Law & Regulations Law - Arabic Insurance Law No11 of 2013 Executive Council Resolution No. 7 of 2016 UAE Law for Narcotic, Controlled and Semi Controlled Drugs – Ministerial Decree 888 of 2016 Executive Council Resolution No 1 of 2018 – Ambulance Service Fees Executive Council Resolution No 2 of 2016 Ministerial Decree 680 for 2017/ Exemption of articles in Resolution 888 for 2016 Executive Council Resolution No. 16 of 2013 – Health Insurance for Dubai Government Employees Executive Council Resolution No. 7 of 2019 Resolution No. 17 of 2018 Updated list of Semi controlled medications - Ministerial Decree 49 of 2021 Decree No. 8 of 2022 Law - English UAE Law for Narcotic, Controlled and Semi Controlled Drugs – Ministerial Decree 888 of 2016 Ministerial Decree 680 for 2017/ Exemption of articles in Resolution 888 for 2016 Regulations - Arabic Regulations - English Policy Directives PD 01-2014 Complaints handling (rev 1) PD 02-2014 Compliance with minimum benefits PD 03-2014 Healthcare Provider Pricing PD 02-2015 Top-up policies PD 01-2016 Insurance coverage for emergency cases and DHA price list PD 01-2017 Medical Facilities for Hatta Population PD 02-2017 Emergency Definition PD 01-2018 Patient’s treated or transferred by Ambulance PD 02-2018 Patient Support Programs – BASMAH PD 03-2018 Patient Support Programs – HCV PD 05-2018 Updated TOB for the Essential Benefit Plan PD 06-2018 Basmah Initiative – Fund structure PD 07-2018 Updated TOB for the Essential Benefit Plan PD 01-2019 Claims Audit and Recovery in the Emirate of Dubai PD 03-2019 Settlement of Payment for Emergency Services PD 02-2020 Telehealth Services PD 03-2020 Elective Surgeries for insured patients PD 04-2020 Co-Payments of emergency cases transferred by ambulance PD 05-2020 Elective Surgeries for insured patients PD 06-2020 Elective Surgeries for insured patients PD Medical Facilities for Hatta Population_24-11-2020 PD Compliance with Essential Benefits Plan updates and top-up policies_24-11-2020 PD Complaints Handling_24-11-2020 PD Claims Audit and Recovery_24-11-2020 PD Patient Support Programs_24-11-2020 PD PSP Program_Basmah Guidelines_24-11-2020 PD Telehealth services_24-11-2020 PD PSP Program_Hepatitis C Guidelines_24-11-2020.pdf PD Elective surgeries_24-11-2020 PD Insurance coverage of Emergency cases_24-11-2020 PD Healthcare Providers' Price Regulation_24-11-2020 PD 01-2021 Updated TOB for Essential Benefit Plan PD 01-2023 Maternity and New Born Coverage Policy General Circulars GC 01-2014 Communication protocols GC 02-2014 Self-funded and EBP compliance GC 03-2014 Employer Information Pack GC 04-2014 TPA activities GC 05-2014 Enforcement of fines and penalties GC 02-2015 Patient drug safety checks GC 05-2015 HIP status results 2015 GC 06-2015 Enforcement of the Law through Visa applications GC 07-2015 Communication protocols GC 04-2015 Online health insurance - Project Full Sweep EoI GC 08-2015 HIP status results 2015 GC 09-2015 Coding Standards GC 10-2015 PI applications and renewals for 2016 GC 01-2016 HIIP status of intermediaries GC 02-2016 Internal Coding Elimination and Coding Standards in eClaimLink GC 02-2016 Special Needs Members GC 03-2016 Marketing or Advertising Medical Insurance GC 04-2016 Mandatory Insurance Deadline GC 05-2016 HIIP status of intermediaries GC 06-2016 Member Register GC 07-2016 The eClaimLink eAuthorization Initiative GC 08-2016 Mandatory Member Information and Final Deadline GC 09-2016 Premium Refunds GC 01-2017 Member Register Validation with GDRFAD GC 02-2017 Member Register Failed Uploads GC 