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MINISTRY OF
HEALTH
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THE SOCIALIST
REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
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No. 16/2021/TT-BYT
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Hanoi, November
8, 2021
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CIRCULAR
ON
PRICES FOR SARS-COV-2 TESTING SERVICES
Pursuant to the Law on Medical Examination and
Treatment dated November 23, 2009;
Pursuant to the Law on Health Insurance dated
November 14, 2008 and the Law on amendments to the Law on Health Insurance
dated June 13, 2014;
Pursuant to the Law on Prices dated June 20,
2012;
Pursuant to the Government's Decree No.
60/2021/ND-CP dated June 21, 2021 on autonomy mechanism of public sector
entities;
Pursuant to the Government’s Decree No.
177/2013/ND-CP dated November 14, 2013 on elaboration of and guidelines for the
Law on Prices; the Government’s Decree No. 149/2016/ND-CP dated November 11,
2016 and the Government on amendments to Decree No. 177/2013/ND-CP dated
November 14, 2013 of the Government on elaboration of and guidelines for the
Law on Prices;
Pursuant to Government's Decree No.
75/2017/ND-CP dated June 20, 2017 on functions, tasks, powers and
organizational structure of the Ministry of Health;
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The Minister of Health promulgates a Circular on
prices for SARS-CoV-2 testing services.
Article 1. Scope and
application
1. Scope:
This Circular sets out prices for SARS-CoV-2
testing services, including taking specimens, storing specimens, performing
tests and reporting results.
2. Scope:
a) This Circular applies to the following cases:
payment for SARS-CoV-2 testing costs in accordance with the law on health
insurance; SARS-CoV-2 testing service charges to be paid by users and to be
covered by the state budget as prescribed in the Law on prevention and control
of infectious diseases, except as provided for in point b hereof;
b) This Circular does not apply to cases that the
costs incurred in taking specimens, storing specimens, performing tests and
reporting results of SARS-CoV-2 in the community shall be covered by the state
budget as prescribed in the Law on prevention and control of infectious
diseases.
Article 2. Pricing breakdown of
SARS-CoV-2 tests
Pricing breakdown of SARS-CoV-2 tests in this
Circular:
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2. The cost of salaries and wages by grades and
steps, allowances and contributions according to the regime prescribed by the
State for public sector entities according to the statutory pay rates specified
in Decree No. 38/2019/ Decree-CP dated May 9, 2019 of the Government on
statutory pay rates for officials and public employees and the armed forces;
excluding allowances for health workers regarding COVID-19 prevention and
control.
3. The cost of biologicals for testing SARS-CoV-2
according to actual use and buying prices in accordance with the law on
procurement.
Article 3. Prices for
SARS-CoV-2 testing services
1. Prices for SARS-CoV-2 testing services that are
covered by the health insurance fund:
a) SARS-CoV-2 Rapid Antigen Test:
The service price includes the direct cost, the
cost of salaries and wages as prescribed in column 1 section I appendix I
issued herewith plus the cost of biologicals for testing SARS-CoV-2 as provided
for in clause 3 Article 2 hereof. The maximum price is VND 109,700/test.
b) Testing for SARS-CoV-2 by automatic or
semi-automatic immunoassay machine:
The service price includes the direct cost, the
cost of salaries and wages as prescribed in column 1 section II appendix I
issued herewith plus the cost of biologicals for testing SARS-CoV-2 as provided
for in clause 3 Article 2 hereof. The maximum price is VND 186,600/test.
c) Testing for SARS-CoV-2 using Real-time PCR
technique:
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- For pooled specimens: The service price includes
the direct cost, the cost of salaries and wages as prescribed in column 1
section IV appendix I issued herewith plus the cost of biologicals for testing
SARS-CoV-2 as provided for in clause 3 Article 2 hereof, in which the
biological are divided equally according to the total number of pooled
specimens. The maximum price shall not exceed the price of pooled specimen
testing as prescribed in column 2 Appendix I issued herewith.
