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DEPARTMENT OF

HEALTH

‘DEPARTMENT OF BUDGET

AND

MANAGEMENT

OCT ₂₂ 2020

JOINT ADMINISTRATIVE ORDER

No. _{2020 -D0p|}

SUBJECT: _{Implementing Guidelines on the} Grant of COVID-19 Compensation to Public and Private Health Workers under Republic Act (R.A.) No. 11494

otherwise known

as

_{the “Bayanihan to Recover as One Act”}

I. RATIONALE

In recognition ofthe unselfish and invaluable contributions ofthe public and private

health workers who

risk

their

lives

_{to help fightand prevent}

the

_{further spreadof}

COVID-19 in the country, Section 4(k) ofRepublic Act (R.A.) No. 11494 otherwise known as

the “Bayanihan to Recover As One Act” authorizes

the

President to

provide compensation ofOne Million Pesos (P1,000,000.00) to the heirs ofthe health

workers who contracted COVID-19 infection and died while _{fighting the} COVID-19 pandemic; and further, in case of sickness _{or contracting} COVID-19 infection while in

the line ofduty, for severe or

critical

case, One Hundred Thousand Pesos (P100,000.00)

shall be _provided to thehealth worker, and for mild

or

moderate _case, Fifteen Thousand Pesos (P15,000.00) shallbeprovided

to

the healthworker,retroactive 01_February2020. To comply with this directive, this Joint Administrative Order

is

_{issued to} ensure that

entitled health workers are giventhe compensation benefit indicatedinthe said Republic Act.

The specific provisions ofthis JAO streamline the procedures and _requirements for the

claim ofthe sickness and death compensation under_{R.A. No. 11494 and clarify}the _scope

and_{eligibility of}the claimants for_the said compensation. 7

Hi. OBJECTIVE

The _purpose

of

this Orderis_{to address the gaps identified during the implementationof}

|

R.A. No. 11469 _{and to further provide the implementing guidelines for thegrant of}

compensation to public and _private health workers who contracted mild/moderate or severe/critical COVID-19 infection anddied while in the line ofduty.

_

_

UL.

“SCOPE AND COVERAGE

_This

5K0.shall apply to all_publicand_{private health workers}assigned

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in health facilities,

qd_{mild/modcrate or severe/critical COVID-19 infection and dicdwhile}

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the line _of duty, _retroactive 01 _February 2020 until the State _of Public Emergency is lifted.

IV. DEFINITION OF TERMS

For purposes

of

this JAO,

the

following termsandphrases shall _mean andbe understood as follows:

A. Health workers — refer to medical, allied health professional, and other

technical/administrative and support personnel regardless ofthe nature and status of employment

assigned

in hospitals and health facilities who are directly catering to or exposed to personswho

are

classified _aseither _{suspect, probable, or confirmed}

COVID-19 cases while performing functions

in

the line ofduty.

B. Health Facilities— referto publicly or privately-owned structures dedicated primarily

to the provision of services for health promotion, prevention, diagnosis, treatment,

rehabilitation, and _{palliation of individuals suffering} from illness, disease, injury, disability, or deformity, or in need of obstetrical or other medical and _nursing care.

These include, but are not limited to DOH-duly licensed or DOH/LGU-designated

hospitals, temporary treatment/quarantine/swabbing/testing sites and monitoring facilities, clinics, diagnostic facilities, sanitaria, health infirmaries, health centers, rural

health units, barangay health stations, clinics and other health-related establishments owned _{and operated by} the Government

or

its political subdivisions with original charters, which are designated by DOH for COVID-19 response.

