Republic of the Philippines
DEPARTMENT OF HEALTH
Office of the Secretary
BAGONG PILIPINAS
MAY
15 2025
ADMINISTRATIVE ORDER
No. 2025-
001
SUBJECT:
Revised Implementin;
Indigent and Financially
uidelines for the Medical Assistance
Incapacitated Patients (MAIFIP) Program
RATIONALE
Pursuant to Republic Act No. 12116, otherwise known as the General Appropriations
Act (GAA) for FY 2025, particularly Special Provision No. 6 and all subsequent
shall
GAAs, including their special provisions, the Department of Health (DOH)
and Financially
continuously implement the Medical Assistance to Indigent
medical
provides
MAIFIP
The
Program
Incapacitated Patients (MAIFIP) Program.
limited
to
inpatient
but
not
assistance for a range of medical services, including
and
services, outpatient services, emergency services, oral/dental services, drugs
and professional
medicines as approved by the Food and Drug Administration (FDA),
fees.
the Universal Health
Furthermore, in accordance with Republic Act No. 11223 or
have
equitable access to
Care Act, the MAIFIP Program ensures that all Filipinos
financial protection. Administrative
quality and affordable health care while providing
the Implementation of the
Order No. 2024-0006 entitled “Revised Guidelines on
Patients (MAIFIP)
Medical Assistance to Indigent and Financially Incapacitated
and
implementation
for the program’s
Program” was issued to provide guidelines
operationalization.
2025 introduces updated stipulations
The Special Provision No. 6 of GAA FY
MAIFIP
Program to include medical
the
expanding the scope and coverage of
clinics and free-standing dialysis
assistance to DOH-accredited/licensed dental
clinics.
FY 2025 and ensure continuous,
To align the changes introduced in the GAA
the MAIFIP Program and its
efficient, and streamlined implementation of
Office deems it fit to revise
implementing guidelines, the Malasakit Program
entitled “Revised Guidelines on the
Administrative Order No. 2024-0006
and Financially Incapacitated
Implementation of the Medical Assistance to Indigent
Patients (MAIFIP) Program”.
II.
OBJECTIVES
of the MAIFIP Program,
This Order aims to provide guidelines on the implementation
availment procedures, service
including eligibility and documentary requirements,
AN
loc. 1800/3630; Direct Line: 711-6712
Sta. Cruz, 1003 Manila ® Trunk Line 651-7800
Building 1, San Lazaro Compound. Rizal Avenue,
ph
Fax: 711-6712 @ Official Email: dohosec@doh.gov.
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coverage, order of charging, terms and conditions, and fund authorization, among
others.
SCOPE AND COVERAGE
ITI.
This Order shall apply to the DOH Central Office; Centers for Health Development
(CHDs); DOH hospitals, including GOCC specialty hospitals; DOH Drug Abuse
Treatment and Rehabilitation Centers (DOH-DATRCs); Department of National
Defense (DND) hospitals; Department of the Interior and Local Government (DILG)
hospitals, Philippine National Police (PNP) hospitals; Local Government Unit (LGU)
hospitals; Department of Justice (DOJ) Infirmaries; State Universities and Colleges
(SUCs) hospitals; and other partner government and privately-owned institutions and
health facilities relevant to the implementation of the MAIFIP Program.
In the case of BARMM,
R.A.
the adoption of this Order shall be in accordance with
issued
11054 (Bangsamoro Organic Act) and the subsequent laws and issuances
by
the Bangsamoro government.
DEFINITION OF TERMS
Iv.
in
Basic or ward accommodation — refers to the provision of a regular meal, bed
shared room, fan ventilation, and shared toilet and bath.
_
refers to the fixed rate or amount that PhilHealth will reimburse for a
No. 2024-0012 or its
specific illness/case as defined by PhilHealth Circular
amendments, and other related PhilHealth Circulars.
Case rate
—
Catastrophic disease — refers to a severe illness requiring prolonged hospitalization
bills and medical expenses,
or recovery and which usually involves high costs of
.
from being productive.
causing financial hardship, which may incapacitate the person
heart attack, or
conditions,
psychiatric
limited
to
is
cancer,
not
This includes but
stroke.
.
in the (a)
Clinical laboratory (CL) — refers to a facility that is involved
where tests are done
pre-analytical, (b) analytical, and (c) post-analytical procedures
about the health status of a
on specimens from the human body to obtain information
These tests include,
diseases.
of
and
treatment
patient for the prevention, diagnosis
anatomic
pathology, clinical
but are not limited to, the following disciplines;
immunology and
chemistry, clinical microscopy, endocrinology, hematology,
and nuclear diagnostics.
serology. microbiology, toxicology, as well as molecular
CLs:
certain
used
distinguish
to
Further, the following terms are
1.
