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Appendix 1

to the Order of the acting minister of health care of the Republic of Kazakhstan of March 29, 2018 No. 138

(as amended on 05-11-2019)

Rules of fee of subjects of health care

Section 1. General provisions

1. These rules of fee of subjects of health care (further - Rules) are developed according to Item 3 of article 25 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" (further - the Code about health) and determine payment procedure of services of subjects of health care within the guaranteed amount of free medical care (further - GOBMP) and in system of compulsory social medical insurance (further - OSMS) which purchase is performed according to Rules of purchase of services at subjects of health care within the guaranteed amount of free medical care and in system of compulsory social medical insurance, approved by the order of the Minister of Health of the Republic of Kazakhstan of August 7, 2017 No. 591 (it is registered in the Register of state registration of regulatory legal acts for No. 15604) (further - Rules of purchase).

2. The basic concepts used in these rules:

1) fund of social medical insurance (further - fund) - the non-profit organization making accumulation of assignments and fees, and also performing purchase and fee of the subjects of health care providing medical care in amounts and on the conditions provided by the agreement of purchase of medical services and other functions determined by the laws of the Republic of Kazakhstan;

2) the current monitoring - type of carrying out monitoring of quality and the amount representing quality evaluation and amounts of medical services in the current accounting period, which is carried out on regular basis in information systems and (or) by visit of the subject of health care;

3) the guaranteed component of the complex per capita standard rate of the out-patient and polyclinic help (further - the guaranteed KPN APP component) - estimated cost of complex of the out-patient and polyclinic services rendered in form of primary health care (further - PHC) and the consulting and diagnostic help (further - KDP) taking into account correction coefficients;

4) the complex per capita standard rate on rendering the out-patient and polyclinic help (further - KPN APP) - the cost of complex of out-patient and polyclinic services on one attached person registered in the information system "The Register of the Attached Population" (further - RPN) to the subject of PHC consisting of the guaranteed KPN APP component and the stimulating KPN component;

5) the subject of the village - the subject of health care of district value and the village entering one of the following administrative and territorial units: the city of district value, the area, the rural district, the village, the settlement, and the providing range of services to the population registered in RPN;

6) the guaranteed component of the complex per capita standard rate on rural population - estimated cost of range of services, rendered to rural population, taking into account correction coefficients;

7) the complex per capita standard rate on rendering services to rural population (further - the complex per capita standard rate on rural population) - the cost of range of services counting on one villager registered in RPN consisting of the guaranteed component of the complex per capita standard rate on rural population and SKPN;

8) base rate - estimated cost of range of services, taken for unit of measure;

9) complex rate for one oncological patient - the cost of complex of medical services counting on one oncological patient registered in the information system "Electronic Register of Oncological Patients" (further - IS "EROB"), except for patients with malignant new growths of lymphoid and haematogenic fabric and medical care to children aged up to eighteen years, approved by authorized body according to Item 2 of article 23 of the Code about health;

10) the collaborator - the subject of health care included in the database with whom the supplier signed the civil agreement for execution of part of obligations of the supplier under the agreement of purchase of medical services;

11) subjects of informatization in the field of health care (further - the SI) - the state bodies, physical persons and legal entities performing activities or entering legal relationship in the sphere of informatization in the field of health care;

12) authorized body in the field of health care (further - authorized body) - the central executive body performing management and cross-industry coordination in the field of protection of public health, medical and pharmaceutical science, medical and pharmaceutical education, sanitary and epidemiologic wellbeing of the population, drug circulation and medical products, control of quality of medical services;

13) the treated case - complex of the medical services rendered to the patient in stationary and (or) hospital-replacing conditions from the moment of receipt to the statement;

14) gender and age correction coefficient - the coefficient considering distinctions in level of consumption of medical care by different gender and age categories of the population;

15) complex rate on one infected with human immunodeficiency virus and (or) the patient with acquired immunodeficiency syndrome - the cost of complex of medico-social services by the infected human immunodeficiency virus (further - HIV) and (or) sick acquired immunodeficiency syndrome (further - AIDS) counting on one HIV-positive and (or) the patient AIDS, approved by authorized body according to Item 2 of article 23 of the Code about health;

16) the stimulating component of the complex per capita standard rate (further - SKPN) - the component of the complex per capita standard rate directed to stimulation of workers of the subject of the health care rendering PHC on the basis of the achieved indicators of resulting result according to the procedure, No. 429 determined by the order of the acting minister of health care of the Republic of Kazakhstan of May 29, 2015 "About approval of Rules of encouragement of employees of the organizations of health care participating in rendering complex of actions within the guaranteed amount of free medical care" (it is registered in the Register of state registration of regulatory legal acts for No. 11526) (further - the order No. 429);

17) kliniko-costly groups (further - KZG) - clinically uniform groups of diseases similar on costs for their treatment;

18) the supplier - the subject of health care with whom the fund signed the agreement of purchase of medical services according to Rules of purchase;

19) defect of delivery of health care (further - defect) - the violation of procedure for delivery of health care, medical and diagnostic actions which is expressed in unreasonable variation from standards in the field of health care and clinical protocols;

20) medical services (further - services) - the actions of subjects of health care having preventive, diagnostic, medical, rehabilitation or palliative orientation in relation to the specific person;

21) the agreement of purchase of medical services (further - the agreement of purchase of services) - the agreement in writing between fund and the subject of health care providing delivery of health care to consumers of medical services;

22) monitoring of contractual commitments on quality and amount of the medical care provided to consumers of medical services (further - monitoring of quality and amount of medical services) - systematic assessment of justification of the rendered medical services and application of penalties in case of detection of defects;

23) the subject of PHC - the subject of health care rendering PHC and complex of out-patient and polyclinic services to the attached population registered in the RPN portal;

24) target monitoring - type of carrying out monitoring of quality and the amount representing quality evaluation and amount of medical services in results of the current monitoring and (or) on certain fund to the thematic directions, which is carried out in the corresponding information systems and (or) by visit of the subject of health care for prevention and prevention of violations;