C. Mild COVID-19 case — refers to symptomatic patients presenting with fever, cough,

-fatigue, _{anorexia, myalgia; other non-specific symptoms} such as sore throat, nasal congestion, headache, diarrhea, nauseaand_vomiting; loss ofsmell (anosmia) orloss_of

taste (ageusia) preceding the onset of respiratory symptoms with NO signs of

pneumonia or hypoxia (Adopted from DM 2020-0381 Interim Guidelines on the COVID-19 Disease Severity Classificationand Management) |

D. _{Moderate COVID-19 case} —Patient with clinical signs ofnon-severe pneumonia

(e.g.

fever, cough, dyspnea, respiratory rate (RR) = 21-30 breaths/minute, peripheral capillary _{oxygen saturation} (SpO2) >92% on room air) (Adoptedfrom DM2020-0381 Interim Guidelineson the COVID-19Disease Severity Classificationand Management) E. Severe COVID-19 case — refers to confirmed cases classified as either “severe

pneumonia”

or

“critical pneumonia”, based onPhilhealth Circular 2020-0009 and;

Patient with clinical signs of severe pneumonia or severe acute respiratory infection as follows: fever, cough, dyspnea, RR>30 breaths/minute, severe respiratory distress or SpO2 < 92% on room air. (Adoptedfrom DM 2020-0381 Interim Guidelines on the COVID-19 Disease Severity Classification and Management)

F. Critical COVID-19 case — Patients manifesting with acute respiratory distress

syndrome,

sepsis

and/or septic shock (Adoptedfrom DM2020-0381 Interim Guidelines

on the COVID-19 Disease Severity Classificationand Management) 1

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_{te Respiratory Distress Syndrome (ARDS)}

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a. Patients with onset within 1 week ofknown clinical insult _(pneumonia)

or new or worsening respiratory symptoms, progressing infiltrates on

chest X-rayor chest CT scan,with respiratory failure not fully explained

by cardiacfailureor fluid overload 2. Sepsis

a. Patients with life-threatening _{organ dysfunction} caused by a dysregulated host response to suspected _{or proven infection.} Signs of organ dysfunction include altered mental status, difficult or fast

breathing, _{low oxygen} saturation, reduced urine output, fast heart rate,

weak pulse, cold extremities _{or low blood pressure, skin mottling, or}

laboratory evidence of coagulopathy, thrombocytopenia, acidosis, high

lactate _{or hyperbilirubinemia} 3. Septic Shock

a. Patients with persistent hypotension despite volume resuscitation,

requiring vasopressors tomaintain MAP > 65 mmHg_andserum

lactate

level >2 mmol/L

G. _{Antecedent cause} ofdeath — refer to intervening cause or causes of death occurring

between underlying and immediate causes. It isthe condition that led to or precipitated

the immediate cause ofdeath, or a condition that occurred resulting from the underlying cause ofdeath.

1. _{Underlying cause} of _death — the following shall be considered as underlying

cause ofdeath:

a. The disease or injury which

initiated

the train ofmorbid _{events leading}

directlyto death

b. The circumstances _ofthe accident orviolence which produced

the

fatal injury

c. It is the start of the sequence of events that leads to death. It is the condition that occurs the earliest in time in the sequence ofevents. 2. Immediate cause of death — terminal cause of death; it is the condition that

directly leads to death. For multiple causes ofdeath,

it

isenteredon

the

first

line

ofPart 1 ofthe death certificate.

V. GENERAL GUIDELINES

A. The _compensation shall _{be provided} to public and _{private health workers} who have contracted COVID-19

in

the lineofduty, with the following amounts, upon submission

_

of

complete documentary requirements to support the claims:

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A compensation ofFifteen Thousand Pesos (P15,000.00) shall be provided to

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_{ayublic andprivate health workers who contracted mild or moderate COVID-19}

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2. _{A compensation} of One Hundred Thousand Pesos (P100,000.00) shall be

provided to public and_{private health} workers who contracted severe

or

critical

COVID-19 infection inthe line ofduty who have recovered.

3. _{A compensation of} One Million Pesos (P1,000,000.00) shall be provided to

public and private health workers who have contracted COVID-19 infection in the line _ofdutyand died due to COVID-19 as indicated in the death certificate,

which may appearas immediate, antecedent, underlying cause ofdeath or other

significant conditions contributing to death.

B. The _{compensation provided} to health workers shall be granted without prejudice to

other existing benefits provided under applicable government insurance systems and

their governing laws. Those eligible health workers _{or their beneficiaries} who have already received compensation benefits _{under the provisions of Republic Act} No. 11469 shall _{no longer receive} benefits under this Order, except in cases ofreinfection.

C. The _{compensation provided herein} shall _{be exempted from the applicable} taxes under the National Internal Revenue Code of 1997, as amended.

