UY BAN NHAN DANHUY~N THU~N CHAU',

S6:48D IKH-UBND

CONG HOA XA HOI CHU NGHiA VI~T NAMDQc l~p - T1! do - H~lllh phuc

tua« Chau, ngaYOg thong 8 ndm 2018

KEHO~CHTri~n khai thuc hi~n bao hi~m y t~ h<}csinh nam hoc 2018 - 2019

Thirc hien Cong van s6 2329IUBND-KGVX ngay 1217/2018 cua UBND tinhSon La v~ viec thuc hien bao hiem y tS hoc sinh, sinh vien, nam hoc 2018-2019;

Thuc hien Huang d~n lien nganh s6 1440/LN-GDDT-SYT-BHXH ngay161712018 cua Sa Gia@ due va Dao t':10, Sa Y tS, Bao hiem xa hoi tinh Son Lav~ thuc hien bao hiSm y tS hoc sinh, sinh vien nam hoc 2018-2019.

UBND huyen Thuan Chan xay dung KS hoach trien khai, thuc hien

BHYT hoc sinh nam hoc 2018 - 2019, cu thS nhu sau:

I. Ml)C utcn, YEU cAu1.Muc dich

T6 chtrc trien khai hieu qua chinh sach bao hiSm y tS (BHYT) hoc sinh,sinh vien; t':10 di~u kien thuan loi cho hoc sinh, sinh vi en trong cham soc sire

khoe ban d~u, kham chua benh BHYT.

Nang cao nhan thirc cua cac c~p, cac nganh va nhan dan v~ y nghia, t~mquan trQng cua chinh sach BHYT hQc sinh, sinh vien; nh&m t':10Sl}'chuySn biSntich Cl}'Ccua h~ th6ng chinn tri, nhan dan trong vi~c tham gia phat triSn BHYT

tren dia ban.

2. Yell C~ll

Cong tac triSn khai thl}'c hi~n BHYT hQc sinh, sinh vi en phai dam baonghiem tuc, t':10 QUQ'cSl}'ph6i kSt hQp ch~t che cua cac c~p uy Dang, chinhquy~n, cac ban, nganh, doan thS, truemg hQc, UBND cac xa, thi tr~n vai co quan

BHXH.

Dam bao 100% s6 hQc sinh tren toan huy~n co the BHYT, duqc huangquy~n lQ"ikhi di kham chua b~nh va cham soc SlfCkh6e ban d~u thea quy dinh

cua phap lu~t.

II. DOl TUQNG, NOl DUNG, THCn GIAN TRIEN KHAI

1.DBi tugng: HQc sinh dang thea hQc t':1icac trucmg tren dia ban huy~n.

2. N(>i dung tri~n khai

Ph6 bien, tuyen truyen chinh sach, phap luat vS BHYT h9C sinh.

TriSn khai, huong d~n vS thu tuc h6 sa, d6i tUQ11gtham gia; mire dong,thoi gian dong, phuong thirc dong, quyen loi, trach nhiem khi tham gia BHYTh9C sinh; ty l~, dieu kien trich va noi dung chi cham soc sire khoe ban d~u; congtac quan ly, sir dung va thanh quyet toan kinh phi cham soc sire khoe ban d~u tainha tnrong. Dong thai 'lam ro trach nhiem cua cac c~p uy dang, chinh quyen, coquan, dan vi, tnrong h9C trong viec lanh dao, chi dao, t6 chirc triSn khai thuc

hien chinh sach BHYT h9C sinh, sinh vien.

TriSn khai, cung c~p cac van ban huong d~n va m~u bieu thea quy dinh.

3. Th<ri gian tri~n khai: Tu ngay 05/9/2018 dSn ngay 15/12/2018.

III. TO CHUC THl/C HI~N

1. Bao hi~m xii h(>i huyen

Tham muu cho UBND huyen chi dao thuc hien cong tac Bl-IYT h9C sinhtren dia ban, t6ng hqp, bao cao cong tac BHYT h9C sinh v6'i c~p co th§.mquySn;hu6'ng d~n quy trinh, tbu Wc, h6 sa thl,fchi~n vi~c thu, nQPBHYT h9C sinh; chudQnghoan thi~n danh sach h9C sinh tham gia va dS nghi c~p the BHYT kip thai,dam bao quySn lqi kham chua b~nh cua d6i tUQ11gthea dung quy dinh.

Chu tri, ph6i hqp v6'i phong Y tS, phong Giao d\lC va Dao t~o huy~n, cacnganh lien quan; Hi~u truang cac truang (tiiu h9C, trung h9C CO' SO', trung h9Cph6 thong, Trung tam Giao d1:lcngh~ nghi?p - Giao d1:lcthU'(mg xuyen) vaUBND cac xii, thi tr~n tren dia ban t6 chuc triSn khai thl,fc hi~n t6t cong tacBHYT h9C sinh dam bao hi~u qua.

