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V t???????0??????????????????????????????????65?L/? ????????? ?????/? ???????? ? ????/?  ???????? ?????/? ???????? ? ????/?  ????????2?2? l4?p??????T{$$If???!vh5? 5??#v #v?:V ? ? V t???????????0????????????????????????????????????65?W5?1/? ?/? ?>????????????????????$??qL?????B,@\??i *\??????????? ????\? ? XX??\\?XXXXi \\\\\\\\\\\\\\\\\\\\\\\ B? Y T? -------C?NG H?A X? H?I CH? NGH(A VI?T NAM ?c l?p - T? do - H?nh ph?c ---------------S?: 7354/BYT-KH-TC V/v th?c hi?n gi? d?ch v? KB, CB b?o hi?m y t? bao g?m c? chi ph? ti?n l??ng c?a m?t s? t?nh/TP (?t 2)H? N?i, ng?y 07 th?ng 10 nm 2016?K?nh g?i:- ?y ban nh?n d?n c?c t?nh/TP tr?c thu?c Trung ??ng; - S? Y t? c?c t?nh/TP tr?c thu?c Trung ??ng. (theo danh s?ch ?nh k?m)?Li?n B? Y t? - T?i ch?nh ? ban h?nh Th?ng t? li?n t?ch s? 37/2015/TTLT- BYT-BTC ng?y 29/10/2015 quy ?nh th?ng nh?t gi? d?ch v? kh?m b?nh, ch?a b?nh b?o hi?m y t? gi?a c?c b?nh vi?n c?ng h?ng tr?n to?n qu?c (sau ?y g?i t?t l? Th?ng t? 37). Hi?n nay, c?c c? s? kh?m b?nh, ch?a b?nh tr?n to?n qu?c ? th?c hi?n xong m?c gi? b??c 1 (g?m chi ph? tr?c ti?p, ph? c?p ?c th?) t? 01/3/2016. Th?ng 8/2016 m?i th?c hi?n m?c gi? b??c 2 (c? ti?n l??ng) t?i 16/63 t?nh, th?nh ph?.Tr?n c? s? ? ki?n c?a B? T?i ch?nh t?i c?ng vn s? 14158/BTC-QLG ng?y 07/10/2016, c?a Ng?n h?ng Nh? n??c Vi?t Nam t?i c?ng vn s? 7448/NHNN- DBTK ng?y 04/10/2016, c?a T?ng c?c Th?ng k? t?i c?ng vn s? 807/TCTK-TKG ng?y 04/10/2016, di?n bi?n t?nh h?nh gi? c? th? tr??ng th?ng 9/2016 v? d? b?o th?ng 10 nm 2016; B? Y t? th?ng b?o th?i i?m th?c hi?n b??c 2 gi? d?ch v? kh?m b?nh, ch?a b?nh BHYT bao g?m c? ti?n l??ng quy ?nh t?i kho?n 2 i?u 5 Th?ng t? 37 cho 16 t?nh, th?nh ph? (?t 2), c? th? nh? sau:1. C?c c? s? kh?m b?nh, ch?a b?nh (c? trung ??ng v? ?a ph??ng) tr?n ?a b?n 16 t?nh, th?nh ph? (c? danh s?ch k?m theo) th?c hi?n m?c gi? bao g?m c? chi ph? ti?n l??ng theo quy ?nh t?i kho?n 2 i?u 5 Th?ng t? 37 t? ng?y 12/10/2016. Tr??ng h?p c?c c? s? kh?m b?nh, ch?a b?nh ch?a ho?n th?nh vi?c c?p nh?t m?c gi? d?ch v? kh?m b?nh, ch?a b?nh BHYT bao g?m chi ph? tr?c ti?p, ph? c?p ?c th? v? chi ph? ti?n l??ng v?o ph?n m?m thanh to?n chi ph? kh?m b?nh, ch?a b?nh BHYT ng?y 12/10/2016: s? th?c hi?n sau khi ? ho?n th?nh vi?c c?p nh?t (kh?ng th?c hi?n h?i t? t? ng?y 12/10/2016 ?n th?i i?m c?p nh?t gi? c? ti?n l??ng c?a c? s? kh?m b?nh, ch?a b?nh).2. C?c ?n v?, ?a ph??ng c?n l?i (tr? 16 t?nh, th?nh ph? ? ??c i?u ch?nh t? th?ng 8/2016, 16 t?nh, th?nh ph? ??c i?u ch?nh ?t n?y v? c?c ?n v? quy ?nh t?i kho?n 3 i?u 5 c?a Th?ng t? s? 37) ti?p t?c th?c hi?n m?c gi? g?m chi ph? tr?c ti?p v? ph? c?p ?c