- The Minister of Health has issued Decree No. HK.01.07/MENKES/5673/2021 on Technical Guidelines for the Reimbursement of Service Costs for Corona Virus Disease 2019 ("COVID-19") Patients ("Decree"), which will serve as the new legal basis for all COVID-19-related reimbursement claims, which will be processed by the relevant hospitals.
- The Ministry of Health will reimburse any costs that are incurred by COVID-19 patients based on claims that are submitted by the relevant hospitals in which they are treated. However, only hospitals that offer health services to COVID-19 patients or patients that suffer from side effects as a result of COVID-19 vaccinations (e.g. referral hospitals for certain emerging diseases, COVID-19 field hospitals and COVID-19 emergency hospitals) may apply for such reimbursements.
- Reimbursements will be completed through the filing of claims by the relevant hospitals, which differ for patients that are/were treated during the following timeframes: 1) 28 January 2020 – 14 August 2020; 2) 15 August 2020 – 19 April 2021; 3) 20 April 2021 – 30 September 2021; and 4) From 1 October 2021 onwards.
- The hospitals concerned are allowed to submit reimbursement claims for certain cost components relating to COVID-19 services, including administration, accommodation, doctors, use of ventilators, etc.
- Reimbursement claims should be supported by the following verification documents: 1) Duty-stamped Statement of Absolute Responsibility (Surat Pernyataan Tanggung Jawab Mutlak/SPTJM); 2) Application for a patient claim payment along with a recapitulation of the relevant patient (in accordance with a recapitulation output provided via the INA-CBG app), as signed by the head of the relevant hospital; 3) Payment claim work order for service invoices; 4) Statement letter that addresses the COVID-19 patient’s treatment room (for patients treated between 20 April 2021 and 30 September 2021).
- Claim periods will expire on the following deadlines: 1) For services provided in 2020: 1 June 2021; 2) For services provided between January 2021 and October 2021: 1 January 2022; and 3) For services provided from November 2021 onwards: two months following the provision of the relevant service.
- The Decree has been in force since 23 August 2021.
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