25) complex rate for one patient with mental and behavioural disturbances, the psychoactive agents caused by the use - the cost of complex of the medico-social services by the patient with mental and behavioural disturbances caused by the use of psychoactive agents, counting on one patient with mental and behavioural disturbances, the psychoactive agents caused by the use registered in subsystem "The electronic register of narcological patients" (further - IS "ERNB") IS "ERDB" approved by authorized body according to Item 2 of article 23 of the Code about health;

26) complex rate for one patient with mental and behavioural disturbances - the cost of complex of medico-social services by the patient with mental and behavioural disturbances counting on one patient with mental and behavioural disturbances registered in subsystem "The electronic register of mental patients" (further - IS "ERPB") the information system "Electronic Register of Dispensary Patients" (further - IS "ERDB") approved by authorized body according to Item 2 of article 23 of the Code about health;

27) complex rate for one TB patient - the cost of complex of medico-social services by the TB patient counting on one TB patient registered in subsystem "The national registry of TB patients" (further - IS "NRBT") IS "ERDB" approved by authorized body according to Item 2 of article 23 of the Code about health;

28) the republican organizations of health care - the organizations of health care which are under authority of authorized body, organization of health care of the autonomous organization of education, the organizations of medical education;

29) the retrospective analysis - the analysis on the basis of studying of medical documentation of the patients who received medical care at the time of conducting examination;

Marginal 30) the price for the international non-proprietary name of medicine or technical characteristic of medical product within the guaranteed amount of free medical care and in system of compulsory social medical insurance - the price of the international non-proprietary name of medicine or technical characteristic of medical product above which the purchase within the guaranteed amount of free medical care and in system of compulsory social medical insurance approved by authorized body according to the subitem 20) of Item 1 of article 7 of the Code about health cannot be made;

31) rate for the medical services rendered within the guaranteed amount of free medical care and in system of compulsory social medical insurance (further - rate) - the estimated cost of unit of service or complex of medical services approved by the order of the Minister of Health of the Republic of Kazakhstan of September 5, 2018 No. KR DSM-10 "About approval of rates for the medical services rendered within the guaranteed amount of free medical care and in system of compulsory social medical insurance" (it is registered in the Register of state registration of regulatory legal acts for No. 17353);

32) correction coefficients - the coefficients applied by authorized body for the purpose of adjustment of rate according to the Technique of forming of rates for medical services approved by the order of the Minister of Health of the Republic of Kazakhstan of November 26, 2009 No. 801 (it is registered in the Register of state registration of regulatory legal acts for No. 5946) (further - the Technique of forming of rates);

33) it is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-140;

34) linear rating scale of agreement performance (further - the Linear scale) - the mechanism of calculation of payment amount in cases of excess of the monthly amount of the agreement of purchase of services without results of monitoring of quality and amount;

35) zatratoyemkost coefficient - the coefficient determining degree of cost intensity of KZG to the cost of base rate;

36) the Republican center of critical obstetrics - the structural division of the medical organization in the capital of the Republic of Kazakhstan determined by authorized body in the field of health care and performing coordination of activities of the medical organizations for rendering stationary medical care to women in critical condition after childbirth/abortions in the Republic of Kazakhstan.

Section 2. Payment procedure of services in types of medical activities

Subsection 1. Payment procedure of services of subjects of health care

Paragraph 1. General provisions

3. Fee of subjects of health care is performed by fund at the expense of transfers from the republican budget based on agreements of purchase of services within the means provided by funding plans of the budget programs (subprogrammes) for obligations and payments of the administrator for the corresponding financial year and (or) for the asset account of fund, and also for the medical services rendered framework of GOBMP in the last month of prior financial year - at the expense of budgetary funds of the current financial year with the suppliers who signed contracts on rendering GOBMP in prior financial year.

4. Fee of subjects of health care is made taking into account results of monitoring of quality and amount of services.

5. The accounting period of payment under the agreement of purchase of services is calendar month.

6. Fee is performed on rates based on the act of the rendered services.

7. In case of excess of the amount which is subject for payment for the rendered services over the amount provided under the contract of purchase of services with the supplier created in form of business of the state company, payment of the amount of excess (increase in utilities expenses, running repair of buildings, constructions and the equipment, other services) is performed according to the decision of local representative body from means of the local budget of areas, the city of republican value and the capital.

8. The fund in coordination with the supplier performs advance (preliminary) payment in the following cases:

1) in case of the conclusion of the agreement of purchase of services or the supplementary agreement in case of placement of amounts of services in the amount of no more than thirty percent from the amount of the agreement of purchase of services, with the subsequent deduction of the amount, the paid advance (preliminary) payment, according to the schedule of its deduction;

2) in the amount of no more than seventy percent from the planned amount for December, but no more amount of remaining balance under the agreement of purchase of services taking into account advance amount, subject to deduction in December.

9. The schedule of deduction of advance payment is established regularly for amount of the periods constituting no more than seventy five percent from total quantity of the periods of rendering service, beginning since month of rendering services, except for advance payment for fee of December which keeps in case of fee for reporting December.

10. In case the advance amount which is subject to deduction in current period exceeds or is equal to the amount accepted for payment under acts of the rendered services for the accounting period, the amount equal accepted for payment keeps, the remaining balance of the amount which is subject to deduction in current period keeps in the next period in total with advance sum (preliminary) payment which is subject to deduction in the next period.

In case the advance amount for fee of December which is subject to deduction in case of fee for reporting December exceeds or is equal to the amount accepted for payment under acts of the rendered services for reporting December, the amount equal accepted for payment keeps, the remaining balance of the amount which is subject to deduction is enlisted by the supplier into the account of Fund.

11. Advance (preliminary) payment under the agreement of purchase of services is not performed to the supplier who signed the contract of purchase of services for the period six and less months of the current financial year, and also earlier did not sign the agreement of purchase of services, except for the suppliers providing medical care in the following directions:

1) rendering the stationary help to the children's population and in case of obstetric aid;

2) rendering the stationary help to patients with the socially important diseases and diseases constituting danger to people around (tuberculosis, oncology, psychiatry, narcology, infectious diseases);

3) rendering emergency medical service.

