来源:市场星报
| 2022-11-07 16:43:09 |
(资料图片仅供参考)
日前,记者从安徽省医保局获悉,《关于调整基本医疗保险门诊慢特病病种及门诊用药目录的通知》(以下简称《通知》)印发,扩大门诊慢特病病种保障范围,进一步减轻参保患者家庭医疗费用负担。自12月1日起,将进行性肌营养不良症、法布雷病、亨廷顿舞蹈症、视神经脊髓炎、脊髓延髓肌萎缩症(肯尼迪病)、甲状腺素蛋白淀粉样变性心肌病、遗传性血管性水肿等7种疾病统一纳入基本医保门诊慢特病保障范围。
据悉,《通知》明确门诊慢特病病种内容,要求全省各医保统筹地区统一执行新增病种目录、认定标准、用药目录及年费用限额,不得自行调整;同时,《通知》要求做好系统维护,加强服务管理,确保政策如期平稳落地施行,保障患者用药安全可及。
省医保局相关处室负责人介绍说,此次调整门诊慢特病病种目录体现三点创新之处:统一病种范围。遴选确定将进行性肌营养不良症、法布雷病、亨廷顿舞蹈症、视神经脊髓炎、脊髓延髓肌萎缩症(肯尼迪病)、甲状腺素蛋白淀粉样变性心肌病、遗传性血管性水肿等7种疾病统一纳入基本医保门诊慢特病保障范围,并明确了病种认定标准,职工医保、居民医保同步执行,有助于病种的规范管理、统一尺度。统一用药范围。统一制定了7种慢特病病种的门诊用药目录,满足参保患者门诊用药需求的同时,进一步规范医保基金支出。统一报销限额。在全省统一门诊病种、用药、认定标准基础上,区分居民医保和职工医保,分病种确定年度报销限额,进一步增强医疗保障待遇均衡性,促进基本医保政策的公平统一。
至此,安徽省门诊慢特病病种数目达到70个。记者 祁琳
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