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Manual of Procedures (MOP) for PCB Providers

In connection with the implementation of PhilHealth Circular No. 10, series 2012 entitled "Implementing Guidelines for Universal Health Care Primary Care Benefit I (PCB I) Package for Transition Period 2012-2013", as amended, PhilHealth shall release a Manual of Procedures (MOP) for PCB Providers to guide them in participating in the National Health Insurance Program (NHIP) to deliver the PCB package, enlist PCT-entitled members, provide the PCB services as necessary, submit reports, and utilize Per Family Payment Rate (PFPR) accordingly. The MOP for PCB providers can downloaded below.


Manual of Procedures for PCB Providers


Rationale and Objectives of the Primary Care Benefit 1

In support of the Aquino Health Agenda to provide Universal Health Care for all Filipinos, also known as Kalusugan Pangkalahatan (KP), and consistent with its execution plan, the Philippine Health Insurance Corporation aims to ensure that all Filipinos have access to quality health services that are efficiently delivered, equitably distributed, fairly financed and appropriately utilized by an informed and empowered public.

To achieve these goals, the Philipine Health Insurance Corporation (PhilHealth) through PhilHealth Board Resolution No. 1587, s. 2012 amended the implementation of the Outpatient Benefit Package and approved a Primary Care Benefit 1 (PCB1) Package, with the following objectives:
  1. Expand the number of services included in the Primary Health Care benefits for PhilHealth members;
  2. Increase the utilization rate for services included in the Primary Health Care benefits for PhilHealth members:
  3. Enhance incentives for PCB providers to promote healthy behaviour, prevent diseases and/or associated complications, and facilitate appropriate referral; and
  4. Ensure complete and timely reporting of health data for monitoring and performance assessment and evaluation purposes.
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"Manual of Procedures (MOP) for PCB Providers" was written by Mary under the Health category. It has been read 3539 times and generated 0 comments. The article was created on and updated on 21 June 2012.
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