诊大额疾病鉴定下放至有资质的三级甲等定点医院办理。定点医院直接受理材料并审核鉴定,取消医保审核环节。6月起将门诊大病复审工作交给定点医院完成。

5月起,省直参保人员转诊全部下放至医院办理。同时为加强管理,实行转诊医院和责任医师负责制,医院按时将转外就医患者转诊情况通过医保信息系统上传至省医保中心,参保人员不需再到医保中心备案。

4月1日起,中医适宜技术在山西5所试点医院纳入普通门诊支付范围。颈椎病、肩周炎、面神经炎等20种疾病使用针刺、灸法、推拿等中医适宜技术发生的医疗费用由医保统筹基金按60%支付。

此外,17种谈判抗癌药品使用的申报实现网上即时办理、“秒杀”办结,通过系统传输审核材料,医保信息系统实时监控,保障参保人员待遇的同时确?;鸢踩?。

急诊备案、转诊备案、门诊大额疾病申请、医疗费用报销四类医疗管理业务由原来的22项减至19项,单位介绍信、诊断建议书、核拨表等取消。

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