《国家长期护理保险服务项目目录(试行)》
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昆明市举办长护险服务项目专项培训
Xin Lang Cai Jing· 2025-12-26 22:03
Core Insights - The "National Long-term Care Insurance Service Project Directory (Trial)" will be implemented in Kunming starting January 1, 2026, marking a significant step in the long-term care insurance (LTCI) initiative [1] - Kunming is the only pilot city for LTCI in Yunnan Province and the second batch of pilot cities nationwide, with coverage reaching 2.3567 million people and providing support to 28,002 disabled insured individuals as of November 30, 2025 [1] - A specialized training session was held on December 24-25 to ensure smooth implementation of the service directory, focusing on precise execution of national standards and enhancing local service supervision [1] Training and Implementation - The training aimed at medical insurance agencies and involved key personnel from various districts, emphasizing authoritative interpretation and practical exchanges regarding the service directory [1] - On December 25, the training specifically targeted over 400 staff members from more than 230 designated service institutions in Kunming, highlighting the importance of professional and standardized service delivery [1] - Expert Huang Xiaoyan provided insights on the regulatory focus of nursing service projects, detailing the applicable scope, operational norms, and service standards within the service directory [2]
长护服务有了“国家清单”,社保第六险全国落地再提速
Di Yi Cai Jing· 2025-09-26 01:07
长护险能报销什么? 长护险服务国家目录的发布,为长护险全国铺开按下了加速键。 长护险能报销什么?国家医保局25日发布《国家长期护理保险服务项目目录(试行)》(下称《长护服 务项目目录》)划定了统一规范的长期护理保险基金支付范围,为失能人员及其家庭提供了清晰、权威 的报销指南。 国家医保局将从协助进食、协助排泄等生活照护类项目到导尿、快速血糖测定等医疗护理类项目,共36 项服务纳入了国家统一的长护服务项目目录,并明确提出目录内项目长护险基金可支付,超出目录范围 的护理服务长护险基金不予支付。 中国劳动和社会保障科学研究院医保室副主任王艳艳对第一财经表示,长护服务项目目录对下一步长护 险全国落地有着重要意义,它使各地的服务范围和服务标准趋于一致,服务的规范化为科学制定服务价 格和待遇支付标准提供了依据,确保基金购买的服务达到质量底线,提高基金使用绩效,也能够引导服 务机构和服务人员向规范化、专业化方向发展。同时,这份目录也明确了长护险制度的功能边界,有助 于与医疗保险等其他制度顺畅衔接。 我国从2016年启动长护险试点,截至目前,长护险制度覆盖1.9亿人,支出超过850亿元。 国家医保局在解读中称,49个试点地区 ...