th? quy ?nh t?i kho?n 1 i?u 5 c?a Th?ng t? 37 cho ?n khi B? Y t? c? vn b?n th?ng b?o th?i i?m th?c hi?n c? th? ?i v?i c?c ?n v?, ?a ph??ng.Vi?c th?c hi?n m?c gi? bao g?m c? ti?n l??ng v? c? b?n kh?ng l?m ?nh h??ng ?n c?c ?i t??ng ch?nh s?ch x? h?i, ng??i ngh?o, tr? em d??i 6 tu?i, ?ng b?o d?n t?c thi?u s? sinh s?ng ? v?ng kinh t? x? h?i kh? khn, ng??i d?n sinh s?ng ? v?ng ?c bi?t kh? khn, x? ?o, huy?n ?o, ng??i c?n ngh?o... v? c?c ?i t??ng n?y ? ??c nh? n??c mua th? ho?c h? tr? ph?n l?n ? mua BHYT, ph?n tng th?m v? c? b?n do BHXH thanh to?n, t?o i?u ki?n cho c?c b?nh vi?n n?ng cao ch?t l??ng d?ch v? y t?, ph?c v? ng??i c? th? BHYT ??c t?t h?n, khuy?n kh?ch c?c b?nh vi?n tuy?n d??i ph?t tri?n c?c k? thu?t y t?, gi?m t?i tuy?n tr?n. M?c gi? c? ti?n l??ng ch? ?p d?ng cho ng??i c? th? BHYT n?n kh?ng ?nh h??ng ?n ng??i ch?a tham gia BHYT. Do v?y, B? Y t? ? ngh? S? Y t? c?c t?nh, th?nh ph? 16 t?nh, th?nh n?u tr?n th?c hi?n m?t s? n?i dung sau:(i) Th?ng h?o v? ch? ?o c?c c? s? kh?m b?nh, ch?a b?nh tr?n ?a b?n t?nh, th?nh ph? th?c hi?n m?c gi? d?ch v? kh?m b?nh, ch?a b?nh BHYT bao g?m c? chi ph? ti?n l??ng theo ?ng h??ng d?n c?a li?n B? Y t? - T?i ch?nh t?i Th?ng t? 37 n?u tr?n v? c?c vn b?n li?n quan.(ii) Ti?p t?c truy?n th?ng v? l?i ?ch c?a vi?c i?u ch?nh gi? d?ch v? y t?, ch? ?o c?c c? s? kh?m b?nh, ch?a b?nh tr?n ?a b?n t?nh/th?nh ph? th?c hi?n c?c gi?i ph?p ? n?ng cao ch?t l??ng d?ch v? y t? g?n v?i i?u ch?nh gi? d?ch v? y t? theo c?c vn b?n c?a B? Y t?: C?ng vn s? 3893/BYT-KH-TC ng?y 24/6/2016 v? vi?c th?c hi?n Th?ng t? li?n t?ch s? 37/TTLT-BYT-BTC, c?ng vn s? 9913/BYT-KH- TC ng?y 16/12/2015 v? vi?c chu?n b? tri?n khai Th?ng t? li?n t?ch quy ?nh th?ng nh?t gi? d?ch v? kh?m b?nh, ch?a b?nh b?o hi?m y t? gi?a c?c b?nh vi?n c?ng h?ng tr?n to?n qu?c.(iii) Ch? ?o c?c c? s? kh?m b?nh, ch?a b?nh tr?n ?a b?n c? tr?ch nhi?m:a) Ni?m y?t c?ng khai, th?ng b?o r?ng r?i vi?c ?p d?ng gi? m?i theo c?c vn b?n B? Y t? ? h??ng d?n; ?y m?nh vi?c tuy?n truy?n, gi?i th?ch ? ng??i d?n hi?u v? ?ng thu?n; ch?u tr?ch nhi?m gi?i quy?t, xin ? ki?n c?c c? quan qu?n l? trong tr??ng h?p v??t th?m quy?n ? gi?i quy?t k?p th?i c?c ph?t sinh trong qu? tr?nh th?c hi?n (n?u c?);b) Ph?i th?ng b?o ngay cho c? quan b?o hi?m x? h?i th?i i?m th?c hi?n ? ph?i h?p tri?n khai.c) ?i v?i ng??i b?nh ang c? ?t i?u tr? ngo?i tr? ho?c n?i tr?, b?t ?u tr??c v? k?t th?c sau ng?y th?c hi?n m?c gi? m?i n?y: ?p d?ng m?c gi? hi?n ang th?c hi?n cho ?n khi ng??i b?nh ra vi?n ho?c k?t th?c ?t i?u tr?.