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Documentary Requirements for Accreditation of Health Facilities

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Category
philhealth
Year
2023
Status
current
Hospital Levels
L1L2L3
Issuing Body
PhilHealth
Extracted
2026-04-24

Documentary Requirements for Accreditation of Health Facilities

Page 1 of 8 of Annex A

Annex A: Documentary Requirements for Accreditation of
Health Facilities

I. Requirements for Initial Accreditation:

Type of HF Documentary Requirements for Initial Accreditation (Scanned /Original copies of fully-accomplished forms) PDR1 PC2 Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses Updated DOH Certification3 Proof of three-year in operation Accredited MD/ CoH/HoF4 Others, as applicable Hospitals     X  

  1. CGS from PHA
  2. MOA, MOU or other contracts entered into by the hospital with relevance to reimbursement of claims (e.g. hemodialysis, ARSP, etc.)
  3. If with HEF, submit corresponding DOH LTO.
  4. If provider of other out- patient benefit package/s (OBP), see applicable requirements below.
  5. For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) Infirmaries     X   Ambulatory Surgical Clinics     X  
  6. If provider of other out- patient benefit package/s (OBP), see applicable requirements below.
  7. For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) Free-standing Dialysis Clinics     X   Birthing Homes/ MCP Providers     X X  Hospital Extension Facilities (HEF)     X X 

1 Provider Data Record 2 Performance Commitment 3 In the event that rosters of health facilities are officially available from issuing agencies, inclusion of the name of the HF in the
official rosters shall suffice. Hard copies of the license/certification/etc. may no longer be submitted. 4 Accredited Medical Director/ Chief of Hospital/ Head of Facility, as applicable. If the MD/CoH/ HoF is not yet accredited, an
application for PhilHealth accreditation should be submitted along with the application of the HF.

Page 2 of 8 of Annex A

Type of HF Documentary Requirements for Initial Accreditation (Scanned /Original copies of fully-accomplished forms) PDR1 PC2 Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses Updated DOH Certification3 Proof of three-year in operation Accredited MD/ CoH/HoF4 Others, as applicable Outpatient HIV- AIDS Treatment Centers    X  X  For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) Free-standing Family Planning Clinics    X  X  Certificate of Training in IUD Insertion or Subdermal Contraceptive Implant on Insertion or Non-scalpel vasectomy issued by DOH/CHD. TB DOTS Facilities    X  X  For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS)

Animal Bite Treatment Centers    X  X  Drug Abuse Treatment and Rehabilitation Centers (DATRC)    X  X  Community Isolation Units (CIUs)   X X  X X Free-standing or Non-hospital based SARS-CoV-2 Testing Laboratories   X  X X X Konsulta Providers (facility based or free standing)    5 X X 

  1. Certificate/s of Service Delivery Support for Laboratory and Diagnostic Services and/or Medicines, as applicable
  2. For Private Clinics located in private corporations or schools: Mayor’s Permit of the corporation or school.
  3. For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) Outpatient Malaria Package (OMP) Provider   X X X X X
  4. Certificate of Training in Malaria of an HCI staff issued by DOH/CHD.

5 Only if available.

Page 3 of 8 of Annex A

Type of HF Documentary Requirements for Initial Accreditation (Scanned /Original copies of fully-accomplished forms) PDR1 PC2 Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses Updated DOH Certification3 Proof of three-year in operation Accredited MD/ CoH/HoF4 Others, as applicable 2. For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) COVID-19 Home Isolation Benefit Package Providers (CHIBP) X X X X X X X Submit LOI, SAT and Service Delivery Agreements and/or Authorization Letter

II. Requirements for Renewal of Accreditation:

Type of HF6 Documentary Requirements for Renewal of Accreditation (Scanned /Original copies of fully-accomplished forms) PDR PC Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses7 Updated DOH Certification
Accredited MD/ CoH/ HoF Others, as applicable Hospitals     X  1. CGS from PHA 2. MOA, MOU or other contracts entered into by the hospital with relevance to reimbursement of claims (e.g. hemodialysis, ARSP, etc.) 3. If with HEF, submit corresponding DOH LTO. 4. If provider of other OBP, see applicable requirements below 5. For HFs owned by partnerships and/ or corporations: a. Updated General Information Sheet (GIS) Infirmaries     X  Ambulatory Surgical Clinics     X  1. If provider of other OBP, see applicable requirements below Free-standing Dialysis Clinics     X  Birthing Homes/ MCP Providers     X 

6 For HFs owned by partnerships and/or corporations, submit an updated GIS. 7 In the event that rosters of health facilities are officially available from issuing agencies, inclusion of the name of the HF in the
official rosters shall suffice. Hard copies of the license/certification/etc. may no longer be submitted.

