PhilHealth Newborn Care Package Guidelines

Only currently accredited facilities or those applying for accreditation must submit a photocopy of a Newborn Screening Facility (NSF) certificate issued by the Department of Health (DOH) or Newborn Screening Reference Center (NSRC).
Submission deadline for the NSF certificate was December 31, 2007.
Claims starting January 1, 2008 from non-certified facilities will not be reimbursed.

NBS should ideally be performed after 24 hours but within three (3) days post-delivery.
Newborns in intensive care, premature, or sick infants may be exempted from the 3-day limit but must be tested within seven (7) days.
Official receipts for NBS dated within the specified period, even post-discharge, are covered.

The facility must indicate the filter collection card number on the claim form (Part IV (C), item no. 3).
Incomplete claim forms missing this number will be returned.
All services covered must be enumerated in Part IV (C) of the claim form, such as:
1. Eye prophylaxis, umbilical cord care, Vitamin K, thermal care, BCG vaccine administration, and newborn resuscitation
2. First dose of Hepatitis B immunization
3. Newborn Screening Test (including filter collection card number)
Claim Forms 1 and 2 should be submitted together with the maternal application within the prescribed period for expedited processing.

NCP claims must be coded using RVS code 99432, described as "Normal Newborn Care Package".
PhilHealth ICD-10 rules also apply to this package.

The circular took effect for all admissions starting January 1, 2008.
All prior benefits and availment rules inconsistent with this circular are repealed as of its effectivity date.