Công văn 5378/BYT-KHTC năm 2021 hướng dẫn mức giá thanh toán chi phí thực hiện xét nghiệm COVID-19 do Bộ Y tế ban hành

Implementing directions of the Prime Minister and National Steering Committee for COVID-19 Prevention and Control (hereinafter referred to as “National Steering Committee”) on enhancement of COVID-19 control measures, with a focus on confirmatory testing for timely isolation and treatment, National Steering Committee and Ministry of Health have promulgated some instructional documents on testing such as Official Telegram No. 615/CD-BYT dated 07/5/2021 on raising COVID-19 control alert to the highest level and proactive COVID-19 testing in hospitals; and Official Telegram No. 628/CD-BYT dated 10/5/2021 on urgent distancing and enhancing testing in hospitals affiliated to the Ministry of Health and universities and tertiary hospitals. The Ministry of Health requests healthcare facilities to perform the following tasks:

1. Properly follow directions and guidelines on testing from the Ministry of Health, promptly detect confirmed cases for isolation and treatment as per regulations, and collect and make payment for each person according to existing law on price and guiding documents thereof.

2. The Ministry of Health has promulgated Official Dispatch No. 5028/BYT-KHTC dated 23/6/2021 on guidelines on funding sources for SARS-CoV-2 testing upon enhancement of testing in healthcare facilities; and Official Dispatch No. 4356/BYT-KH-TC dated 28/5/2021 on guidance on payout limits for COVID-19 testing costs. The Ministry of Health has received opinions from some local units and the press on testing costs in healthcare facilities; therefore, the Ministry of Health provides the following guidance:

2.1. Price of rapid testing: apply guidelines in Section VI Official Dispatch No. 4356/BYT-KH-TC dated 28/5/2021. To be specific:

a) Before 01/7/2021:

- A price of VND 238.000 is applicable to health insurance beneficiaries according to guidelines in Official Dispatch No. 4068/BYT-KHTC dated 30/7/2020.

- The price applicable to those not using health insurance shall be the price approved by the competent authority and no more than VND 238.000 according to Official Dispatch No. 5834/BYT-KHTC dated 27/10/2020.

b) From 1/7/2021, pay for actually incurred costs. To be specific:

- For costs related to sample collection and test result announcement such as costs of consumables, power and water and remuneration: healthcare facilities shall cover these costs according to existing decentralization of state budget for funding for epidemic prevention and control.

- For testing costs: these costs shall be paid as actually incurred for each patient according to the number of rapid tests actually used for the patient and purchase price of the tests determined by bidding and approved by the competent authority as prescribed by law.

For example: the competent authority approves a price of VND 135.000/rapid test determined by bidding for a unit. For health insurance card holders who are eligible for health insurance coverage and reimbursement of 80% of costs of medical services, the health insurance fund shall reimburse the cost of each rapid test according to the coverage and benefit level that they are eligible for, which is VND 135.000 x 80% = VND 108.000. The copayment amount of VND 27.000 and costs related to sample collection and test result announcement shall be covered by state budget according to existing budget decentralization.

2.2. COVID-19 antigen testing by immunoassay analyzers:

- In case samples need to be collected and preserved in a manner similar to how samples for Real-time PCR tests are collected and preserved, temporarily apply a price of VND 100.000/sample for the service of “sample collection and preservation".

- For the time being, testing costs shall be paid as actually incurred for each patient according to the number of tests actually used for the patient and purchase price of the tests determined by bidding and approved by the competent authority in compliance with the Law on Bidding.

- For costs of materials, chemicals, power and water, remuneration and costs related to the testing process: healthcare facilities shall cover these costs according to existing decentralization of state budget for funding for epidemic prevention and control.

2.3. Realtime RT-PCR COVID-19 testing by nasopharyngeal samples: continue to apply the guidelines in Official Dispatch No. 4356/BYT-KH-TC dated 28/5/2021 by the Ministry of Health.

For your reference and compliance.

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