Page 4 of 8 of Annex A

Type of HF6 Documentary Requirements for Renewal of Accreditation (Scanned /Original copies of fully-accomplished forms) PDR PC Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses7 Updated DOH Certification
Accredited MD/ CoH/ HoF Others, as applicable 2. For HFs owned by partnerships and/ or corporations: a. Updated General Information Sheet (GIS) Outpatient HIV-AIDS Treatment Centers    X   For HFs owned by partnerships and/ or corporations: a. Updated General Information Sheet (GIS) Free-standing Family Planning Clinics    X   TB DOTS Facilities    X   Animal Bite Treatment Centers    X  X Drug Abuse Treatment and Rehabilitation Centers    X   Community Isolation Units   X X  X Free-standing or Non-hospital based SARS-CoV-2 Testing Laboratories   X  X X Konsulta Providers (facility based or free standing)    8 X 

  1. Certificate/s of Service Delivery Support for Laboratory and Diagnostic Services and/or Medicines, as applicable
  2. For Private Clinics located in private corporations or schools: Mayor’s Permit of the corporation or school.
  3. For HFs owned by partnerships and/ or corporations:
  4. Updated General Information Sheet (GIS) Hospital Extension Facilities     X 

Outpatient Malaria Package Provider   X X X X

  1. Proof of employment in the HF of the previously submitted trained personnel.
  2. For HFs owned by partnerships and/ or corporations:

8 Only if available.

Page 5 of 8 of Annex A

Type of HF6 Documentary Requirements for Renewal of Accreditation (Scanned /Original copies of fully-accomplished forms) PDR PC Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses7 Updated DOH Certification
Accredited MD/ CoH/ HoF Others, as applicable a. Updated General Information Sheet (GIS) COVID-19 Home Isolation Benefit Package Providers (CHIBP) X X X X X X Submit LOI

III. Requirements for Re-accreditation:

A. Re-accreditation due to (1) lapse in accreditation, subsequent application was denied, (2) failure to submit application within the prescribed period, (3) continuous accreditation was withdrawn, (4) resumption of operation after closure or cessation of operation, (5) upgrading of facility or category, or (6) transfer of location.

Note: If the re-accreditation application is due to (6) transfer of location9, this shall be submitted within ninety (90) calendar days from actual transfer of location.

Type of HF Documentary Requirements for Re-accreditation (A.) (Scanned /Original copies of fully-accomplished forms) PDR PC Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses Updated DOH Certification
Accredited MD/ CoH/ HoF Others, as applicable Hospitals     X 

  1. CGS from PHA
  2. MOA, MOU or other contracts entered into by the hospital with relevance to reimbursement of claims (e.g. hemodialysis, ARSP, etc.)
  3. If with HEF, submit corresponding DOH LTO.
  4. If provider of other OBP, see applicable requirements below.
  5. For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) Infirmaries     X  Ambulatory Surgical Clinics     X 
  6. If provider of other OBP, see applicable requirements below.
  7. For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) Free-standing Dialysis Clinics     X  Birthing Homes/ MCP Providers     X 

9 For transfer of location, re-accreditation application should also include an updated location map.

Page 6 of 8 of Annex A

Type of HF Documentary Requirements for Re-accreditation (A.) (Scanned /Original copies of fully-accomplished forms) PDR PC Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses Updated DOH Certification
Accredited MD/ CoH/ HoF Others, as applicable Outpatient HIV- AIDS Treatment Centers    X   For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) Free-standing Family Planning Clinics    X   TB DOTS Facilities    X   Animal Bite Treatment Centers    X   Drug Abuse Treatment and Rehabilitation Centers    X   Community Isolation Units   X X  X For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) Free-standing or Non-hospital based SARS-CoV-2 Testing Laboratories   X  X X Konsulta Providers (facility based or free standing)    10 X 

