Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY

AUG 11 2023

ADMINISTRATIVE ORDER
No. 2023 - _0Q01¢

SUBJECT: New Guidelines for the Implementation of the Medical Assistance to

Indigent and Financially Incapacitated Patients (MAIFIP) Program

I. RATIONALE

As the Philippines moves towards achieving Universal Health Care (UHC), the
Medical Assistance to Indigent Patients (MAIP) Program, now the “Medical Assistance to
Indigent and Financially Incapacitated Patients (MAIFIP) Program”, was developed in
2014 to lessen the burden of out-of-pocket expenses of indigent and financially
incapacitated patients. The Department of Health (DOH), through the Malasakit Program
Office (MPO), with the aim of providing continuous access to medical assistance, intends
to expand the coverage of its beneficiaries by reaching out more to indigent and financially
incapacitated patients in order to achieve UHC through complementing the National Health
Insurance Program (NHIP).

Special provision no. 7 of Republic Act No. 11936 or the General Appropriations
Act (GAA) of 2023 was provided for the implementation of the MAIFIP Program.
Accordingly, reforms on the policy, its systems, and operational guidelines are issued to
strengthen and provide an effective and sound program implementation.

The DOH sees the necessity to update the Administrative Order (AO) No. 2020-
0060, entitled “Revised Guidelines on the Implementation of the Medical Assistance to
Indigent Patients (MAIP) Program”, and its amendments, to improve the utilization rate
and provide measures to ensure responsiveness, transparency, and efficiency in the
administration of the MAIFIP Program, consistent with the objective of RA No. 11463 or
the Malasakit Centers Act, to improve the delivery of services to the people and ensure
access and efficiency in the availment of medical and financial assistance to fund health
services.

II. OBJECTIVES

This Order aims to streamline the process of availing the benefits of the MAIFIP
Program and provide guidelines for ensuring efficiency and transparency in the
administration and
succeeding revisions.
od of the MAIFIP Program funds within the year, up until the

HM
Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila @ Trunk Line 651-7800 local 1108, 1111 to 13
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Direct Line: 711-9502 to 03 Fax: 743-1829 URL: http://www .doh.gov.ph; e-mail: dohosec(@doh.gov.ph
III.SCOPE OF APPLICATION

This Order shall apply to the following health facilities and offices: DOH Central
Office; Centers for Health Development (CHDs); Ministry of Health-Bangsamoro
Autonomous Region in Muslim Mindanao (MOH-BARMM), DOH Hospitals, including
Special and Specialty Hospitals; DOH Drug Abuse and Treatment Rehabilitation Centers
(DOH-DATRC:); 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 operated hospitals and health facilities.

IV.DEFINITION OF TERMS

A. Basic or ward accommodation — refers to the provision of a regular meal, bed in a

shared room, fan ventilation, and shared toilet and bath.

B. Case Rate — refers to the fixed rate or amount that PhilHealth will reimburse for a
specific illness/case as defined by PhilHealth Circular No. 0035 s. 2013 and other
related PhilHealth Circulars.

Catastrophic Disease — refers to a severe illness requiring prolonged hospitalization

or recovery which usually involves high costs of bills and medical expenses, thereby
causing financial hardship which may incapacitate the person from being productive.
This includes, but is not limited to, cancer, psychiatric conditions, heart attack, or
stroke.

Catastrophic Health Expenditure — refers to out-of-pocket health spending that

exceeds a certain proportion of a household’s expenditure, with the possible
consequence that the household suffers financial hardship and subsequent
impoverishment.

Compassionate Drug Use — refers to the use of drugs or medicines not included in
the Philippine National Formulary by patients with serious or life-threatening
conditions when no other treatments are available.

Double Charging — refers to charging of funds to particular health services provided

to patients which have already been paid and shouldered by another entity/agency.

Emergency case - a condition or state of a patient wherein based on the objective

findings of the attending physician on duty, there is immediate danger and delay in the
provision of initial medical support and treatment may cause loss life or cause
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permanent disability to the patient.

 H. Financially Incapacitated Patients — are patients who are not classified as indigents
but who demonstrate a clear inability to pay or spend for necessary expenditures for
their respective medical treatment such as, but not limited to, patients with catastrophic
illness or illnesses which are life or limb-threatening and require prolonged
hospitalization, and illnesses that require extremely expensive treatments or other
special but essential care that would deplete one’s financial resources, as assessed and
certified by the Medical Social Worker (MSW).

