Regulations Governing Contracting and Management of the National Health Insurance Contracted Medical Care Institutions Article 9
Hospitals applying for the contracting for hospital stays shall be reviewed by hospitals. Mental state restoration medical care institutions applying for the contracting of community rehabilitation services for the mentally ill shall be evaluated and approved by medical care institutions.The Insurer shall refer to the changed results of assessments on hospitals after the expiry of the previously assessed results in the review of the Insurance payment levels. For any hospitals not accepting further assessments or failing to pass assessments, the contract shall be changed to the elementary medical care units.The Insurer may refer to the Hospital Accreditation Standards to determine the contract categories for new hospitals that have not yet been evaluated by the central competent authority of health on the basis of special cases pursuant to relevant laws and regulations.Contracted medical care institutions other than hospitals shall participate in assessments or investigations organized by the central competent authority of health pursuant to relevant laws and regulations. The contract shall be terminated if the assessment results fail or the contracted medical care institution refuses to participate in the assessment.
中文原文 全民健康保險醫事服務機構特約及管理辦法第9條
醫院申請辦理保險住院給付之特約，應經醫院評鑑通過。
精神復健醫事機構申請辦理精神疾病患者社區復健服務之特約，應經醫事機構評鑑通過。
前項醫院於評鑑效期屆滿，經再評鑑結果異動時，保險人應依其異動後之評鑑結果，核定變更特約保險給付等級；未再參加評鑑或經再評鑑未通過時，其特約類別應變更為基層醫療單位。
新設立之醫院未及參加當年主管機關依法令規定辦理之評鑑時，得由保險人參照醫院評鑑基準，專案認定其特約保險給付等級。
除醫院以外之保險醫事服務機構依法令規定應參加中央衛生主管機關辦理之評鑑或訪查，經評定不合格或應參加而未參加時，應予終止特約。
精神復健醫事機構申請辦理精神疾病患者社區復健服務之特約，應經醫事機構評鑑通過。
前項醫院於評鑑效期屆滿，經再評鑑結果異動時，保險人應依其異動後之評鑑結果，核定變更特約保險給付等級；未再參加評鑑或經再評鑑未通過時，其特約類別應變更為基層醫療單位。
新設立之醫院未及參加當年主管機關依法令規定辦理之評鑑時，得由保險人參照醫院評鑑基準，專案認定其特約保險給付等級。
除醫院以外之保險醫事服務機構依法令規定應參加中央衛生主管機關辦理之評鑑或訪查，經評定不合格或應參加而未參加時，應予終止特約。