5
unit capable of
Mobile clinical laboratory (MCL) - refers to a laboratory testing
from
one testing site to
performing limited CL diagnostic procedures. It moves
another. and has a DOH-licensed CL as its main laboratory.
Non-institution-based clinical laboratory - refers to a laboratory that operates
independently and is not attached to a DOH-Licensed Health Facility
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Comprehensive checkup — refers to a complete medical examination that includes a
thorough physical assessment and various tests tailored to the individual's age, sex
and health status. This may include clinical evaluations, diagnostic imaging,
laboratory tests, and specialized procedures. Doctors use these assessments, along
with instrumental examination, to determine a person’s true status of health, including
a dental evaluation and diagnosis.
Dental clinics — refer to facilities where licensed dental practitioners provide oral
health services such as but not limited to consultation, promotive/counselling,
preventive, oral screening/risk assessment, diagnosis, curative, restorative, palliative
and prosthodontic services and is duly licensed/accredited by the DOH.
Double charging — refers to charging of funds to particular health services provided
to patients that have already been paid and shouldered by another entity/agency.
Emergency case — refers to a condition or state of a patient wherein, based on the
objective findings of the attending physician, there is immediate danger and where
.
delay in initial medical support and treatment may cause loss of
the patient.
disability
to
life or permanent
Financially incapacitated patients — refers to Filipino patients who are not classified
for necessary
as indigents but who demonstrate a clear inability to pay or spend
limited
such
to, patients
but
not
as,
expenditures for their respective medical treatment
and
require
with catastrophic illness or illnesses which are life or limb-threatening
treatments,
or
expensive
extremely
that
illnesses
require
prolonged hospitalization,
as
financial
one’s
resources,
would
that
deplete
other special but essential care
Worker.
assessed and certified by the Medical Social
DOH-licensed/accredited
clinic — refers to a
dialysis
non-institution-based dialysis clinic which provides the process by which dissolved
fluid
substances are removed from a patient's body by diffusion from one
referred
to as
commonly
membrane,
compartment to another across a semi-permeable
“dialysis”.
the
Health facility — refers to government and private medical institutions licensed by
DOH and/or accredited by PhilHealth implementing the MAIFIP Program.
Free-standing
income or whose
the medical
income is insufficient for the subsistence oftheir family as assessed by
social worker of the health facility.
Indigent — refers to a Filipino patient who has no visible means of
.
beneficiary — refers to a Filipino indigent or financially
worker (MSW).
incapacitated patient as assessed and certified by the medical social
MAIFIP program
to
MAIFIP program fund — refers to the fund intended for medical assistance
indigent and financially incapacitated patients.
amenities as
Non-basic or non-ward accommodation — refers to the provision of
such as
features of the health service that provide additional comfort or convenience
and television, among others.
private accommodation, air conditioning, telephone,
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Pharmacy/ies — refers to FDA-licensed drug establishments that are involved in
compounding and/or dispensing and selling registered drugs, medicines, medical
devices, and household remedies to the general public on a retail basis.
Primary care facility (PCF) - refers to the institution that delivers primary care
services, which shall be licensed by the DOH.
.
Total charges — refers to the entire hospital bill and cost of services incurred by a
patient in a health facility, after applying all mandatory discounts. This includes, but is
not limited to, charges for medical, surgical, dental, and professional fees and other
services.
.
GENERAL GUIDELINES
Medical assistance under the MAIFIP Program shall cover clinically-indicated needs
prescribed by a physician or health professional for indigent and financially
incapacitated in-patients and out-patients. This assistance applies to expenses
exceeding the applicable PhilHealth benefit packages, case rates, or other available
funding sources, and is subject to fund availability and the prescribed order of
charging.
.
The MPO shall be responsible for the overall management and administration of
.
the
MAIFIP Program.
The MPO shall establish linkages and networks with health facilities through the
Malasakit Program Unit (MPU) in CHDs and MOH-BARMM to provide efficient
coordination necessary for MAIFIP Program implementation.
_
1.
