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MoH is very committed to reduce outstanding medical bills by taking concerted efforts as follows:
• Implementing internal circulars such as Guidelines for Fees (Medical) (Cost of Services) Order
2014 and Guidelines for Revenue Management for Non-Citizens Who Receive Treatments Without
Paying The Deposits to improve revenue collection;
• Allowing only patients from registered private companies (with MoH) to use Guarantee Letter (GL)
to receive treatments without deposits;
• Reinforcing the Health Insurance Protection Scheme for Foreign Workers (SPIKPA);
• Equips hospital staffs (particularly from the Revenue Unit) with knowledge of the implementation
of Fees (Medical) Order through workshops and trainings; and
• Expands bill payment options with the use of credit/debit cards and internet banking.

FINANCIAL AIDS AND SUBSIDIES

Medical Assistance Fund
MoH provides assistance for less fortunate and poor patients by providing Medical Assistance Fund
either by partially or fully financing the cost of treament, rehabilitation devices or medications. Application
for this fund are referred by medical officers/specialists in government hospitals to the Hospital’s Social
Work Department for socio-economic assesment.

One-Off Grant (Financial Aids) to Private/NGO Hemodialysis Centers
As announced in Budget 2017 by the Honourable Prime Minister and Minister of Finance, “To encourage
the establishment of more private hemodialysis centres, the government will provide one-off grants worth
RM200,000 for purchase of equipment, involving a total allocation of RM40 million.” One-Off-Grants,
with a ceiling amount of RM200,000 are meant for the following applications:
i. Establishment of new hemodialysis center with a capacity of having at least four (4) dialysis
machines, especially at locations with high demand for hemodialysis; or
ii. Extension of existing hemodialysis center; or/and
iii. Replacement of hemodialysis machine(s), reverse osmosis water purifying system(s) and dialyser
reprocessor(s) that reach seven (7) years or more.

A total of 181 dialysis centers, consisting of 52 NGOs-owned and 129 private centers have been given
the one-off grants approval.

Financial Assistance for NGOs
MoH provides financial assistance for NGOs to conduct health related programmes or activities like
counselling, awareness campaign, treatment and other activities for patients and communities. Among
NGOs that received this financial assistance are Malaysian Hospice Council for Paliative Homecare
for Cancer Patients, Malaysia Foundation for the Prevention of Tuberculosis (MAPTB) and National
Diabetic Institute (NADI).

Payment to the National Heart Institute of Malaysia
MoH also provides subsidy for Malaysian citizens who are entitled; i.e the poor and less fortunate, civil
servants and civil servant retirees that receive treatment at the National Heart Institute of Malaysia.

MINISTRY OF HEALTH MALAYSIA ANNUAL REPORT 2017 49