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Circulars
Circulars 2024
(Circular No. 2024-0037)
Fifty (50%) Adjustment of Select Case Rates
The Manila Times | Publication Date: 12-28-2024
Annex A - List of Medical Case Rates
Annex B - List of Procedure Case Rates
Annex C - List of Excluded Benefits from 50% Adjustment
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 - List of Procedure Case Rates for Primary Care Facilities - Infirmaries Dispensaries
(Circular No. 2024-0036)
Z Benefits Package for Peritoneal Dialysis (PD)
Manila Standard | Publication Date: 12-28-2024
(Circular No. 2024-0035)
Z Benefits Package for Kidney Transplantation
Manila Bulletin | Publication Date: 12-28-2024
(Circular No. 2024-0034)
PhilHealth Benefit for Preventive Oral Health Services in Primary Care
The Philippine Star | Publication Date: 12-28-2024
Tamang Sagot for Circular No. 2024-0034 »
(Circular No. 2024-0033)
Implementing Guidelines for the PhilHealth Outpatient Emergency Care Benefit (OECB Package)
Business World | Publication Date: 12-27-2024
Tamang Sagot for Circular No. 2024-0033 »
(Circular No. 2024-0032)
Benefits Package for Ischemic Heart Disease - Acute Myocardial Infarction
Manila Times | Publication Date: 12-21-2024
(Circular No. 2024-0031)
Coverage of Foster Child as Qualified Dependent (Revision 1)
Manila Standard | Publication Date: 01-04-2025
Tamang Sagot for Circular No. 2024-0031 »
(Circular No. 2024-0030)
Quality Standard on Diagnosis and Management Maintenance of Acute Stroke as Reference of the Corporation
Manila Times | Publication Date: 12-04-2024
Tamang Sagot for Circular No. 2024-0030 »
(Circular No. 2024-0029)
Quality Standards on Maintenance Hemodialysis Procedure as Reference of the Corporation
Manila Bulletin | Publication Date: 11-30-2024
(Circular No. 2024-0028)
Quality Standards on Debridement as Reference of the Corporation
Malaya Business Insight | Publication Date: 11-29-2024
Tamang Sagot for Circular No. 2024-0028 »
(Circular No. 2024-0027)
Quality Standards on the Diagnosis, Management, and Prevention of Adult Community Acquired Pneumonia (ACAP) as reference of the Corporation
Business World | Publication Date: 11-15-2024
Tamang Sagot for Circular No. 2024-0027 »
(Circular No. 2024-0026)
Implementing Guidelines for the Rates Adjustment of the Inpatient Benefits Package Coronavirus Disease (COVID-19)
Philippine Star | Publication Date: 11-01-2024
(Circular No. 2024-0025)
Implementing Guidelines on the Adjusted Rates for Severe Dengue
Manila Standard | Publication Date: 11-01-2024
(Circular No. 2024-0024)
Supplemental Guidelines for the Health Care Provider Network (HCPN) Demonstration Program
The Philippine Star | Publication Date: 10-18-2024
(Circular No. 2024-0023)
Institutionalization of 156 Hemodialysis Sessions and Coverage Expansion (Revision 2).
Manila Standard | Publication Date: 09-10-2024
Tamang Sagot for Circular No. 2024-0023 »
(Circular No. 2024-0022)
Implementing Guidelines for the PhilHealth Konsulta with Sustainable Development Goals (SDG) – Related Benefits Package (Revision 1)
The Manila Times | Publication Date: 10-10-2024
(Circular No. 2024-0021)
Lifting the Single Period of Confinement Rule (SPC rule) for All Case Rate Claims (ACR Claims)
Philippine Daily Inquirer | Publication Date: 10-05-2024
Tamang Sagot for Circular No. 2024-0021 »
(Circular No. 2024-0020)
Automatic Cover of Solo Parents and their Children or Dependents to the National Health Insurance Program (NHIP)
The Philippine Star | Publication Date: 9-28-2024
Tamang Sagot for Circular No. 2024-0020 »
(Circular No. 2024-0019)
Providing Incentives to Health Facilities Demonstrating Better Service Quality, Efficiency, and Equality
The Manila Times | Publication Date: 04-09-2024
Tamang Sagot for Circular No. 2024-0019 »
(Circular No. 2024-0018)
Guiding Principles on Supplemental Health Insurance Coverage (PhilHealth Plus)
The Manila Times | Publication Date: 08-19-2024
(Circular No. 2024-0017)
Outpatient Therapeutic Care (OTC) Benefits Package for Severe Acute Malnutrition (SAM) for Children Sixty (60) Months Old and Below
Manila Bulletin | Publication Date: 08-08-2024
Tamang Sagot for Circular No. 2024-0017 »
(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
Tamang Sagot for Circular No. 2024-0016 »
(Circular No. 2024-0015)
Guidelines on Contracting Health Care Provider Network (HCPN)
Business Mirror | Publication Date: 10-07-2024
Tamang Sagot for Circular No. 2024-0015 »
(Circular No. 2024-0014)
Institutionalization of 156 Hemodialysis Sessions and Coverage Expansion (Revision 1)
Manila Standard | Publication Date: 07-01-2024
Tamang Sagot for Circular No. 2024-0014 »
(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
Tamang Sagot for Circular No. 2024-0012 »
(Circular No. 2024-0011)
PhilHealth Prospective Payment Mechanisms (3PM) for Health Care Provider Networks
The Manila Times | Publication Date: 06-08-2024
Tamang Sagot for Circular No. 2024-0011 »
(Circular No. 2024-0010)
Framework for the Implementation of Cost Sharing Schemes
Business Mirror | Publication Date: 05-16-2024
Tamang Sagot for Circular No. 2024-0010 »
(Circular No. 2024-0009)
Implementing Guidelines on the Case Rates for Bronchial Asthma in Acute Exacerbation
Manila Bulletin | Publication Date: 05-01-2024
Tamang Sagot for Circular No. 2024-0009 »
(Circular No. 2024-0008)
Implementing Guidelines on the Case Rates for Neonatal Sepsis
Manila Times | Publication Date: 05-01-2024
Tamang Sagot for Circular No. 2024-0008 »
(Circular No. 2024-0007)
Z Benefits Package for Breast Cancer
Business Mirror | Publication Date: 03-23-2024
Tamang Sagot for Circular No. 2024-0007 »
(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
Tamang Sagot for Circular No. 2024-0006 »
(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
Tamang Sagot for Circular No. 2024-0005 »
(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
Tamang Sagot for Circular No. 2024-0004 »
(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
Tamang Sagot for Circular No. 2024-0003 »
(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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