Question & AnswerQ&A (PHIC PHILHEALTH CIRCULAR NO. 040)
The purpose is to ensure the efficient delivery of health care services to PhilHealth members, particularly indigent members, by providing an outpatient consultation and diagnostic package through local government units.
The initial beneficiaries are indigent members from selected localities.
Local government units (LGUs) are responsible for administering and delivering the package.
It is included under the National Health Insurance Program administered by PhilHealth.
A new provider payment scheme is used, administered through LGUs, although specific details are found in the implementing guidelines.
The guidelines were adopted on December 7, 2000.
The full text is available at the Office of the National Administrative Register, U.P. Law Complex, Diliman, Quezon City.
PhilHealth Circular No. 040, series of 2000.
Because it represents the first outpatient consultation and diagnostic package included in the National Health Insurance Program geared towards indigent members, enhancing accessibility and delivery of healthcare services through LGU involvement.
The provided summary does not specify penalties or sanctions; such details would be found in the full implementing guidelines.