  1. Certificate/s of Service Delivery Support for Laboratory and Diagnostic Services and/or Medicines, as applicable.
  2. For Private Clinics located in private corporations or schools: Mayor’s Permit of the corporation or school.
  3. For HFs owned by partnerships and/ or corporations:
  4. Articles of Incorporation
  5. Updated General Information Sheet (GIS) Hospital Extension Facilities     X 

Outpatient Malaria Package Provider   X X X X

  1. Proof of employment in the HF of the previously submitted trained personnel.
  2. For HFs owned by partnerships and/ or corporations: a. Articles of Incorporation b. Updated General Information Sheet (GIS) COVID-19 Home Isolation Benefit Package Providers (CHIBP) X X X X X X Submit LOI

10 Only if available.

Page 7 of 8 of Annex A

B. Additional Service

Type of HF Documentary Requirements for Re-accreditation (B.) (Scanned /Original copies of fully-accomplished forms) PDR PC Proof of Payment of Accreditation Fee DOH LTO/ other applicable licenses
DOH Certification Accredited MD/ CoH/ HoF Others, as applicable/ Remarks Hospitals     X  New DOH LTO shall reflect additional service of the HF or license/ certification from the applicable regulatory body
Infirmaries     X  Ambulatory Surgical Clinics     X  Free-standing Dialysis Clinics     X  DOH Certification/ Certificate of Training from the recognized training provider Birthing Homes/ MCP Providers     X  TB DOTS Facilities    X   Animal Bite Treatment Centers    X   Konsulta Providers (facility based or free standing)    11 X 

  1. Certificate/s of Service Delivery Support for Laboratory and Diagnostic Services and/or Medicines, for non- licensed HF.
  2. For Private Clinics located in private corporations or schools: Mayor’s Permit of the corporation or school.
  3. DOH Certification/ Certificate of Training from the recognized training facility

C. Change in Ownership

Type of HF Documentary Requirements for Re-accreditation (C.) (Scanned /Original copies of fully-accomplished forms) PDR PC Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses Updated DOH Certification
Others, as applicable Hospitals     X Any of the following as proof of change in ownership:

  1. For private HFs: a. For partnerships and corporations a.1 Securities and Exchange Infirmaries     X Ambulatory Surgical Clinics     X Free-standing Dialysis Clinics     X Birthing Homes/ MCP Providers     X

11 Only if available.

Page 8 of 8 of Annex A

Type of HF Documentary Requirements for Re-accreditation (C.) (Scanned /Original copies of fully-accomplished forms) PDR PC Proof of Payment of Accreditation Fee Updated DOH LTO/ other applicable licenses Updated DOH Certification
Others, as applicable Outpatient HIV-AIDS Treatment Centers    X  Commission (SEC) Registration including Articles of Incorporation a.2 General Information Sheet a.3 Deed of Sale

b. Foundation: b.1 Cooperation Development Authority (CDA) b.2 Deed of Sale

c. Single Proprietorship: c.1 Department of Trade Industry (DTI) Certificate c.2 Deed of Sale

d. Konsulta Providers Only | For Private Clinics located in private corporations or schools: Mayor’s Permit of the corporation or school.

  1. For government HFs: a. Provincial to Municipal – Usufruct agreement between the province and municipality b. Local to National – corresponding Republic Act Free-standing Family Planning Clinics    X  TB DOTS Facilities    X  Animal Bite Treatment Centers    X  Drug Abuse Treatment and Rehabilitation Centers    X  CCIBP Provider (Community Isolation Units)   X X  Free-standing or Non- hospital based SARS- CoV-2 Testing Laboratories   X  X Konsulta Providers (facility based or free standing)    12 X Hospital Extension Facilities     X Outpatient Malaria Package Provider   X X X COVID-19 Home Isolation Benefit Package Providers (CHIBP) X X X X X

12 Only if available.

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