Book IV: Mayotte, Wallis and Futuna Islands and French Southern and Antarctic Territories, New Caledonia and French Polynesia

In public health establishments in Mayotte, the proportion of expenditure covered by compulsory health insurance schemes is financed by an annual allocation. The total amount of these allocations is included in the target defined in article L. 174-1-1 of the Social Security Code. Its amount and the total annual amount of authorised hospital expenditure are set by decision of the administrative authority on the basis of the health insurance expenditure…

In the public health establishments in Mayotte, the statement of projected income and expenditure is drawn up, on the one hand, taking into account the annual allocations provided for in article L. 6416-1 and the tariffs mentioned in article L. 6416-5, as well as the establishment’s projected activity and, on the other hand, in accordance with the objectives and guidelines of the multiannual contract of objectives and resources. The statement…

The resources of public health establishments are made up of : 1° An annual grant paid by the Mayotte social security fund; 2° The income from invoicing mentioned in article L. 6416-5; 3° Other income.

The total amount of the annual allocations paid by the Mayotte social security fund is financed, on the one hand, by the proceeds of the contribution to the Mayotte sickness and maternity insurance scheme provided for in article 21 of order no. 96-1122 of 20 December 1996 as amended relating to the improvement of public health in Mayotte and, on the other hand, by a payment from the health insurance…

The Director General of the Mayotte Regional Health Agency sets the fees for services provided by public health establishments by order. These rates are used as the basis for : 1° Invoicing for patient care and accommodation ; 2° The exercise of recourse against third parties that the social security fund implements under the conditions set out in articles L. 376-1 and L. 454-1 of the Social Security Code. In…

Regulatory measures shall determine the terms and conditions for the application of this chapter, in particular the applicable procedures and the conditions for appealing against decisions taken on the basis of article L. 6416-5. Unless otherwise provided, they shall be adopted by decree of the Conseil d’Etat.