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National tariffs for outpatient specialist care and prosthetic care approved in Italy
The Essential Levels of Care (LEA) document from 2017 is the document that defines the guaranteed basket of benefits for Italian population. Annex 4 of the LEA document contains fee-for-service list of outpatient specialist services (including IVD tests) that are guaranteed on the national level. Annex 5 of the LEA document contains the nationally-guaranteed medical aids and prostheses.
Although the LEA document was brought in 2017, the services did not have relevant national tariffs established. So far, the only national tariffs (which are used by the Regions as a reference for developing regional tariffs, which are actually used for reimbursement of services) were from 2012.
In January 2022, a draft decree defining the reimbursement tariffs for the latest 2017 LEA catalog was submitted to the State-Regions Conference for approval. However, it was rejected, and in September 2022, a new draft decree was submitted.
On April 19, 2023, the Italian Ministry of Health announced that the State-Regions Conference approved the national tariffs for outpatient specialist care and prosthetic care. These tariffs will be applied to Annexes 4 (outpatient specialist care) and 5 (prosthetic care) of the Essential Levels of Care (LEA) document from 2017. New tariffs for outpatient specialist care will enter into force in January 2024, and the tariffs for prosthetic care will enter into force on April 1, 2024.
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