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Circulars
Circulars 2023
(Circular No. 2023-0029)
Implementing Guidelines for the PhilHealth Outpatient Drug Benefit Package
Philippine Star | Publication Date: 12-05-2023
Tamang Sagot for Circular No. 2023-0029 »
(Circular No. 2023-0028)
Periodic Reconciliation and Enhanced Recording of Benefit Claims Transactions Between PhilHealth and Health Facilities(HFs)
The Manila Times | Publication Date: 12-29-2023
Tamang Sagot for Circular No. 2023-0028 »
(Circular No. 2023-0027)
Implementing Guidelines on the Case Rates for Pneumonia High-Risk
Manila Bulletin | Publication Date: 12-01-2023
Tamang Sagot for Circular No. 2023-0027 »
(Circular No. 2023-0026)
Electronic Data Submission of the Statement of Account (SOA) for All Case Rates (ACR) Claims and Identified PhilHealth Benefits (Revision 1)
Philippine Daily Inquirer | Publication Date: 11-25-2023
(Circular No. 2023-0025)
Guiding Principles of the Rationalized Inpatient Case Rates
Philippine Star | Publication Date: 11-25-2023
(Circular No. 2023-0024)
Accreditation of Health Care Professionals
Manila Bulletin | Publication Date: 11-15-2023
Annex A - Documentary Requirements for Accreditation of Health Care Professionals
Tamang Sagot for Circular No. 2023-0024 »
(Circular No. 2023-0023)
Revised Provider Data Record for Health Facilities
Manila Bulletin | Publication Date: 11-15-2023
Annex A - Documentary Requirement for Accreditation of Health Facilities
Tamang Sagot for Circular No. 2023-0023 »
(Circular No. 2023-0022)
Recognizing Third Party Accreditors
The Philippine Star | Publication Date: 11-15-2023
Tamang Sagot for Circular No. 2023-0022 »
(Circular No. 2023-0021)
Implementing Guidelines on the Case Rates for Acute Stroke
Manila Bulletin | Publication Date: 11-09-2023
Tamang Sagot for Circular No. 2023-0021 »
(Circular No. 2023-0020)
Increase of Monthly Limits on Cataract Claim Reimbursements per PhilHealth-Accredited Health Care Professional
The Philippine Star | Publication Date: 10-27-2023
Tamang Sagot for Circular No. 2023-0020 »
(Circular No. 2023-0019)
Implementing Guidelines for the PhilHealth Konsulta with Sustainable Development Goals (SDG)-Related Benefits Package
Business World | Publication Date: 10-19-2023
Tamang Sagot for Circular No. 2023-0019 »
(Circular No. 2023-0018)
Outpatient Benefits Package for Mental Health
The Manila Times | Publication Date: 10-12-2023
Tamang Sagot for Circular No. 2023-0018 »
(Circular No. 2023-0017)
Quality Policy on the Diagnosis and Management of Neonatal Sepsis as Reference of the Corporation
The Manila Times | Publication Date: 09-13-2023
Tamang Sagot for Circular No. 2023-0017 »
(Circular No. 2023-0016)
Guiding Principles for Integrated UHC Benefits and Provider Payment Reforms Sandbox Sites
Manila Bulletin | Publication Date: 08-22-2023
Tamang Sagot for Circular No. 2023-0016 »
(Circular No. 2023-0015)
Implementing Guidelines on the PhilHealth Framework and Methodology for Costing of Health Services (Revision 1)
Manila Bulletin | Publication Date: 08-30-2023
Tamang Sagot for Circular No. 2023-0015 »
(Circular No. 2023-0014)
Implementation of Shadow Billing for the Transition to Diagnosis-Related Groups (DRG)
Manila Bulletin | Publication Date: 08-15-2023
Tamang Sagot for Circular No. 2023-0014 »
(Circular No. 2023-0013)
Implementing Guidelines for the PhilHealth Konsultasyong Sulit at Tama (PhilHealth Konsulta) Package (Revision 2)
Philippine Star | Publication Date: 08-08-2023
Tamang Sagot for Circular No. 2023-0013 »
(Circular No. 2023-0012)
Omnibus Guidelines on the Accreditation of Health Facilities (HFs) to the National Health Insurance Program
Annex A - Documentary Requirements for Accreditation of Health Facilities
Annex B - Provider Data Record for Health Facilities (FILLABLE)
Annex C - Performance Commitment for Health Facilities (Revised June 2023) (FILLABLE)
Annex D - Classification of Administrative Offenses of Health Care Providers
as Provided in RA No. 10606
Annex E - Classification of Offenses of Health Care Providers as
Provided in the PROAC of RA No. 11223
Manila Times | Publication Date: 07-14-2023
Tamang Sagot for Circular No. 2023-0012 »
(Circular No. 2023-0011)
Recognition of Third Party Accreditation (TPA) Mechanisms
Manila Times | Publication Date: 06-28-2023
Tamang Sagot for Circular No. 2023-0011 »
(Circular No. 2023-0010)
Payment of Premium Contributions through the Online Payment Facility of the Electronic Premium Remittance System (EPRS) (Revision 1)
Manila Times | Publication Date: 06-28-2023
Tamang Sagot for Circular No. 2023-0010 »
(Circular No. 2023-0009)
Institutionalization of 156 Hemodialysis Sessions
Manila Times | Publication Date: 06-22-2023
Tamang Sagot for Circular No. 2023-0009 »
(Circular No. 2023-0008)
Implementation of a Primary Care Provider Network (PCPN) Contracting Arrangement through the Konsulta Package in Sandbox Sites/Networks (Revision 1)
Manila Bulletin | Publication Date: 04-28-2023
Tamang Sagot for Circular No. 2023-0008 »
(Circular No. 2023-0007)
Z Benefits for Selected Orthopedic Implants Revision 2
Manila Times | Publication Date: 06-28-2023
Tamang Sagot for Circular No. 2023-0007 »
(Circular No. 2023-0006)
Registration of New Business Entities and Reporting of Initial Employees through the Philippine Business Hub (PBH)
Manila Times | Publication Date: 06-28-2023
Tamang Sagot for Circular No. 2023-0006 »
(Circular No. 2023-0005)
Z Benefits Package for Colon and Rectal Cancers (Revision 1)
Philippine Star | Publication Date: 06-28-2023
Tamang Sagot for Circular No. 2023-0005 »
(Circular No. 2023-0004)
E-SOA for ACR Claims and identified PhilHealth benefits
Philippine Star | Publication Date: 06-28-2023
Tamang Sagot for Circular No. 2023-0004 »
(Circular No. 2023-0003)
Full Financial Risk Protection For Filipino Health Workers with COVID 19
Philippine Star | Publication Date: 06-28-2023
Tamang Sagot for Circular No. 2023-0003 »
(Circular No. 2023-0002)
Automatic Renewal of Accreditation of Konsulta Package Providers for CY 2023
Philippine Star | Publication Date: 06-28-2023
Tamang Sagot for Circular No. 2023-0002 »
(Circular No. 2023-0001)
Benefit Packages for Inpatient Management of Confirmed Coronavirus Disease (COVID-19) and Clarification of Coverage of Probable Cases (Revision 1)
Philippine Star | Publication Date: 07-05-2023
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