novel coronavirus has been infected with "Class B Management". Can COVID-19's medical expenses previously included in medical insurance be reimbursed? Recently, Shandong Provincial Medical Insurance Bureau, Shandong Provincial Department of Finance, and Shandong Provincial Health and Wellness Committee jointly issued a notice on conscientiously implementing Document No.1 of Medical Insurance Fa [223] to optimize the policies related to medical insurance for infected patients in novel coronavirus, Shandong Province, and made it clear that there is no deductible line or capping line for outpatient and emergency expenses within the policy scope related to novel coronavirus infection treatment in designated medical institutions at the grass-roots medical insurance level, and the reimbursement ratio is 75% in the whole province, which will be implemented first until March 31, 223.

The compliance hospitalization expenses of infected patients in COVID-19 will continue to be implemented. The notice of the previous safeguard policy is clear, and the hospitalization payment policy of medical insurance will be optimized. The hospitalization medical expenses incurred by novel coronavirus infected patients in all medical institutions that meet the novel coronavirus infection diagnosis and treatment plan formulated by the health department will continue to implement the upfront cost guarantee policy. After the basic medical insurance, serious illness insurance and medical assistance are paid according to the regulations, the personal burden will be subsidized by the finance, and the required funds will be paid by the municipal finance in advance. The provincial finance combined with the central subsidy will subsidize the districts and cities (excluding the counties directly managed by the provincial finance) by 8% of the actual expenses, and the counties directly managed by the provincial finance. This policy is based on the time of admission of patients and will be implemented until March 31, 223.

The notice encouraging primary medical institutions to get enough drugs for treating COVID-19 infection in the medical insurance catalogue points out that the level of medical outpatient service at primary level should be improved. Cooperate to promote the implementation of graded diagnosis and treatment, guide patients to seek medical treatment at the grassroots level, and ensure stable and orderly medical services. Increase medical insurance to rural areas, urban communities and other primary medical institutions (secondary and below medical institutions) tilt support, encourage primary medical institutions with sufficient medical insurance drug list (including temporary additions in our province) of novel coronavirus infection treatment drugs. Special guarantee shall be provided for the outpatient and emergency expenses of insured patients with novel coronavirus infection and suspected symptoms in designated medical institutions of primary health care. The outpatient and emergency expenses of insured patients in designated medical institutions of primary health care within the scope of policies related to the treatment of novel coronavirus infection are not set with deductible line and capping line, and the reimbursement ratio is 75% in the whole province, which will be implemented first until March 31, 223. The outpatient and emergency expenses of novel coronavirus infection treatment for insured patients in other medical institutions shall be implemented in accordance with the current basic medical insurance outpatient security policy in each overall planning area.

Allocate the medical institutions in advance, ensure that the medical insurance fund is sufficient to meet the requirements of Shandong Province, and effectively guarantee the medical treatment expenses of medical institutions. Medical security departments at all levels should further improve the pre-allocation of medical insurance funds, ensure that the medical insurance expenses of novel coronavirus infected patients admitted to medical institutions are timely allocated in place, and allocate medical insurance funds of not less than 1-2 months in advance for admitted medical institutions, and add them in time according to needs to ensure that the medical insurance funds are sufficient. The cost of treatment for patients with infection and suspected symptoms in novel coronavirus is not included in the total control index of medical institutions, so as to ensure that patients are treated in time and that medical institutions are not affected by the provisions on the management of total medical insurance budget. In addition, temporarily expand the scope of medical insurance drug list protection. Novel coronavirus drugs that are not included in the basic medical insurance catalogue in the National novel coronavirus Infection Diagnosis and Treatment Plan (hereinafter referred to as the Diagnosis and Treatment Plan) will be temporarily included in the payment scope of the medical insurance fund, and will be implemented first until March 31, 223 with reference to the management of Class A drugs; For the drugs transferred from the "Diagnosis and Treatment Plan" and not in the basic medical insurance catalogue, medical insurance payment should be stopped in time as required. The Provincial Medical Insurance Bureau will, jointly with relevant departments, determine the list of novel coronavirus infection treatment drugs temporarily included in the medical insurance payment in our province, and report it to the National Medical Insurance Bureau for filing before implementation, and the first implementation will be until March 31, 223.

to fulfill the notification requirements of "internet plus" medical services and medical insurance payment, local health departments should publish the list of medical institutions providing "internet plus" medical services in time. For the first online consultation service for patients who have symptoms related to novel coronavirus infection and meet the Guidelines for Home Treatment of Infected Persons in Covid-19, the price and medical insurance policy support will be given, and the notice on doing a good job in the medical security service for Internet infection in novel coronavirus (Lu Medical Insurance Fa [222] No.44) issued by the Provincial Medical Insurance Bureau and the Provincial Health and Wellness Commission will continue to be implemented. To carry out the mobile payment service of medical insurance, we should strictly implement the relevant technical standards of the National Medical Insurance Bureau, rely on the national unified medical insurance information platform, realize the circulation of medical insurance electronic prescriptions, mobile payment of medical insurance and the application of medical insurance electronic certificate, and ensure the safety and convenience of the medical insurance service in internet plus. In addition, we will continue to do a good job in the centralized procurement of drugs needed for the treatment of infected patients in novel coronavirus, such as landing the selected results, hanging the net in the green channel and offline procurement, and medical institutions should timely record the offline procurement products on the procurement platform. Focus on medical institutions designated by medical insurance and large chain retail pharmacies, focus on key drugs to do a good job in price monitoring, constantly improve the price monitoring mechanism, expand the monitoring scope, and cooperate with relevant departments to provide policy guidance and guidance on abnormal prices. The notice requires that local medical insurance departments should combine the actual operation of medical insurance funds, make overall plans to promote policy implementation, reasonably reduce the burden on the masses, and ensure the safety and sustainability of medical insurance funds. On this basis, the medical insurance fund does have a co-ordination area where the income exceeds the expenditure, and the local finance can give appropriate subsidies. Timely promote the adjustment of funds in the province. The notice requires that the medical insurance department be responsible for the audit and settlement of related expenses and strengthen fund supervision; The financial department is responsible for timely disbursement of financial subsidies; The health department is responsible for guiding medical institutions to do a good job in the identification, information registration and uploading of infected patients in novel coronavirus, and for uploading information and data of infected patients in novel coronavirus. All departments at all levels should strengthen coordination and linkage to ensure that the relevant requirements of the party are put in place to the letter. The notice shall come into force as of the date of implementation of "Class B Management" for novel coronavirus infection. If the previous policy is inconsistent with this notice, it shall be implemented according to this notice.