12. Types of monitoring of quality and amount:

1) the current monitoring by types and forms of medical care, types of medical activities;

2) target monitoring by types and forms of medical care, types of medical activities;

3) monitoring of execution of terms of the contract of purchase of the services which did not enter subject of monitoring, specified in subitems 1) and 2) of this Item.

13. Monitoring of quality and amount of medical services is performed in the way:

1) estimates of the rendered services entered by the supplier into information systems of health care. By results of monitoring of quality and amount of medical services in information systems of health care the defects established by the automated method prove to be true or deviate and also other revealed defects are appropriated;

2) visits of subjects of health care for studying of primary medical documentation on papers, implementation of reconciliation of the data entered into information systems with primary medical documentation and other actions for the purpose of providing measures for execution of terms of the contract of purchase of services.

To carrying out monitoring of quality and amount of medical services the fund, if necessary, attracts independent experts.

Independent experts are attracted in cases:

1) need of confirmation of proper quality of medical care by consideration of lethal cases, the treated cases with rare diseases, highly specialized in the clinical plan of the treated cases, the treated cases with complications, and also in case of fee for actually incurred expenses;

2) carrying out planned, thematic (target) monitoring of the rendered medical services;

3) participations of fund in legal cases.

14. The supplier within 3 (three) working days, from the moment of request fund of medical documentation, provides required paper documents or the electronic scanned copy of documents to fund. The request fund is performed by the official letter.

The medical documentation sent by the supplier to fund is subject to return to supplier address within 5 (five) working days from the moment of completion of monitoring of quality and amount of medical services. Copies of paper documents or the electronic scanned copy of documents are not subject to return to supplier address.

15. The SI provides in payment information systems correctness of input of rates and automatic calculation of cost of services, including penalties on defects, according to these rules, the Technique of forming of rates and the order of the Minister of Health of the Republic of Kazakhstan of September 5, 2018 to No. KR DSM-10 "About approval of rates for the medical services rendered within the guaranteed amount of free medical care and in system of compulsory social medical insurance" (it is registered in the Register of state registration of regulatory legal acts for No. 17353).

16. Monitoring of quality and amount by visit of the supplier is performed in planned and unplanned procedure.

17. Monitoring of quality and amount by visit of the supplier in planned procedure is performed according to the plans of visit approved by fund for financial year.

When monitoring quality and amount in planned procedure by the fund performs the retrospective analysis of the rendered medical services of all last periods of the current year which results are considered in case of payment in current period.

18. Unplanned monitoring of the supplier is carried out in cases:

1) receipts by fund of information on possible violations by the supplier of terms of the contract of purchase of services or requirements of regulatory legal acts of the Republic of Kazakhstan in the field of health care;

2) identifications of chances of violation of requirements of regulatory legal acts in the field of health care by the supplier by results of carrying out monitoring of quality and amount of other supplier;

3) identifications of the facts of provision or input by the supplier in information systems of the doubtful, incomplete, poor performed documents or incorrect data on forms and reports provided by these rules and to Rules of purchase, including containing in the submitted payment documents;

4) receipts from the supplier of the address about disagreement with results of monitoring of quality and amount when objective consideration of the address is impossible without visit of the supplier;

5) receipts of claims, addresses from consumers of medical services to activities of the supplier or quality of the medical services rendered to them within the agreement of purchase of services;

6) carrying out target monitoring by results of the current monitoring of quality and amount of medical services;

7) carrying out monitoring of execution of terms of the contract of purchase of services.

19. By results of monitoring of quality and amount with visit of the supplier the conclusion on monitoring of quality and amount of medical services in form according to appendix 1 to these rules is created.

20. By results of monitoring of quality and amount of medical services by fund the expert opinion on each case of death (lethal outcome) in form according to appendix 2 to these rules, except as specified maternal death rate is created.

Department of authorized body on implementation of the state control in the sphere of rendering medical services reports to fund results of examination of cases of maternal death rate with forming of the expert opinion on each case of maternal death rate in form according to appendix 2 to these rules no later than 5 (five) working days from the moment of examination completion in time.

Results of examination of cases of maternal death rate are considered when monitoring quality and amount of medical services.

21.  No. KR DSM-23 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019

22. No. KR DSM-23 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019

23. The act of monitoring of quality and amount of medical services in types and forms of medical care is created by fund no later than 5 (five) working days following behind day of completion of the accounting period.

24. By results of monitoring of quality and amount of medical services the defects of delivery of health care which are the basis for application of penalties by reduction by fund of the amount which is subject to payment to the supplier according to the single qualifier of defects in forms, types of medical care and types of medical activities according to appendix 4-1 to these rules come to light (further - the Single qualifier of defects).

25. Results of monitoring of quality and amount are reflected in registers of the services which underwent monitoring of quality and amount of medical services in each form and (or) profile of medical care based on which the summary act of monitoring of quality and amount of medical services is created.

By results of the current monitoring of quality and amount of medical services by fund assessment of activities of suppliers for development of actions for further monitoring of quality and amount of medical services is quarterly performed.

25-1. In case of receipt of claims, addresses from consumers of medical services to activities of the supplier or quality of the medical services rendered to them within the agreement of purchase of services, the supplier within 1 (one) calendar day provides necessary information on request in fund.

26. Forming of the act of the rendered services is performed based on accounts registers for the rendered services, the protocol of agreement performance of purchase of services.

27. The supplier no later than 1 (one) working day following behind day of completion of the accounting period creates in time in manual or in the automated mode and reports to fund signed by the head or the authorized officer on paper and certified by seal of the supplier (in case of its availability) or in the form of the electronic document signed by the digital signature (further - the EDS) accounts register (accounts registers) for the rendered services separately to each agreement of purchase of services.

Subjects of PHC and subjects of the village create in the automated mode and transfer to fund signed by the head or the authorized officer on paper and certified by seal of the supplier (in case of its availability) or in the form of the electronic document signed by the EDS, the account register for the rendered services no later than 10 (tenth) following the accounting period.