2. Prices for SARS-CoV-2 testing services that are
covered by the health insurance fund:
a) For state-owned healthcare facilities affiliated
to provinces or central-affiliated cities and healthcare facilities affiliated
to Ministries and central authorities located in the locality, except for the
provision in point b hereof: The price shall be determined as prescribed in
clause 1 hereof, in which the price shall include the direct cost and cost of
salaries and wages (exclusive of biological) stipulated by the local competent
authority but not exceeding the maximum price of the SARS-CoV-2 testing bracket
as prescribed in column 1 Appendix I issued herewith;
b) For healthcare facilities affiliated to the
Ministry of Health and special-class hospitals, class-I hospitals affiliated to
Ministries and central authorities and public healthcare facilities that
provide preventive medicine services: the prices are specified in clause 1
hereof.
Article 4. Guidelines for
payments
1. Guidelines for determination of prices and
payments for SARS-CoV-2 testing services refer to Appendix 2 issued with this
Circular.
2. In case the health facility transfers specimens
to a health facility qualified for Covid test confirmation:
a) For cases in which medical expenses are covered
by the health insurance fund: payments shall be made as in subclinical services
as per the law on health insurance;
b) For other cases, payments shall be made
according to the prices for SARS-CoV-2 testing services quoted by the testing
provider as prescribed in this Circular and the costs of biological quoted by
the testing provider as per law on procurement.
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4. If the costs incurred in testing performance are
higher than the maximum price specified in column 2 Appendix I issued herewith,
the public health facilities (including medical examination and treatment
establishments) may use the financially autonomous fund or other legal sources
of funds.
Article 5. Entry in force
1. This Circular comes into force as of November
10, 2021 to the end of December 31, 2022.
2. In case any document referred to in this
Circular is superseded or amended, the new document shall prevail.
Article 6. Grandfather clause
The prices and payments for SARS-CoV-2 testing
services before the effective date of this Circular shall apply as follows:
1. For SARS-CoV-2 rapid antigen tests performed
from July 1, 2021 or earlier and SARS-CoV-2 tests using RT-PCR technique from
May 28, 2021 or earlier: the payments shall be made at the prices decided
by the competent authorities in accordance with the Circular No. 13/2019/TT-BYT
dated July 5, 2019 of the Minister of Health on amendments to Circular No.
39/2018/TT-BYT dated November 30, 2018 of the Minister of Health on the
unification of prices for medical examination and treatment services covered by
health insurance between hospitals of the same class nationwide and guide for
the application of prices and payments for medical examination and treatment
costs in certain cases; Circular No. 14/2019/TT-BYT dated July 5, 2019 of the
Minister of Health on amendments to the Circular No. 37/2018/TT-BYT dated
November 30, 2018 of the Ministry of Health on maximum prices of the price
bracket for medical examination and treatment services that are not covered by
the health insurance fund in the state-owned healthcare facilities and guide
for the application of prices and payments for medical examination and
treatment costs in certain cases.
2. For the SARS-CoV-2 rapid antigen test, the
antigen test to detect SARS-CoV-2 on the immunoassay machine that have been
performed from July 1, 2021 to the time this Circular takes effect and testing
for SARS-CoV-2 using RT-PCR technique from May 28, 2021 to the effective date
of this Circular:
a) SARS-CoV-2 rapid antigen test:
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- The testing costs based on actual payments:
payments shall be made by each patient based on the actual number of rapid
tests used for the patient and the test price according to the procurement
result approved by the competent authority as per the law.
For example, the entity is approved by the
competent authority for the quick test priced at VND 135,000/test based on the
procurement result. If the holder of a health insurance card is eligible for
health insurance coverage and is entitled to 80% of medical examination and
treatment expenses, the health insurance fund shall, based on the scope and
benefit level, cover rapid test expense of VND 135,000 x 80% = VND 108,000.
The co-payment of VND 27,000 and the costs incurred in taking specimens
and reporting results shall be covered by the state budget according to current
budgetary delegation.
b) Antigen test to detect SARS-CoV-2 on the
immunoassay machine:
- If the specimen is taken and stored as it is taken
and stored using Real-time PCR, temporarily charge VND 100,000/specimen for
“taking and storing specimen”.
