Yakap Upskilling

The following are the components of YAKAP program, EXCEPT:

• PhilHealth GAMOT or Outpatient Medicines

• In-Patient Hospitalization

• Outpatient Laboratory and Diagnostics

• YAKAP Clinic Services

If a PhilHealth YAKAP beneficiary receives a positive result from a cancer screening, to which specialized PhilHealth benefit package are they typically referred for comprehensive disease management?

• Outpatient Emergency Care

• All Case Rates

• Cancer Screening Tests Benefit Packages

• Z- Benefit Packages

The following are primary roles and responsibilities of a PhilHealth YAKAP-Accredited Clinic, Except:

• A. Prescribe screening for cancers as indicated.

• B. Provides health promotion and education to patients.

• C. Prescribes appropriate laboratory or diagnostic examinations

• D. Providing the full annual Z-Benefit package of financial coverage for catastrophic illnesses like cancer and kidney failure.

Who is eligible to register and avail the PhilHealth YAKAP benefits?

• Only employees from government and private sectors

• Indigent Members and Pantawid Pamilyang Pilipino Program (4PS) beneficiaries

• All Filipinos (under UHC Act) and their dependents

• Only members aged 60 and above

How does PhilHealth financially reimburse an accredited YAKAP Clinic for its service?

• By paying for each test screening done

• By providing a fixed annual payment per registered number (capitation)

• By reimbursing only the cost of medicines and supplies used during a visit

• By paying only after the patient is referred to a Z-Benefit hospital.

What is the annual benefit limit (ABL) per beneficiary for PhilHealth GAMOT?

• Php 10,000.00

• Php 15,000.00

• Php 20,000.00

• There is no limit

What is the GAMOT Availment Slip (GAS)?

• A form used by physician to apply for access to the GAMOT App

• The application form for a pharmacy to become a GAMOT Facility

• A form generated for each transaction showing dispensed drugs and the remaining benefit coverage

• A monthly report submitted by the GAMOT Facility to PhilHealth

When a PRO AQAS GAMOT Focal validates a Pharmacist’s account, what key detail must they verify?

• The validity of the Pharmacist’s PRC license

• The signature on the Application Account Authorization Form (3AF)

• The Pharmacist’s affiliation with a YAKAP Facility

• The Pharmacist’s PhilHealth Employee ID

In addition to being a licensed and PhilHealth-accredited physician, what other key affiliation is required to become an “Authorized Physician” in the GAMOT App?

• They must be a member of the Philippine Medical Association

• They must be affiliated with a YAKAP facility

• They must be the head of a GAMOT-accredited facility

• They must have a registered account in the OS ticket system

Effective care coordination excludes direct communication with hospitals and specialists.

• True

• False