yabo88官网关于印发《yabo88官网基本医疗保险和生育保险州级统筹实施办法》的通知_yabo88官方网站门户网站

yabo88官网

yabo88官网关于印发《yabo88官网基本医疗保险和生育保险州级统筹实施办法》的通知

  • 索 引 号:000014349/2020-00471
  • 文号:州政办发〔2020〕19号
  • 统一登记号:XXCR—2020—01005
  • 公开方式:政府网站
  • 公开范围:全部公开
  • 签署日期:2020-06-08
  • 登记日期:2020-06-08
  • 所属机构:yabo88官方网站
  • 发文日期:2020-06-08
  • 公开责任部门:yabo88官方网站办公室

gexianshirenminzhengfu、xiangxijingkaiquguanweihui,zhouzhiyouguandanwei:

yabo88官网《yabo88guanwangjibenyiliaobaoxianheshengyubaoxianzhoujitongchoushishibanfa》yijingzhourenminzhengfutongyi,xianyinfajinimen,qingzunzhaozhixing。

yabo88guanwang  

2020nian6yue7ri       

yabo88官网基本医疗保险和生育保险州级统筹实施办法

yabo88官网weitigaoyabo88guanfangwangzhanjibenyiliaobaoxianheshengyubaoxiantongchoucengci,tuidongyabo88guanfangwangzhanjibenyiliaoheshengyubaoxianzhidujiankangchixufazhan,genjuzhonggongzhongyang、guowuyuan《guanyushenhuayiliaobaozhangzhidugaigedeyijian》,yijishengyiliaobaozhangju、shengcaizhengting、shengshuiwuju《guanyuquanmianshishijibenyiliaobaoxianheshengyubaoxianshijitongchoudeshishiyijian》(xiangyibaofa〔2019〕43hao)dengwenjianjingshen,xianjiutuijinquanzhoujibenyiliaoheshengyubaoxianzhiduzhoujitongchoutichuruxiashishiyijian:

yi、zongtiyaoqiu

(yi)zhidaosixiang

yabo88官网yixijinpingxinshidaizhongguoteseshehuizhuyisixiangweizhidao,quanmianguanchedangdeshijiudaheshijiujieerzhong、sanzhong、sizhongquanhuijingshen,guancheluoshishengwei、shengzhengfuhezhouwei、yabo88guanwangdezhongdajuecebushu,jianchiyirenminweizhongxin,jiakuaijianchengyabo88guanfangwangzhanfugaiquanmin、tongchouchengxiang、quanzeqingxi、baozhangshidu、kechixufazhandeduocengciyiliaobaozhangtixi,tongguotongyizhidu、wanshanzhengce、jianlijizhi、youhuafuwu、zengqiangyiliaobaozhangdegongpingxing、xiediaoxinghekechixuxing,tuijinyiliaobaozhangheyiyaofuwugaozhiliangxietongfazhan,cujinjiankangxiangxizhanlvedeshishi,youxiaopojie“kanbingnan、kanbinggui”dexianxiang,shirenminqunzhongyougengduogenghaodehuodegan、xingfugan、anquangan。

(er)jibenyuanze

1、yingbaojinbao。jianchiyingbaojinbao,jiangquanzhougeleichangzhurenkouquanbunarujibenyiliaobaoxianfanchou,tebieshiquebaogeleipinkunrenkoucanbaolvda100%;jinlierwei,lianglierxing,shishiqiushidiquedingbaozhangfanweihebiaozhun,quebaocanbaorenqunpingdengxiangyoujibenyiliaobaozhang。

2、fengxiangongji。shixianjibenyiliaobaoxianheshengyubaoxianjijinzhoujijizhongtongyiguanli,tongchoudiaojishiyong,zengqiangduipinkunrenkoujichuxing、doudixingbaozhang,qieshitigaojijinzhengtikangfengxiandenengli。