The CHDs and MOH-BARMM shall designate a Regional MAIFIP Program
Coordinator in accordance with Department Order No. 2024-0042 or the
“Institutionalization of the Malasakit Program Unit (MPU) in all Centers for
Health Development (CHDs) and the Ministry of Health (MOH) in the
and its
Bangsamoro Autonomous Region in Muslim Mindanao (BARMM)"”,
/ Chief
subsequent amendments. For hospitals, the Medical Center Chief (MCC)
of Hospital (COH) or head of the institution shall assign the Head of the Medical
Social Services, or its equivalent, as the Hospital MAIFIP Program Coordinator.
2. The designated coordinators shall be responsible for the overall management and
coordination, maintenance of the patient registry. program monitoring, and
submission of
reportorial requirements, including the monthly financial report
all
to the CHDs, Financial Management Service (FMS) of
and the MPO.
.
>.
the DOH Central Office,
The MPO, through the FMS, shall facilitate the efficient sub-allotment and transfer of
the CHDs and/or health facilities.
MAIFIP Program funds
to
Health facilities shall judiciously enforce a thorough screening of beneficiaries to
and data
ensure the efficient and rational use of funds, diligent documentation,
encoding through the information system designated by the DOH.
The MAIFIP Program funds ofthe DOH shall not be convertible to cash.
IX
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.
.
the
The MAIFIP Program funds shall be valid in accordance with the provisions of
GAA for the current fiscal year and other related issuances from relevant agencies.
Pursuant to Special Provision No. 6 of R.A. No. 12116 or GAA FY 2025, the DOH,
accordance with R.A. No. 10173 or Data Privacy Act of 2012 shall post on its
website the name of recipient hospitals and the age, gender, city/municipality, and
disease of the recipient indigent and financially incapacitated patients for purposes of
accountability and research. Relative thereto, implementing partner health care
institutions shall submit a health database on illnesses diagnosed, which shall form
part of the CHD/DOH records.
in
Hospitals and other partner health facilities shall ensure that double charging of
medical assistance funds is strictly avoided and shall adhere to the order of charging
outlined in Section VI.D to promote the rational and efficient use of MAIFIP Program
funds.
Not more than two percent (2%) of the total MAIFIP Program funds shall be used for
administrative expenses such as, but not limited to, salaries of job order personnel,
lease of office space and other services, purchase of office and information
technology equipment, and such other administrative expenses necessary, incidental,
and desirable for the implementation ofthis program subject to the guidelines issued
by the MPO.
MAIFIP Program funds intended for administrative expenses can be accessed through
administrative
a formal request to the MPO, supported with a breakdown of proposed
funds
said
The
may only be
and implementation costs using the prescribed template.
and
accessed by CHDs, MOH-BARMM, DOH hospitals, GOCC specialty hospitals,
SUC hospitals.
a grievance or special
The DOH and/or CHDs, and MOH-BARMM shall establish
of health facilities to
refusal
the
committee to evaluate and form resolutions regarding
issued by the DOH full or
accept guarantee letters, coupons, checks, or vouchers
as
under the MAIFIP
partial payment of the obligation of the qualified beneficiary
function and composition of this committee shall be detailed in
Program. The specific
another issuance.
VL
SPECIFIC GUIDELINES
A. Eligibility and Documentary Requirements
1.
ro
under the
MAIFIP Program beneficiaries shall be eligible for medical assistance
in
MAIFIP Program. subject to Section VLE or the terms and conditions specified
this Order.
Patients availing of medical assistance or their authorized representative/s through
and private
the MAIFIP Program in DOH hospitals, other government hospitals
evaluation
and
hospitals shall present documents and undergo proper assessment
clinics,
dental
in
CLs,
served
by the MSW or their designated officer. Patients
free-standing dialysis clinics, and PCFs shall be assessed by a competent,
Page 5 of 16
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government-affiliated registered social worker or an equivalent qualified
professional. Referrals may also be issued by the Central Office and/or CHDs,
subject to the standard screening and evaluation process conducted by the health
facility’s MSW.
.
The following documentary requirements shall be submitted to the evaluating
officer by MAIFIP Program beneficiaries, as may be applicable:
a.
In-Patients:
i.
ii.
b.
Hospital bill or charges or fees or statement of account (SOA); and
Copy of valid ID of the patient or medical social services-issued ID or
barangay-issued Certificate of Residence (for GIDA areas) or
Certification from Indigenous People (IP) representatives (for IPs) or
valid ID of next of kin, if applicable.
Out-Patients in the Health Facility:
i.
