Orientation on the Grant of COVID-19 Health Emergency Allowance Management Services Team 19 September 2022 Supplemental Guidelines on the Grant of HEA New Guidelines Old Guidelines 1. AO No. 2022-0039: Grant of HEA to Eligible Public and Private HCWs and Non-HCWs During the COVID-19 Pandemic Pursuant to the IRR of RA 11712 DOH-DBM Joint Circular No. 2022-0001 2. AO No. 2022-0001-A: Amendment to Administrative Order No. 2022-0001 on the Guidelines on COVID-19 Risk Exposure Classification of Health Care Workers Administrative Order No. 2022-0001 3. DM No. 2022-0390: Implementation of the Health Emergency Allowance Processing System (HEAPS) for the Grant of Health Emergency Allowance (HEA) for Eligible Public and Private HCWs and Non-HCWs Department Memorandum No. 2022-0126 4. DM No. 2022-0398: Transition of OCAIS to HEAPS for the Processing of the Grant of HEA Department of Health, Philippines Key Points HEA TO REPLACE OCA ● The grant of HEA shall be in place of the One COVID-19 RETROACTIVE EFFECT ● all eligible HCWs and non-HCWs, regardless of employment status, rendering services during the COVID-19 pandemic, from 01 July 2021 until the state of public health emergency is lifted EXPANDED POPULATION 1. Outsourced personnel hired under an institutional or individual contract of service or job order basis who are similarly exposed to COVID-19 2. BHWs in BHERTS 3. Personnel in Health-Related Establishments NEW PROCESSING SYSTEM ● Allowance (OCA), and in addition to other existing benefits that the HCWs and non-HCWs receive, subject to the availability of funds. Health Emergency Allowance Processing System (HEAPS) ○ Amended CREC guidelines (AO 2022-0001-A) ○ New CREC template (version 8) Department of Health,○Philippines New computation for HEA Administrative Order No. 2022-0039 Supplemental Guidelines on the Grant of HEA to Eligible Public and Private HCW and nonHCWs During the COVID-19 Pandemic Pursuant to the IRR of RA 11712 Management Services Team 19 September 2022 INCLUSION CRITERIA 1. HCWs and non-HCWs are either of the following: a. occupying regular (permanent or temporary), contractual, or casual positions, whether full-time or part-time b. engaged through contract of service (COS), including but not limited to regular, active, visiting, affiliate, honorary, medical or one-peso consultants, and job order (JO), as certified by the head of the facility c. outsourced personnel hired under institutional COS or JO basis assigned in health facilities d. duly accredited and/or registered BHWs in the DOH National BHW Registry (or with documentation from local health board or Municipal/City Registration and Accreditation Committee of assignment in BHERTs or their successor entities) 1. assigned to health facilities involved in the COVID-19 response in line with the NAP Against COVID-19 PDITR+ strategies 1. physically report for work at their assigned work stations in health facilities on the prescribed official working hours, as authorized by the head of the agency/office Department of Health, Philippines COMPUTATION 1. Risk Classification (based on AO 2022-0001-A) COVID-19 Risk Exposure Classification Rate High Php 9,000.00 Medium Php 6,000.00 Low Php 3,000.00 1. Number of Hours Physically Reported to Work a. full rate granted to those who physically rendered their service in a month for at least ninety-six (96) hours, otherwise will be pro-rated b. if with different risk classifications, HEA will be in direct proportion to the hours of services physically rendered under each risk classification (bit.ly/HEAcalculator) c. hours in WFH or official business outside the facility to perform nonCOVID-19 related services shall not be counted Department of Health, Philippines OTHER GUIDELINES 1. If personnel reports to more than one health facility COVID-19 response: involved in a. they shall only be listed under one facility’s CREC report a. they reserve the right to choose which facility they prefer to be listed under to claim their HEA, provided proper documentation (ANNEX A) is presented to the chosen health facility to allow proper verification of information to be included in the CREC report a. HEA shall be in direct proportion to the services rendered and will not exceed PhP 9,000.00 for high risk, PhP 6,000 for medium risk, and Department of Health, Philippines PhP 3,000 for low risk OTHER GUIDELINES 1. The HEA of personnel whose mandated roles and responsibilities are not involved in COVID-19 response but are assigned for a certain number of hours in health facilities involved in COVID-19 response shall be based only on the number of hours physically rendered on such health facilities involved in COVID-19 response. 