I. Health Facility — refers to government and partner private hospitals licensed by the
DOH and/or accredited by PhilHealth, which have the capacity to subsidize medical
assistance expenses and which have the ability to comply with the MAIFIP Program
documentary/reportorial requirements necessary for the implementation of the MAIFIP
Program as specified in Section VI of this order.

J. Indigent — refers to a patient who has no visible means of income or whose income
is insufficient for the subsistence of his/her family, as assessed by the MSW of the
health facility.

K. MAIFIP Program Beneficiary — refers to an indigent or financially incapacitated

patient who demonstrates a clear inability to pay or spend for necessary expenditures
for one’s medical treatment, such as patients with catastrophic illness or any illness
which is life or limb-threatening that requires prolonged hospitalization, extremely
expensive therapies/treatment or other special but essential care that would deplete
one’s financial resources, as assessed and certified by the MSW.

L. MAIFIP Program Fund - refers to the fund intended for medical assistance to indigent
and financially incapacitated patients.

M. Non-basic ward accommodation — refers to accommodation in the health facility

which is not in the category of basic ward accommodation.

N. Total Charge — refers to the hospital bill and cost of services including, but not
limited to, medical, surgical, and professional fees incurred by a patient seeking care
in a health facility.

. GENERAL GUIDELINES

A. The Malasakit Program Office (MPO), shall be responsible for the overall management
and administration of the MAIFIP Program.

B. The medical assistance under the MAIFIP Program shall cover the costs of clinically
indicated needs as prescribed by the physician or health professional of a health facility
for in-patients and out-patients as stipulated in section VI.C of this Order, in excess
of the packages/rates covered by PhilHealth or other financing sources implemented in
accordance with the Order of Charging stipulated in the Joint Administrative Order No.
2020-0001 or the “Operational Guidelines for the Implementation of the Medicalhand

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 Financial Assistance to Indigent and Financially-Incapacitated Patients pursuant to RA
No. 11463 also known as “Malasakit Centers Act of 2019” and its amendments, subject
to availability of funds. Likewise, allparticipating hospitals/institutions/offices shall
strictly observe the implementation process as established by the Malasakit Program.

. The DOH, through the MPO and in coordination with the Field Implementation and
Coordination Team (FICT), CHDs, and MOH-BARMM, shall establish linkages and
networks with other health facilities for efficient coordination. For the CHDs and
MOH-BARMM, a Regional MAIFIP Program Coordinator and MAIFIP Program
Coordinator, respectively, shall be designated. For hospitals, the Medical Center Chief
(MCC)/ Chief of Hospital (COH)/head of the institution shall assign the Head of the
Medical Social Service, or its equivalent, as the Hospital MAIFIP Program
Coordinator. .

The designated coordinators shall be responsible for the overall management,

coordination, registry of patients, program monitoring, and submission of all
reportorial requirements, including a monthly financial report to the CHDs, Financial
Management Service (FMS) of the DOH Central Office, and the MPO.

. The MPO, through the FMS and Management Service Team (MST), shall facilitate the
efficient sub-allotment and transfer of MAIFIP Program funds to the CHDs and health
facilities.

. The health facilities shall judiciously enforce a thorough screening of beneficiaries to

ensure the efficient and rational use of funds, diligent documentation, and data
encoding through the information system designated by the DOH.

. The medical assistance funds of the DOH, as defined under the Malasakit Centers Act
of 2019, shall not be convertible to cash.

. The name of recipient hospitals and the age, gender, city/municipality, and disease of
recipient indigent and financially incapacitated patients shall be posted in the DOH
designated information system for purposes of accountability and research, in
compliance with the provisions of RA 10173 or the “Data Privacy Act of 2012.”

. The hospitals and other partner health facilities shall ensure that there is no double
charging of funds for medical assistance, and shall strictly abide by the order of
charging rules mentioned in Section VLD of this Order to facilitate rational use of the
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 ofjob order personnel, lease
of office space and other services, purchase of office and information technology
equipment, and such other administrative expenses that are necessary, incidental, and

/
desirable for the implementation of this program, subject to the guidelines issued by
the MPO.