Prescription of drugs and medicines or treatment protocol or laboratory
ii.
if
applicable;
or diagnostic request issued by referring facilities,
ID or
services-issued
social
medical
the
patient or
Copy of valid ID of
GIDA
areas)
or
barangay-issued Certificate of Residence (for
IPs)
or
Certification from Indigenous People (IP) representatives (for
applicable.
valid ID of next of kin,
if
c.
For PCFs and Clinical Laboratories:
i.
Prescription of drug and medicine or treatment protocol or laboratory or
diagnostic request or copy of the certification on the number of sessions
availed from PhilHealth, if applicable;
ii.
Copy of valid ID of the patient or registered social worker-issued ID or
barangay-issued Certificate of Residence (for GIDA areas) or
iii.
d.
Certification from Indigenous People (IP) Representatives (for IPs) or
4Ps ID or valid ID of next ofkin, if applicable:
Certificate of Eligibility or social case summary from the medical social
worker/registered social worker or barangay Certificate of Indigency or
4Ps ID.
For DOH Accredited Dental Clinics
i.
Prescription of drug or laboratory or diagnostic request or dentist orders
or dentist referral form;
ii.
iii.
e.
Copy of valid ID of the patient or Barangay-issued Certificate of
Residence (for GIDA areas) or Certification from Indigenous People (IP)
Representatives (for IPs) or 4Ps ID;
Certificate of Eligibility or social case summary from the medical social
worker/registered social worker or Barangay Certificate of Indigency or
4Ps ID.
Dialysis Clinics
i.
Hemodialysis prescription;
from
ii.
Copy of the Certification on the number of sessions availed
PhilHealth;
Page 6 of 16
iii.
Copy of valid ID of the patient or registered social worker-issued ID or
Barangay-issued Certificate of Residence (for GIDA areas) or
Certification from Indigenous People (IP) Representatives (for IPs) or
4Ps ID;
iv.
Certificate of Eligibility or social case summary from the medical social
worker/registered social worker or barangay Certificate of Indigency or
4Ps ID.
B. Availment Procedures
Eligibility Assessment: The registered MSW of the health facility shall assess the
eligibility of patients applying for medical assistance based on their existing
assessment standards. In the case of PCFs, CLs, dental clinics, and free-standing
dialysis clinics, the health facility shall ensure the submission of necessary
documents/requirements mentioned above for eligibility assessment in the
availment of medical assistance.
1.
Processing of Medical Assistance: The MSW shall process the needed medical
assistance based on his or her assessment and recommendation. In case of PCFs,
CLs. dental clinics and free-standing dialysis clinics, the health facility shall
process the medical assistance based on the assessed need of the patient as
recommended by a registered social worker.
.
Provision of Service: Health facilities shall provide the necessary health/medical
service/s based on patient needs and document the provision of the same.
C. Service Coverage
1.
The MAIFIP Program funds shall cover medicines, services, and other medical
products as prescribed by a licensed physician or health professional, such as, but
not limited to, the following:
a. Drugs and medicines as approved by the Food and Drug Administration
(FDA);
b. Laboratory, imaging, radiological, and other diagnostic procedures, including
assessment/readers’ fees;
¢. Blood and other related blood screening/products:
d. Clinically indicated medical-surgical cases, obstetrics-gynecological cases
considered as high-risk: cases requiring implants, medical devices, and
supplies, and other relevant procedures;
oral care,
e. Clinically indicated dental cases, including routine preventive
subject to the guidelines issued by the DOH;
f. Dialysis sessions exceeding the coverage and package rates provided by
PhilHealth;
services, aftercare program, and
g. Prescribed post-hospitalization, rehabilitation
appropriate mental and psychosocial support;
h. All hospital bills/charges after all applicable and available deductions; and
i.
Professional fees (PF), subject to the guidelines issued by the DOH.
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2.
Charging of MAIFIP Program funds on professional fees, including
assessment/readers' fees, shall apply only to a physician rendering services to the
patient. Professional fees under charity services as identified by the social worker
shall be subject to waiving by the concerned facility.
D. Order
of Charging
To ensure equitable access to the MAIFIP Program, beneficiaries shall be encouraged
to first exhaust other available government and private assistance, such as, but not
limited to, the sources listed and in accordance with the prescribed order of charging
indicated in the table below:
Table 1. MAIFIP Program order of charging.
Order of
Charging
Fund Source
Agency Concerned
Mandatory Privilege Deductions
(Senior Citizen, PWD, etc.)
