MediSave and MediShield Life Accreditation Criteria for Institutions

  1. Only Applicants with a valid licence under the Healthcare Services Act 2020 ("HCSA") should apply to be approved by the Minister for Health or such other person as he may appoint for the purposes of the Central Provident Fund (MediSave Account Withdrawals) Regulations ("MAWR") and MediShield Life Scheme Act ("MLSA").
  2. In addition, Applicants are required to appoint a minimum of one (1) staff member to undergo and complete training on the MediSave and MediShield Life Schemes conducted online. The staff member(s) shall be responsible to disseminate knowledge of all content in such MediSave and MediShield Life training to the Applicant and its staff/personnel after completing the training.
  3. Further, please note that the Government has the sole and absolute discretion to accept or reject an Applicant’s application to be approved by the Minister under the MAWR and MLSA. The applications will be assessed based on various criteria, including but not limited to the following (as applicable):
    1. whether the Applicant has a valid Licence to carry out the procedures and treatments to be claimed under the MediSave and MediShield Life Schemes;
    2. whether the Applicant is in breach or suspected to be in breach of:
      1. the terms and conditions of any public scheme administered by the Government or its appointed agents, including the MediSave and MediShield Life Schemes, CHAS and other public schemes administered by MOH (i.e. as described in clause 3(b) of the MediShield Life Scheme (Disclosure of Information) Regulations 2017);
      2. any health service licensing legislation and regulations; and/or
      3. (all applicable laws and legislation (including the CPF Act, the MAWR and MLSR), and all prevailing relevant guidelines and requirements issued or imposed by MOH, including but not limited to the guidelines and requirements in the MediSave Manual and circulars;
    3. whether the approval or participation of the Applicant under any other healthcare financing or assistance scheme(s) administered by the Government has been suspended, terminated or revoked;
    4. whether the Applicant has overcharged its patients (as determined by MOH in its sole discretion);
    5. whether the Applicant has over-serviced its patients and/or provided and charged for inappropriate treatment to its patients (as determined by MOH in its sole discretion). Without limiting the generality of the foregoing, the Applicant could be deemed to have over-serviced its patients, or provided and charged for inappropriate treatment to its patients if the Applicant:
      1. provided medical treatment which is deemed not medically appropriate, based on the prevailing guidelines and requirements issued or imposed by MOH, including but not limited to the guidelines and requirements in the Manual and circulars; or
      2. provided and charged its patient(s) for medical treatment, services or items (as the case may be) which was assessed, by the MSHL Council pursuant to Regulation 12(2)(b) of the MLSR, to be inappropriate in the circumstances of a particular case, for which the patient was unable to claim benefits under the MediShield Life Scheme;
    6. whether any person having management or control of the Applicant, including the director(s), majority shareholder(s), clinic manager, principal officer, clinical governance officer or any medical practitioner whether employed by the Applicant or providing services as a locum practitioner, is or was:
      1. in breach or suspected to be in breach of: (1) the terms and conditions of any public scheme administered by the Government or its appointed agents, including the MediSave and MediShield Life Schemes, CHAS and other public schemes administered by MOH (i.e. as described in paragraph 3(b) of the MediShield Life Scheme (Disclosure of Information) Regulations 2017); (2) any health service licensing legislation and regulations; and/or (3) all applicable legislation (including the CPF Act, the MAWR, the MLSA and the MLSR), and all prevailing relevant guidelines and requirements issued or imposed by MOH, including but not limited to the guidelines and requirements in the Manual and circulars;
      2. convicted of an offence, or found by the relevant professional board (SMC or SDC) to be guilty of misconduct involving dishonesty or fraud;
      3. suspended or struck off the register maintained by the SMC or the SDC (as the case may be);
      4. engaged or engaging in over-servicing or over-charging his patients, and/or the provision of and charging for inappropriate treatment to his patients (as determined by MOH in its sole discretion); and/or
      5. under investigation by the Government and/or other relevant authorities relating to the MediSave and MediShield Life Scheme, dishonesty and/or fraud; and
    7. whether the person(s) having management or control of the Approved Institution, including the directors, majority shareholder(s), clinic manager, principal officer, clinical governance officer or any medical practitioner whether employed by the Approved Institution or providing services as a locum practitioner is/are deemed of unfit character (as assessed by the Government) for the Applicant to be accredited for purposes of the MediSave and MediShield Life Schemes.
  4. The Applicant shall notify MOH of any change in its name or address or any of the information provided in its application for approval as an Applicant through electronic mail or the Electronic System and shall submit a copy of the relevant Licence issued by MOH and all relevant documents as supporting evidence of such change, within one (1) month of change. To avoid doubt, where the change affects the identity of the Applicant, MOH shall have the right to take such actions as may be appropriate.