How to Apply for HMO Accreditation

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Health Maintenance Organizations remain to be one of the major means patients access health care. As a service provider, you
can apply to be affiliated with HMO as long as you agree with their terms and conditions including fees and payment schedule.

If you are in a multispecialty clinic who accepts HMO, the arrangement is made by the clinic so you can accept patients who will use their HMO.

If you have a clinic of your own, you can apply and course it through their offices or clinics located in hospitals where you are affiliated.

I asked different HMOs about their application procedures. Requirements for most are similar which may include:

Letter of intent
Medical school diploma
Medical Board certificate
Specialty or subspecialty board certificate
Copy of PRC card, PTR (professional tax receipt),
Official receipt, TIN, VAT registration, Philhealth registration as a health provider

The HMO sends you a contract which stipulates the terms of your engagement,fees, payment,and documentation. The contract can be for inpatient or outpatient or both. Once approved, patients who wants to avail of your services will be given a form by the HMO each time they make an outpatient consult. This is the form you will fill up and include in your documentation so the HMO can pay your fees. For in patient, hospitals are given a list of accredited doctors. If you are in the list, patients can be admitted under your service using their HMO. Payment for your fees may range from 1 to 6 months.

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