In case of incorrect forming by the supplier of the account register in the manual mode and (or) provision of accounts register on paper with incorrect data, the fund within 1 (one) working day after its obtaining returns to the supplier of accounts register for its repeated forming and representation.

In case of the force majeure circumstances specified in the agreement of purchase of the services and (or) circumstances connected with updates in the information systems confirmed with the letter of authorized body, the fund accepts the account register for the rendered services after fixed term.

The account register for January of the current year within GOBMP is created taking into account the services which did not enter the account register within GOBMP since December 1 of previous year.

28. In the account register for the rendered services the number of services which rendering came to the end during the current accounting period, and also the amount shown by the supplier for payment is reflected.

29. Based on the provided account register for the rendered services, results of monitoring of quality and amount the fund creates the protocol of agreement performance of purchase of services in the manual or automated mode.

30. The protocol of agreement performance of purchase of services (the protocol of agreement performance of purchase of services) is created depending on form of the provided medical care, separately on each agreement of purchase of services, signed by the authorized officer of fund and is provided to the supplier for acquaintance.

In the protocol of agreement performance of purchase of services other payments (deductions) in cases of availability of the decision of judicial authorities, excesses of the annual amount of the agreement of purchase of services provided by the agreement of purchase of services, results of quarterly reconciliation for last payment periods on the registered payments, applications of penalties by results of target monitoring or unplanned monitoring after closing of the accounting period, recalculation of the amounts, the subject payment in view of change of the legislation of the Republic of Kazakhstan or on other bases provided by these rules and the legislation of the Republic of Kazakhstan are reflected

The protocol within GOBMP for January of the current year is created taking into account the services which did not enter the account register since December 1 of previous year.

31. The fund based on the protocol of agreement performance of purchase of services draws up the statement of the rendered services (further - the act of the rendered services).

The act of the rendered services is created in the manual or automated mode separately on each agreement of purchase of services and signed by the head or the authorized officer of fund and the supplier on paper and certified by seals of fund and the supplier (in case of its availability) or created in the form of the electronic document signed by their EDS.

32. Payment documents are on paper created in triplicate, in one copy for the supplier, on two copies for fund.

33. The rendered services, including cases with lethal outcomes on which monitoring of quality and amount of medical services in the current accounting period is not complete are not reflected in the act of the rendered services, and payment on them is performed after completion of monitoring of quality and amount of medical services in the subsequent accounting periods.

Payment for the rendered services specified in the parts one of this Item which are not accepted for payment during validity of purchase of services in connection with carrying out monitoring of quality and amount of medical services is made in the year following after year of validity of purchase of services.

The account register of the current financial year joins cases, the beginning of delivery of health care in which is begun in the previous financial year and is complete in the current financial year.

33-1. Payment for the rendered services within GOBMP according to the agreement of purchase of services which are not accepted for payment during validity of purchase of services in connection with carrying out monitoring of quality and amount and also did not enter the account register since December 1 year in which the agreement of purchase of services is effective before expiry date of the agreement of purchase of services is made in the year following after year of validity of purchase of services.

At the same time, the amount for the services within GOBMP rendered in December of previous year does not exceed the amount of average monthly actual execution on the amount accepted for payment in 11 months of the previous financial year.

34. The order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019 No. KR DSM-23

35. Exchange of payment documents between fund and the supplier is performed by conducting official correspondence.

36. Payment under signed acts of the rendered services is performed by fund no later than 20 (twenty) calendar days after completion of the accounting period, by money transfer on the settlement account of the supplier in bank of the second level opened for carrying out banking activities on transfer and expenditure of the means received for rendering services.

Payment under signed acts of the rendered services taking into account deduction of part of earlier paid advance payment is performed by fund no later than 20 (twenty) calendar days after completion of the accounting period, by money transfer on the settlement account of the supplier in bank of the second level opened for carrying out banking activities on transfer and expenditure of the means received for rendering services.

37. Fee is made within the amount which is not exceeding the annual amount of the agreement of purchase of services.

38. The supplier in case of disagreement with the act of the rendered services no later than three working days from the date of its obtaining informs fund on refusal of signature of the act of the rendered services with reasons for causes of failure and appendix of the calculations and documents confirming cause of failure.

The fund no later than 2 (two) working days from the date of receipt of refusal of signature of the act of the rendered services reports to the supplier about the made decision (adjustment of the act of the rendered works or the repeated direction of the act of the rendered services on signing with appendix of the calculations and documents validating decisions or the repeated direction of the act of the rendered services without entering of changes into it with reasons for such decision).

The payment due date under signed acts of the rendered services is prolonged for the period of time spent by fund and the supplier for achievement of consent on signing of the act of the rendered services.

39. By results of payment the fund quarterly performs reconciliation of execution of amounts of medical services and financial liabilities under contracts of purchase of services with forming of the corresponding reconciliation statement.

In reconciliation statements two times a year in July, in November of the current year and in January of the next year are reflected the amounts of reduction of the agreement of purchase of services in results of monitoring of quality and amount and execution of amounts of medical services, except for impreventable lethal cases.

40. The amounts of penalties withheld during validity of purchase of services in results of monitoring of quality and amount of medical services the penalties paid by suppliers in accordance with the terms of the agreement of purchase of services in the OSMS system are subject to use by Fund for placement on delivery of health care of services current financial year.

40-1. The amounts of penalties withheld by results of monitoring of quality and amount of medical services within GOBMP are subject to use for fee on delivery of health care during validity of purchase of services.

The penalties added in accordance with the terms of the agreement of purchase of services within GOBMP are subject to transfer by suppliers in the income of the republican budget.

41. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

41-1. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

42. Fee, to the citizens of the Republic of Kazakhstan living in the city of Baikonur, the settlements of Toretam and Akay, not being employees of the Russian organizations of the Baikonur complex and temporarily being in the territory of the Baikonur complex rendered by the federal medical organizations of the Russian Federation is performed according to the Agreement between the Government of the Republic of Kazakhstan and the Government of the Russian Federation on procedure for medical attendance of personnel of the Baikonur spaceport, residents Baikonur, the settlements of Toretam and Akay in lease term the Russian Federation of the Baikonur complex ratified by the Law of the Republic of Kazakhstan of May 31, 2010 based on contracts between the federal medical organizations and fund. Payment is performed monthly based on the payment documents processed on papers.