First
3
National Health Insurance
Program
Health Maintenance Organization
(HMO)
Second
Philippine Health
Insurance Corporation
7
Private institutions
(if applicable)
Third
Other DOH Social Health
Protection Programs (Cancer
Assistance Fund, etc)
(If applicable)
Department of Health
Fourth
MAIFIP Program
Department of Health
Fifth
Medical Access Program (MAP)
(if applicable)
Philippine Charity
Sweepstakes Office
to Individuals in Crisis
Situations (AICS)
Social
Department
and
Welfare
:
!
Assistance
Sixth
(if applicable)
Seventh
Other National and Local
Government Assistance Programs
©
(if applicable)
Eighth
Quantified Free Service (QFS)
rb]
i
of
Development
aod.
ancior gga
|
Government Units
(LGUs)
Host Hospital
Page 8 of 16
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PCF, CL, dental clinics, and other applicable partner government and privately-owned
institutions and other health facilities, as applicable, must ensure that the PhilHealth
Konsulta Package and related primary or outpatient benefit package have been fully
availed prior to charging to the MAIFIP Program funds.
E. Terms and Conditions
Access to and the utilization of the MAIFIP Program funds shall be subject to the
following terms and conditions:
1.
MAIFIP Program beneficiaries shall be admitted to basic or ward accommodation
and may be admitted to the next available private accommodation only on the
following conditions:
a.
b.
¢.
2.
F.
Non-availability of basic or ward accommodation as assessed and certified by
the hospital's Medical Center Chief (MCC), or their duly authorized
representative. Provided, that once a basic or ward becomes available, the
patient may be transferred therein; or
Emergency cases requiring immediate critical care shall be admitted to the
Intensive Care Unit of the health facility. However, once the patient has been
stabilized as certified by the attending physician, the patient may be
transferred to a basic or ward; or
Patients with communicable diseases, those immunocompromised, or any
clinical condition requiring isolation as certified by the attending physician.
For cases requiring multiple stakeholder participation, coordination among the
DOH/CHDs, partner agencies, government and private hospitals/facilities, and
MSWs is highly encouraged to ensure better communication, submission of
reports, and patient referrals.
MAIFIP Program Fund Authorization
The following are the officials authorized to approve the corresponding allowable
amount:
Table 2. List of MAIFIP Program approving authority.
Allowable Amount
Approving Authority
Health Facilities
Chief of Hospital of LGU hospitals or
Medical Director/Representative of
selected private/public health facilities
(CL/PCF), DOH-DATRC, or his/her
duly authorized representative
Maximum of Php 250,000.00 per
approval/transaction
Maximum of Php 500,000.00 per
approval/ transaction
(Health Facilities under the Metro
Manila - Center for Health
Page 9 of 16
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Development)
Maximum of Php 1,000,000.00 per
approval/transaction
Chief of Hospital / Medical Center
Chief / Medical Director of DOH
Hospital, Specialty Hospital, SUC
Hospital, DND Hospital, and PNP
Hospital or his/her duly authorized
representative
DOH
CHD Director and/or duly authorized
representative
Maximum of Php 1,500,000.00 per
approval/transaction
Cluster Head of MPO
Maximum of Php 2,000,000.00
Secretary of Health or designated Chief
of Staff (COS) / Head Executive
Assistant (HEA)
Above Php 2,000,000.00 per
approval/transaction
G. Transfer/Release of Funds
1.
Funds shall be transferred by the FMS through Sub-Allotment Advice (SAA) to
the CHDs and DOH hospitals.
In case the sub-allotted fund is in the CHD and not yet obligated or transferred to
the partner health facility, the said funds shall be reverted back to the DOH
Central Office upon the submission of justification and a request to the MPO.
However. when funds are already obligated or transferred to health facilities, they
cannot be reverted back to the Central Office/CHD, and the health facility shall
utilize the transferred amount through MAIFIP Program, unless the reversion of
funds is otherwise initiated by proper authorities such as the MPO, FMS, or the
Commission on Audit subject to usual process and procedure.
2. Subject
a.
b.
¢.
to accounting and auditing rules and regulations, the CHDs shall:
Transfer funds to the GOCC specialty hospitals, SUC hospitals, LGU
hospitals, and other government partner health facilities through a
Memorandum of Agreement (MOA) between the CHD Director and
Executive Director of the health facility or the Medical Center Chief / Chief of
LGU,
Hospital / Chief of LGU Hospital and/or Local Chief Executive of the
as approved by the MPO Cluster head.
Transfer funds to LGU hospitals and LGU-managed PCFs duly licensed by the
DOH through an MOA between the CHD Director and Head of LGU hospital
and/or LGU-managed PCF and/or Local Chief Executive of the LGU, as
approved by the MPO Cluster head.