1. The HEA of an eligible DOH Office/Hospital/Drug Abuse Treatment and Rehabilitation Center (DATRC) personnel detailed to another government health facility shall be granted by the parent agency. On the other hand, the HEA of an eligible non-DOH Office/Hospital/DATRC personnel detailed to another government office/agency shall be granted by the receiving agency. 1. Eligible public or private HCW or non-HCWs who are compulsory retirees or service extensions may be granted the HEA, subject to the pertinent conditions and guidelines in this issuance. Department of Health, Philippines OTHER GUIDELINES 1. The HEA shall be subject to existing taxation laws. 1. All issues arising from the grant of HEA to public and private HCWs and nonHCWs assigned to health facilities involved in COVID-19 response shall be resolved exclusively by the Grievance Board, established by the DOH, as prescribed by the IRR of RA No. 11712. Department of Health, Philippines EXCLUSION CRITERIA 1. Consultants and experts engaged for a limited period to perform specific activities or services with expected outputs except medical consultants as mentioned in Section V.A.1.b; 2. Laborers engaged through job contracts (pakyaw) and those paid on piecework basis; 3. Volunteers (except BHWs), student interns, and apprentices; 4. Individuals, and groups of individuals whose services are engaged through COS or JO, including BHWs, who are NOT assigned in health facilities involved in COVID-19 response; 5. HCWs and non-HCWs assigned in health-related establishments NOT duly licensed or designated by the DOH for COVID-19; 6. Those personnel who are in work-from-home arrangements for the entire month; and 7. Those who are under quarantine and/or treatment due to COVID-19 and have not rendered actual physical services in health facilities for the entire month. Department of Health, Philippines HEAPS 1. All processing for the provision of HEA, starting from master listing of HCWs and non-HCWs, submission of CREC reports, up to the processing of HEA forms and reporting of the disbursement of the HEA shall be done through the Health Emergency Allowance Processing System (HEAPS), formerly known as the One COVID-19 Allowance Information System (OCAIS). a. The CREC Report shall serve as the masterlist of HCWs and non-HCWs in health facilities. Likewise, it shall be the basis for the identification of eligible HCWs and nonHCWs for the allocation of funds. b. The official HEA forms and updates on the release of HEA funds shall be generated through the HEAPS. a. Refer to DM 2022-0390 for the guidelines on the implementation of HEAPS. Department of Health, Philippines Administrative Order No. 2022-0001-A Amendment to Administrative Order No. 2022-0001 on the Guidelines on COVID-19 Risk Exposure Classification of Health Care Workers Management Services Team 19 September 2022 Section V.B. B. COVID-19 exposure shall be classified into three risk categories: low risk, moderate risk, and high risk based on the following definition from Republic Act No. 11712 or the Public Health Emergency Benefits and Allowances for Health Care Workers Act: 1. High Risk - health workers entering a COVID-19 patient’s room to directly provide care for patients involving aerosol-generating procedures such as intubation, cough induction procedures, bronchoscopes, dental procedures and exams, or invasive specimen collection, as well as those collecting or handling specimens from known or suspected COVID-19 patients; 2. Medium Risk - health workers within the health facility that are providing direct physical care to the general public who are not known or suspected COVID-19 patients and are working at busy staff work areas within a health facility; and 3. Low Risk - health workers performing administrative duties in non-public areas of health facilities, away from other staff members or away from patients, otherwise known as “clean areas”. Department of Health, Philippines Section V.C. C. Based on the type of health facility where the HCW is employed, assigned, or detailed, risk shall be classified as follows: Type of Health Facility Points Hospital, regardless of level of service 3 Temporary Treatment and Monitoring Facility (TTMF), Isolation/Quarantine facility 3 Testing Center and/or Laboratory, Swabbing Site 3 Vaccination Site, duly authorized by the DOH or local government units 2 Rural Health Unit, Barangay Health Station, Primary Care Facilities (including infirmary), Treatment and Rehabilitation Centers, Birthing Clinic, Ambulatory Clinic, and Health-Related Establishment 2 DOH-Central Office (CO), Center for Health Development (CHD), Attached Agencies, Provincial/City Health Office, and Local Government Health Office 1 Department of Health, Philippines Section V.D. D. Based on the work setting where the HCW performs their assigned functions, risk shall be classified