03-2017 DRG Implementation – Phase II of Shadow Billing GC 04-2017 Violation of Standards Notice 01 of 2017 and its consequences GC 05-2017 General updates and clarification of frequent misinterpretations GC 01-2018 DRG Implementation – Phase II of Shadow Billing GC 02-2018 Collection of DRG Negotiation Factors GC 03-2018 The eAuthorization Initiative – Update GC 04-2018 The ePrescription Initiative – Update GC 05-2018 Updating eClaimLink User Details GC 06-2018 Denial Code Updates GC 07-2018 DRG Implementation – Exempted Hospitals GC 08-2018 Clarifications on Collection of DRG Negotiation Factors and Reporting Requirements of DRG Financial Parameters in Phase II of Shadow Billing GC09-2018 Prescriptions for VIP Patients in the Emirate of Dubai GC 10-2018 Cessation of Direct Billing Paper Claim Form GC 11-2018 New Member Register Structure GC 12-2018 The Dubai Drug Code (DDC) List and eClaimLink System GC 01-2019 Unnecessary medical treatments, diagnostics or medications at medical providers GC 02-2019 Pro rata refund of premiums for individually sponsored members GC 03-2019 Iranian Hospital Dubai eClaimLink Accounts Reinstatement GC 04-2019 Addition of Comment Field to the Remittance.Advice Schema GC 05-2019 Healthcare Professional Licensing Information GC 06-2019 Healthcare Professional Licensing Information - MOHAP GC 07-2019 Ethical Standards of Business Conduct GC 08-2019 Previously Issued Circulars from Health Funding Department GC 09-2019 Member Register GC 01-2020 General Updates and Clarifications GC 02-2020 Treatment of Novel Corona Virus (2019-nCoV) GC 03-2020 Upgrade of ICD-10-CM, CPT and HCPCS Code Sets to Version 2018 GC 04-2020 Full DRG Implementation GC 05-2020 Settlement of Outstanding claims and Update of claim payments cycle GC 06-2020 Postponement of Full DRG Implement GC 07-2020 Postponement of Upgrade of ICD-10-CM, CPT and HCPCS Code Sets to Version 2018 GC 08-2020 Covid-19 patients GC 09-2020 Teleconsultation DSL Codes GC 10-2020 Medical Coding for COVID-19 GC 11-2020 Postponement of Full DRG Implement GC 12-2020 Postponement of Upgrade of ICD-10-CM, CPT and HCPCS Code Sets to Version 2018 GC 13-2020 Announcement of unified Covid-19 Rates GC 14-2020 COVID-19 DSL Code GC 15-2020 COVID-19 DSL Codes for Mandatory Prices of Procedures GC 16-20 Postponement of Full DRG Implement GC 17-20 Postponement of Upgrade of ICD-10-CM, CPT and HCPCS Code Sets to Version 2018 GC 18-2020 Revised Unified Prices Institutional Isolation GC 19-2020 - Postponement of Full DRG Implement GC 20-2020 - Postponement of Upgrade of ICD-10-CM, CPT and HCPCS Code Sets to Version 2018 GC 21-2020 - Full DRG Implementation Updates GC 22-2020 - Coverage of Covid-19 PCR tests GC 01-2021 - Elective Surgeries for Insured Patients GC 02-2021 - Essential Benefit Plan Formulary GC 03-2021 - Elective Surgeries for Insured Patients GC 04-2021 – Day Case Admissions GC 05-2021 - Rolling out 3M Software New Version (IR-DRG V3.3 Codefinder / Grouper) and Adding the Fixes of Current Version (IR-DRG V3.01) GC 06-2021 – Fund Transfer for Hepatitis C and B Patient Support Program GC 07-2021 - Announcement of 2022 PIs GC 01-2022 - Patient Support Program – New workflow process GC 02-2022 - New System to Issue and Pay Annual Fees GC 03-2022 - DRG Phase II GC 04-2022 - Excluding Public Hospitals under the Government of Dubai form Emergency Factor 1.3 GC 05-2022 - Prescriptions Covered by Health Insurance and Discounts GC 07-2022 - Compliance with Authenticating the Personal Data of the Beneficiaries of Healthcare Services GC 