D. The_{compensation provided herein}shall be given to the beneficiaries not later thanthree (3) months

after

the date _of confinement _or death, provided that the latter submitted

complete supporting documents tothe concerned

officcs.

E. The successiveorder

ofpriority

inthe granting ofdeathbenefitstothe heirs _ofdeceased

health workers shall be distributedto legal heirs in accordance with applicable rules of intestate succession under the New Civil Code. In the absence of the foregoing, the death benefits shall revert to the funds set aside for sickness and death compensation

for health workers.

F. Incase ofdoubtin

the

interpretationorin the appreciationof evidence, these provisions

shall be resolved in favor ofthe claim of the _{health worker or} the deceased health worker’s _{beneficiary or}legal

heir.

G. Issues and _{concerns that may} arise _{in relation to the implementationof}this JAO shall be_{brought to the} DOH,

as

the _{lead agency, in}coordination to DBM fordiscussion and

resolution, and amend this JAO, as requiredand necessary, when the circumstances warrant,

-H. _{Without prejudice to other requirements for} eligibility under this Order, a healthworker

_ who contracts mild/moderate or severe/critical COVID-19 infection and who

eventually recovers ordiestherefromis_presumedtohave contracted said disease in the line ofduty, unless there is _reason to believe that such is not the case; In which

case,

DOH

personnel

_{may request for} evidence showing that the contraction ofthe disease

waswork-related.

I. The evaluation of

the

application for the compensation benefits shall be governed by

the eligibility criteria provided for under Section VI.A and VI.B ofthis Order.

_-?

-J:--The Epidemiology Bureau (EB) shall be the _primary source ofinformation inrelation

to COVID-_{19 cases which can be utilized by the} MPO and CHDs

in

_processing the

‘claims ~~ CERTIFIED TRUE: COPY

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VI. SPECIFIC GUIDELINES

A. Eligibility for Sickness _Compensation

The _grantof sickness _compensationto qualified health workers shall be_{subj ect to}the following conditions:

1. The person _{qualifies asa health workeras defined herein, who can be any}of

the

following:

a. Employee _{occupying a regular, contractual,} or casual position, on full

time

or

_part-time

basis,

in_{a public or} private health facility;

b. Worker engaged through contract ofservice (COS) or job order (JO),

duly accredited volunteer workers including but not limited to swabbers, encoders, bar coders, contact tracers, ambulance drivers and barangay

health workers, regardless ofthe nature of engagement, provided they

are assigned

in

health facilitiesas defined under Section IV(B);

c. Medical, allied medical, or technical/administrative personnel assigned

in health facilities as defined under Section [TV _(B) providing medical

and related services for the COVID-19 _response who are under the following but not limited to the Armed Forces of the Philippines,

DepartmentofNational Defense, Philippine National Police, Bureau of

Fire Protectionand BureauofJail Management and Penologyunder

the

Department of the Interior and Local Government, Bureau of

Corrections under the Department of Justice, Philippine Coast Guard

under the Departmentof Transportation, the Department ofHealth, and

suchother_{government agency}

or

entity as_{may be} appropriate, including

those in their respective regional offices and attached agencies, as well asthose under the Local Government Units and_{the Philippine National}

Red Cross.

2. The _{health worker provides} critical and_urgent services for the containmentand management

of

theCOVID-19

by

directly cateringtoor directly being exposed to_persons who

are

classified

_{as either suspect, probable, or confirmed}

COVID-19 _{cases; and}

3. The health worker has contracted mild/moderate or severe/critical COVID-19

infection in the line of duty, as evidenced by any appropriate official and/or

medical record.