- The cost incurred in performing the test shall be
paid according to actual payment; in specific: payments shall be made by each
patient based on the actual number of rapid tests used for the patient and the
test price according to the procurement result approved by the competent
authority as per the law.
- Costs incurred in supplies, chemicals, power,
water, human resources related to the performance of tests: the health facility
shall pay and then settle these costs based on its delegated state budget
regarding Covid-19 funding.
c) Testing for SARS-CoV-2 using Real-time PCR
technique from oropharyngeal specimens:
- Payments for individual specimens: applying
service price No. 1735: Real-time PCR for bacteria/viruses/fungi/parasites
specified in the appendix issued with Circular No. 13/2019 /TT-BYT dated July
5, 2019 of the Ministry of Health is VND 734,000/specimen. If the entity
that takes specimens must send the specimens to another entity for performing
tests, the price structure is as follows:
+ Price for taking and storing specimens: VND
117,800/specimen;
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- Payments for pooled specimens:
+ Price for taking and storing specimens: VND
100,000/specimen;
+ Price for performing test equals VND 634,000
divided by the number of specimens being pooled; for example: if 5
specimens are pooled into a test, then divided by 5; if 10 specimens are
pooled, then divided by 10.
- In case a pooled specimen is found to be positive
so the individual specimens must be further tested, the cost of performing the
tests shall be charged for these individual specimens.
Article 7. Implementation
1. Health facilities are responsible for purchasing
supplies, chemicals and biologicals for SARS-CoV-2 testing in accordance with
the law on procurement and the provisions of Resolution No. 79/NQ-CP dated July
22, 2021 of the Government on procurement of drugs, chemicals, supplies,
equipment and means for COVID-19 prevention and control, Resolution No.
86/NQ-CP dated August 6, 2021 of the Government on urgent measures to prevent
and control the COVID-19 pandemic to implement Resolution 30/2021/QH15 dated
July 28, 2021 of the 15th National Assembly and ensure quality, thrift,
efficiency, anti-waste, and anti-misconduct.
2. Public health facilities, when performing
periodical tests of medical staff, and testing patients and patients' relatives
according to health specialized regulations, must perform sample pooling
following guidelines of the Ministry of Health and according to their actual
circumstances, ensuring thrift and efficiency.
3. In case of voluntary testing upon requests,
testing for organizations and enterprises under contracts: public health
facilities shall charge service users or organizations and businesses the
prices applicable to those not covered by the health insurance fund and the
costs of purchasing biologicals for testing according to regulations.
4. The Departments of Health of the provinces and
central-affiliated cities shall, according to their functions and tasks,
strengthen the inspection, or report to the provincial People's Committees to
strengthen the inspection of the implementation of regulations of law on
prices, bidding for health facilities in the area, strictly handle violations
if any, eliminate the unreasonable increase of prices for testing services.
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PP. MINISTER
DEPUTY MINISTER
Tran Van Thuan
APPENDIX I
PRICES FOR SARS-COV-2 TESTING SERVICE
(Issued together with Circular No. 16/2021/TT-BYT dated November 8, 2021 of
the Minister of Health)
No.
