Jiangsu has included the "psychological treatment" project into the medical insurance system since November 1

2022-10-26

The reporter learned from Jiangsu Medical Security Bureau on the 25th that, in order to better meet the clinical needs of the insured patients for psychological treatment, Jiangsu has included the "psychological treatment" project in the medical insurance payment scope. Since November 1, it has been implemented in Jiangsu Province. According to statistics, the burden of mental diseases ranks first in China's total burden of disease, accounting for about 20%. According to the White Paper on the Mental Health of Chinese Urban Residents released by the Chinese Medical Association in 2018, 73.6% of Chinese urban residents are in a state of mental sub-health, 16.1% of urban residents have psychological problems of varying degrees, and only 10.3% of urban residents have complete mental health. Jiangsu has defined the connotation of the "psychotherapy" project, It refers to that "psychiatrists who have received standardized psychotherapy training or health technicians who have obtained professional and technical qualifications for psychotherapy should apply standardized psychotherapy techniques and individualized treatment schemes to conduct psychotherapy in an appropriate independent treatment space for patients with mental disorders who meet the requirements of psychotherapy, so as to eliminate or alleviate the psychological disorders of patients. Each time should not be less than 60 minutes". The medical insurance payment category of the "psychotherapy" project is adjusted to "Class B", and the payment standard of medical insurance is: 200 yuan/time, 180 yuan/time, and 160 yuan/time for the "psychotherapy" project of the designated medical institutions in Jiangsu that implement the third, second, and first class charging policies. If the insured patients receive psychological treatment in designated medical institutions, and the actual charges are lower (etc.) than the medical insurance payment standard, the medical insurance fund will pay according to the provisions, of which, the proportion of individual payment in advance is 20%; The part of the actual charge exceeding the payment standard of medical insurance shall be borne by the patient. It is understood that at present, 103 psychiatric specialized medical institutions in Jiangsu have been included in the designated scope of medical insurance. The psychiatric departments set up by 253 comprehensive medical institutions have been included in the designated scope of medical insurance together with hospitals. At the same time, the construction of Jiangsu's social and psychological health service system is also being actively promoted. In Jiangsu, 194 psychological assistance hotlines have been opened in 13 districts and 84 counties (cities and districts). (Outlook New Times)

Edit:qihang    Responsible editor:xinglan

Source:CNS.cn

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