Sichuan: Unified settlement of medical insurance for the collection of pharmaceutical supplies, 50% advance

On September 2nd, the Sichuan Provincial Medical Security Bureau issued the Announcement on the Administration of Online Payment Settlement (Temporary) for The Centralized Purchase of Pharmaceuticals and Medical Supplies in Sichuan Province, which clearly established a regulatory account to realize the online payment settlement of purchase prices for drug supplies collection, that is, medical institutions will pay the pharmaceutical purchase money online to the regulatory account, and the provincial trading center will pay the purchase money to the supplier through the regulatory account of the platform.
has always been an urgent problem to be solved in the procurement of pharmaceutical consumables.
through online settlement, under the supervision of medical insurance, can undoubtedly directly solve the problem of long repayment cycle of supplies procurement.
In addition, through a third-party regulatory platform, drug supplies payment process will also be more visual, transparent, medical insurance set up a third-party account for supervision, payment, bidding, pricing "Tnity", also play a role in combating the hospital "with gold sales" behavior.
so far, the country has Zhejiang, Jiangsu, Hunan, Guizhou and other provinces issued a document to promote the implementation of centralized procurement of pharmaceutical supplies online unified settlement work.
sichuan Province in the payment line of the implementation of the scope of almost all medical institutions and related production / operating enterprises.
In particular, public medical and health institutions (including military medical institutions involved in centralized procurement in our province), medical insurance fixed-point social medical institutions, medical insurance fixed-point retail pharmacies, medical insurance operators, pharmaceutical production and operation enterprises.
After the online settlement of drug purchase payment is divided into two types of belt purchase settlement and non-volume purchase settlement, the pharmaceutical institution shall entrust the medical insurance agency to use the medical insurance fund to prepay the drug purchase price.
medical insurance agency transfers the fund advance to the regulatory account, which, upon receipt of the fund advance, pays the payment to the settlement account of the corresponding pharmaceutical enterprise.
Within 15 working days of the signing of the purchase and sale contract, the medical insurance agency shall make the first advance payment of not less than 50% of the purchase amount of the contract, and after half of the contract purchase amount has been executed, the remaining portion of the drug purchase price shall be paid again within 15 working days.
when the settlement fee of the medical insurance is not sufficient to cover the advance payment of the fund of the medical insurance agency, the difference portion shall continue to be deducted in the next medical insurance settlement expense until it is settled.
the oversized portion of the purchase quantity agreed upon in the contract, it shall be handled according to the non-band purchase settlement type.
The non-volume purchase settlement pharmaceutical institution shall, within 30 days after the acceptance of the delivery of the drug, pay the drug purchase price to the regulatory account, and after the supervision account receives the purchase price, the payment shall be paid to the settlement account of the corresponding pharmaceutical enterprise.
in the event of a return and a refund, the pharmaceutical enterprise shall, after confirming the return, return the purchase price of the drug to the regulatory account at the time stipulated in the contract, and after the regulatory account receives the refund, the payment shall be paid to the settlement account of the corresponding pharmaceutical institution.
Operation process is as follows: (Photo source: Hua Zhao Equipment Network) attached to the original text: Sichuan Province, the centralized procurement of medical supplies online payment settlement management measures (provisional) (draft for comments) Chapter 1 General Provisions Article 1 for the implementation of the CPC Central Committee state council on deepening the reform of the medical security system (Zhongfa (2020) No. 5), "The General Office of the State Council" The guidance on improving the centralized procurement of medicines in public hospitals (State Office issued (2015) No. 7), the Opinions of the General Office of the Sichuan Provincial People's Government on further improving the centralized procurement system for medicines and medical supplies in our province (the number to be determined) and other documents, regulate the online settlement of medicines and medical supplies (hereinafter referred to as "pharmaceuticals"), and formulate these Measures. article
Article 2 Public medical and health institutions (including military medical institutions involved in centralized procurement in our province), medical insurance fixed-point social medical institutions, medical insurance fixed-point retail pharmacies (hereinafter referred to as "pharmaceutical institutions"), medical insurance operators, pharmaceutical production and operation enterprises (hereinafter referred to as "pharmaceutical enterprises") shall apply to these Measures.
the third platform online payment settlement work, should follow the principles of security, standardization, streamlining, unity, efficiency and transparency.
Chapter II Regulatory Account Use and Management Article 4 The Provincial Medical Security Bureau shall, in accordance with the provisions, open a centralized payment supervision account (hereinafter referred to as the "regulatory account") for the purchase and payment of pharmaceutical equipment by pharmaceutical institutions and pharmaceutical enterprises through the platform, as well as the business of prepaid drug payments entrusted by medical insurance institutions with medical insurance funds.
except for interest on the transfer account, the regulatory account shall not withdraw cash or handle collection and payment business unrelated to the purchase of pharmaceutical equipment.
accounts may be set up detailed accounts for account division management.