B. _{Eligibility for Death Compensation}

1. For health workers who died with COVID-19 as immediate, antecedent

underlying cause of death or as other significant conditions contributing to

death, the following shall bethe conditions for eligibility:

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_a, The _{person qualified as a} health worker _as defined in this Order, who

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b. _{The health worker provides} critical and _urgent services for the containment and _{management of}the COVID-19 _{by directly} catering to

or being exposed to _persons who are classified as either suspect,

probable, or confirmed COVID-19 cases

C. _{Requirements for} Claim

1. _{Common requirements} for claim for health workers who suffered

mild/moderate or severe/critical COVID-19 infection:

a. Original Copy of an Updated Service _{Record or} Certificate of

Employment, or proofofcontract with a hospital or health facility b. _{Photocopy of any two (2) valid government issued IDs (Passport,}

driver’s license, GSIS or SSS UMID, PhilHealth, Postal, PRC, Sr. Citizen’s and OF W ID)

c. Certified True Copy (CTC) of Comprehensive Medical/Clinical

Abstract or Discharge Summary signed by the attending physician,

if

hospitalized

d. Certified True Copy (CTC) ofthe Molecular and_Diagnostic Pathology

Test (MDPT) Result issuedbyDOH accredited laboratory.

e. Original Special Power ofAttorney (SPA)

in

_{case the person} who will

process the application is not the heir or the healthcare worker

himself/herself.

2. _{Additional Documents for Mild orModerate COVID-19 Case:}

a.

If

home/facility quarantined, Medical Certificate issued by City/Municipal or Provincial Health Authority/Appropriate Epidemiology Surveillance Officer

3. Additional Documents for Severe _{or Critical COVID-19 Case:}

a. Certified True Copy (CTC) ofArterial Blood Gas (ABG) Result

b. Certified true Copy (CTC) ofChest X-ray Result

c. For health workers _assigned at the LGU, secure certification from the

province, cityand _{municipality health} office.

In determining the eligibility and entitlement of the claimant to the

compensation under this Order, DOH reserves the right to require the latter to

submit additional relevant documents.

4. In _addition to the aforementioned _{requirements necessary} to establish the eligibility of a deceased health worker, the heirs

of

the same shall likewise

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submit the following minimum requirements to claim the One Million Pesos

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AP 1,000,000.00) death compensation:

a. _{Original copy} ofDeath Certificate ofthe deceased health worker issued

by Philippine Statistics _Authority (PSA), or PSA-authenticated

death

certificate issuedby LGU;

b. _{Photocopiesofany two (2)}valid_government

issued

IDs

of

the

_claimants

(Passport, driver’s license, GSIS or SSS UMID, PhilHealth, Postal,

PRC,

Senior

Citizen’s and OFW ID);

c. _{Original copy} of Marriage certificate issued by PSA, if one of the

claimants_{is the surviving spouse;}

d. Authenticated copy of Certificate of Finality ofAnnulment/Nullity or

Annotated Marriage Contract/Certificate issued byPSA,

if

applicable; e. _{Original copy} ofBirth certificate/s ofthe _{child/children issued by} PSA

or issued bythe Local Civil Registrar,

if

one orsomeof claimants is/are

the surviving child/children;

f. Affidavit of Guardianship ofminor or incapacitated child/children, if applicable.

In _{determining the} eligibility

and

entitlement of the _heir to the

compensation under this Order, DOH reserves

the

rightto requirethe latter to

submit additional relevant documents.

5. _{Other evidentiary} rules in the claiming ofdeath benefits

a. Notwithstanding any of the provisions mentioned above, a

comprehensive medical abstract, anAffidavitbyan attending physician,

or such other-evidence asmay

be

sufficient to prove thatthe immediate,

underlying, or antecedent cause of death and/or other significant

conditions contributing to death ofa health workeris dueto COVID-19

may be submitted whenever

claiming

the death benefits provided under

this Order; |

b. _{Any dispute between and among} multiple claimants _must be settled

through the _regular courts ofjustice, unless an Extrajudicial Settlement of Estate from the heirs in accordance with the Rules of Court is

provided or a proper settlement agreementresolvingthe dispute between

the claimants is submitted to the assessing office/officer. D. ClassificationofClaims

Claims

shall

be processed by the following agencies:

DOH-Central Office For health workers under the various health Malasakit Program Office (MPO)

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facilities in Metro Manila such as but not

limited to the following:

e Specialty/Special Hospitals e DOH

Attached

_Agencies

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e Clinics/Infirmaries operated by other

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Government Agencies

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e Other government agencies as

mentioned in Section VIA Eligibility

for

Compensation, sub-section 1.c e Mega Swabbing

Sites

CENTERS FOR HEALTH For health workers under the following:

