关于规范养老机构服务收费促进养老服务业健康发展的实施意见

一、建立养老机构服务收费备案管理机制

（一）民办养老机构服务收费标准由市场形成。民办营利性养老机构服务收费项目和标准均由经营者自主确定，民办非营利性养老机构服务收费标准由经营者合理确定，民政部门对非营利机构的财务收支状况、收费项目和调价频次进行监督。

（二）政府购买特困人员养老服务费用据实拨付。公建民营养老机构要发挥兜底保障作用，着力保障我县城乡特困人员和其他经济困难的孤寡、失独、高龄及失能失智老年人养护需求。特困人员集中供养经费由政府承担，供养标准按照失能2500元/月/人、半失能1500元/月/人、自理857元/月/人执行，对其他经济困难失能失智老年人等提供低偿或无偿养护服务，供养经费整合其社会救助（低保、残补、养老）资金，不足部分比照特困供养人员标准由政府财政兜底补齐。政府购买特困人员养老服务费用据实按月拨付至养老机构。

（三）规范养老机构收费备案管理。公建民营养老机构，对完成政府保障对象的供养需求后仍有空余床位的，可对社会开放养老服务，其床位费、护理费、伙食费、水电费等收费由个人承担，具体服务收费标准由运营方依据委托协议等合理确定。综合考虑我县经济社会发展水平、供求关系和社会承受能力等因素，暂定最高收费标准不得超过3200元/月/人。低收入家庭老人收费标准不得高于特困供养人员收费标准。

二、制定养老机构收费标准服务内容

（四）科学合理制定养老机构收费标准服务内容。县民政部门负责制定本辖区内养老机构服务收费指导标准（附件），各养老机构细化本机构收费标准服务内容并报县民政局备案。                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

三、切实规范养老机构服务收费行为

（五）加强收费公示制度。各养老机构应按规定在所在乡镇人民政府、村委会、康养中心公开栏醒目位置公示相关收费标准、监督投诉电话等与收费相关的信息，主动接受入住老年人和社会监督。

（六）建立年度财务报表公开制度。政府投资兴办的养老机构和民办非营利养老机构应于每年3月底前，向所在乡镇人民政府和县民政主管部门报送本单位上一年度财务收支状况以及相关报表，由县民政主管部门通过适当形式向社会公布，接受社会监督。

（七）规范养老机构服务收费行为。养老机构床位费、护理费原则上按月度收取，一次性收取费用期限最高不得超过一年。严禁在收费之外收取理发费、被褥费、节日加餐费、空调费和其他应由养老机构负担的不合理收费项目。助医、代购等其他服务费根据服务对象的实际消费情况，据实结算。同时，养老机构事前应与接受服务的老年人或者其代理人签订书面服务合同，确保老年人知情权和选择权，并定期提供费用清单和相关费用结算项目。对合同期内退养的老年人，收费结算按照合同约定执行。养老机构不得违反老年人意愿强制服务，强制收费。

四、加快推进完善相关配套政策措施

（八）加快推进行业规范化管理。县民政局根据上级制定的养老服务行业管理和服务规范标准要求，规范护理服务内容和服务等级。对养老机构数量、收住老年人数量、收费标准等信息实行信息化管理。推动养老机构服务星级评定，以星级达标创建提升养老服务质量。将养老机构服务质量、信誉状况等纳入信用体系建设。