Reimburse total charges to government/private health facility through a MOA
between or among the DOH and/or CHD Director, Chief of Hospital or
Page 10 of 16
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Medical Director of the LGU hospital, and Local Chief Executive of the LGU
upon submission of documents as stated in Section VI.A.3 of this Order and
other supporting documents as may be deemed necessary.
3. The request for replenishment of funds shall be made after the facility has
complied with the following requirements specified in Section V.E. and
submission of a request using the prescribed form issued by the MPO.
4. The amount of funds to be transferred shall depend on the absorptive capacity of
the hospital/facilities, subject to the recommendation and approval of the MPO
Cluster Head, MPO, or CHD.
5.
The release of subsequent funds by the DOH for the medical assistance to the
facilities shall be made only when at least fifty percent (50%) of the amount
previously sub-allotted/transferred has been liquidated and submitted, certified
correct by the Accountant, approved by the Head of the office, and stamped
has been received by the
received by the Commission on Audit or any proof that
and
set by the DOH
the
the
It
of
guidelines
shall
adhere
terms
to
agreement
same.
Central Office and the CHD to ensure smooth and orderly implementation of the
it
program.
6. The government/private partner hospitals, including GOCC specialty hospitals,
and SUC hospitals, shall submit their respective Fund Utilization Reports (FURs)
to the CHD concerned, while the DOH hospitals shall submit their respective
FURs to the DOH-Central Office.
H.
Contract/Agreement with Government/Private Partner Health Facility/Hospital
1.
accordance with the special provisions of the GAA and all other relevant
policies, the DOH and/or its CHDs, through their respective CHD Directors, may
enter into an MOA with GOCC specialty hospitals, SUC hospitals, and LGU
hospitals for health and medical services, including clinical laboratories and
primary care facilities, DOH-accredited dental clinics, and free-standing dialysis
clinics, both private and public, intended for the indigent and
financially-incapacitated patients.
In
2. Likewise, the DOH and/or CHDs may also enter into a MOA with private
hospitals, clinical laboratories, primary care facilities both private and public for
health and medical services intended for the indigent and financially incapacitated
patients, which the government hospitals are unable to provide as determined by
the regional director or their authorized representative based on service capability
of health facilities and services in their respective area of jurisdiction, subject to
the guidelines issued by the DOH. The medical assistance to the indigent and
financially incapacitated patients shall also apply to emergency cases handled by
private health facilities; Provided, that the private health facility where the patient
distance and is able to provide the services needed by
is the closest
is brought
the patient at the time of emergency. An agreement may be executed after the
determination of the final billing of the patient.
©
4
to
in
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Only DOH-licensed health facilities with the capacity to subsidize medical
assistance expenses and which can comply with the MAIFIP Program
documentary/reportorial requirements necessary for the implementation of the
MAIFIP Program as specified in Section VI of this Order shall be qualified to
the implementation of this Order.
enter into an MOA with the CHDs
wl
in
All MOAs entered into by the DOH and/or CHD under this Order for the purpose
of access to or utilization of MAIFIP Program funds shall be valid and effective
upon execution thereof and shall remain in force and in effect depending on the
effectivity of the MOA.
To ensure that the MAIFIP Program partnerships align with all existing
guidelines, the MOA shall be cleared by the DOH Legal Service or the Legal
Section/Unit of the CHD, MOH-BARMM and/or DOH hospitals, as the case may
be.
Entering into an MOA with a partner health facility shall be subject to the usual
accounting, auditing rules and regulations, and submission of the monthly FUR.
The MOA shall be executed using the prescribed template issued by the MPO.
A copy
of the MOA and a list of health facilities with an existing MOA shall be
submitted by the concerned CHD to the MPO for record-keeping and monitoring
purposes.
Only DOH-licensed clinical laboratories and mobile clinical laboratories may
enter into an MOA with the CHDs and MOH-BARMM. Furthermore, the
collection site/area for Mobile Clinical Laboratories may be located within the
same region or at a maximum of one hundred (100) kilometer radius from the
applicable.
address of the DOH-licensed clinical laboratory, whichever
is
.To ensure that patients availing medical assistance in non-institution-based
clinical laboratories receive high-quality health service delivery, only those with
automated or semi-automated laboratory tests may enter into an MOA with CHDs.
Further, the CHD, through its respective regulatory offices, shall strictly monitor
and inspect non-institution-based clinical laboratories.
.
