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国家长期护理保险服务
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国家医保局印发《国家长期护理保险服务项目目录(试行)》
Core Points - The article discusses the establishment and management of the National Long-term Care Insurance Service Project Directory, which outlines the services covered under long-term care insurance [10][14] - The directory includes two main categories: daily living care projects and medical care projects, totaling 36 specific services [10][14] - The National Medical Insurance Administration is responsible for organizing, adjusting, and publishing the directory, ensuring it aligns with the needs of disabled individuals and the operational status of the long-term care insurance fund [3][6] Group 1: Directory Management - The National Medical Insurance Administration will create a dynamic adjustment mechanism for the long-term care service project directory based on the operational status of the insurance fund and the evolving needs of disabled individuals [3][4] - Local regions must align their long-term care service plans with the national directory, ensuring that services provided meet the actual needs of beneficiaries [3][6] - The directory will be strictly adhered to in newly established long-term care insurance areas, with existing pilot cities required to gradually unify their directories with the national standard over approximately three years [4][6] Group 2: Implementation and Oversight - Provincial medical insurance departments are tasked with overseeing the implementation of the directory by the end of December 2025, including payment management and service quality supervision [6][10] - There will be a focus on training long-term care service personnel and ensuring the quality of care provided meets established standards [6][10] - Monitoring and analysis of fund operations and the benefit levels for insured disabled individuals will be conducted to ensure that the services provided meet basic care needs [6][10]