42-1. In case of realization of pilot projects on testing of rates fee is performed according to the procedure, provided by Items 3 - 6, 12 - 41-1 these rules.

43. Provisions of this paragraph are applied taking into account features of fee by separate types of medical care according to these rules.

Paragraph 2. Payment procedure of services of the collaborator

44. The supplier if necessary attracts according to Rules of purchase of the collaborator and signs with it the agreement of co-execution within the amounts of the agreement of purchase of services.

45. Payment for the rendered services of the collaborator is performed by suppliers on the rates which are not exceeding the sizes of rates for the medical services rendered within GOBMP and in the OSMS system except for of the rendered services of the collaborator when rendering the medico-public assistance to TB patients, persons suffering from mental disturbances (diseases) and sick alcoholism, drug addiction and toxicomania.

46. Forming of payment documents on fee of the collaborator is performed in the corresponding information systems or on papers.

47. The collaborator provides introduction (representation), confirmation and forming of data, forms and reports is similar to requirements imposed on the supplier according to these rules and Rules of purchase.

Subsection 2. Procedure fee in forms of medical care

Chapter 1. Payment procedure for rendering the out-patient and polyclinic help

Paragraph 1. Payment procedure of the out-patient and polyclinic help according to the complex per capita standard rate

48. Payment for rendering APP to the attached population is performed on rate of KPN APP which includes:

1) providing complex of out-patient and polyclinic services to the attached population in the PHC and KDP forms, including delivery of health care by the student of the organizations of secondary education which are not relating to the residential organizations, the round-the-clock emergency medical service to the attached population for servicing 4 categories of urgency of challenges, providing with specialized medical products according to the list of services on which costs are considered in case of payment for the rendered complex of out-patient and polyclinic services by subjects of health care of city value and subjects of health care of district value and the village according to the complex per capita standard rate, according to appendix 5 to these rules;

2) stimulation of workers of the supplier rendering services PHC, for the achieved indicators of resulting effect of activities of subjects of PHC according to the procedure, determined by the order No. 429 and the Technique of forming of rates (further - stimulation of workers of PHC);

3) it is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-140.

49. The payment amount for rendering APP to subjects of PHC for the accounting period is determined by KPN APP by multiplication of KPN APP for subjects of PHC on the number of the attached population registered in RPN for the last date of month under report.

For the subjects of PHC serving urban and rural population, the coefficient of accounting of allowances for work in the rural zone is applied only on the number of rural population, for urban population - the coefficient is equal to 1 (unit).

The payment amount for rendering APP of the subject of PHC on KPN APP for the accounting period does not depend on amount of the rendered services.

49-1. The payment amount for rendering APP to subjects of PHC on KPN APP for the accounting period decreases by deduction amount for excess of the standard rate of attachment of citizens to one general practitioner, the stipulated in Item 8th order of the Minister of health and social development of the Republic of Kazakhstan of April 28, 2015 No. 281 "About approval of Rules of rendering primary health care and Rules of attachment of citizens to the organizations of primary health care" (it is registered in the Register of state registration of regulatory legal acts for No. 11268).

The deduction amount is calculated by formula of calculation of deduction amount for excess of the standard rate of attachment of citizens to one general practitioner according to appendix 5-1 to these rules.

50. In case of fee for rendering APP for subjects of PHC are provided:

costs for providing with medical reduced-protein products and products with low content of phenylalanine for the subjects of PHC serving the attached population with disease fenilketonuriya.

According to the decision of local state body health care of area, city of republican value and the capital (further - UZ) allows determination of subjects of PHC for centralized providing with medical reduced-protein products and products with low content of phenylalanine.

For the purpose of payment leave of medical reduced-protein products and products with low content of phenylalanine is registered in the information system "Provision of medicines" (further - IS "LO").

51. The fund based on the reconciliation statement specified in Item 39 of these rules performs adjustment of the amount of the agreement of purchase of services in connection with change of number of persons with disease fenilketonuriya attached to the subject of PHC.

52. The automated accounting of agreements of purchase of services APP, and also supplementary agreements to them, is performed by fund in the information system "Single Payment Service Provider" (further - IS "EPS").

53. The fund enters data in the Main Terms of the Contract tab in the module "Payment system" of IS "EPS", confirms them and attaches copies of the contract of purchase of services for rendering PHC and supplementary agreements to it in case of their availability.

54. When implementing payment process of the SI enters into IS "EPS" and confirms data on collaborators and the consulting and diagnostic services rendered by them (further - KDU) according to the signed agreements of co-execution.

55. For carrying out payment in case of the automated forming of accounts register for rendering the out-patient and polyclinic help with form according to appendix 6 to these rules (further - the account register of APP) and correct calculation of the amount shown for payment the supplier provides:

1) daily input of data on graphics of acceptance and the schedule of doctors, making an appointment with the doctor, assets and challenge on the house in the module "Registry" to medical information system (further - MIS);

2) the daily personified registration in MIS integrated with IS "EPS" the rendered out-patient and polyclinic services to the population specialists of PHC and KDP in the forms No. 025/at, No. 025-5/u and No. 025-7/u of primary medical documentation approved by the order of the acting minister of health care of the Republic of Kazakhstan of November 23, 2010 No. 907 (it is registered in the Register of state registration of regulatory legal acts for No. 6697) (further - the order No. 907);

3) daily input of the KDU external directions in MIS integrated from IS "EPS" in form No. 201/at of primary medical documentation approved by the order No. 907;

4) daily input of leave of adapted substitutes of breast milk in IS "LO";

5) input and confirmation of data on the signed agreements of co-execution in the module "Payment system" of IS "EPS" in time no later than 3 (three) working days from the date of their conclusion;

6) forming in IS "EPS" of the protocol of agreement performance of co-execution on rendering KDU to the attached population of the supplier, the act of the rendered services KDP in the agreement of co-execution to the attached population of the supplier;

