@资阳人可收藏!四川将62个病种纳入门诊慢特病保障范围!
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.jiuquhe.com/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section style="font-family: 微软雅黑; letter-spacing: 1.5px; line-height: 2;"><section style="line-height: 1.75; letter-spacing: 0.5px; color: #3e3e3e; font-family: PingFangSC-light;"><section style="text-align: center;"><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="line-height: 1.71em; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">日前</span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="line-height: 1.71em; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">四川省医疗保障局</span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="line-height: 1.71em; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">四川省财政厅印发</span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="background-color: #1464b4; color: #ffffff; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong>《关于规范全省基本医疗保险门诊</strong></span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="background-color: #1464b4; color: #ffffff; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong>慢特病保障政策的通知》</strong></span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="color: #1464b4; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong>将62</strong></span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="color: #1464b4; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong> mmm</strong></span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="color: #1464b4; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong>个病种</strong></span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="color: #1464b4; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong>纳入门诊慢特病保障范围</strong></span></p><p><span style="letter-spacing: 1.5px; line-height: 1.71em; font-family: 微软雅黑, Microsoft YaHei;">该通知发布日期为12月6日</span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">自公布之日起30日后施行</span></p><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">有效期5年</span></p><p> </p></section><section style="line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><p style="margin-right: 5px; margin-left: 5px; line-height: 2em;"><img class="rich_pages wxw-img" style="background-color: #ffffff; border-radius: 0px; padding: 4px; width: 100%; vertical-align: baseline; border: 1px solid #4f81bd;" src="https://pic.app.jiuquhe.com/Fthofp8-bUIdCoXxJ2zVKau-hVtC" /></p></section></section><section style="text-align: center; font-size: 15px; color: #a0a0a0;"><p style="text-align: center; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">▲四川省医疗保障局网站截图</span></p></section><p> </p><section style="justify-content: flex-start; display: flex; flex-flow: row; margin-bottom: 10px;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgba(135, 155, 186, 0.19); padding: 22px; border: 1px solid #4f81bd;"><section style="text-align: unset;"><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">据悉,该通知明确统一保障政策。建立全省统一的门诊慢特病保障政策,将长期或终身需要在门诊治疗的慢性病、特殊疾病纳入门诊慢特病保障范围。实施公平适度的基本医疗保障政策,缩小地区之间差距,提升制度的均衡性和可及性。<br /></span></p><p style="text-align: justify;"> </p><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="color: #1464b4; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong>适用对象:</strong></span></p><p style="text-align: justify;"> </p><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">全省职工基本医疗保险、城乡居民基本医疗保险全体参保人员。<br /></span></p><p style="text-align: justify;"> </p><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="color: #1464b4; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong>纳入全省基本医疗保险门诊慢特病管理的病种应满足以下条件:</strong></span></p><p style="text-align: justify;"> </p><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong><span style="color: #1464b4;">● </span></strong>临床诊断及诊疗方案明确,且主要治疗药品已纳入《国家基本医疗保险、工伤保险和生育保险药品目录》;</span></p><p style="text-align: justify;"> </p><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong><span style="color: #1464b4;">● </span></strong>病程较长、对健康损害大、医疗费用较高普通门诊统筹难以保障或病情较重但已过急性期、病情相对稳定、需要在门诊长期治疗的疾病;</span></p><p style="text-align: justify;"> </p><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong><span style="color: #1464b4;">● </span></strong>疾病与接触职业病危害因素之间没有直接因果关系;</span></p><p style="text-align: justify;"> </p><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong><span style="color: #1464b4;">● </span></strong>需要在门诊长期治疗的其他合理情形。<br /></span></p><p style="text-align: justify;"> </p><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="color: #1464b4; letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;"><strong>保障范围:</strong></span></p><p style="text-align: justify;"> </p><p style="text-align: justify; margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">据悉,整合省内各市(州)和省本级(以下简称各地区)已纳入门诊慢特病保障病种,经专家论证遴选建立全省基本医疗保险门诊慢特病病种库(以下简称“全省病种”,见附件)。全省病种中各地区<strong>已纳入</strong>保障的病种,统一按全省病种确定的名称执行,各地区原已认定的门诊慢特病不再重新认定,按规定继续享受待遇;全省病种中<strong>未纳入</strong>本地区保障的病种,由各地区根据参保人员的疾病谱、医保基金支撑能力等情况调整;省本级将全省病种纳入保障范围。职工基本医疗保险和城乡居民基本医疗保险门诊慢特病病种范围原则上保持一致。</span></p><p style="text-align: justify;"> </p></section><section style="line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><p style="margin-right: 5px; margin-left: 5px; line-height: 2em;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; display: inline;" src="https://pic.app.jiuquhe.com/FoA9_scA8aaG-JxT20qxLMYPvzsA" /></p></section></section><section style="line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><p style="margin-right: 5px; margin-left: 5px; line-height: 2em;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; display: inline;" src="https://pic.app.jiuquhe.com/FlHLuopEMXsl9XfsVy0FLmrcvMMY" /></p></section></section><section style="line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><p style="margin-right: 5px; margin-left: 5px; line-height: 2em;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; display: inline;" src="https://pic.app.jiuquhe.com/FoWdpPRqqx25rhCzmng7XBpcEMrT" /></p></section></section><section style="text-align: center; font-size: 15px; color: #a0a0a0;"><p style="margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">▲《四川省基本医疗保险门诊慢特病病种库》</span></p></section><section><p> </p><p style="margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">省级医疗保障部门根据全省疾病谱、参保人员医疗保障需求、医保基金支撑能力等因素,对全省病种实行动态管理,适时增加或调出病种。<strong>各地区不再自行新增全省病种范围外的病种</strong>,各地区现有病种未列入全省病种的,应结合本地实际研究过渡性保障政策。<br /></span></p><p> </p><p style="margin-right: 5px; margin-left: 5px; line-height: 2em;"><span style="letter-spacing: 1.5px; font-family: 微软雅黑, Microsoft YaHei;">值得注意的是,《四川省基本医疗保险门诊慢特病病种库》涵盖有甲状腺功能异常、重度骨质疏松、类风湿关节炎等共计62个病种。</span></p></section></section></section><section style="font-family: 微软雅黑;"><p style="text-align: left; margin-left: 5px; margin-right: 5px; line-height: 2em;"><span style="color: #7f7f7f; font-size: 15px; font-family: 微软雅黑, Microsoft YaHei;">来源 | 四川发布</span></p></section></section></section><p style="display: none;"> </p> <!----></div> 知道了哟 这是一个好事
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