as follows: Work Setting Points Clinical Area a. COVID-19 Area (catering to confirmed COVID-19 cases) 3 a. Other Clinical Area (catering to non-COVID-19 cases, including suspect or probable) 2 Non-Clinical Area (including administrative offices) 1 1. For the purposes of this issuance, clinical area is defined as specific areas in a health facility devoted to the diagnosis, treatment, and care of patients on an inpatient, out-patient, or day-care basis. Department of Health, Philippines Section V.E. E. Based on the nature of work done by the HCW, risk shall be classified as follows: Nature of Work Points Direct Care to confirmed COVID-19 Patients 3 Direct Care to Non-COVID-19 (including suspect or probable) Patients 2 Technical and Support Staff 1 1. For the purposes of this issuance, direct care is defined as performance of clinical procedures or custodial care to patients face-to-face for the purpose of diagnosis, treatment or ongoing care. Department of Health, Philippines Section V.E. E. The overall COVID-19 Risk Exposure Classification of the HCW shall be derived from the total scores of the above mentioned parameters guided by the following: Total Score Over-all Risk Classification 3-4 points Low 5-7 points Medium 8-9 points High Department of Health, Philippines Section V, Items G and I G. The CREC Scorecard results shall be the basis of health resource allocation and provision of the COVID-19 Health Emergency Allowance (HEA), subject to pertinent conditions and guidelines of relevant issuances. The HCW and non-HCW listed in the CREC Report as submitted by the health facility shall be subject for validation through the Health Emergency Allowance Processing System (HEAPS) in accordance to eligibility criteria of pertinent guidelines. I. DOH-CO and Centers For Health Development (CHD) shall be considered as one health facility and shall be classified as Low Risk. In cases where personnel may be classified as having medium or high risk based on the criteria specified above, their respective head of office shall submit an attestation form confirming their risk and involvement in COVID-I9 response. Department of Health, Philippines Department Memorandum No. 2022-0390 Implementation of the HEAPS for the Grant of HEA Management Services Team 19 September 2022 General Guidelines A. The OCAIS shall be modified to HEAPS and shall adopt all of its functionalities and features including the following but not limited to: (a) database; (b) user accounts and access; (c) CREC and OCA submitted (d) submission, validation, approval and disbursement process flow as indicated in the DM 2022-0126: “Implementation of the One COVID-19 Allowance Information System (OCAIS) for the Processing of One COVID-19 Allowance (OCA) for Eligible Public and Private Health Care Workers (HCWs) and Non-HCWs with the exception of some updates following the R.A. 11712: “Public Health Emergency Benefits and Allowances for Health Care Workers Act” and its implementing rules and regulations and supplemental guidelines. A. The MST shall oversee the implementation for the grant of HEA to eligible public and private HCWs and non-HCWs in health facilities involved in COVID-19 response. A. The whole process of registration in the HEAPS, approval of the CREC report and generation of HEA shall be guided by the flow chart in Annex A. Department of Health, Philippines Specific Guidelines A. Registration to the OCAIS A. Submission of CREC Reports B. Validation of CREC Reports A. Processing of HEA Forms B. Appeals Department of Health, Philippines KEY POINTS PROCESS KEY POINTS Registration - CHD to approve/disapprove registration of new health facilities (based on validity of submitted documents) Submission - Only CREC template version 8 will be accepted by HEAPS Always check duly accomplished Attestation Form Validation - Validate CREC reports based on AO 2022-0001-A Always attached duly accomplished Attestation Form Disapproved CREC reports at this level may still be modified by the health facility Processing - All approved HEA forms are considered official and final and may no longer be modified/deleted Appeals - Only approved appeals shall be processed Only 1 appeal may be submitted per month covered Department of Health, Philippines REGISTRATION The eligible health facilities defined in the IRR of RA 11712 shall register in HEAPS through https://heaps.doh.gov.ph. Facilities previously registered in the OCAIS do not need to be registered again in the HEAPS. ATTACHMENTS: licensed health facilities (hospitals, infirmaries, diagnostic laboratories, COVID-19 testing laboratories, birthing homes, dialysis centers/clinics, ambulatory surgical clinics, blood centers and psychiatric facilities) health facilities that may operate without a license 1. 