Question & AnswerQ&A (PHIC PHILHEALTH CIRCULAR NO. 30, S. 2004)
The circular references Section 53, Rule X of the Implementing Rules and Regulations (IRR) of the National Health Insurance Act of 1995 (RA 7875) as amended by RA 9241.
Yes, a hospital that has not operated for at least three years can qualify for initial accreditation if it meets certain conditions stipulated in the circular.
The managing health care professional must have at least three years of working experience as a medical director or hospital administrator in another accredited tertiary hospital or its equivalent.
Service Record for government hospitals; Certification of the Board or the Hospital Owner for private hospitals; Certification of the Board for corporations or foundations.
He or she must be replaced by another managing health care professional who can show the same proof of three years of service as required.
Health care providers operating as tertiary facilities or their equivalent (including Secondary Care Hospitals and Tertiary Care Hospitals under the new DOH classification) are eligible.
The health care provider must operate in an LGU where accredited health facilities cannot adequately or fully serve the population, supported by PhilHealth records.
Yes, the three-year operation rule is waived for providers of certain pro-poor benefits like Outpatient Primary Care Benefits, TB-DOTS Benefits, and Non-hospital Maternity Care Benefits.
The circular took effect 15 days after its publication on November 22, 2004.