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VI.SPECIFIC GUIDELINES

A. Eligibility and Documentary Requirements

1. MAIFIP Program beneficiaries as defined in Section IV (items H & J) of this Order

shall be eligible for medical assistance under the Program subject to Section VLE
or the terms and conditions specified in this Order.

Patients or their authorized representative/s availing medical assistance under the

MAIFIP Program shall proceed to the Medical Social Service or the designated
officer of the health facility for the presentation of documents, proper assessment,
and evaluation. A referral may be issued to a patient by the Central Office and/or
CHD, subject to the usual screening and evaluation process by the MSW of the
health facility.

The following documentary requirements shall be submitted by both In-Patients

and Out-Patients, as may be applicable:

a. Medical Certificate and/or Medical Abstract and/or Certificate of

Confinement;
b. Prescription of Drug and Special Medicine, Treatment Protocol,
Laboratory or Diagnostic request, or copy of the certification on the number
of sessions availed from PhilHealth, if applicable;

Hospital Bill/SOA/charges/fees; and

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Copy of Valid ID of the patient or Medical Social Services-issued ID and
valid ID of next of kin,ifapplicable.

B. Availment Procedures

1. Eligibility Assessment — The registered MSW of the health facility shall assess the
eligibility of patients applying for medical assistance using the standard assessment
tool in Annex B of AO No. 2021-0044 or its latest amendments. Proof of eligibility
as stated in Section VL.A.3 shall be presented for evaluation.

Processing of Medical Assistance — The MSW shall process the needed medical
assistance based on his or her assessment and recommendation.

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

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: <Jf

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 a. Drugs and medicines;
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, dental cases requiring implants, medical devices and
supplies, and other relevant procedures;
e. Prescribed post-hospitalization, rehabilitation services, aftercare program, and
appropriate mental and psychosocial support;
f. All hospital bills/charges; and
g. Professional fees, provided that the expenses for the professional fees shall not
exceed 50% of the approved amount of medical assistance.

In case of non-availability of clinically indicated drugs and medicines,

services and procedures, or lack of available beds in the government health facility as
certified by the Chief of Hospital or his/her designated official, the concerned health
facility may enter into a Memorandum of Agreement (MOA) with DOH licensed
government/private health facility to provide the medical needs of the MAIFIP
Program Beneficiary that 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;

In case the health facility has no available drugs and medicines in their
Pharmacy, the Pharmacist or Special Disbursement Officer in charge, upon the
approval of the Chief of Hospital, may avail the services outside the facility to
provide the services to the patient, subject to the strict observance of the provisions
of Republic Act No. 9184, otherwise known as the Government Procurement Reform
Act, its Implementing Rules and Regulations, and other pertinent laws and issuances.

Patients being referred by the National Patient Navigation and Referral

Center to Health Emergency Management Bureau - National Patient Navigation and
Referral Center (HEMB-NPNRC) and its implementing units shall be accommodated
for availment of the MAIFIP Program subject
and evaluation process.
to
the health facilities' usual screening

Charging of MAIFIP Program funds on professional fees, including

assessment/readers fees, shall apply only to a Consultant Physician rendering services
to the patient, while Fees under charity services as identified by the Social Worker
shall be subject to waiving by the concerned facility.

. Order of Charging

The availment and disbursement of MAIFIP Program funds shall be in accordance

with the provisions of the JAO No. 2020-0001 entitled “Operational Guidelines for
the Implementation of the Medical and Financial Assistance to Indigent and

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 and Financially-Incapacitated Patients pursuant to RA No. 11463 also known as the
“Malasakit Centers Act of 2019,” and its amendments or latest issuance/s.

In cases where participating agencies’ funds are unavailable for medical

assistance, the hospital and medical expenses shall be covered by the next available
source of funds as prescribed in JAO No. 2020-0001 and/or its
latest issuance/s.

