Legal basis for NHIP accreditation
- Section 59.k of the IRR of Republic Act No. 7875 (National Health Insurance Act) requires that a health care professional must be a member of NHIP before accreditation.
- PHIC PhilHealth Circular No. 10, s. 2002 reiterates this IRR requirement for accreditation.
Reiterated requirement for accreditation
- Health care professionals applying for accreditation must become NHIP members.
- Accreditation is allowed only after the applicant is already a member of NHIP.
- PHIC PhilHealth Circular No. 10, s. 2002 applies to health care professionals applying for accreditation.
Required documents for proof of membership
- Applicants must submit a photocopy of the PhilHealth Identification Card.
- Employed applicants must submit the validated ME5/RF1 together with the photocopy of the PhilHealth Identification Card.
- Individually paying applicants must submit M15 together with the photocopy of the PhilHealth Identification Card.
Prior issuance and implementing guidance
- PHIC PhilHealth Circular No. 10, s. 2002 reiterates PhilHealth Circular No. 22, s. 2001 on the NHIP membership requirement for accreditation.
- Existing accreditation guidelines that do not conflict with this Circular remain applicable and enforceable.
Responsible issuer and information dissemination
- The President and CEO, through PHIC PhilHealth Circular No. 10, s. 2002, issues information and guidelines on the accreditation requirement.
- The Circular operates as an instruction to implement the membership prerequisite for accreditation by requiring documentary proof of NHIP membership.