Ph6i hqp v6'i phong Van hoa va Thong tin, Dai TruySn thanh - TruySnhinh huy~n va UBND cac xii, thi tr~n d§.y m~nh cong tac tuyen truySn, ph6biSn chinh sach BHYT d6i v6'i ph\l huynh va h9C sinh b~ng nhiSu hinh thucphong phu, da d~ng nh~m phlit triSn d6i tuqng h9C sinh tham gia BHYT..

Ph6i hqp v6'i B~nh vi~n da khoa huy~n va Tr~m Y tS cac xii, thi tr~n thlfc

hi~n t6t cong tac kham, chua b~nh BHYT.

2. Phong Giao d1}C va Dao t~o huy~n

Giao chi tieu tham gia BHYT cho tUng truang h9C, ph~n d~u dua s6 luqngh9Csinh tham gia BHYT nam h9C 2018 - 20 19 d~t ty l~ 100% thea tinh th~n Chithi s6 05/CT-TTg ngay 02/4/2015 cua Thu tu6'ng Chinh phu vS tang cuang thl,fc

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hien chinh sach BHXH va BHYT; dua kSt qua thuc hien BHYT hQCsinh, sinhvien vao tieu chi binh ~et thi dua hang nam cua cac dan vi tnrong hoc.

Chu dong phoi hop voi Bao hiem xa h9i huyen thea doi, don d6c, kiem tra

viec thuc hien BHYT hoc sinh tren dia ban.

Chi d;;10cac nha tnrong thuoc th§.m quyen quan ly thuc hien t6t cac noi

dung sau:_ B§.y manh cong tac tuyen truyen, ph6 bien chinh sach, phap luat vS

BHYT hoc sinh, dua khoan thu BHYT hoc sinh van khoan thu b~t buoc thea

quy dinh ngay tir diu nam hQC.

_ Chu dong ra soat, kiem tra tinh hinh tham gia BHYT cua hoc sinh namhQC2018 - 2019, d~c biet la cac tnrong co s6 hoc sinh tham gia BHYT dat ty 1~th~p trong nam hQC20) 7 - 2018; bao cao kip thai nhtrng kho khan, vuong mactrong qua trinh trien khai thuc hi~n va co giai phap C\l thS dS dam bao d;;1tchi

tieu dUQ'cgiao.

_ L~p h6 sO',thu tiSn BHYT hQc sinh dung, du, kip thai n9P cho cO'quanBHXH huy~n thea quy dinh dS cftp, phat the BHYT dung thai h;;1n,tranh tinhtr;;1ngtrung the, ch~m trS, sai thong tin tren the, lam anh huang dSn quySn lQ'i

kham chua b~nh BHYT cua hQc sinh.

_Tich C\ICtuyen truySn, v~n dQng ph\l huynh tham gia BHYT cho hQc sinh,d~c bi~t la hQc sinh thuQc h9 nong, Him,ngu nghi~p, cac hQkinh doanh ...

_ SlT d\lng dung m\lc dich, hi~u qua kinh phi cham soc suc kh6e ban diucho hQc sinh, sinh vien va th\Ic hi~n thanh quySt tmln kip thai, dung quy dinh.

3. Phong Y t~ huy~n

Chu tri, ph6i hqp vai Bao hiSm xa h9i huy~n chi d;;10cac cO'sa kham b~nh,chua b~nh nang cao chftt luqng kham, chua b~nh BHYT, tinh thin, thai d9 ph\lCV\l; t;;1odiSu ki~n thu~n lQ'i dS hQc sinh dUQ'ccham soc suc khoe thong quaBHYT. Ph6i hqp vai phong Giao d\lc va Bao t;;1ohuy~n, phong Lao dQng -ThuO'ng binh va Xa h9i, Bao hiSm xa hQi huy~n thanh tra, kiSm tra y tS hQc

duang thea quy dinh,

Th\Ic hi~n t6t chuc nang quan ly nha nuac vS chinh sach BHYT tren diab~m;ph6i hQ'pv6i Trung tam Y tS huy~n huang d~n Tr;;1mY tS cac xa, thi tdnthvc hi~n t6t cong tac tuyen truySn chinh sach, phap lu~t vS BHYT.

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4. B~nh vi~n da khoa huy~n

Tang cuong cong tic tuyen truyen chinh sach BHYT d6i voi d(>ingii y, bacsy; nang cao tinh than, thai d(>phuc vu ngtroi benh, ch~t luong kham, chua benh;quan 11',sir dung quy BHYT tiSt kiem, hieu qua va dam bao quyen loi cua nguoi

tham giaBHYT.

Nang cao nang hrc, chuyen men cho d(>ingii y, bac sy; tang cirong d~u tir coso V?tchat, trang thiSt bi; cung c~p d~y du thuoc, v?-tnr y tS, dich vu ky thuat phucvu cong tac kham chua benh dam bao ch~t hrong ngay cang dap ling duoc nhu c~u

cua nguoi benh.