Article 5 The Provincial Medical Security Bureau guides the Provincial Drug And Equipment Tendering and Procurement Service Center to implement unified management and independent accounting of the regulatory accounts in accordance with relevant laws and regulations.
chapter III Settlement account registration and change Article 6 Settlement account refers to the bank account used by pharmaceutical institutions, medical insurance agencies and pharmaceutical enterprises to settle drug purchases online, the main information includes: the name of the account opening unit, the account number, the bank opening the account, etc.
each unit shall be limited to one settlement account information registered on the platform, the settlement account registered by pharmaceutical institutions and pharmaceutical enterprises shall be the basic deposit account of the unit, and the settlement account registered by the medical insurance agency shall be the expenditure account of the medical insurance fund.
medical institutions, medical insurance agencies and pharmaceutical enterprises shall be responsible for the authenticity, accuracy and validity of the information of the registered accounts.
article 7 Pharmaceutical institutions, medical insurance agencies and pharmaceutical enterprises shall submit to the provincial drug tender and procurement service center a copy of the legal person certificate of the institution or a copy of the business license of the enterprise legal person, a copy of the account opening license of the basic deposit account or the medical insurance fund, an application for registration (change), a copy of the original authorization of the legal representative and a copy of the identity certificate of the business manager (two copies each), all of which shall be stamped with a public seal.
Article 8 The Provincial Drug Tendering and Procurement Service Center shall be responsible for the registration and alteration of account information, and shall not handle the relevant business for those who do not provide registration and change information as required.
Chapter 4 Fund Settlement Article 9 Online settlement of drug purchase prices is divided into two types: volume purchase settlement and non-volume purchase settlement.
10, the purchase settlement with volume.
the pharmaceutical institution and the pharmaceutical enterprise sign a contract for the purchase and sale of the drug with volume, the pharmaceutical institution shall entrust the medical insurance institution to use the medical insurance fund to advance the purchase price of the drug (hereinafter referred to as the "fund advance payment").
Within 15 working days of the signing of the purchase and sale contract, the medical insurance agency shall make the first advance payment of not less than 50% of the purchase amount of the contract, and after half of the contract purchase amount has been executed, the remaining portion of the drug purchase price shall be paid again within 15 working days.
medical insurance agency transfers the fund advance to the regulatory account, which, upon receipt of the fund advance, pays the payment to the settlement account of the corresponding pharmaceutical enterprise.
in the event of a return and a refund, the pharmaceutical enterprise shall return the drug purchase price to the regulatory account at the time stipulated in the contract after confirming the return, and the regulatory account shall, upon receipt of the refund, pay the payment to the settlement account of the corresponding pharmaceutical institution.
The medical insurance agency shall do a good job with the pharmaceutical institutions in the liquidation of the fund advances purchased with volume, make the same amount deduction when the monthly payment or annual liquidation expenses of the medical insurance fund, and when the medical insurance settlement expenses are not sufficient to cover the advance payment of the medical insurance operating institution funds, the difference part shall continue to be deducted in the next medical insurance settlement expenses until the settlement is settled.
the oversized portion of the purchase quantity agreed upon in the contract, it shall be handled according to the non-band purchase settlement type.
11 non-volume purchase settlement.
pharmaceutical institutions shall, within 30 days after the acceptance of the delivery of the drug, pay the drug purchase price to the regulatory account, which, after receiving the payment, shall pay the payment to the settlement account of the corresponding pharmaceutical enterprise.
in the event of a return and a refund, the pharmaceutical enterprise shall, after confirming the return, return the purchase price of the drug to the regulatory account at the time stipulated in the contract, and after the regulatory account receives the refund, the payment shall be paid to the settlement account of the corresponding pharmaceutical institution.
pharmaceutical institutions and pharmaceutical enterprises may, in consultation with financial institutions, entrust financial institutions to pay or return the purchase price of pharmaceutical equipment.
does not support an order for instalments.
Article 12 The collection and payment business of pharmaceutical equipment payments occurring between pharmaceutical institutions and pharmaceutical enterprises, as well as the business of prepaid drug payments entrusted by medical insurance institutions by medical insurance institutions using medical insurance funds, shall be paid online in accordance with the requirements of the platform, the online bank transfer function shall be opened, and the settlement of drug purchase prices shall be actively done.
Chapter V Accounting Processing Article 13 The accounting processing of regulatory accounts shall be carried out in accordance with the Notice of the Sichuan Provincial Finance Department of the Sichuan Provincial Medical Security Bureau on the central procurement of pharmaceutical equipment and the centralized payment of drug price supervision platforms for the settlement of drug purchases.
article 14 When a medical insurance agency prepays the purchase price of medicines on behalf of a pharmaceutical institution, it shall be processed as a "temporary payment-drug centralized purchase advance payment" according to the information entrusted by the medical institution to pay the agreement and the bank return, and shall be accounted for according to the name of the pharmaceutical institution.
the same amount deduction occurs, write down the "Temporary payment - pharmaceutical centralized purchase advance" account.
Article 15 When a pharmaceutical institution has a business of making payments for pharmaceutical equipment, it shall be accounted for in accordance with the Government Accounting System and the Supplementary Provisions on the Implementation of the Government Accounting System by Hospitals - Accounts and Statements of Administrative Institutions.
Chapter VI Supervision and Management Article 16 Online payment settlement of purchase prices for pharmaceutical equipment shall be included in the Interim Measures for the Administration of Credit Evaluation for the Central Procurement of Pharmaceuticals and Medical Supplies in Sichuan Province.
medical security departments shall implement policies such as incentives and punishments and the retention of medical insurance funds for centralized procurement of medicines and equipment in accordance with the results of credit evaluation of pharmaceutical institutions and pharmaceutical enterprises.
Article 17 of Chapter VII by-laws These Measures shall come into effect as of the year and month, and if the original policy provisions are inconsistent with these Measures, these Measures shall prevail and shall be valid for two years.
Article 18 These Measures shall be interpreted by the Provincial Medical Security Bureau.
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