Regulations Governing Contracting and Management of the National Health Insurance Contracted Medical Care Institutions Article 22
The services rendered by the physicians and necessary medical personnel by the contracted medical care institutions specified in the preceding article shall be provided only in the following timeslots:1. Ambulatory medical care services and health rehabilitation diagnoses and treatments provided by the physicians of contracted medical care institutions shall be limited to a total of three timeslots each week. Health rehabilitation therapy treatments and services provided by therapists shall be limited to a total of three timeslots each week;2. Ambulatory medical care services and health rehabilitation diagnoses and treatments provided by the physicians of the contracted medical care institutions offering accommodations to up to 300 mentally or physically challenged patients are limited to a total of six timeslots per week. Health rehabilitation therapy treatments and services provided by therapists shall be limited to a total of six timeslots each week;3. When the contracted medical care institutions are approved to provide ambulatory medical care services and rehabilitation diagnoses and services in the nursing institutions, other contracted medical care institutions may not apply for the contracting of such services to be rendered to the same nursing institutions. Notwithstanding, the contracted medical care institution that has insufficient medical departments may request other contracted medical care institutions to form a team in order to offer integrated medical services in nursing institutions. The major contracted medical care institution should be responsible for filing expenses and managing medical records.In the case of the circumstances set forth in the preceding paragraph, there shall only be one physician and one rehabilitation therapist in any given period. Notwithstanding, in the case of nursing institutions that provide early treatment, there shall be no more than three rehabilitation therapists who provide treatment services in any given period.
中文原文 全民健康保險醫事服務機構特約及管理辦法第22條
前條保險醫事服務機構指派醫師及必要之醫事人員,服務時段限制如下:
一、保險醫事服務機構之醫師提供一般門診及復健診療服務,每週合計以三個時段為限;復健治療人員提供復健治療服務,每週合計以三個時段為限。
二、保險醫事服務機構之醫師提供收住達三百人以上之住宿型身心障礙福利機構之一般門診及復健診療服務,每週合計以六個時段為限;復健治療人員提供復健治療服務,每週合計以六個時段為限。
三、保險醫事服務機構經核可至照護機構,提供保險一般門診及復健診療服務期間,其他保險醫事服務機構對同一照護機構,不得再申請本項服務。
但科別不足之保險醫事服務機構,得商請其他之保險醫事服務機構共組團隊,前往照護機構提供整合性之醫療服務,並由主要保險醫事服務機構申報費用及管理其病歷。
前項情形,同一時段提供診療服務之醫師、復健治療人員,各以一名為限。
但屬於提供早療服務之照護機構,同一時段提供治療服務之復健治療人員,至多三名為限。
一、保險醫事服務機構之醫師提供一般門診及復健診療服務,每週合計以三個時段為限;復健治療人員提供復健治療服務,每週合計以三個時段為限。
二、保險醫事服務機構之醫師提供收住達三百人以上之住宿型身心障礙福利機構之一般門診及復健診療服務,每週合計以六個時段為限;復健治療人員提供復健治療服務,每週合計以六個時段為限。
三、保險醫事服務機構經核可至照護機構,提供保險一般門診及復健診療服務期間,其他保險醫事服務機構對同一照護機構,不得再申請本項服務。
但科別不足之保險醫事服務機構,得商請其他之保險醫事服務機構共組團隊,前往照護機構提供整合性之醫療服務,並由主要保險醫事服務機構申報費用及管理其病歷。
前項情形,同一時段提供診療服務之醫師、復健治療人員,各以一名為限。
但屬於提供早療服務之照護機構,同一時段提供治療服務之復健治療人員,至多三名為限。