2. LTO Letter of Intent (LOI) 1. LOI 1. Certification from respective CHD/MOH designating the facility for COVID-19 response LOI (Provincial/City/Municipal Health Offices, rural health units, barangay health stations, vaccination sites, TTMFs, etc) health-related establishments designated by the Department of Health for COVID-19 response 2. Department of Health, Philippines coordinate with RLED eligible health facilities not found in the system The CHDs shall use the submitted attachment/s as a basis for the approval or disapproval of the registration. SUBMISSION OF CREC REPORTS 1. Starting 26 September 2022, only CREC reports submitted using the new template (Annex C) provided by the Management Services Team shall be accepted by the system. 1. All users are instructed to accomplish the provided CREC template following the provisions of AO No. 2022-0001-A. 1. The health facility shall submit their CREC report monthly following the prescribed schedules and deadlines set by MST and shown in the landing page of the HEAPS website. The encoded/uploaded CREC report must be submitted with the accomplished Attestation form (Annex D.1) signed by the head of Human Resources and/or the head of facility acknowledging the authenticity and correctness of the CREC report and that he/she ensures that all the right processes were followed in its accomplishment. Department of Health, Philippines VALIDATION OF CREC REPORTS Health Facility Validator Attachments Private and LGU-owned CHD/MOH, subject to spot check by FICT Attestation Form of CHD/MOH validator (Annex D.2) Assessment Form of FICT (Annex F) CHD, DOH Hospital, Sanitaria, TRC, MOH FICT Attestation Form of FICT validator (Annex D.2) DOH-CO, GOCC, PGH, PGC, Attached Agency MST Attestation Form of MST validator (Annex D.2) *Disapproved CREC reports at this level may still be modified by the health facility Department of Health, Philippines PROCESSING OF HEA FORMS 1. Once a CREC report has been validated and forwarded to the MST for processing, it will be checked for appropriateness and completeness of the attached documents. If errors (e.g. wrong file, wrong date, no signature) are found in the attached documents, it will be disapproved and shall be returned to the account of the concerned health facility. 1. Once CREC reports and its attached documents are found in order, the HEAPS shall automatically compute the amount of HEA for each eligible HCW and non-HCW in the health facility based on AO 2022-0001, as amended. 1. An official HEA form shall be generated for each approved CREC report, which shall be available in the accounts of the concerned health facilities and respective CHDs/MOHBARMM and FICT. This form is considered official and final. This CANNOT be returned to the health facilities for editing or modification. This form shall be duly signed by the head of the health facility to include in the processing. Department of Health, Philippines PROCESSING OF HEA FORMS 4. The MST shall process sub-allotment/transfer of funds to all eligible health facilities based on the official HEA forms generated by HEAPS. 4. The CHDs and MOH-BARMM shall transfer funds to the concerned health facility according to the pertinent sub-allotment guidelines of the DOH. 4. Upon release of the sub-allotment advice (SAA) to the respective CHDs, DOH hospitals, DATRCs, and sanitaria, and certificate of availability of funds (CAF) and cheque to MOHBARMM, GOCCs, PGH, PGC, NIH, and specialty hospitals, MST/CHDs shall click the “Released HEA funds” button in the HEAPS upon the release date of HEA funds. 4. Upon receipt of the sub-allotted/transferred funds, the respective health facilities shall click the “Received HEA funds” button in the HEAPS upon receiving the HEA funds. Department of Health, Philippines PROCESSING OF HEA FORMS Department of Health, Philippines APPEALS Department of Health, Philippines NATURE OF APPEAL 1. All validated and approved HEA forms are considered OFFICIAL and FINAL. 1. Only appeals of the following nature shall be accommodated by the AFMT: i. Submission of a new list of personnel who were not included in the original submitted CREC report for the month. ii. Resubmission of the list of personnel who were initially excluded (with a 0 value in the generated OCA/HEA form) from the list of eligible health care or nonhealth care workers for the grant of HEA. 1. Appeals for corrections in the cadre, employment status, risk classification, and the number of hours of services physically rendered shall NOT be accommodated. All information in the submitted monthly CREC report is assumed to be correct and accurate as attested to by the head of the facility in the uploaded attestation form. 1. Errors in the approved HEA form found during the process of disbursement of funds