PhilHealth

Circulars

Circulars 2024

(Circular No. 2024-0019) Providing Incentives to Health Facilities Demonstrating Better Service Quality, Efficiency, and Equality

(Circular No. 2024-0018) Guiding Principles on Supplemental Health Insurance Coverage (PhilHealth Plus)

(Circular No. 2024-0017) Outpatient Therapeutic Care (OTC) Benefits Package for Severe Acute Malnutrition (SAM) for Children Sixty (60) Months Old and Below

(Circular No. 2024-0016) Implementation of a Primary Care Provider Network (PCPN) Contracting Arrangement through the Konsulta Package in Sandbox Sites/Networks (Revision 2) Manila Standard | Publication Date: 07-17-2024

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(Circular No. 2024-0015) Guidelines on Contracting Health Care Provider Network (HCPN)

(Circular No. 2024-0014) Institutionalization of 156 Hemodialysis Sessions and Coverage Expansion (Revision 1)
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(Circular No. 2024-0013) Enhancement of the PhilHealth Konsulta Benefit Package The Manila Times | Publication Date: 05-15-2024
Annex A - PhilHealth Konsulta Registration Form
Annex B - Konsulta Benefit Table
Annex C - Checklist of PhilHealth Konsulta Drugs as of March 2024
Annex D - Lifestages
Annex E - Benefit Availment
Annex F - Photo Consent
Annex G - FPE Form
Annex H - eKAS and ePresS
Annex I - Approved Benefit Payment
Annex J - Request for SAP Generation
Annex K - Submission of Reports

Tamang Sagot for Circular No. 2024-0013 »

(Circular No. 2024-0012) Rules for adjusting Case Rates (Revision 1) Malaya Business Insight | Publication Date: 05-09-2024
Annex A - List of Medical Case Rates
Annex B - List of Procedure Case Rates
Annex C - List of Excluded Benefits from 30 inflation
Annex D - List of Medical Conditions and Procedures allowed as Second Case Rate
Annex E - List of Medical Case Rates for Primary Care
Annex F - List of Procedure Case Rates for Primary Care

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(Circular No. 2024-0011) PhilHealth Prospective Payment Mechanisms (3PM) for Health Care Provider Networks The Manila Times | Publication Date: 06-08-2024

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(Circular No. 2024-0010) Framework for the Implementation of Cost Sharing Schemes Business Mirror | Publication Date: 05-16-2024

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(Circular No. 2024-0009) Implementing Guidelines on the Case Rates for Bronchial Asthma in Acute Exacerbation Manila Bulletin | Publication Date: 05-01-2024

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(Circular No. 2024-0008) Implementing Guidelines on the Case Rates for Neonatal Sepsis Manila Times | Publication Date: 05-01-2024

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(Circular No. 2024-0007) Z Benefits Package for Breast Cancer Business Mirror | Publication Date: 03-23-2024

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(Circular No. 2024-0006) Implementation of Shadow Billing for the Transition to Diagnosis-Related Groups (DRG) (Revision 1) The Manila Times | Publication Date: 03-23-2024

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(Circular No. 2024-0005) Quality Policy on the Diagnosis and Management of Pediatric Community Acquired Pneumonia (PCAP) as Reference by the Corporation The Manila Times | Publication Date: 03-02-2024

(Circular No. 2024-0004) Implementationof an All Care Rates-Based Global Budget in Health Care Provider Network (HCPN) Demonstration Site. The Manila Times | Publication Date: 02-28-2024

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(Circular No. 2024-0003) Extension on the filing / refiling perion on COVID-19 related claims of government health facilities Daily Tribune | Publication Date: 02-28-2024

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(Circular No. 2024-0002) Implementing Guideline for the PhilHealth Konsultasyong Sulit at Tama (PhilHealth Konsulta) Package (Revision 3) The Manila Times | Publication Date: 02-16-2024
Annex A - Overview of PhilHealth Konsulta Actors and Processes
Annex B - PhilHealth Konsulta Registration Form
Annex C - PhilHealth Konsulta Benefit Table
Annex D - Checklist of PhilHealth Konsulta Drugs and its Preparations
Annex E - List of Preventive Health Services Based on Lifestage Guarantees
Annex F - PhilHealth Konsulta Benefit Availment Process
Annex G - Sample Template for Photo Consent
Annex H - EKAS and Electronic Prescription Slip
Annex I - Approved Benefit Payment and Balance Billing or Co-Paymentor Cost Sharing Schedule
Annex J - Schedule for Submission of Reports

Tamang Sagot for Circular No. 2024-0002 »

(Circular No. 2024-0001) Rules of Adjusting Case Rates The Manila Times | Publication Date: 01-31-2024
Annex A - List of Medical Case Rates
Annex B - List of Procedure Case Rates
Annex C - List of Excluded Benefits from 30% Inflation Adjustments
Annex D - List of Medical Conditions and Procedures allowed as Second Case Rate
Annex E - List of Medical Case Rates for Primary Care Facilities - Infirmaries Dispensaries
Annex F - Procedure Case Rates for Primary Care Facilities - Infirmaries Dispensaries

Tamang Sagot for Circular No. 2024-0001 »

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