7) input and transfer to IS "EPS" of the data necessary for payment of SKPN which calculation and distribution is performed according to this paragraph;

8) based on source accounting documents for the accounting period forming in IS "EPS" of information about:

to structure of the income when rendering the out-patient and polyclinic help by the supplier giving primary health care in form according to appendix 7 to these rules;

to expense structure when rendering the out-patient and polyclinic help by the supplier giving primary health care in form according to appendix 8 to these rules;

to the differentiated compensation of workers when rendering the out-patient and polyclinic help by the supplier giving primary health care in form according to appendix 9 to these rules;

advanced training and retraining of personnel when rendering the out-patient and polyclinic help by the supplier giving primary health care in form according to appendix 10 to these rules;

distribution of planned advance amount when rendering the out-patient and polyclinic help with form according to appendix 11 to these rules;

9) data entry, necessary for report generation, specified in the subitem 8) this Item, is performed till 30 (thirtieth) following the accounting period.

In case of absence in IS "EPS" of information provided by the subitem 7) of this Item forming of accounts register for rendering APP for the current accounting period to the supplier is not made before introduction of the specified information.

The supplier at the request of fund provides copies of source accounting documents based on which forming of information specified in the subitem 7) of this Item is performed.

56. By results of input in IS data become available to fund and the SI within the functions and powers determined by these rules for daily monitoring of quality and amount of medical services, the analysis and assessment for the purpose of acceptance of management decisions by fund within its competence.

57. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

58. The protocol of agreement performance of purchase of services in rendering the out-patient and polyclinic help is created by fund for form according to appendix 12 to these rules (further - the protocol of agreement performance of purchase of services in rendering APP) in IS "EPS" in the manual or automated mode in which results of achievement of resulting effect by the supplier of the indicators calculated in the automated mode in the information system "Additional (Stimulating) Component of the Per Capita Standard Rate" are considered (further - IS "DKPN").

59. By results of monitoring of quality and amount of the out-patient and polyclinic help are created:

1) the register of the services of the out-patient and polyclinic help which underwent the current monitoring in form according to appendix 14 to these rules;

2) the register of the services of the out-patient and polyclinic help which underwent target monitoring in form according to appendix 14-1 to these rules;

3) the act of monitoring of quality and amount of medical services of the out-patient and polyclinic help with form according to appendix 15 to these rules;

4) the register of the services of emergency medical service which underwent the current monitoring in form according to appendix 54 to these rules;

5) the register of the services of emergency medical service which underwent target monitoring in form according to appendix 54-1 to these rules;

6) the act of monitoring of quality and amount of medical services of emergency medical service in form according to appendix 55 to these rules.

60. The fund based on the protocol of agreement performance of purchase of services in rendering APP in the manual or automated mode in IS "EPS" creates the act of the rendered services in the out-patient and polyclinic help with form according to appendix 16 to these rules (further - the act of the rendered services in APP).

61. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

62.  No. KR DSM-23 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019

63. No. KR DSM-23 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019

64.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

65. The SKPN size is calculated according to the Technique of forming of rates.

66. Payment of the amount of SKPN to subjects of PHC and subjects of the village is performed by fund according to the Technique of forming of rates.

67.  No. KR DSM-23 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019

68. For payment of SKPN and its territorial subdivisions provide department of authorized body on the state control in the sphere of rendering medical services to subjects of PHC and subjects of the village:

1) in the information system "Quality Management System of Medical Services" (further - IS "SUKMU"):

in time no later than 3 (three) working days following behind day of completion of the accounting period, data entry according to appeals of physical persons (claims) among the attached population to activities of the subject of PHC and the subject of the village with indication of their justification by subjects of PHC and subjects of the village;

2) in IS "DKPN":

in time no later than 3 (three) working days following behind day of completion of the accounting period, registration of all cases of maternal death rate which occurred during the accounting period (except for accidents) and preventable at the level of PHC, and also data on participation of the specified cases in calculation of the amount of SKPN by results of monitoring of quality and amount;

data on the cases which are not participating in calculation of the amount of SKPN in the accounting period in connection with incomplete state control in the sphere of rendering medical services.

69. On subjects of PHC and subjects of the village in IS "DKPN" the fund provides:

1) input and confirmation of data on the approved planned annual amounts of SKPN and population the current financial year on each area, the capital, the city of republican value;

2) input and confirmation of data of monthly distribution of the annual amount of SKPN at the level of the region;

3) input and confirmation of the established target value on each indicator of the resulting effect provided by authorized body in coordination with UZ of each area, to the capital, the city of republican value;

4) monthly (at the beginning of the accounting period) establishment of criterion of distribution of the amount of SKPN over 150 (hundred fifty) tenges counting on 1 (one) attached inhabitant:

on the population;

on the population and points;

on the population, points and coefficient of compliance of the specific subject of PHC of complexity of rendering services PHC;

5) carrying out preliminary (before closing of the accounting period) the automated calculation of indicator values of resulting effect and the amounts of SKPN for the accounting period for each region, by subjects of PHC and subjects of the village;

6) confirmation of closing of the accounting period in time no later than 10 (tenth) following behind day of completion of the accounting period. Closing of the accounting period stops in the presence of unallotted cases on subjects of PHC by sites to which the population is attached. Change of the entered data except for the fund, from the date of confirmation of closing of the accounting period is not allowed;

7) removal of confirmation about closing of the accounting period before closing of the accounting period with subjects of PHC, in case of detection of discrepancies or incorrect actions of the participants influencing calculation of indicator values of resulting effect and the amounts of SKPN;

8) acceptance of the rendered services in the current month under report in the presence in the accounting period of the fact of excess of the amount of SKPN counting on one attached inhabitant over 150 (hundred fifty) tenges on the subject of PHC and the subject of the village. At the same time this algorithm is applied within 1 (one) quarter;

9) unloading of data of the automated calculation of indicator values of resulting effect and the amounts of SKPN on payment in IS "APP";

10) transfer of the amount of SKPN to subjects of PHC and subjects of the village following the results of assessment of the achieved indicators of resulting effect for the accounting period;

11) forming of results of assessment of the achieved resulting effects of activities by subjects of PHC and subjects of the village and the direction in UZ for data;

12) in time no later than 3 (three) working days following behind day of completion of the accounting period, registration of all cases of child mortality from 7 (seven) days to 5 (five) years which occurred during the accounting period (except for accidents) and preventable at the level of PHC, and also data on participation of the specified cases in calculation of the amount of SKPN by results of monitoring of quality and amount;

13) data on the cases which are not participating in calculation of the amount of SKPN in the accounting period in connection with incomplete monitoring of quality and amount in cases of child mortality from 7 (seven) days to 5 (five) years which occurred during the accounting period (except for accidents) and preventable at the level of PHC.