Unless there is a valid ground for refusal, it shall be unlawful for health facility
refuse to
whether public or private that has entered into a MOA with the CHDs
as full or
DOH
the
voucher
issued
check
by
the
letter,
or
coupon,
guarantee
accept
partial payment of the obligation of the qualified beneficiary under the MAIFIP
Program as determined or evaluated by the grievance committee mentioned in
Section IV.K of this Order.
to
125 In case of non-availability
of clinically indicated services and procedures, or lack
the government health facility as certified by the Medical
Center Chief or Chief of Hospital or head of institution or his/her designated
representative, the concerned health facility may enter into a MOA with
DOH-licensed and PhilHealth-accredited government/private health facility (if
applicable) to provide the medical needs of the MAIFIP Program beneficiary that
of available
Cn
2
beds in
Page 12 of 16
ty
shall be charged to the MAIFIP Program funds of the referring health facility
subject to the guidelines set by the DOH and prevailing accounting rules and
regulations;
13. In the case of unavailability of drugs and medicines, DOH Central
Office and/or
health facilities may enter into an MOA with pharmacies to ensure continued
access to drugs and medicines registered with the FDA, including those not listed
in the Philippine National Drug Formulary (PNDF) intended for the beneficiaries
of the MAIFIP Program, subject to relevant laws, rules, and regulations.
Recording and Reporting
partner health facilities, including GOCC specialty hospitals,
i Government/private
SUCs, and LGU hospitals, shall submit monthly Fund Utilization Reports to the
shall submit the said
directly to
CHD concerned. Likewise, DOH
hospitals
report
the MPO. They shall also report issues and concerns that hamper the effective
implementation of the Program. The submission of the monthly fund utilization
report shall be every 10th of the following month.
CHDs and MOH-BARMM shall submit to the MPO a monthly summary report
on the status of the implementation of the MAIFIP Program. The monthly report
shall contain information on the number of patients served, name of recipient
hospitals and the age, gender, city/municipality and disease/diagnosis, breakdown
of medical expenses allocated per patient, and the actual amount utilized, subject
to the oversight of the Compliance Officer for Privacy (COP). The submission of
the monthly summary report shall be every 15th day of the following month.
The MPO shall consolidate and validate the reports submitted by the CHDs and
concerned hospitals.
The MPO, through its Cluster Head, shall provide the Secretary of Health with an
annual report of the number of indigents and financially incapacitated patients
assisted under the MAIFIP Program and the status of the implementation ofthe
Program.
Monitoring and Evaluation
1.
A composite team from the DOH Central Office/CHDs shall conduct monitoring
of hospitals/health facilities under their jurisdiction every year using the MAIFIP
Program monitoring tool to ensure smooth and proper implementation of the
Program.
The composite team shall also consolidate all program evaluation and Fund
Utilization Reports for submission to concerned offices, as needed.
periodic Program Implementation Review shall be conducted by the
MPO/CHDs/MOH-BARMM to assess the impact of the MAIFIP Program.
A
\
The Internal Audit Service (IAS) of the DOH may conduct a random audit in the
CHDs, MOH-BARMM, and health facilities to ensure the judicious use of funds
Page 13 of 16
by
4
and the effective implementation
of the MAIFIP Program in accordance with
existing guidelines.
ROLES AND RESPONSIBILITIES
VII.
A.
Department of Health
1.
Malasakit Program Office (MPO) shall:
a. Oversee the implementation of the MAIFIP Program, including its fund
transfer or utilization in the health facilities, CHD,s and MOH-BARMM.
Facilitate policy development and formulate monitoring tools for the
implementation and evaluation of the MAIFIP Program.
with DOH hospitals and other partner health facilities for referral
Coordinate
¢.
other related financial and administrative matters arising from
and
of patients
the implementation of the Program.
d. Consolidate Program evaluation and utilization reports and submit findings to
the cluster head of MPO, HPDPB, and the Office of the Secretary annually.
e. Manage and coordinate the MAIFIP Program information system.
b.
2.
Financial Management Services (FMS) shall:
Provide technical assistance on matters pertaining to financial management.
Facilitate timely transfer/sub-allotment of funds to CHDs and health facilities
in coordination with the MPO.
the fund utilization reports of the CHDs and other health facilities.