E. Terms and Conditions

to and utilization of the MAIFIP Program funds shall be subject to the

Access
following terms and conditions:

1. MAIFIP Program beneficiaries shall be admitted to basic or non-private ward

accommodation and may be admitted to the next available private accommodation
only on the following conditions:

a. Non-availability of basic or non-private ward accommodation as assessed and

certified by the hospital’s registered social worker, or the Medical Center Chief
(MCC) or his/her duly authorized representative. Provided, that once a basic or
non-private ward becomes available, the patient shall be transferred therein; or
b. Emergency cases requiring immediate critical care and which are 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 shall be
transferred to a basic or non-private ward; or
¢. Patients with communicable diseases, those immunocompromised, or
any
clinical condition requiring isolation as certified by the attending physician.

2. MAIFIP Program funds shall be valid from the date of issuance until December 31
of the same year of issuance, subject to the provisions of the GAA of the current
year; and

3. For cases requiring multiple stakeholder participation, coordination

among
DOH/CHD, Partner Agencies, government, and private hospitals/facilities, and
MSWs ishighly encouraged for better communication, reports submission services,
and referral of patients.

F. Fund Authorization

The following are the officials authorized to approve the corresponding allowable
amount:

Approving Authority Allowable Amount

Health Facilities
Chief of Hospital of LGU hospitals or Medical Maximum of Php 250,000.00 per approval/transaction

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Director of selected private health facilities,
DOH-DATRC, or his/her duly authorized Maximum of Php 500,000.00 per approval/ transaction
representative (Health Facilities under the MM-CHD)

Chief of Hospital / Medical Center Chief / Maximum of Php 1,000,000.00 per approval/transaction
Medical Director of DOH Hospital, Specialty
Hospital, DND Hospital, and PNP Hospital or
his/her duly authorized representative

DOH
CHD Director and/or duly authorized Maximum of Php 1,500,000.00 per approval/transaction
representative

Cluster Head of MPO Maximum of Php 2,000,000.00

Secretary of Health or designated Chief of Above Php 2,000,000.00 per approval/transaction

Staff

G. Transfer/Release of Funds

1. Funds shall be transferred by the FMS through Sub-Allotment Advice to the CHDs
and DOH Hospitals. In case the sub-allotted fund is in the regional office and not
yet obligated or transferred to the partnered health facility, the said funds shall be
reverted back to 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, Financial
Management Service or the Commission on Audit subject to usual process and
procedure.

2. Subject to accounting and auditing rules and regulations, the CHDs shall:

a. Transfer funds to Specialty and SUC Hospitals through a MOA between the
DOH and/or CHD Director and Medical Director of the health facility;
b. Transfer funds to government partner health facilities or LGU Hospitals
through a MOA between or among DOH and/or CHD Director, local chief
executive, and chief of LGU Hospital; and
¢. Reimburse total charges to government/private health facility through a
MOA between or among the DOH and/or CHD Director, chief of LGU
Hospital/Medical Director, and local chief executive upon submission of
documents as stated in Section VLI.1 of this Order and other
documents, as may be deemed necessary.
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 3. The
request for replenishment of funds shall be made after the facility has complied
with the requirements specified in Section V.E of this Order. A heaith facility
requesting for replenishment of funds shall submit a letter of request to the MPO
and CHD concerned containing the following:

TR
Rationale;
Number of patients that the hospital can cater;

oao
Number of assisted patients per year through the MAIFIP Program;
Classification of the hospital (Level 1, 2, 3, etc.); and
Requested amount.

4. The number of funds to be transferred shall depend on the absorptive capacity of

the hospital/facilities, subject to the recommendation and approval of the FICT
cluster head, MPO/FMS, 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
received by the Commission on Audit. It
shall adhere to
the terms of the agreement
and guidelines set by the DOH Central Office and the CHD to ensure smooth and
orderly implementation of the program.

The government/private partner hospitals, including 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. In accordance with the special provision of the GAA, the DOH and/or its CHDs
through their respective CHD Directors, may enter into a MOA with Specialty
Hospitals, State Universities and Colleges (SUC) Hospitals, and Local Government
Unit (LGU) Hospitals for health and medical services intended for the indigent and
financially-incapacitated patients.