70. For high-quality and timely forming of payment documents on payment of SKPN SI provide to subjects of PHC and subjects of the village in IS "DKPN":

1) daily correct unloading of data in the automated mode from databases RPN, IS "SUKMU", IS "EROB" in cases of delivery of health care influencing indicator values of resulting effect on each subject of PHC and by its territorial sites;

2) monthly correct unloading of data in the automated mode in case of realization of service of interaction or in the manual mode in the absence of this service from the database of IS "NRBT" no later than 3 (third) following the accounting period;

3) report generation on correctness and reliability of data loading from information systems for calculation of indicator values of resulting effect and the amounts of the stimulating component of the complex per capita standard rate for the area, the capital and the city of republican value for form according to appendix 20 to these rules for provision in fund in time no later than 5 (fifth) following behind day of completion of the accounting period;

4) in process of data loading together with UZ introduces before closing of the accounting period amendments on reference of the disputable cases influencing indicator value of resulting effect (except as specified maternal death rate), to specific subjects of PHC based on the legal decision of the commission created under UZ.

70-1. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

71. The subject of PHC for forming of payment documents provides:

1) in time no later than 1 (one) working day following behind day of completion of the accounting period by fund, introduction of data on the expense amounts planned for the direction for advanced training of workers of PHC in the amount of at least 5 (five) percent from the total amount of SKPN received by results of calculations for the accounting period;

2) confirmation of closing of the accounting period in time no later than 3 (three) working days behind day of completion of the accounting period by fund then any changes of the entered data are impossible, and implementation of the automated calculation of indicator values of resulting effect and the amounts of SKPN to workers of PHC by territorial sites;

3) data entry in RPN, in case of lack of information on the site of attachment in the specific case influencing indicator value of resulting effect;

4) input of aggregated data for month under report by results of distribution of the amounts of SKPN on stimulation of workers of PHC according to the order No. 429 and report generation on distribution of the amounts of the stimulating component of the complex per capita standard rate to workers of the subject of the health care giving primary health care in form according to appendix 21 to these rules till 25 (twenty fifth) following behind day of completion of the accounting period.

72. In case of the force majeure circumstances specified in the agreement of purchase of the services and (or) circumstances connected with updates in the information systems confirmed with the letter of authorized body, the fund accepts the account register for the rendered services without SKPN with the subsequent calculation and payment in the next accounting periods by means of other payments.

72-1. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-140

72-2. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-140

72-3. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-140

72-4. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-140

72-5. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-140

72-6. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-140

Paragraph 2. Payment procedure for rendering the out-patient and polyclinic help

73. Payment to suppliers for rendering services APP is performed by fund for the list of services in rendering the out-patient and polyclinic help on which costs are not considered in case of payment according to the complex per capita standard rate on rendering the out-patient and polyclinic help according to appendix 22 to these rules.

74. The payment amount for rendering services APP is determined by multiplication of rates for medical services by the number of actually rendered services APP taking into account correction coefficients.

75. For fee the automated accounting of the signed agreements of purchase of services APP, and also supplementary agreements to them, is performed by fund in IS "EPS".

The fund enters data in the Main Terms of the Contract tab in the module "Payment system" of IS "EPS", confirms them and attaches copies of the contract of purchase of services for rendering APP and supplementary agreements to it in case of their availability.

76. For the automated forming of the account register for rendering the out-patient and polyclinic help with form according to appendix 6 to these rules (further - the account register for rendering services APP) and correct calculation of the amount shown for payment the supplier in IS "EPS" input and confirmation of data on form No. 025/at of primary medical documentation approved by the order No. 907 provides.

77. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

78. The protocol of agreement performance of purchase of services in rendering the out-patient and polyclinic help is created by fund in manual or in the automated mode in IS "EPS" in form according to appendix 12 to these rules (further - the protocol of agreement performance of purchase of services in rendering APP).

79. By results of monitoring of quality and amount of services APP are created:

1) the register of the rendered consulting and diagnostic services which are not included in the complex per capita standard rate on rendering the out-patient and polyclinic help underwent the current monitoring in form according to appendix 24 to these rules;

2) the register of the rendered consulting and diagnostic services which are not included in the complex per capita standard rate on rendering the out-patient and polyclinic help underwent target monitoring in form according to appendix 24-1 to these rules;

3) the act of monitoring of quality and amount of the consulting and diagnostic services which are not included in the complex per capita standard rate on rendering the out-patient and polyclinic help in form according to appendix 25 to these rules.

80. The fund based on the protocol of agreement performance of purchase of services in rendering APP in the manual or automated mode in IS "EPS" creates the act of the rendered services of the out-patient and polyclinic help with form according to appendix 16 to these rules (further - the act of the rendered services APP).

81. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

82.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Chapter 2. Payment procedure for rendering the stationary and hospital-replacing help

Paragraph 1. General provisions

83. Payment to suppliers for rendering stationary and hospital-replacing medical care is performed by fund based on agreements of purchase of services taking into account results of monitoring of quality and amount.

84. Payment to suppliers for rendering stationary and hospital-replacing medical care is performed on rates:

1) for one treated case on KZG taking into account zatratoyemkost coefficient;

2) for one treated case on actual expenses according to the list of diseases, transactions and manipulations;

3) in one koyko-day;

4) for one treated case on settlement average cost;

5) for one treated case on medico-economic rates.

