Processing of Application for Accreditation of Health Care Institution

At a glance

Office: Philippine Health Insurance Corporation
Classification: Highly Technical
Who may apply: Hospital, Primary Care Facility/Infirmary, Ambulatory Surgical Clinic, Free Standing Dialysis Clinic, Maternity Package Provider, TB DOTS Package Provider, Out Patient Malaria Package Provider, Animal Bite Package Provider, Free Standing Family Planning Clinic, OHAT Package Provider, SARS COV 2 Testing Facility using RT PCR, COVID 19 Community Isolation Benefit Package Provider
Total fees: None

Requirements

Requirement	Where to get it
1. Provider Data Record	PhilHealth Website/Offices
2. Performance Commitment (Rev.3)	PhilHealth Website/Offices
3. Updated DOH License (Photocopy)

Steps

What you do	What the office does	Fee	Time
Submission of Application to LHIO/PRO	Receive and screen initially the application (LHIO/PRO Receiving Officer)	None	5 -10 Mins/Application
Wait result of Screening of Application	Provide Order of Payment (LHIO/PRO Receiving Officer)	None	5 -10 Mins/Application
If incomplete application, get the application together with attached checklist of requirements with list of deficiency/ies	Return the application to applicant together with copy of the checklist of requirements and list of deficiency/ies (LHIO/PRO Receiving Officer)	None	5 -10 Mins/Application
If application is complete	Encode in the IPAS Receiving Module (LHIO/PRO Receiving Officer)	None	5 -10 Mins/Application
Applicant gets Order of Payment	Prepares Order of Payment (LHIO/PRO Receiving Officer)	None	5 -10 Mins/Application
Pays Applicable Fee/s	Process payment, issues Official Receipt (Cashier)	PCF/Infirmary - P3,000, Level 1 - P5,000, Level 2 - P8,000, Level 3 - P10,000	10 -15 Mins/Application
None	Transmit application to PRO if application was filed at the LHIO (LHIO Receiving Officer)	None	Transmits within 5 working days from receipt of application
	Determines the process of accreditation if for automatice accreditation encodes details in the Data Entry Module of IPAS (SIO-AQAS)	None	Within the day
Wait for Notice of Survey	If for Non Automatic Accreditation, schedule notice of survey generated and emailed to facility (SIO-AQAS)	None	5-10 Mins/Application notice of survey generated and emailed to facility
None	Conduct Pre Accreditation Survey (AQAS (MS III, MS I, SIO III, SIO I))	None	Conducts survey within 30 days from receipt of application
Submit Compliance/s within the prescribed compliance period	Note: During the pandemic, facility visit/conduct of Pre-Accreditation Survey is waived, Health Care Institutions are instructed to submit proof of compliance to accreditation requirements within 60 calendar days	None	Compliance period 60 calendar days
Claims certificate of accreditation and approval letter at the PRO Signs receiving copy	Provides Certificate of Accreditation and Approval Letters, Files receiving copy (HCDMD Clerk)	None	5 -10 Mins/Application

At a glance

Requirements

Steps

Source

Government

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