SERVICE
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Maximum price
(inclusive of biologicals)
A
B
1
2
I
SARS-CoV-2 rapid antigen test
16.400
109.700
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Testing for SARS-CoV-2 by automatic or
semi-automatic immunoassay machine
38.500
186.600
III
Testing for SARS-CoV-2 using Real-time PCR
technique in case of individual specimen, including:
166.800
518.400
1
Taking and storing specimen
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2
Performing test and reporting result
103.600
IV
Testing for SARS-CoV-2 using Real-time PCR technique
in case of pooled specimen
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Less than or equal to 5 swabs are pooled on
site (place where specimens are taken)
94.300
1.1
Taking and storing specimens
31.600
1.2
Performing test and reporting result
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1.3
Total price for testing services inclusive of
biologicals (reactions and extractions)
1.3.1
2 swabs are pooled
270.100
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3 swabs are pooled
211.500
1.3.3
4 swabs are pooled
182.200
1.3.4
5 swabs are pooled
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164.600
2
6-10 swabs are pooled on site (place where the
specimens are taken)
76.000
2.1
Taking and storing specimens
30.200
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Performing test and reporting result
45.800
2.3
Total price for testing services inclusive of biologicals
(reactions and extractions)
2.3.1
6 swabs are pooled
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134.600
2.3.2
7 swabs are pooled
126.200
2.3.3
8 swabs are pooled
119.900
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9 swabs are pooled
115.000
2.3.5
10 swabs are pooled
111.100
3
Pooling less than or equal to 5 specimens in
lab
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3.1
Taking and storing specimens
65.900
3.2
Performing test and reporting result
73.400
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Total price for testing services inclusive of
biologicals (reactions and extractions)
3.3.1
2 specimens are pooled
315.100
3.3.2
3 specimens are pooled
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256.500
3.3.3
4 specimens are pooled
227.200
3.3.4
5 specimens are pooled
209.600
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Pooling 6-10 specimens in lab
122.500
4.1
Taking and storing specimens
66.800
4.2
Performing test and reporting result
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4.3
Total price for testing services inclusive of
biologicals (reactions and extractions)
4.3.1
6 specimens are pooled
181.100
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7 specimens are pooled
172.700
4.3.3
8 specimens are pooled
166.400
4.3.4
9 specimens are pooled
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161.500
4.3.5
10 specimens are pooled
157.600
APPENDIX II
DETERMINATION OF PRICES AND PAYMENTS FOR SARS-COV-2
TESTING SERVICES
(Issued together with Circular No. 16/2021/TT-BYT dated November 8, 2021 of the
Minister of Health)
1. Guidelines for “SARS-CoV-2 rapid antigen
test” with maximum price inclusive of biologicals of VND 109,700/test:
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- The price including the direct cost, cost of
salaries and wages of the health facility based on the medical prices covered
by health insurance or approved by the competent authority is 16,400 VND/test.
- The cost of biologicals for testing according to
the procurement result of the health facility is 50,000 VND/test.
- Total cost of performing the SARS-CoV-2 antigen
rapid test is VND 66,400/test.
- Price for the SARS-CoV-2 antigen rapid test is
VND 66,400/test.
The health facility may only charge the person
being tested, the health insurance fund (based on given portion),or the state
budget VND 66,400/test (the health facility may not charge the maximum price
VND 109,700/test).
b) Example 2:
- The price including the direct cost, cost of
salaries and wages the medical prices covered by health insurance or approved
by the competent authority is 16,400 VND/test.
- The cost of biologicals for testing according to
the procurement result is 100.000 VND/test.
- Total cost of performing the SARS-CoV-2 antigen
rapid test is VND 116.400/test.
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The health facility may only charge the person
being tested, the health insurance fund (based on given portion),or the state
budget VND 109,700/test; the remaining cost of VND 6,700 shall be covered by
the financially autonomous fund and other legal sources of fund of the health
facility.
2. Guidelines for determination of prices
and payments for “Testing for SARS-CoV-2 using Real-time PCR
technique” with individual specimen:
a) Example 1:
- The price including the direct cost, cost of salaries
and wages the medical prices covered by health insurance or approved by the
competent authority (exclusive of biologicals) is 166.800 VND/test.
- Cost of biologicals (reactions and extractions)
(or separate biological and chemical products for Real-time PCR and extraction
biologicals) according to the procurement result of the health facility is VND
300,000/test.
- Total cost of performing SARS-CoV-2 test using
Real-time PCR with individual specimen is VND 466.800/test.
- Price for SARS-CoV-2 test using Real-time PCR
with individual specimen is VND 466.800/test.
The health facility may only charge the person
being tested, the health insurance fund (based on given portion),or the state
budget VND 466.800/test (the health facility may not charge the maximum price
VND 518,400/test).
b) Example 2:
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- Cost of biologicals (reactions and extractions)
(or separate biological and chemical products for Real-time PCR and extraction
biologicals) according to the procurement result of the health facility is VND
400,000/test.
- Total cost of performing SARS-CoV-2 test using
Real-time PCR with individual specimen is VND 566.800/test.
- Price for SARS-CoV-2 test using Real-time PCR
with individual specimen is VND 518.400/test.