Monitor
¢.
specified in Section VI
d. Review requests and authorize the release of funds
Cluster head.
ofthis Order through
a.
b.
its
3.
as
Center for Health Development (CHDs) and the Ministry of Health Bangsamoro Autonomous Region in Muslim Mindanao (MOH-BARMM)
Malasakit Program Unit shall:
Oversee the proper management ofallocated funds for efficient transfer to
partner health facilities under their jurisdiction.
b. Designate CHD and MOH-BARMM MAIFIP Program Coordinators who
shall primarily facilitate program implementation and ensure administrative
support for the effective implementation of the Program, in accordance with
Department Order No. 2024-0042 or the Institutionalization of the Malasakit
Program Unit (MPU) in all CHDs and the MOH-BARMM and all ofits
succeeding amendments. Administrative support includes but is not limited to,
the hiring of a MAIFIP Program point person/coordinator, provision of
internet connectivity, and reports generation.
¢. Review requests and authorize the release of funds as specified in Section VI
a.
of
d.
a
this Order.
Conduct monitoring and evaluation with partner health facilities on the
utilization and management of allocated funds and other relevant financial and
operational matters.
Submit required summary reports on the status of the MAIFIP Program and
other related reports mentioned in Section VI.L.2 of this Order.
Page 14 of 16
iy «
Ensure the responsibilities of health facilities, offices, and agencies entering
into an MOA to enforce this Order for the effectiveness of the MAIFIP
Program implementation.
g. Coordinate with the LGUs under their jurisdiction to cascade information or
campaigns to enhance people’s awareness regarding the MAIFIP Program.
h. Report any suspected abuse or mishandling of funds to the MPO and
recommend the next course of action, depending on the surrounding
circumstances, as the case may be.
the
i.
Submit the list of government and private partner hospitals with MOAs
laws
and
MPO for monitoring and in accordance with the country’s
regulations on transparency.
f.
to
4.
Knowledge Management and Information Technology Services (KMITS)
shall:
Facilitate the web posting of the required information on the DOH website as
indicated in this Order.
b. Provide technical support to the MPO, CHDs, MOH-BARMM, LGU, and
other government hospitals, Specialty and SUC hospitals, in relation to the
Information System and web posting requirements
required in this Order.
for the Information
assistance
¢. Designate staff who shall provide technical
be developed.
System and other systems
d. Repair and maintenance ofthe MAIFIP Program Information System.
e. Ensure compliance with the Data Privacy Act of 2012 at all times.
a.
as
to
B.
Government and Private Partner Health Facilities
1:
Assess thoroughly and screen the eligibility of all patients and ensure
completeness and authenticity of documents prior to MAIFIP Program availment
as specified in Section VI. A of this Order.
Facilitate the provision of quality medical assistance requests and ensure the
compassionate delivery of necessary services to the MAIFIP Program beneficiary.
Ensure monthly reporting of fund utilization and program implementation, and
other monitoring and evaluation reports every 15th day of the following month.
Ensure administrative support, such as but not limited to, the designation/hiring of
a MAIFIP Program point person/coordinator, and provision of internet
connectivity.
Perform necessary initial legal/administrative action first and then report any
complaints, suspected abuse, or mishandling of funds to the MPO and/or CHD.
Facilitate the creation of internal policies that will support the implementation of
this Order, such as but not limited to:
a.
Ensure the release of drugs and medicines based on the prescribed number or
quantity of the physician;
b.
Advisory of any announcement related to the MAIFIP Program:
Page 15 of 16
c.
d.
VIII
Policy on providing justification for patients to be referred to other health
facilities to provide health services to patients; and
Policy on accepting referred/walk-in patients to get medicines/services that the
referring hospital cannot provide to the patients.
PENALTY CLAUSE
Any person who commits fraud, misrepresentation, and/or any illegal transaction,
after due notice and hearing, shall be held civilly, criminally, and administratively
liable in accordance with the applicable laws, rules, and issuances.
IX.
REPEALING CLAUSE
Administrative Order No. 2024-0006 entitled “Revised Guidelines on the
Implementation of the Medical Assistance to Indigent and Financially Incapacitated
Patients (MAIFIP) Program” is hereby repealed. All other orders, issuances, rules,
and regulations that are contrary or inconsistent with the provisions of this Order are
hereby repealed or modified accordingly.
SEPARABILITY CLAUSE
Should any part or provision ofthis Order be declared invalid or unconstitutional, all
other provisions not affected by the declaration shall remain in full force and effect.
XI.
EFFECTIVITY CLAUSE
Official
This Order shall take effect fifteen (15) days following the publication in the
of the
Office
the
with
and
filing
circulation
Gazette or in a newspaper of general
National Administrative Register of the UP Law CeateT.
tary of Health
Page 16 of 16