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Department of Health
REGIONAL OFFICE IV-A
CaLaBaRZon
QMMC Compound, Project 4, Quezon City
Trunkline: (02)990.4032; Telefax 440-3443
Email Add: chd4a_doh_calabarzon@yahoo.com
REGIONAL ORDER
No. ____________
I. Rationale
Thus, the immediate action of the Regional Office IV-A is the profiling of
those individuals vaccinated with dengvaxia, to streamline the process and
to focus in giving aid to qualified patient of the medical services needed.
“Ang paninigarilyo o paglanghap ng usok nito ay agad na nagdudulot ng paglapot ng dugo at pagkipot ng mga ugat, na
maaaring magdulot ng atake sa puso.” - U.S. Department of Health and Human Services, 2011
Republic of the Philippines
Department of Health
REGIONAL OFFICE IV-A
CaLaBaRZon
QMMC Compound, Project 4, Quezon City
Trunkline: (02)990.4032; Telefax 440-3443
Email Add: chd4a_doh_calabarzon@yahoo.com
1.) The Department of Health through Regional Office IV-A will give medical
assistance to those qualified patients through private health facility;
2.) The PhilHealth case rate table will be the applicable rates corresponding to the
medical assistance to be covered and paid by this Office; any excess after
deduction from other funding resources (PCSO, DSWD, HMO, etc.) the Private
health facility should notify this Office together with the request letter “ANNEX A”
from the family of the qualified patient to extend and/or cover the remaining
balance;
“Ang paninigarilyo o paglanghap ng usok nito ay agad na nagdudulot ng paglapot ng dugo at pagkipot ng mga ugat, na
maaaring magdulot ng atake sa puso.” - U.S. Department of Health and Human Services, 2011
Republic of the Philippines
Department of Health
REGIONAL OFFICE IV-A
CaLaBaRZon
QMMC Compound, Project 4, Quezon City
Trunkline: (02)990.4032; Telefax 440-3443
Email Add: chd4a_doh_calabarzon@yahoo.com
3.) The patient must be vaccinated by Dengvaxia within the jurisdiction of this Office;
V. IMPLEMENTATION MECHANISM
2. Eligibility
2.3 Patients who are confined in the private room as certified by the hospital
subject to review by the authorized personnel of this Office, such as but not
limited to:
i. Emergency cases;
ii. Non-availability of dengvaxia vaccinees designated rooms
iii. Cases requiring intensive care
iv. Cases requiring isolation
v. Chronic and catastrophic cases requiring prolonged
admission
“Ang paninigarilyo o paglanghap ng usok nito ay agad na nagdudulot ng paglapot ng dugo at pagkipot ng mga ugat, na
maaaring magdulot ng atake sa puso.” - U.S. Department of Health and Human Services, 2011
Republic of the Philippines
Department of Health
REGIONAL OFFICE IV-A
CaLaBaRZon
QMMC Compound, Project 4, Quezon City
Trunkline: (02)990.4032; Telefax 440-3443
Email Add: chd4a_doh_calabarzon@yahoo.com
3. Service Coverage
a.) The following drugs, medicine, goods and other services prescribed by the
physician of the private health facility, provided it arose from and in
connection with the vaccination of dengvaxia, such as but not limited to:
i. Laboratory, imaging and all other diagnostic procedures,
ii. Drugs and medicines included in the Philippine National
Drug Formulary (exemptions to cleared by Pharmaceutical
Division)
iii. All clinically indicated medical and surgical procedures,
whether emergency or elective;
iv. Prescribed post-hospitalization, rehabilitation services,
aftercare program, appropriate mental and psychological
support, including those done on an outpatient basis;
“Ang paninigarilyo o paglanghap ng usok nito ay agad na nagdudulot ng paglapot ng dugo at pagkipot ng mga ugat, na
maaaring magdulot ng atake sa puso.” - U.S. Department of Health and Human Services, 2011
Republic of the Philippines
Department of Health
REGIONAL OFFICE IV-A
CaLaBaRZon
QMMC Compound, Project 4, Quezon City
Trunkline: (02)990.4032; Telefax 440-3443
Email Add: chd4a_doh_calabarzon@yahoo.com
c. This Office may either deny or accept the request for the additional
coverage of medical assistance depending on the circumstance of
each case presented, to be reviewed and approved by the Regional
Director. Findings thereof is released as early as possible.
c) Pay and settle approved medical assistance owing to the private health facility as a
result of the medical services rendered to a qualified patient.
d) Ensure safety and security of the staff/employees of both parties, any other persons
involved herewith;
e) Participate in the post-activity evaluation of activities related thereto, such as but not
limited to the submission of an Accomplishment Report.
“Ang paninigarilyo o paglanghap ng usok nito ay agad na nagdudulot ng paglapot ng dugo at pagkipot ng mga ugat, na
maaaring magdulot ng atake sa puso.” - U.S. Department of Health and Human Services, 2011
Republic of the Philippines
Department of Health
REGIONAL OFFICE IV-A
CaLaBaRZon
QMMC Compound, Project 4, Quezon City
Trunkline: (02)990.4032; Telefax 440-3443
Email Add: chd4a_doh_calabarzon@yahoo.com
a.) Establish a dengvaxia patient fast lane and prioritize provision of medical
services;
b.) The hospital shall designate a point person who shall be responsible for the
coordination of the qualified patient with the Department of Health Regional Office
IV-A point person
c.) Submit the billing statements and all relevant supporting documents to the Regional
Office for every qualified patient treated;
d.) Submit and furnish this Office the complete surveillance report “ANNEX B” with
the patient’s medical records to guarantee quality data sharing;
e.) Assist the authorized person of Region IV-A who will coordinate/monitor the
status of the qualified patient;
f.) Facilitate the request of the parents/guardians for the initial/additional medical
assistance;
g.) Participate in the post-activity evaluation of activities related thereto, such as the
accomplishment of fund utilization report.
All other issuances and/or their provisions which are inconsistent with this
Order are hereby repealed.
“Ang paninigarilyo o paglanghap ng usok nito ay agad na nagdudulot ng paglapot ng dugo at pagkipot ng mga ugat, na
maaaring magdulot ng atake sa puso.” - U.S. Department of Health and Human Services, 2011
Republic of the Philippines
Department of Health
REGIONAL OFFICE IV-A
CaLaBaRZon
QMMC Compound, Project 4, Quezon City
Trunkline: (02)990.4032; Telefax 440-3443
Email Add: chd4a_doh_calabarzon@yahoo.com
“Ang paninigarilyo o paglanghap ng usok nito ay agad na nagdudulot ng paglapot ng dugo at pagkipot ng mga ugat, na
maaaring magdulot ng atake sa puso.” - U.S. Department of Health and Human Services, 2011