不得随意调整变更服务范围，国家医保局发布长护险服务项目目录（试行）

Core Points - The National Healthcare Security Administration (NHSA) issued the "National Long-term Care Insurance Service Project Directory (Trial)" on September 25, 2023, which outlines the services that must be provided to insured individuals in regions that have newly implemented long-term care insurance [1] - Existing pilot cities with established long-term care service project directories are required to align their original directories with the new national directory within approximately three years [1] - The directory includes a total of 36 service items, categorized into daily living care and medical care, with 20 items under daily living care and 16 items under medical care [1] Summary by Category Long-term Care Insurance Implementation - New regions implementing long-term care insurance must strictly adhere to the "Long-term Care Service Project Directory" and cannot arbitrarily adjust or change the service scope [1] - Pilot cities must ensure their existing directories are mapped to the new national standards within a three-year timeframe [1] Service Project Directory Details - The directory consists of 36 service items, divided into two main categories: - Daily living care includes 20 items such as dietary care, toileting care, hygiene care, dressing assistance, functional maintenance, symptomatic care, vital signs monitoring, and safety care [1] - Medical care includes 16 items related to basic medical care services closely associated with daily living support, including general examination care, basic care, specialized care, and rehabilitation [1]