"Prevention 40 plus" program for the second time

The proposed regulation will extend the operation of the pilot program until June 30, 2024, and will allow the reuse of healthcare services covered by the pilot program, provided that at least 12 months have elapsed since healthcare services were first provided under the program.

In addition, the changes will simplify and speed up the process of registering for health care services, and provide beneficiaries with easier access to information on the availability of appointments with all providers. For beneficiaries, the change will expand the catalog of instruments for enrolling in benefits provided under the pilot program through the use of an Internet Patient Account and a hotline. Data on planned appointments for the provision of healthcare services will be entered into the central electronic registration by the data controller in the system referred to in Article 7 (1) of the Law of April 28, 2011 on the Healthcare Information System (Journal of Laws of 2022, item 1555, as amended) or the implementers of the pilot program.

Under the aforementioned functionality, recipients covered by the pilot program will be able to submit a statement of intent to receive benefits provided under the pilot program after receiving a referral, as referred to in § 7(2) of the regulation:

1) via an Internet Patient Account, as referred to in Article 7a of the Law of April 28, 2011 on the health care information system;

2) via a hotline;

3) directly with the provider.

The amendments to the Regulation of the Minister of Health of June 14, 2021 on the pilot program "Prevention 40 PLUS" (Journal of Laws of 2023, item 116) concern the extension of the program's operation until June 30, 2024, and allow the reuse of healthcare services covered by the pilot program. In addition, the amendments concern the rules for implementing the pilot program involving the obligation to use central electronic registration for its implementation.

Central electronic registration is the functionality of the ICT system referred to in Article 7 (1) of the Law of April 28, 2011 on the health care information system, which allows a beneficiary to make a central notification and assign an appointment for the provision of services at the selected pilot program provider, to change and cancel the central notification made and to set an appointment for the provision of services.

Source: RCL