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ORDER OF THE MINISTRY OF HEALTH, WORK AND SOCIAL PROTECTION OF THE REPUBLIC OF MOLDOVA

of December 29, 2017 No. 1131

About approval of Criteria of the conclusion of contracts with medical and sanitary organizations in system of compulsory medical insurance for 2018

(as amended on 26-12-2018)

According to the Law on health protection No. 411-XIII of March 28, 1995, the Law on compulsory medical insurance No. 1585-XIII of February 27, 1998, the Law on funds obligatory medical insurance for 2018 No. 280 of December 15, 2017, the Order of the Government No. 1387 of December 10, 2007. "About approval of the Single program of compulsory medical insurance" the Ministry of Health, work and social protection based on Regulations on the organization and functioning of the Ministry of Health, work and social protection approved by the Order of the Government No. 694 of August 30, 2017 and National medical insurance company based on the Charter approved by the Order of the Government No. 156 of February 11, 2002, PRIKAZYVAYUT:

1. Approve Criteria of the conclusion of contracts with medical and sanitary organizations in system of compulsory medical insurance for 2018 (further – Criteria) according to appendix.

2. To directors of territorial agencies of National medical insurance company to provide to heads of the medical and sanitary organizations providing medical care within compulsory medical insurance respect for the Criteria approved by this order.

3. Heads of the medical and sanitary organizations providing medical care within compulsory medical insurance shall place information in the places available to patients and visitors, about agreement number and date of its conclusion with National medical insurance company, range and type of the services which are counterdrawn up on its basis according to provisions of Criteria and the list of services to which insured and uninsured persons in this organization in 2018 have the right.

4. This order becomes effective since 1.01.2018.

5. We impose control over accomplishment of this order on ourselves.

General state secretary

Boris Gylka

Deputy. CEO of National medical insurance company

To Yuriye Osoyan

 

Appendix

to the Order of MZTSZ and NMSK of the Republic of Moldova of December 29, 2017 No. 1131/658A

Criteria of the conclusion of contracts with medical and sanitary organizations in system of compulsory medical insurance for 2018

I. General provisions

1. Criteria of the conclusion of contracts with medical and sanitary organizations in system of compulsory medical insurance for 2018 (further – Criteria) are developed according to provisions of the Law on health protection No. 411-XIII of March 28, 1995, the Law on compulsory medical insurance No. 1585-XIII of February 27, 1998, the Law on funds obligatory medical insurance for 2018 No. 280 of December 15, 2017 and the Order of the Government No. 1387 of December 10, 2007. "About approval of the Single program of compulsory medical insurance", with subsequent changes and amendments.

2. Criteria are established:

1) the principles which are the cornerstone of the conclusion of contracts with medical and sanitary organizations;

2) conditions of the conclusion of contracts with medical and sanitary organizations;

3) payment methods by the types of medical care provided by the Single program;

4) distribution of means of funds of compulsory medical insurance by types of medical care for payment of medical services;

5) features of the conclusion of agreements by the types of medical care provided by the Single program and suppliers of medical services;

6) payment methods of medical services;

7) procedure of negotiation and dispute resolution.

3. Regulation of conditions of the conclusion of contracts with suppliers of medical services is aimed at providing equal access to medical care of all levels with observance of continuity and timeliness of its provision in the amount of, determined by the Single program for all persons which are in the territory of the Republic of Moldova within the law.

4. Criteria are obligatory in the course of the conclusion of contracts with suppliers of medical services in system of compulsory medical insurance.

II. Basic principles of kontraktirovaniye of medical services

5. The conclusion of contracts with suppliers of medical services is performed with respect for the following general principles:

1) regulation of the principles of the conclusion of contracts with provisions national the politician in the field of health care;

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