3、zerenfendan。anzhaojijintongyishouzhi、guanlifenjifuze、quekouhelifendandeyuanze,yifajianliquanliyuyiwuduideng、shiquanyucaiquanxiangpipei、jiliyuyueshuxiangjiehedezhou、xianshiliangjizhengfuzerenfendanjizhi。

4、youhuafuwu。jiakuaijianlitongyijizhongdeyibaoxinxiheyaopin、haocaicaigoupingtai,tongyiguifanjingbanfuwuliucheng,qieshizengqiangyibao、yiliao、yiyaoliandonggaigedezhengtixing、xitongxing、xietongxing,nulitishengjibenyiliaobaoxiangonggongfuwushuiping,baozhangcanbaorenyuanhuodegaozhiliang、gaoxiaolv、nengfudandeyibaofuwu。

(san)gongzuomubiao

2020nian,jianchiyizhengcetongyiweijichu、yijijintongshoutongzhiweihexin、yijijinyusuanguanliweiyueshu、yitongyixinxixitongweizhicheng、yitongyijingbanguanlifuwuweiyituo、yifangkongjijinyunxingfengxianweimude,quanlizhuahaozhoujitongchouchoubeigongzuo,quebaoyabo88guanfangwangzhananshiwanchengjibenyiliaobaoxianheshengyubaoxianzhoujitongchougongzuo。

er、tongchouneirong

yabo88官网(yi)tongyijibenzhengce。genjuguojiaheshengjibenyiliaobaoxianheshengyubaoxianyouguanfalv、faguihezhengce,quanmianshuliquanzhoujibenyiliaobaoxianheshengyubaoxianjiyujijinxiangguandezhengcehedaiyushuiping,jieheyabo88guanfangwangzhanjingjishehuifazhanshuipinghejijinchengshounengli,helijianliwanshanyabo88guanfangwangzhantongyidechengzhenzhigongjibenyiliaobaoxian(hanshengyubaoxian)、chengxiangjuminjibenyiliaobaoxian、chengzhenzhigongdabingyiliaohuzhu、chengxiangjumindabingbaoxian、chengxiangjuminyiwaishanghaibaoxian、jibenyiliaobaoxianmenzhentongchou、teshubingzhongguanli、dingdianyiliaojigouhexieyilingshouyaodianguanlijiqifuwuxieyi、gongwuyuanyiliaobuzhudengzhidu;zhixingguojiaheshengliquedingdetongyideyaopinmulu、zhenliaoxiangmuhefuwusheshizhifubiaozhun;genjinguojiaheshengliyibaozhifufangshigaige,zhixingquanzhoutongyideyibaozhifufangshiheyidijiesuanfangshi;anzhaojiageguanliquanxian,tongyizhidinggeleidingdianyiliaojigouyiliaofuwuxiangmujiagebiaozhun。

(er)tongyijijinguanli。anzhao“tongyishouzhi、tongyiyusuan、fenjiguanli、tongchoushiyong”deyuanzeguanlijijin。yiliaobaozhangbumen、caizhengbumenheshuiwubumengenjushehuibaoxiancaiwuzhidudeguiding,tongyibianzhijibenyiliaobaoxianheshengyubaoxianjijindeshouzhiyusuan、guiji、diaopei、kaohehejiliyueshudengzhidubingzuzhishishi;zaishenjiqingsuandejichushang,qieshizuohaolishiyiliuwentichuli,zuodaoyingshoujinshou、yingzhijinzhi;yifayiguijiaqiangjijinjianguan,yanlidajigeleiqizhapianbaoxingwei,jianlitongyidejijinjianguanjizhi,quebaojijinanquan、gaoxiao。

