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            《甘肅省人民政府關于建立殘疾兒童康復救助制度的實施意見》訪談
            訪談單位:“中國?甘肅”門戶網站 訪談時間:2018-10-12 視力保護色:

              “中國•甘肅”門戶網站 :《實施意見》中對于救助對象有哪些規定?

              蔣錄基:《實施意見》立足我省省情,本著保基本、兜底線的原則,規定了救助對象范圍為符合條件的0-6歲視力、聽力、言語、肢體、智力等殘疾兒童和孤獨癥兒童。具體包括三類,含城鄉最低生活保障家庭、建檔立卡貧困戶家庭的殘疾兒童和兒童福利機構收留撫養的殘疾兒童;殘疾孤兒、納入特困人員供養范圍的殘疾兒童;其他經濟困難家庭的殘疾兒童。其他經濟困難家庭的具體認定辦法,由縣級人民政府制定。考慮殘疾兒童家庭普遍面臨沉重負擔,各市州經濟發展不平衡,《實施意見》特別提出,有條件的地區,可適度擴大救助對象范圍。

              “中國•甘肅”門戶網站:我省殘疾兒童康復救助制度實施意見中救助內容有哪些具體規定?

              蔣錄基:目前,殘疾兒童康復救助的具體項目主要以實施多年、受益面廣、康復效果較好的康復項目為主。比如,為聽力殘疾兒童提供人工耳蝸植入、助聽器適配及聽覺言語功能訓練;為肢體殘疾兒童提供矯治手術、輔助器具適配及功能訓練;為智力殘疾兒童提供認知及生活自理能力等訓練;為孤獨癥兒童提供語言能力、社會適應性訓練等。

              “中國•甘肅”門戶網站:我省殘疾兒童康復救助制度實施意見中救助標準有哪些具體規定?

              蔣錄基:《實施意見》規定,縣級以上地方人民政府可根據本地實際分類確定康復救助基本服務項目和內容以及經費保障標準,并建立動態調整機制。

              首先,關于手術救助標準。聽力殘疾兒童人工耳蝸植入費每人不低于7.2萬元(其中人工耳蝸產品費6萬元、手術費1萬元、調機費2000元)。實施手術的腦癱兒童,每例手術費不低于1萬元;其他肢體殘疾兒童康復費用平均每人不低于1.6萬元(其中包含手術費、術后康復訓練費、輔助器具適配費等)。

              其次,關于輔助器具適配救助標準。助聽器每人不低于6200元;矯形器、輪椅每例不低于2000元;坐姿椅、站立架每例不低于1500元;助行器每例不低于400元;假肢每例不低于7000元;其他輔助器具每人平均不低于1000元。以上經費中都包含評估、適配服務費。在享受救助年齡段內,矯形器適配每年不超過1次,其它輔助器具每3年不超過1次。

              最后,關于康復訓練救助標準。視力殘疾兒童康復訓練費,每人每年不低于5000元;聽力、言語殘疾兒童康復訓練費,每人每年不低于1.6萬元;智力殘疾、腦癱和孤獨癥兒童康復訓練費,每人每年不低于2萬元。

              “中國•甘肅”門戶網站:我省殘疾兒童康復申請康復救助的流程有哪些具體規定?

              蔣錄基:《實施意見》中規定的工作流程具體包括申請、審核、救助、結算四個環節。

              在申請環節,殘疾兒童監護人向殘疾兒童戶籍所在地(居住證發放地)縣級殘聯組織提出申請。對于申請確實有困難的,殘疾兒童監護人可委托他人、社會組織、社會救助經辦機構等代辦申請事宜。

              在審核環節,由縣級殘聯“一門受理”,殘聯負責將申請人信息與民政、扶貧部門的信息進行比對,審核確定救助對象身份,盡量減少申請人的跑腿環節。

              在救助環節,經審核符合條件的,由殘疾兒童監護人自主選擇定點康復機構接受康復服務。必要時,由市縣殘聯和衛生計生等部門指定的醫療、康復機構做進一步診斷、康復需求評估。對于有特殊需要的,也可經縣級殘聯批準后,到非本地定點的康復機構接受服務。

              在結算環節,實行合規康復費用先由醫療保險、民政救助結算,剩余部分由縣級財政與定點康復服務機構直接結算的方式,在整合共享公共資源的基礎上,無須救助對象墊付康復資金,從而大大減輕殘疾兒童家庭的經濟負擔。

              “中國•甘肅”門戶網站:我省《實施意見》相較國家《意見》,有哪些細化的地方?

              蔣錄基:一是細化了救助項目。按照國務院《意見》中分類確定康復救助基本服務項目的基礎上,《實施意見》中明確了康復救助中手術、輔助器具適配和康復訓練的項目和內容。

              二是提高了救助標準。在執行國家原有殘疾兒童康復項目每年人均1.2萬元康復訓練經費的基礎上,借鑒周邊省份提高救助標準的做法,綜合考慮我省財力因素,將0—6歲視力、聽力、言語、肢體、智力等殘疾兒童和孤獨癥兒童救助標準提高至平均1.6萬元。

              三是實現了制度銜接。充分發揮現有各種醫療保險、民政救助等政策保障作用,注重落實市縣政府的主體責任,整合投入各方面政策資源和項目資金,共同做好殘疾兒童康復救助工作。比如,在費用結算時,實行先醫保救助后財政補貼的辦法;在救助內容中,增加可同時享受殘疾人兩項補貼等規定。

              四是靠實了部門職責。在《實施意見》中,進一步明確了與殘疾兒童康復救助工作密切相關的發改、民政、財政、人社、衛計等13個部門單位的具體職責,建立了齊抓共管、協調推進的工作機制。

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