(iv) ?i v?i c?c t?nh ch?a th?nh l?p Qu? kh?m ch?a b?nh cho ng??i ngh?o, ? ngh? S? Y t? kh?n tr??ng b?o c?o ?y ban nh?n d?n t?nh th?nh l?p, b? tr? ng?n s?ch, huy ?ng kinh ph?, s? d?ng m?t ph?n k?t d? qu? kh?m, ch?a b?nh theo quy ?nh c?a ph?p lu?t v? BHYT (n?u c?) ? c? ngu?n h? tr? cho c?c ?i t??ng theo quy ?nh t?i Quy?t ?nh s? 139/2002/Q-TTg ng?y 15/10/2002 c?a Th? t??ng Ch?nh ph? v? kh?m ch?a b?nh cho ng??i ngh?o, Quy?t ?nh s? 14/2012/Q-TTg ng?y 01/3/2012 c?a Th? t??ng Ch?nh ph? v? vi?c s?a ?i, b? sung m?t s? i?u c?a Quy?t ?nh s? 139/2002/Q-TTg v? Th?ng t? li?n t?ch s? 33/2013/TTLT-BYT-BTC ng?y 18/10/2013 c?a li?n B? T?i ch?nh - Y t? h??ng d?n t? ch?c th?c hi?n Quy?t ?nh s? 14/2012/Q-TTg ng?y 01/3/2012 c?a Th? t??ng Ch?nh ph?.(v) ? ngh? S? Y t? ch? ?o c?c c? s? kh?m b?nh, ch?a b?nh tr?n ?a b?n t?nh, th?nh ph? tr?ch m?t ph?n ch?nh l?ch thu l?n h?n chi v?o Qu? h? tr? kh?m b?nh, ch?a b?nh theo quy ?nh t?i Ngh? ?nh s? 85/2012/N-CP ng?y 15/10/2012 c?a Ch?nh ph? v? c? ch? ho?t ?ng, c? ch? t?i ch?nh ?i v?i c?c ?n v? s? nghi?p y t? c?ng l?p v? gi? d?ch v? kh?m b?nh, ch?a b?nh c?a c?c c? s? kh?m b?nh, ch?a b?nh c?ng l?p. X?y d?ng, b? sung Quy ch? h? tr? c?a Qu? trong Quy ch? chi ti?u n?i b? c?a ?n v? ? h? tr? trong tr??ng h?p ng??i b?nh c? chi ph? i?u tr? l?n v? kh?ng c? kh? nng chi tr?.(vi) ? gi?m g?nh n?ng chi ph? kh?m, ch?a b?nh trong tr??ng h?p thi?n tai, th?m h?a: ? ngh? S? Y t? b?o c?o ?y ban nh?n d?n t?nh xem x?t, quy?t ?nh ? thanh to?n chi ph? kh?m b?nh, ch?a b?nh cho ng??i b?nh trong c?c tr??ng h?p thi?n tai, th?m h?a theo quy ?nh t?i i?m c, kho?n 2, i?u 20 Ngh? ?nh s? 85/2012/N-CP ng?y 15/10/2012 c?a Ch?nh ph? v? c? ch? ho?t ?ng, c? ch? t?i ch?nh ?i v?i c?c ?n v? s? nghi?p y t? c?ng l?p v? gi? d?ch v? kh?m b?nh, ch?a b?nh c?a c?c c? s? kh?m b?nh, ch?a b?nh c?ng l?p.B? Y t? th?ng b?o ? c?c ?n v?, ?a ph??ng bi?t v? tri?n khai th?c hi?n. Trong qu? tr?nh th?c hi?n n?u c? kh? khn, v??ng m?c ? ngh? c?c ?n v?, ?a ph??ng ph?n ?nh b?ng vn b?n v? B? Y t? ? xem x?t, gi?i quy?t.??N?i nh?n: - Nh? tr?n; - PTT V??ng ?nh Hu? (? b/c); - PTT Vi ?c am (? b/c); - BT Nguy?n Th? Kim Ti?n (? b/c); - Vn ph?ng Ch?nh ph?; - B? T?i ch?nh; - NHNN Vi?t Nam; - B? KH-T, T?ng c?c Th?ng k?; - BHXH Vi?t Nam; BHXH 16 t?nh/TP; - UBND c?a 16 t?nh/TP; - Y t? c?c B?, ng?nh; - C?c V?, C?c, T?ng c?c thu?c B? Y t?; - V? HCSN, C?c Qu?n l? Gi? - BTC; - L?u: VT, KH-TC(4).KT. B? TR??NG TH? TR??NG Ph?m L? Tu?n?DANH S?CHC?C T?NH/TH?NH PH? TH?C HI?N M?C GI? BAO G?M C? CHI PH? TI?N L??NG T? NG?Y 12/10/2016 (?T 2) (K?m theo c?ng vn s? 7354/BYT-KH-TC ng?y 07/10/2016 c?a B? Y t?)STT?A PH??NG1Kom Tum2Tr? Vinh3Qu?ng B?nh4Qu?ng Ng?i5Qu?ng Ninh6Qu?ng Tr?7B?c Ninh8H? N?i9H?i D??ng10k N?ng11B?nh D??ng12k Lk13Gia Lai14Ph? Y?n15H? 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