2, Likewise, the DOH and/or CHDs may also enter into a MOA with private hospitals
for health and medical services intended for the indigent and financially-
incapacitated patients, which the government hospitals are unable to provide
accommodation due to the voluminous number of patients in their facilities:
Provided, that the Chief of Hospital or his authorized representative shall certify
the same and provide justification. The medical assistance to the indigent and
financially incapacitated patients shall also apply to emergency cases handlgd by

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 private health facilities: Provided, that the private health facility where the patient
is broughtto is the closest in distance from the patient needing medical treatment
at the time of the emergency; Provided further, that the accepting health facility
shall certify that it is the closest health facility to the location of the patient during
the time of emergency.

In case the private hospital closest in distance refuses to

enter into a MOA, the CHD
concerned shall find another available private hospital to provide assistance to the
emergency patient.

Only DOH-licensed health facilities shall be qualified to enter into a MOA with the
DOH and/or CHDs in
the implementation of this Order.

All MOA 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 General Appropriations Act (GAA).

. this purpose, the MOA shall be cleared by the DOH Legal Service or the Legal
For
Section/Unit of the CHD and/or DOH Hospitals,
as
the case may be.

109. Entering into a MOA with a partner health facility shall be subject to the usual
accounting, auditing rules and regulations, and submission of the monthly FUR.

LF. The template of the MOA shall be at the discretion of the CHDs.
LH. A copy of the MOA and list of health facilities with existing MOA shall be
submitted to the MPO for record-keeping and monitoring purposes.

I. Recording and Reporting

1. Government/private partner health facilities, including Specialty Hospitals, SUCs,
and LGU Hospitals shall submit monthly fund utilization reports to the CHD
concerned. Likewise, DOH Hospitals shall submit a said report directly to 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.

CHD:s shall submit to the MPO a Monthly Summary Report on the status of the
implementation of the MAIFIP Program. The Monthly Report shall contain

i
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. The submission of
the Monthly Summary Report shall be every 15th day of the following month. (ff
 3. The MPO shall consolidate and validate the reports submitted by the CHDs and
concerned hospitals.

4. The MPO, through its Cluster Head, shall provide the Secretary of Health an
Annual Report of the number of indigents and financially incapacitated patients
assisted under the MAIFIP Program and the
status of its
implementation.

J. Monitoring and Evaluation

1. A composite team from the DOH Central Office/CHDs shall conduct monitoring
of partner hospitals/health facilities every year using the MAIFIP Program
monitoring tool to ensure smooth and proper implementation of the Program.

2. A periodic Program Implementation Review shall be conducted by the MPO/CHDs

to assess the impact of the Program.

3. The Internal Audit Service (IAS) of the DOH may conduct a random audit in the
CHDs and partner health facilities to ensure the judicious use of funds and the
effective implementation of the MAIFIP Program in accordance with existing
guidelines.

VIL ROLES AND RESPONSIBILITIES

A. The Malasakit Program Office shall:

1. Oversee the implementation of the Program including its fund
transfer/utilization in the health facilities’CHDs;
2. Facilitate policy development and formulate monitoring tools for the
implementation and evaluation of the MAIFIP Program;
3. Coordinate with DOH Hospitals and other partner health facilities for referral
of patients andother related financial and administrative matters arising from
the implementation of the Program;
4. Consolidate Program evaluation and utilization reports and submit findings
to the cluster head of MPO, Health Financing Group of the HPDPB, and
Office of the Secretary annually; and
5. Manages and coordinates the MAIFIP information system.

B. The Management Services Team shall:

1. Review requests and authorize the release of funds as specified in Section VII
this Order; and
of

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5 1
 2. Provide technical assistance and financial guidance to the MPO regarding the
implementation of the MAIFIP program.

C. The Financial Management Services shall:

1. Provide technical assistance on matters pertaining to financial management;
2. Facilitate timely transfer/sub-allotment of funds to CHDs and health facilities
in coordination with the MPO; and

3. Monitor the fund utilization reports of the CHDs and other health facilities.

D. The Field Implementation and Coordination Team shall;

1. Ensure smooth coordination with and extend necessary assistance to concerned

CHDs and DOH Hospitals, including MOH-BARMM, particularly in
establishing linkages with other healthcare facilities for the efficient
implementation of the MAIFIP Program.

