Act No. 160 / 2021 Coll.
Law on compensation for persons providing covered health services taking into account the effects of the CoVID-19 epidemic in 2021
Valid
Effective from 10.04.2021
Text versions:
10.04.2021
09.04.2021
160
THE LAW
of 31 March 2021
on compensation to persons providing paid health services taking into account the effects of the disease epidemic COVID-19 in 2021
Parliament has decided on this law of the Czech Republic:
Compensation of persons providing medical services paid
(1) Health insurance companies shall pay health service providers with whom they have a contract for the provision and reimbursement of paid services under the Public Health Insurance Act and social services providers with which they have a special contract under the Public Health Insurance Act (hereinafter referred to as "provider") compensation to take into account costs and losses in the provision of the services covered by the CoVID-19 epidemic caused by a new coronavirus known as SARS CoV-2 (hereinafter referred to as "CoVID-19 epidemic") in 2021 (hereinafter referred to as "compensation"). The compensation of a health insurance undertaking shall be paid by the provider in the framework of the bill of health services paid by the health insurance company from public health insurance (hereinafter referred to as "the services paid ') provided in 2021 or in the form of advances for compensation before such settlement is made.
(2) By decree, the Ministry of Health sets out the method of including compensation in the amount of compensation paid for the services provided in 2021, taking into account in particular the expected reduction in the volume of services provided in 2021 in relation to the COVID-19 epidemic, and the costs incurred by providers in 2021 due to the care of persons insured under the Public Health Insurance Act with COVID-19; the method of including compensation in the amount of compensation for the services provided in 2021 includes the setting of compensation values of points, the compensation amount of compensation for the services covered, the compensation regulatory limits and the amount of advances for compensation.
(3) By 30 April 2022, the provider and the health insurance undertaking may agree on the method of compensation different from the order referred to in paragraph 2. The first health insurance undertaking shall, mutatis mutandis, publish the first, fifth and sixth sentences of the Public Health Insurance Act pursuant to Paragraph 17 (9); the Agreement shall take effect on the day of this publication. The effective agreement referred to in the first sentence shall apply in the procedure referred to in Article 2 instead of the order referred to in paragraph 2 to the extent that it has been concluded.
For the purposes of this Regulation, the following definitions apply:
(1) The accounting of the paid services provided in 2021 involving compensation shall be carried out by the health insurance company for providers providing only outpatient services or services provided in the patient's own social environment by 30 June 2022 and for other providers by 31 August 2022.
(2) In the context of the accounts referred to in paragraph 1, the health insurance undertaking shall calculate the provider's financial claim for the reimbursement of the services rendered in 2021 (hereinafter referred to as the "financial claim of the provider ') according to:
(a) the Public Health Insurance Act; and
(b) that law, in cases not covered by that law, shall apply the Public Health Insurance Act to the calculation.
(3) The health insurance undertaking shall carry out the accounts referred to in paragraph 1 in accordance with the calculations referred to in paragraph 2 (a) and (b) which give rise to a higher financial entitlement of the provider.
(4) The amount of compensation corresponds to the difference between the financial claim of the provider calculated under this Act and the financial claim of the provider under the Public Health Insurance Act, without taking into account the negative amount of compensation.
Exemptions from the rules on the management of health insurance companies
A health insurance undertaking shall not be obliged to operate under this Act in accordance with an approved health insurance plan or provisional provision established under another legislation.
Efficacy
This Act shall take effect on the day following its publication.
Vondracek v. r.
Zeman v. r.
Babiš v. r.
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Regulation Information
| Citation | Act No. 160 / 2021 Coll., on Compensation for Persons Providing Paid Health Services Taking into account the Effects of the Disease Epizia COVID-19 in 2021 |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 09.04.2021 |
|---|---|
| Effective from | 10.04.2021 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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