Notification of termination of medical insurance agreement of designated medical institutions in Longyang District

2022-06-06 0 By

In order to standardize the management of designated medical institutions, strengthen the role of social supervision and warning education of designated medical institutions, and maintain the safety of medical insurance fund, Longyang District Medical Security Bureau hereby notifies the designated medical institutions that will terminate the medical insurance agreement in 2022 as follows:I. Medical institutions Have verified that the clinic of Baoshan Old Neighbor Pension Service Co., Ltd. has cancelled its medical practice license on September 16, 2021 (approval document No. Longwei Doctor Xu Note (2021) No. 8)).According to “interim measures for management of medical insurance fixed-point medical institutions” (order no. 2) of the national health insurance bureau article 43 first (7), (9) “baoshan city basic medical insurance fixed-point outpatient medical service agreement paragraph 3 of article 48, giving baoshan old neighbor pension service co., LTD. Remove the infirmary health-care protocol processing, now publish to the society.Ii. Retail pharmacies have been verifiedBaoshan city long Yang district hundred rendon large pharmacy sand’s branch, baoshan city long Yang district antai big pharmacy, long Yang district junan large pharmacy zhengyang south road, baoshan Lin xin pharmaceutical co., LTD., a willow branch, east south of yunnan pharmaceutical co., LTD. Dong jun large pharmacy baoshan pursues the second chain by ancient town, yunnan dong jun pharmaceutical co., LTD. Dong jun large pharmacy chains, east yunnan baoshan sun Microsystems jun pharmaceutical co., LTDBaoshan SiDong jun large pharmacy chain of Pacific north road, east south of yunnan pharmaceutical co., LTD. East jun large pharmacy baoshan, the three chains, dong jun in yunnan pharmaceutical co., LTD. Dong jun large pharmacy field second chain, yunnan baoshan xiaoping dong jun pharmaceutical co., LTD. East Yang jun large pharmacy chains, yunnan dong jun pharmaceutical co., LTD. Dong jun large pharmacy chain, yunnan baoshan almond flowers village east south China pharmaceutical co., LTDSiDong jun large pharmacy mans wide chain, dong jun pharmaceutical co., LTD. East yunnan baoshan jun large pharmacy chains, the new sports city east south of yunnan pharmaceutical co., LTD. Dong jun large pharmacy chain, yunnan baoshan red flower village dong jun pharmaceutical dong jun large pharmacy baoshan street center chain, yunnan dong jun pharmaceutical co., LTD. Dong jun big baoshan hemp c chain pharmacy, yunnan dong jun pharmaceutical co., LTD. Dong junPharmacy Baoshan Zhengyang second chain store, Yunnan Dongjun Pharmaceutical Co., LTD. Dongjun big pharmacy West Yi Yongxin chain store 18 fixed-point retail pharmacies have canceled drug business license,Health care according to the retail pharmacies designated management interim measures “(order no. 3 of the national health insurance bureau) of article 40 of the first paragraph (11), (16) and baoshan city designated retail drug store of insurance of primary medical treatment of medical service agreement, article 41. In the first paragraph (11), (15), give the above 18 retail pharmacies health cancellation agreement processing, now publish to the society.Fixed-point medical institutions to take notice, strictly implement the regulations on the supervision and administration of medical insurance fund use “interim measures for management of medical insurance fixed-point medical institutions” “interim measures for health care retail pharmacies designated management” and “baoshan city designated retail drug store of the basic medical insurance medical service agreement” provisions, in accordance with the law and operating according to regulation and resolutely put an end to violation behavior,We will provide reasonable and high-quality medical services for the insured.Article 43 Termination of the medical insurance agreement refers to the termination of the medical insurance agreement between the agency and the designated medical institution, the relationship between the agreement no longer exists, and the medical expenses generated after the termination of the agreement and the medical security fund no longer settle accounts.(7) the designated medical institution fails to report to the administrative institution as required after its suspension of business;(9) the practicing license of a medical institution or the record certificate of a TCM clinic has been revoked or cancelled;Article 40 Termination of the medical insurance agreement refers to the termination of the medical insurance agreement between the agency and the appointed retail drugstore, the relationship between the agreement no longer exists, and the medical expenses generated after the termination of the medical insurance agreement and the medical security fund no longer settle accounts.In case of any of the following circumstances, the designated retail drugstores shall terminate the medical insurance agreement and publish the list of retail drugstores that terminate the medical insurance agreement to the society :(11) the drug trading license or business license is revoked or cancelled;(16) the medical insurance agreement shall be terminated according to the provisions of the agreement;”Baoshan city basic medical insurance fixed-point outpatient medical service agreement article 48 in article sixty-five of this agreement party b behavior and bad nature, thereby causing loss to the medical insurance fund major or social impact is serious, or party b has the following circumstances, the default party a to terminate the agreement, for the payment of the cost of default to recover, and deduct the quality margin such as decision,If they are suspected of defrauding medical insurance funds, they shall submit to the medical insurance administrative department for administrative punishment.(3) the practicing license of a medical institution or the record certificate of a TCM clinic has been revoked or cancelled;Article 41 Unless Party B proposes to terminate the Medical insurance Agreement and party A agrees to terminate the medical insurance Agreement, Party A shall terminate the medical insurance agreement and make public the list of Party B who has terminated the medical insurance agreement.Depending on the seriousness of the circumstances, it shall be ordered to pay 2-5 times the penalty for breach of contract, refuse to pay all the fees for breach of contract, and recover the illegal fees in the fees already paid. If it is suspected of violating laws and regulations such as the social insurance Law, it shall be submitted to the administrative department for administrative punishment. If it is suspected of constituting a crime, it shall be transferred to the public security organ for processing.Party B shall not apply for designated medical institutions within 3 years.(11) its pharmaceutical trading license or business license has been revoked or cancelled;(15) the medical insurance agreement shall be terminated according to the provisions of the agreement;About Baoshan News Network The wechat is managed by Baoshan News Network, the propaganda department of baoshan Municipal Party Committee, baoshan News network is the fourth media managed by Baoshan Municipal Party Committee and Government.Follow this account and you will receive timely news and information from Baoshan.All rights reserved.Baoshan News Website tel: 0875-2135020 QQ: 3049779830 (wechat same number) Email: wx@bsxw.cn