Tang cirong trng dung cong nghe thong tin trong quan 11',thuc hien khamchua benh BHYT; phoi hop voi BHXH huyen ra soat cac thu tl,lChanh chinh d6kip tho'i kiSn nghi stra d6i dam bao yeu c~u quan 11'va thu?-n ti~n cho b~nh nhan.

Ph6i hqp v6i cac co quan co lien quan tang cuang ki6m tra, giam sat vi~cch~p hanh phap 1u?t BHYT, xu 11'kip thai vu6ng m~c trong qua trinh thl,IChi~nchinh sach BHYT tren dia ban huy~n.

4. Trung Him Y t~ huy~n

Tang cuo'ng, cling c6 co s6"v?-tch~t va trang thiSt bi cho Tr~m Y tS cac xa,thi tr~n; tang cuang cong tac ki6m tra kham chua b~nh BHYT t~i tuySn xa.

D~y m~nh cong tac tuyen truySn chinh sach BHYT d6i v6'i d(>ingil y, bacsy; nang cao tinh th~n, thai d(>phl,lCV\l nguai b~nh, ch~t 1uqng kham chua b~nh;chi d~o co s6"y tS tuySn xa quan 11',su dl,lng quy BHYT tiSt ki~m, hi~u qua vadam bao quySn 1qi cho nguai tham gia BHYT.

Chi d~o cac Tr~m Y tS xa k1' hqp d6ng CSSKBD v6i cac truang (niu coyeu cdu); thl,Ic hi~n t6t vi~c CSSKBD cho HSSV thea hqp d6ng da k1' kSt.Huong d~n nghi~p V\l chuyen mon y tS cho cac truong d6 thl,Ichi~n t6t cong taccham soc suc khoe ban d~u cho h9C sinh, dam bao ch~t 1uqng co s6"y tS truangh9C,su dl,lngquy dung ml,lcdich va d~t hi~u qua ca~.

S.Ph(mg Van hoa,yi\ Thong tin, Di\i Truy~n thanh - Truy~n hinh huy~n: Ph6ihqp voi BHXH huy~n va nganh Y tStang cuong congmc tuyen truySnchinh sach, phapIu?tBHYT noi chung, BHYT h9Csinh noi rieng dam bao sau r(>ng,hi~uqua.

6. UBND cae xa, thi tr~n

Tang cucmg cong tac 1anhd~o, chi d~o cua c~p uy Dang, chinh quySn d6i vaicac h(>i,do':mth6, ban, ti6u kim, cac nha truong trong vi~c thl,IChi~n BHYT h9Csinh.

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Chu dong, ph6i hop voi cac nganh lien quan tang cuong kiern tra, giamsat cong tac kham chira benh tai cac Tram Y tS nham nang cao tinh than, thai dc)

phuc vu nguoi benh va chat luong kham chua benh BHYT.

7. Hi~u trurrng cac truo'ng Ti~u hoc, THCS, T.HPT, Trung dim Ciaodue ngh~ nghi~p - Giao due thll'o'ng xuyen tren dia ban huy~n

D~y manh cong tac tuyeu truyen, ph0 biSn chinh sach, phap luat veBHYT hoc sinh oSn toan th~ giao vien, phu huynh va hoc sinh; xac dinh r5BHYT hoc sinh la hinh thirc baa hiem b~t buoc thea quy dinh, dua vao khoanthu b~t buoc ngay tir o~u nam hoc; co giai phap hoan thanh chi tieu thu BHYT

hQcsinh nam hQc 2018 - 2019.

Chll oc)ng ra soat, ki~m tra tinh hinh tham gia BHYT clla hQc sinh trongnam hQc 2018 - 2019, o~c bi~t 121cac tnrcmg hQ'Pchua tham gia BHYT trongI1al11 hQc2017 - 2018; c6 giai phap C\lth~ o~ oam baa oC;ltchi tieu oUQ'cgiao,

L~p h6 sO',thu ti~n BHYT hQc sinh o(mg, Oll, kip tho'i nQP cho cO'quanBHXH huy~n thea quy oinh oS c~p, phat the BHYT oung th6"i h(;1n,tranh t1nhtrC;lngtrung the, ch~m tr~, sai thong tin tren the, lam anh huang oSn quy~n lQ'i

kham chfra b~nh BHYT cua hQc sinh.

Sl1'd~ng dung m\lc oich, hi~u qua kinh phi cham s6c suc khoe ban d~ucho hQc sinh; th~'c hi~n thanh quySt toan kip thcJi, d(mg quy oinh.

No'i I1h~n:- SO' y t~ SO'll La- BHXH tinh;- TT. Huy¢n LIY;_ TT.HDND-UBND huy~n;_Cae CO' quan, Gon vi lien quan;_ UBND cac xa, thi tr§n;_ Cae tnrcmg Ti~u hoc, THCS, THPT, Trung !timGiao cl~IC ngh~ nghi~p - Giao d\IC thucmg xuyentren ala ban huy~n;- Llru: VT, Dung~

Nguy~n Dirc Th~ng

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