Act No. 301 / 2020 Coll.
Act on Compensation for Persons Providing Paid Health Services Taking into account the Effects of the Disease Epizia COVID-19 in 2020
Valid
Law
Effective from 01.07.2020
Text versions:
01.07.2020
30.06.2020
301
THE LAW
of 16 June 2020
on compensation to persons providing medical services paid for taking into account the effects of the CoVID-19 epidemic in 2020
Parliament has decided on this law of the Czech Republic:
Compensation of persons providing medical services paid
(1) Health insurance companies shall pay compensation to providers of health services with which they have concluded a contract to provide and pay paid services under the Public Health Insurance Act and to providers of social services with which they have concluded a special contract under the Public Health Insurance Act (hereinafter referred to as "provider"), taking into account the costs and outages of 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 2020 (hereinafter referred to as "compensation"). The compensation of a health insurance company 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 2020 or in the form of advances for compensation before the execution of such bill.
(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 2020 (hereinafter referred to as the "compensation method"), taking into account in particular the expected reduction in the volume of services provided in 2020 in relation to the COVID-19 epidemic, as well as the costs incurred by providers in 2020 as a result of the care of persons insured under the CoVID-19 Public Health Insurance Act; the method of compensation includes the determination of the compensation values of the point, the compensation amount of compensation for the services covered, the compensation regulatory limits and the amount of compensation advances.
(3) By 31 March 2021, the provider and the health insurance undertaking may agree on a method of compensation different from that provided for in paragraph 2 (hereinafter referred to as "the Agreement"). The agreement referred to in the first sentence shall be published in accordance with Paragraph 17 (9) of the Public Health Insurance Act and shall take effect on the date of such publication. The effective agreement shall apply in the procedure laid down in Article 2 instead of the decree referred to in paragraph 2 to the extent that it has been concluded.
Settlement of health services paid by the health insurance company in 2020
(1) The accounting for paid services provided in 2020 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 2021 and for other providers by 31 August 2021.
(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 remuneration of the services rendered in 2020 (hereinafter referred to as "the provider's financial claim ') 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. 301 / 2020 Coll., on Compensation for Persons Providing Paid Health Services Taking into account the Effects of the Disease Epizia COVID-19 in 2020 |
|---|---|
| Regulation Type | Law |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 30.06.2020 |
|---|---|
| Effective from | 01.07.2020 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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