ORDER OF NATIONAL MEDICAL INSURANCE COMPANY OF THE REPUBLIC OF MOLDOVA

of February 23, 2018 No. 71

About approval of Regulations of monitoring and assessment of suppliers of the medical and pharmaceutical services registered in system of compulsory medical insurance

For the purpose of execution of the Law on compulsory medical insurance No. 1585-XIII of February 27, 1998, the Charter of the National medical insurance company approved by the Order of the Government No. 156 of February 11, 2002, the Standard agreement about delivery of health care (provision of medical services) within the compulsory medical insurance approved by the Order of the Government No. 1636 of December 18, 2002. PRIKAZYVAYU:

1. Approve Regulations of monitoring and assessment of suppliers of the medical and pharmaceutical services registered in system of compulsory medical insurance according to appendix.

2. To management of assessment and monitoring of National medical insurance company to perform actions for monitoring and assessment of activities of suppliers of the medical and pharmaceutical services which are logging in compulsory medical insurance according to these Regulations.

3. Cancel the Order No. 252-A of 28.05.2014 "About approval of Regulations of monitoring and assessment of suppliers of the medical and pharmaceutical services registered in system of compulsory medical insurance".

4. I confer responsibility for accomplishment of the order on myself.

Appendix

to the Order of National medical insurance company of the Republic of Moldova of February 23, 2018 No. 71-A

Regulations of monitoring and assessment of suppliers of the medical and pharmaceutical services registered in system of compulsory medical insurance

I. General provisions

1. Regulations of monitoring and assessment of suppliers of the medical and pharmaceutical services which are logging in compulsory medical insurance (further - Regulations) are developed on the basis of the Law on health care No. 411-XII of March 28, 1995, the Law on compulsory medical insurance No. 1585-XIII of February 27, 1998, the Charter of National medical insurance company approved by the Order of the Government No. 156 of February 11, 2002, the Standard agreement about delivery of health care (provision of medical services) within the compulsory medical insurance approved by the Order of the Government No. 1636 of December 18, 2002, the Order of the Government about procedure for compensation of cost of medicines in the conditions of compulsory medical insurance No. 1372 of December 23, 2005, the Order of the Government about approval of the Single program of compulsory medical insurance No. 1387 of December 10, 2007 The methodological regulations of application of the Single program of compulsory medical insurance approved by the Order of the Ministry of Health and National medical insurance company No. 596/404 of 21.07.2016.

2. These Regulations establish competences and spheres of responsibility in the procedure of monitoring and assessment of suppliers of the medical and pharmaceutical services which are logging in compulsory medical insurance (further - SOMS), carried out by the employee or employee groups of management of assessment and monitoring (further - UOM) National medical insurance company (further - NMSK).

3. Purposes and tasks of monitoring and assessment:

1) ensuring compliance with compliance with provisions of the agreement on delivery of health care (about provision of medical services) concerning amount, quality, terms and cost of the medical care provided by insured medical and sanitary organizations, entering into SOMS;

2) ensuring compliance with provisions of the agreement concerning issue to persons registered at the family doctor, the medicines compensated from funds of compulsory medical insurance;

3) ensuring compliance with Methodological regulations of application of the Single program of compulsory medical insurance (further - the Single program);

4) ensuring compliance with the profit and loss budgets established and approved according to the procedure, established by the agreement on delivery of health care (on provision of medical services) and the existing regulations;

5) ensuring use of financial resources from funds of compulsory medical insurance (further - Federal Compulsory Health Insurance Fund) with respect for the principle of economic feasibility, performance, efficiency and legality;

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