Title
NHIP Membership Required for Health Pro Accreditation
Law
Phic Philhealth Circular No. 10, S. 2002
Decision Date
Feb 15, 2002
Health care professionals must be members of the National Health Insurance Program (NHIP) to obtain accreditation, as mandated by PhilHealth Circular No. 10, S. 2002, requiring submission of relevant membership documentation.

Questions (PHIC PHILHEALTH CIRCULAR NO. 10, S. 2002)

It reiterates the requirement that all health care professionals applying for accreditation must be members of the National Health Insurance Program (NHIP), consistent with the governing law and prior PhilHealth issuances.

It reiterates PhilHealth Circular No. 22, s. 2001.

Section 59(k) of the IRR of RA 7875 (National Health Insurance Act).

Membership in the NHIP is required before accreditation.

Health care professionals applying for accreditation of professional services.

No exception is stated in the text; it reiterates that membership must precede accreditation.

A photocopy of the PhilHealth Identification Card together with the validated ME5/RF1 for employed members.

A photocopy of the PhilHealth Identification Card together with the validated M15 for individually paying members.

Provisions in existing guidelines that do not conflict with Circular No. 10, s. 2002 remain in force and effective.

The conflicting portion should not remain in force; only non-inconsistent provisions continue to apply.

NHIP membership must exist before the health care professional can be accredited.

Adopted on 15 February 2002, approved/signed by Francisco T. Duque III, MD, MSc., President and CEO.

It states the requirement is provided for in the IRR of RA 7875, specifically Section 59(k), and is therefore reaffirmed.

Accreditation should not be granted because the circular reiterates that NHIP membership is a prerequisite under the IRR of RA 7875.

It serves as proof of NHIP membership, supported by the appropriate validated membership form (ME5/RF1 or M15).

Employed: validated ME5/RF1; Individually paying: validated M15.


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