E. The Centers for Health Development (CHDs) and Ministry of Health-

Bangsamoro Autonomous Region jn Muslim Mindanao (MOH-BARMM)
shall:
1. Manage allocated funds and facilities for efficient transfer to partner health
facilities under their jurisdiction;

. Designate CHD and MOH-BARMM MAIFIP Program Coordinators who shall

primarily handle program implementation and ensure administrative support for
the effective implementation of the Program. Administrative support includes,
but is
not limited to, the hiring of a MAIFIP Program point person/coordinator,
provision of internet connectivity, and the generation of reports;

- Facilitate medical assistance referral through the HEMB-NPNRC regional

counterparts in support of the Health Care Provider Network;

. Review requests and authorize the release of funds as specified in Section VII
this Order;
of

. Conduct monitoring and evaluation with partner health facilities;

. Submit required summary reports on the status of the MAIFIP Program and
other related
reports mentioned in Section VL9. b of this Order;
- Ensure the responsibilities of health facilities, offices, and agencies entering
into a MOA to enforce this Order for the effectiveness of the MAIFIP Program
implementation;

. Coordinate with the LGUs under their jurisdiction to cascade information or

to
Er A
campaigns enhance people’s awareness regarding the MAIFIP

12

Yi
 9. 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; and

Submit the list of government and private partner hospitals with MOAs to the
MPO for monitoring and also in accordance with the government transparency
act.

F. The Knowledge Management and Information Technology Services shall:

1. Facilitate the web posting of the required information on the DOH website as
indicated in this Order;

2. Provide technical support to the MPO, CHDs, government hospitals, LGU

Hospitals, SUC Hospitals, and Specialty Hospitals, in relation to the
Information System and web posting requirements as required in this Order;
3. Designate staff who shall provide technical assistance for the Information
System and other systems to
be developed;
4. Repair and maintenance of the MAIFIP Program Information System; and
5. Ensure compliance with the Data Privacy Act of 2012 at all times.
G. Government and Private Health Facilities shall:

1. Thoroughly assess and screen the eligibility of all patients and ensure
completeness and authenticity of documents prior to MAIFIP Program
availment, as specified in Section VI. 1 of this Order;

2. Facilitate the provision of quality medical assistance requests and ensure the
compassionate delivery of necessary services to the MAIFIP Program
beneficiary;

3. Ensure monthly reporting of fund utilization and program implementation, and

other monitoring and evaluation reports every 15th day of the following month;

4. Ensure administrative support such as, but not limited to, the designation/hiring
of a MAIFIP Program point person/coordinator, and provision of internet
connectivity;

5. Perform necessary initial legal/administrative action and then report any

complaints, suspected abuse, or mishandling of funds to the MPO and/or CHD.

6. Facilitate the creation of internal policies that will support the implementation
of this Order such as but not limited to:
Sl
Ve

4 1
 a. Ensure the release of medicines and nutritional products only on the
prescribed number or quantity of the physician;
b. Advisory of any announcement related to the MAIFIP Program;
c. Policy on providing justification for patients to be referred to other health
facilities to provide health services to patients;
d. Policy on accepting referred/walk-in patients to get medicines/services that
the referring hospital cannot provide to the patients; and
e. Policy on regulating the charging of Professional fees to MAIFIP (eq.
Uniform/standard amount of PF per service/operation per patient, etc.).

7. Raise issues and concerns concerning the program to the Central Office and
CHD.

VIII. PENALTY CLAUSE

Any person who commits fraud, misrepresentation, and/or any illegal transaction
as mentioned under Section 11 of the RA 11463 shall, after due notice and hearing, be held
liable and shall suffer the same penalties provided in the said Act, and shall be held civilly,
criminally, and/or administratively liable in accordance with the applicable laws, rules, and
issuances.

IX.REPEALING CLAUSE

Administrative Order No. 2020-0060 and its amendment are hereby repealed. All
Orders, issuances, rules, and regulations inconsistent with the provisions of this Order are
hereby repealed accordingly.

. SEPARABILITY CLAUSE

Should any provision of this Order be declared unconstitutional by any court of law
or competent jurisdiction, all other provisions not affected by the declaration shall remain
in full force and effect.

XI.EFFECTIVITY CLAUSE

This Order shall take effect fifteen (15) days from its publication in a newspaper of
general circulation and upon the filing of three (3) certified copies of this Order with the
University of the Philippines Law Center.

TEQBORO J/HERBOSA, MD
of Health

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