The health facility may only charge the person
being tested, the health insurance fund (based on given portion),or the state
budget VND 518,400/test; the remaining cost of VND 48.400 shall be covered by
the financially autonomous fund and other legal sources of fund of the health
facility.
3. Guidelines for determination of prices
and payments for “Testing for SARS-CoV-2 using Real-time PCR technique” with
pooled specimen:
a) Example 1:
- The price including the direct cost, cost of
salaries and wages the medical prices covered by health insurance or approved
by the competent authority is the maximum price as prescribed in this Circular.
- Cost of biologicals (reactions and extractions)
(or separate biological and chemical products for Real-time PCR and extraction
biologicals) according to the procurement result of the health facility is VND
300,000/test.
- Price for SARS-CoV-2 test using Real-time PCR
with pooled specimen:
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+ If the health facility pools 8 swabs together on
site, the price is VND 113,500/test, inclusive of: the cost of taking and
storing specimen of VND 30,200/test; the cost of performing test and reporting
result of VND 452,800/test; the cost of biologicals of VND 37,500/test
(300,000/5 as calculating the cost of a biological divided by 8 specimens):
+ If the health facility pools 5 swabs together in
the lab, the price is VND 199,300/test, inclusive of: the cost of taking and
storing specimen of VND 65,900/test; the cost of performing test and reporting
result of VND 73,400/test; the cost of biologicals of VND 60,000/test
(300,000/5 as calculating the cost of a biological divided by 5 specimens):
+ If the health facility pools 10 swabs together in
the lab, the price is VND 152,500/test, inclusive of: the cost of taking and
storing specimen of VND 66,800/test; the cost of performing test and reporting
result of VND 55,700/test; the cost of biologicals of VND 30,000/test
(300,000/10 as calculating the cost of a biological divided by 10 specimens):
b) Example 2:
- The price including the direct cost, cost of
salaries and wages the medical prices covered by health insurance or approved
by the competent authority is the maximum price as prescribed in this Circular.
- Cost of biologicals (reactions and extractions)
(or separate biological and chemical products for Real-time PCR and extraction
biologicals) according to the procurement result of the health facility is VND
400,000/test.
- Price for SARS-CoV-2 test using Real-time PCR
with pooled specimen:
+ If the health facility pools 5 swabs together on
site, the total cost is VND 174,300/test, inclusive of: the cost of taking and
storing specimen of VND 31,600/test; the cost of performing test and reporting
result of VND 62,700/test; the cost of biologicals of VND 80,000/test
(400,000/5 as calculating the cost of a biological divided by 5 specimens).
The health facility may only charge the person
being tested, the health insurance fund (based on given portion),or the state
budget VND 164,600/test; the remaining cost of VND 9.700 shall be covered by
the financially autonomous fund and other legal sources of fund of the health
facility.
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The health facility may only charge the person
being tested, the health insurance fund (based on given portion),or the state
budget VND 119,900/test; the remaining cost of VND 6.100 shall be covered by
the financially autonomous fund and other legal sources of fund of the health
facility.
+ If the health facility pools 5 swabs together in
the lab, the total cost is VND 219,300/test, inclusive of: the cost of taking
and storing specimen of VND 65,900/test; the cost of performing test and
reporting result of VND 73,400/test; the cost of biologicals of VND 80,000/test
(400,000/5 as calculating the cost of a biological divided by 5 specimens)
The health facility may only charge the person
being tested, the health insurance fund (based on given portion),or the state
budget VND 209,600/test; the remaining cost of VND 9.700 shall be covered by
the financially autonomous fund and other legal sources of fund of the health
facility.
+ If the health facility pools 10 swabs together in
the lab, the total cost is VND 162,500/test, inclusive of: the cost of taking
and storing specimen of VND 66,800/test; the cost of performing test and
reporting result of VND 55,700/test; the cost of biologicals of VND 35,100/test
(400,000/10 as calculating the cost of a biological divided by 10 specimens):
The health facility may only charge the person
being tested, the health insurance fund (based on given portion),or the state
budget VND 157,600/test; the remaining cost of VND 4.900 shall be covered by
the financially autonomous fund and other legal sources of fund of the health
facility./.