(san)tongyiyewuliucheng。shixingzhou、xianshiliangjiyiliaobaoxianjingbanguanli,jianlizhou、xianshiliangjitongyidejingbanliuchenghefengongxiediaojizhi,wanshancanbaodiyujiuyidijingbanjigougongtongjianguan、xianghuzhiyue、xiediaopeihedejiuyiheyiliaofeiyongguanlimoshi;tongyiheguifancanbaodengji、jiaofeishenbao、jijinzhengjiao、daiyuzhifu、yidijiuyijiesuan、guanxizhuanyijiexu、danganhecaiwuguanlidenggongzuochengxuhefuwubiaozhun;zhidingtongyideyibaojingbanhefeikuanzhengshouxianghuxianjiedeyewuliuchengdeng;quebaocanbaorenyuanzaizhouneidingdianyiliaojigouhexieyilingshouyaodianziyouxuanzejiuyihegouyao。

(si)tongyixinxixitong。jieheguojiaheshengtongyiyibaoxinxixitongjianshedeyaoqiu,jinkuaijianshetongyidefugaiquanzhougexianshijingbanjigou、xiangzhen(jiedao)、cun(shequ)jiuyiyewupingtai、dingdianyiliaojigouhexieyilingshouyaodiandexinxixitongjitongyideyidijiuyijiesuanpingtai、yiyaocaigoupingtai,shixianshengnei、zhouneijikuashengyidijiuyixinxigongxianghefeiyongjishijiesuandemubiao。zhidingtongyideyibaoxinxixitongguanlibanfa,quebaogexiangzhengcejidaiyujishizhunquedeguancheshishi。

san、zuzhishishi

(yi)jiaqiangzuzhilingdao

gejirenminzhengfuyaoqieshidanfuqizhoujitongchougongzuodezhutizeren,chenglizhuanmendegongzuobanzi,jishiyanjiujiejuegongzuotuijinzhongyudaodewenti,quebaozhoujitongchougongzuoshunlituijin。

(er)mingqueguanlizeren

1、zhoujiguanlizeren。zhidingquanzhoutongyidejibenyiliaobaoxianheshengyubaoxianjiqixiangguanzhidu、zhengcebingzuzhishishi,fuzeguifan、zhidaoheguanligeleiyibaoyewu;fuzejijindetongyijianduguanlihetongjiyunxingfenxi;fuzejijinyujuesuanguanlijishouzhidiaopeijihua;fuzequanzhouyibaogongzuodemubiaokaohegongzuo;jianlizhoujifengxiandiaojijinzhidu。

yabo88官网2、xianshiguanlizeren。wanchengzhoujixiadadejijinshou、zhiheanquanguanlidemubiaorenwu;fuzebenxingzhengquyuneidingdianyiliaojigou、xieyilingshouyaodiandejianduguanliyijiyiyaofeiyongshenhe、jiesuanhezhifuguanligongzuo;fuzebenxingzhengquyuneijijinderichangjianduguanliheyibaozhiduyunxingtongjifenxi;fuzeantongyiguidingluoshihaobenxingzhengquyuneilishiyiliuwentidejiejuehejijinquekoudezerenfendangongzuo。

(san)qianghuabumenxiezuo

yabo88官网yiliaobaozhangbumenyaoqiantouzhuahaozhoujitongchougongzuo,renzhenlvxingjijindezongheguanlizhineng。caizhengbumenfuzejijinyujuesuandejianduguanli,diaozhengcaizhengbuzhuzijinbofufangshi,baozhanggongzuojingfei,zhichitigaoyibaotongchoucengci。weishengjiankangbumenyaojiaqiangyiliaojigouzonghejianguanhefenjizhenliaotixijianshe,jianquanyiliaojigoujixiaokaohetixi,yangekongzhiyiliaofeiyongbuhelizengzhang。shuiwubumenyaoqieshilvxingbaofeizhengshouzhineng,quebaojijinyingshoujinshou。xiangguanbumenyaozhudongzuowei,jiaqiangxiediaopeihe,xingchenggongzuoheli,quebaozhoujitongchouzhidupingwenyunxing。

(si)jiaqiangzhengcexuanchuan

gejiyiliaobaozhang、shuiwudengbumenyaozuzhikaizhanxingshiduoyangdexuanchuanhuodong,zuohaozhengcexuanchuanjieshi,weishunlituijinzhoujitongchougongzuoyingzaolianghaodeyulunhuanjing。


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