06-2022- Electronic Claim submissions for Dubai related Policies GC 08-2022- Updating the Data of the Insured Members in the 'E-Claims' Portal - Member Register GC 10-2022 - DRG Implementation for Eye Hospitals and Eye Centers GC 09-2022 - Patient Support Program Awareness Sessions GC 11-2022 - Expansion of Patient Support Program CoE to private providers GC 01-2023 - Health Insurance Data compliance by health insurance companies licensed by DHA GC 02-2023 - Full DRG Implementation – Year 3 GC 03-2023 - The contractual relationship between the healthcare providers & insurance companies of the health insurance system in the Emirate of Dubai GC 04-2023 - Upgrade of ICD-10-CM, CPT and HCPCS Code sets to version 2021 GC 05-2023 - Vaccination Influenza GC 06-2023 - Notification on the launch of the new E-Claim system GC 07-2023 - The New Online Complaints System GC 08-2023 - Email Notification for 2024 INVs GC 01-2024 - The contractual relationship between the Healthcare Providers & Insurance Companies within the health insurance system in the Emirate of Dubai GC 02 2024 - Treatment of renewal premiums of existing insured members GC 03 2024 - Updated Table of Benefits for Essential Benefits Plan GC 04-2024 - Influenza Vaccination GC 05-2024 - Enforcement against Yas Takaful Company for issuing Health Insurance GC 06-2024 - Announcement of Participating Insurers (PIs) Permitted to Offer Essential Basic Plan for Low Salary Band Members for the Year 2025 Standards' Notices SN 01-2014 Facilitation agreements SN 01-2015 Single Point of Contact SN 02-2015 Standards for health insurance intermediaries SN 03-2015 Standardised claims records SN 04-2015 Marketing standards SN 01-2017 Intermediary Remuneration on LSB products SN 01-2018 Health Insurance Claims records SN 01-2019 Series of key performance indicators to measure services delivered by Third Party Administrators SN 02-2019 Use of Remittance Advices and Denial codes SN 03-2019 Claim Cycle Standardisation SN 04-2019 Member Register Procedural Notices PN 01-2014 PI 2015 submissions PN 03-2014 Provider price regulation PN 02-2014 Health insurance certificates PN 04-2014 PI renewal for 2015 PN 05-2014 Registration of health insurance intermediaries and their representatives PN 01-2015 HIP applications 2015 PN 02-2015 v1.4 Fraud, waste and abuse return PN 03-2015 Price Regulation PN 01-2016 v1.1 Health coverage certificates PN 02-2016 Price Regulation for 2017 PN 03-2016 PI Status Submissions for 2017 PN 04-2016 PI Status Renewal Submissions for 2017 PN 01-2017 Member Register uploads PN 01-2018 PHIR Register PN 01-2019 Patient Support Programs (BASMAH & HCV) PN 02-2019 Clarification of Index Rate for 2019 PN 03-2019 BASMAH Fund Transfer PN 02-2020 Member Register Uploads PN 01-2020 Claim Cycle Standardization PN 01/2021 Procedural Notice Participating Insurer submissions and renewals for 2021 Enforcement Bulletins EB 01-2015 Health Insurance Law Enforcement Measures EB 01-2017 Notice of Suspension of HIIPs EB 02-2017 Notice of Suspension of HIIPs (To Replace EB 01-2017) Enforcement Bulletin EB 01-2018 EB 01-2019 Notice of Suspension of an HIP EB 02-2019 Notice of Suspension of an HIP EB 01-2020 Notice of Suspension of an HIP EB 02-2020 Notice of Suspension of HIPs Archive of Older Documents PD 01-2014 Complaints handling GC 03-2015 Registration of health insurance intermediaries (rev 1) GC 01-2015 Antenatal care protocols PD 01-2015 Maternity coverage PD 04-2018 Pregnancy Declarations PD 02-2019 New Born additions PD Maternity Coverage and New Born Additions_24-11-2020