DEVELOPMENT e DOH

retained

hospitals

e CORDILLERA @ LGU hospitals

e ILOCOS | ¢ Private hospitals, clinics, infirmaries

e CAGAYAN VALLEY

e

_{Barangay Health Centers} e CENTRAL LUZON _{e Designated Swabbing}

Sites

°

ROMO

© Designated COVID-19 Laboratories

° BICOL e DOH/LGU_ designated temporary

e WESTERN VISAYAS treatment and monitoring facilities

e CENTRAL VISAYAS Designated Quarantine Sites e EASTERN VISAYAS e ZAMBOANGA PENINSULA e NORTHERN MINDANAO e DAVAO e SOCCSKSARGEN e CARAGA e BARMM e METRO MANILA

E. Process ofClaims and_Payment

1. The claims for sickness and death compensation of health workers shall be processed by the DOH through its _{Malasakit Program} Office (MPO) and/or

Medical Assistance to Indigent Patients (MAIP) Coordinators in the Center for Health Development (CHD).

2. The _{health worker or} legal beneficiary (or his/her duly authorized

representative) shall _prepare all the requirements to be submitted to the

concerned DOH Office.

3. The DOH concerned

office

shall evaluate the completeness andveracity ofthe requirements submitted by the health worker

or

legal beneficiary.

4, For health workers atthe LGU, the DOH concerned office shall refer with the province, city, municipal health officerto verify the submitted requirementand

validate the claimofthe healthworker

or

legal beneficiary.

5. The DOH concerned office shall send _an official notification to the health worker or legal beneficiary once his/her claim is approved and available for

leo

release. Likewise, an official notification shall also be issued to the health

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-6. Ifthe claimis disapproved, the health worker or_{beneficiary may submit}to the

DOH Central Office a Motion for Reconsideration addressed to the Secretary ofHealth.

7. The DOH concerned office shall issue _{a paycheck to the health} worker or

beneficiary.

Vil. RESPONSIBILITIES OF AGENCIES

A. _DepartmentofHealth shall:

1. Ensure

that

_{the appropriate compensation benefits} beaccordedtothe surviving

health worker

or

beneficiary; and

2. _{Facilitate/cause appropriate} action on all appeals ofthe claimant.

B. _Departmentof_Budget and Management

shall:

Upon request, issue _{corresponding} fund release documents to DOH to implement

the provision of sickness and death _{compensation to affected public} and private

health workers, pursuant to RA 11494, in accordance _{with the existing} government budgeting, accounting and _auditingrules and regulations.

VII.

FUNDING SOURCE

Funds _{for the implementation of}this JAO shall be sourced from identified savings and

other appropriations pursuant to Section 4,paragraphs (pp), (qq), (rr), (ss), (sss) and

(ttt),

in relationto Sections 10 and 11 ofR.A. No. 11494, subject to the availabilityoffunds.

IX. REPORTING

The DOH,

in

coordination with DBM,

shall

submit _{periodic reports} to the Office _ofthe

President on the implementation ofthis JAO, including, but not limited to, the number ofhealth workers provided with compensation and amount

utilized

for this purpose.

X. PENAL PROVISION

Any

person

found

to

have participated directly_{or indirectly in the commission}of

fraud,

collusion, falsification, or misinterpretation in any transaction relative to this JAO,

whether

for

_{him/her or for some other persons, shall suffer} the penalties provided for in

Article 172 ofthe Revised Penal Code.

XI. SEPARABILITY CLAUSE

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If any. clause, sentence or provision of this JAO shall be declared invalid or

XN unconstitutional, the other provisions not affected thereby shall remain valid and

XU. REPEALING CLAUSE

All_{previous orders, issuances, rules andregulations inconsistent with or contrary to this} JAO shall _{be repealed or amended} accordingly. |

ALT._EFFECTIVITY

This Joint Administrative Order shall take effect fifteen (15) days afterits_{publication in} a newspaper

of

general circulation.

It

shall have retroactive effect from _February 1, 2020

and remain in effect until the state ofnational _emergency asdeclared by the President

is

lifted, _{pursuant to Section}4(k) ofRepublic ActNo. 11494.

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HEREUNTO, _signedand

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Francis o

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“Secretary

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Secretary

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Department _ofBudget andMana

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