shall be reported by the health facility in their fund utilization report that will be submitted to the respective CHDs and the Financial and Management Service (FMS). Discrepancies in the obligated amount and the actual disbursed amount shall be taken into account in the allotment of funds for the succeeding months. Department of Health, Philippines 1. Only one (1) CREC report for appeal is allowed to be submitted per month. SUBMISSION OF APPEAL DOH-CO, BOQ, Attached CHD, MOH, DOH Agencies, GOCCs, PGH, Hospital, TRC, Sanitaria Department of Health, Philippines PGC addressed to MST-U addressed to FICT-U Private and LGU-owned addressed to CHD Director/MOH Minister SUBMISSION OF APPEAL Letter of Approval of Department of Health, Philippines Appeal (must be attached upon submission of new CREC) Letter of No Action to the Appeal Using the Request for Appeal in the HEAPS 1. Only appeals approved by the CHDs and/or MST in accordance with the provisions outlined in the previous section will be processed in the HEAPS. 1. Requests for Appeal in the HEAPS must have the following attachments in order for them to be processed: a. CREC report using version 8 template (Annex C) b. Updated and duly accomplished attestation form (Annex D.2) c. Signed Letter of Approval of Appeal (Annex I.1) 1. Process to be demonstrated by KMITS Department of Health, Philippines ROLES AND RESPONSIBILITIES: CHD/MOH 1. Disseminate these guidelines to all public and private health facilities involved in COVID19 response; 2. Evaluate and approve the registration to the HEAPS of health facilities and health-related establishments within their jurisdiction that are engaged in COVID-19 response; 3. Review and approve the CREC reports submitted by private and LGU-owned facilities under their jurisdiction; 4. Review and decide upon requests for appeal from all health facilities and healthrelated establishments within their jurisdiction who are registered in the HEAPS; 5. Monitor the compliance of their respective regions, including but not limited to the following: a. CREC accomplishment and submission; and b. HEA processing, allocation, provision, and disbursement. 6. Conduct training on HEAPS with health facilities under their jurisdiction; and 7. Distribute all advisories issued by MST to all health facilities under their jurisdiction for guidance. Department of Health, Philippines Department Memorandum No. 2022-0398 Transition of OCAIS to HEAPS for the Processing of HEA Management Services Team 19 September 2022 Schedule of Activities 16 September Deadline of submission of all COVID-19 Risk Exposure Classification (CREC) reports for the months of January to June 2022 using CREC Template version 7. All submitted CREC reports by this day shall be processed using the guidelines for the grant of OCA as per DOH-DBM Joint Circular No. 2022-0001. If a submitted CREC report is disapproved after this day, the facility shall submit a new CREC report using the new template on their scheduled date in the HEAPS. 19 September Orientation by MST to CHDs and MOH-BARMM on the Supplemental Guidelines on the Grant of HEA and DEMO on the Use of HEAPS 20 September Orientation by MST to DOH Hospitals, Sanitaria, TRCs, GOCCs, PGH, PGC on the Supplemental Guidelines on the Grant of HEA and DEMO on the Use of HEAPS 21 September Orientation by MST to DOH-CO, Attached Agencies 22-23 September The OCAIS website shall be inaccessible to all users in preparation for the launch of the HEAPS website. Last day of processing of submitted CREC reports. All disapproved CREC reports by the end of this day shall be resubmitted in the HEAPS using the new CREC template (bit.ly/3wPUp5P) and shall be processed using the guidelines for the grant of HEA outlined in AO 2022-0039. Department of Health, Philippines Schedule of Activities 26 September a. Official Launch of HEAPS (https://heaps.doh.gov.ph) at 9:00 AM. Please refer to Annex A for the initial schedule of usage for each region. The schedules for the following months shall be posted in the landing page of the website. a. Only CREC reports submitted using the new CREC template (bit.ly/3wPUp5P) provided by MST shall be accepted by the system. a. On their scheduled dates, the health facilities may submit the following CREC reports: CREC Report New CREC reports Period Covered July to December 2021 July 2022 onwards New CREC reports and previously disapproved CREC reports resubmitted using the new template January to June 2022 New CREC Reports with Approved Appeal January to June 2022 a. All submitted CREC reports from this day onwards shall be processed using the guidelines for the grant of HEA outlined in AO 2022-0039. Department of Health, Philippines Maraming salamat po!
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