Circular 7066/2026: classes A–D stay for JKN during the transition

Permenkes 6/2026 on Hospitals changes how hospitals are classified: no longer classes A, B, C, D, but service capability per service group — paripurna, utama, madya, and dasar. The catch is that INA-CBG tariffs under Permenkes 3/2023 are still grouped by classes A–D. The two frameworks run side by side.

On 10 September 2026, the Director General of Advanced Health issued Circular HK.02.02/D/7066/2026 on adjusting hospital operations and applying the classification during the transition. The parts with the most impact:

What it sets out

1. Classes A–D stay alive for JKN. Licensing processes with classes A–D filed before Permenkes 6/2026 can be completed. New hospitals that need a class for a JKN partnership can be given a class A, B, C, or D statement, in a separate document outside OSS, with the class then updated in RS Online. The class statement is issued by the licensing authority within its remit.
2. Valid until new tariffs are set. This applies until a regulation links the capability-based classification to JKN tariff grouping. Class statements can be used by BPJS Kesehatan for credentialing and re-credentialing.
3. Specialty hospitals must adjust by 12 June 2028. Their specialty can continue as a flagship service. The operator prepares a gap analysis and an action plan setting out at least the stages, target dates, resources needed, and who is responsible.
4. The naming rule applies to every hospital. Names already in use before Permenkes 6/2026 may be kept, but new names may not use words such as “international”, “world class”, “kelas dunia”, or “global”, nor the name of a living person.
5. 66 hospitals in the Quick Win programme have their service capability upgraded, including class D and D pratama hospitals moving up to class C. One of them is in South Sulawesi: RSUD Pongtiku, North Toraja.
6. Accreditation. Programme hospitals that relocate undergo a focused accreditation survey within one year of licensing at the new address. Programme hospitals that move up a class with added specialist services apply for a focused survey 3–6 months after the new services start; their accreditation certificate remains valid in the meantime.

The general deadlines still come from Permenkes 6/2026 Article 83: adjustment by 12 June 2028, and by 12 June 2030 for class D pratama hospitals that already hold a licence.

What it means for hospital systems

• Two class records, not one. Systems need to hold class A–D (the basis for tariffs and the JKN partnership) and the service-capability classification per service group. Replacing one with the other too early will break tariffs or reporting.
• Class changes must be traceable. For hospitals moving up a class, the new class statement affects BPJS credentialing and the claim tariffs that follow, so its effective date needs to be recorded.
• RS Online data needs care too. Class statements are updated there, so the class held in the HMS and in RS Online must stay the same.

Update, 8 November 2026 — correcting the 11 October update. We previously wrote that capability-based referral (RBKP) had been trialled in the field since September. More precisely: the Health Ministry and BPJS Kesehatan are preparing an RBKP trial together with KRIS and iDRG in Bandung city, Tulungagung regency, Makassar city, and Muara Enim regency — 94 hospitals (Directorate General of Advanced Health, 2 October 2026) and 464 primary-care facilities (ANTARA, 1 October), for at most 12 months. According to the Ministry, the trial only takes effect once a Presidential Regulation is signed (Health Ministry, 2 October 2026); as of 8 November 2026 we have not found it issued. Once it runs, patients in those areas will be referred to a hospital able to treat their condition, not by hospital class.

The trial team was set up by Ministerial Decree HK.01.07/MENKES/177/2026 on 16 March 2026, with a mandate until 31 December 2026. That decree forms a team; it does not set tariffs. We have not found a rule linking the new classification to JKN tariffs; until one is issued, classes A–D remain the tariff basis.

Our position

We read this circular as a long transition, not an overnight change. What we make sure of in the Adievia HMS is flexible master data and tariffs — not a claim of “already Permenkes 6/2026 compliant” before the implementing rules are out.

More: Permenkes 6/2026 guide for your HMS.