85. Payment for one treated case of day hospital is performed on rate 1/2 (one second) from rate for one treated case on KZG taking into account coefficient of zatratoyemkost of the stationary help, except the treated cases in which payment is provided in Items 106, of 107 and 124 these rules.

85-1. Payment in one koyko-day of day hospital is performed on rate 1/2 (one second) from rate in one koyko-day and from rate for one treated case on settlement average cost of the stationary help.

86. Payment for one treated hospital case is performed on rate 1/6 (one sixth) from rate for one treated case on KZG taking into account coefficient of zatratoyemkost of the stationary help at home.

87. The automated accounting of agreements of purchase of services of stationary and hospital-replacing medical care, and also supplementary agreements to them, is performed by fund in IS "SUKMU".

88. The fund enters data in the Introduction of Agreements tab in the Single Payer module of IS "SUKMU", confirms them and attaches copies of the contract of purchase of services for rendering stationary and hospital-replacing medical care and supplementary agreements to it in case of their availability.

89. For the automated forming in IS "SUKMU" of accounts register for rendering specialized medical care and high-technology medical services in form according to appendix 26 to these rules (further - the account register for rendering the stationary and hospital-replacing help) and correct calculation of the amount shown for payment the supplier provides in IS, including in the information system "Electronic Register of Inpatients" (further - IS "ERSB"):

1) daily input and confirmation of data on forms No. 003/at, No. 096/at and No. 097/at of primary medical documentation approved by the order No. 907.

After confirmation of correctness of input data in IS "ERSB" are not subject to adjustment, except as specified input of results of histologic and patomorfologichesky researches;

2) forming no later than 1 (one) working day after day of the statement of the patient from the hospital of statistical cards which was disposed from hospital in forms No. 066/at, No. 066-1/u, No. 066-2/u, No. 066-3/u and No. 027/at of primary medical documentation approved by the order No. 907;

3) data entry, the following reports, necessary for forming, till 30 (thirtieth) following the accounting period of information about:

to expense structure for the provided specialized medical care and high-technology medical services in form according to appendix 27 to these rules;

to the differentiated compensation of workers for the provided specialized medical care and high-technology medical services in form according to appendix 28 to these rules;

distribution of planned advance amount to rendering specialized medical care and high-technology medical services in form according to appendix 29 to these rules;

advanced training and retraining of personnel for the provided specialized medical care and high-technology medical services in form according to appendix 30 to these rules.

In case of absence in IS "ERSB" of information provided by the subitem 3) of part one of this Item forming of accounts register for rendering stationary and hospital-replacing medical care for the current accounting period to the supplier is not made before introduction of the specified information.

The supplier at the request of fund provides copies of source accounting documents, based on the created information specified in the subitem 3) to part one of this Item.

90. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

91. The account register for rendering the stationary and hospital-replacing help for January of the current financial year joins cases, the beginning of delivery of health care in which is begun in the previous financial year and is complete in the current financial.

92. The fund in the manual or automated mode in IS "SUKMU" creates the protocol of agreement performance of purchase of services in rendering specialized medical care and high-technology medical services in form according to appendix 31 to these rules (further - the protocol of agreement performance of purchase of services in rendering the stationary and hospital-replacing help).

93. In case of excess of the amount shown by the supplier over the monthly amount provided by the agreement of purchase of services the Linear rating scale of agreement performance of purchase of services without monitoring of quality and amount is applied.

94. Calculation of payment amount to the supplier for the given stationary and hospital-replacing help using the Linear scale is performed based on calculation of payment amount to the supplier for the given stationary and hospital-replacing help using the Linear scale according to appendix 32 to these rules.

95. The linear scale is not applied:

1) to the regional and city organizations of obstetric aid;

2) to the multi-profile hospitals rendering services of obstetric aid from shares of obstetric aid of 45 (forty five) percent and above from the treated cases;

3) to hospitals, including the republican organizations of health care rendering services to children till 1 (one) from shares of children till 1 (one) of 45 (forty five) percent and more from the treated cases;

4) to hospitals, including the republican organizations of health care rendering services to children till 1 (one) and service of obstetric aid with cumulative share of children till 1 (one) and services of obstetric aid of 45 (forty five) percent and more from the treated cases;

5) on the services of hemodialysis and peritonealny dialysis rendered in form of hospital-replacing medical care;

6) on services to children with oncological diseases on which payment is performed according to paragraph 3 of this Chapter;

7) on the services provided by the republican organizations of health care providing medical care by the oncological patient and TB patient;

8) on the services provided by the organizations of health care and Corporate fund "University Medical Center", providing medical care by the patient with malignant new growths of lymphoid and haematogenic fabric according to the list of malignant new growths of lymphoid and haematogenic fabrics and diseases of blood, the haematogenic bodies for codes of the International Statistical Classification of the diseases and problems connected with health - 10 (further - MKB-10) according to appendix 33 to these rules;

9) on high-technology medical services;

10) for providing with set on care of the baby (the newborn's first-aid kit);

11) on the services rendered to patients with infectious diseases on beds of infectious profile.

95-1. The fund for lethal cases when rendering the stationary and hospital-replacing help attaches in IS "SUKMU" in the scanned option the expert opinion on each case of death (lethal outcome) in form according to appendix 2 to these rules.

96. By results of monitoring of quality and amount of stationary and hospital-replacing medical care are created:

1) the register of the cases of hospitalization for the accounting period which are subject to payment in form according to appendix 36 to these rules;

2) the register of the cases of hospitalization which underwent the current monitoring in form according to appendix 37 to these rules;

3) the register of the cases of hospitalization which underwent target monitoring in form according to appendix 38 to these rules;

4) the act of monitoring of quality and amount of medical services of the stationary and hospital-replacing help with form according to appendix 43 to these rules;

5) the register of cases of hospitalization, subjects and not subject to payment, including partially by results of monitoring of quality and amount of medical services in form according to appendix 46 to these rules.

97. The fund based on the protocol of agreement performance of purchase of services in rendering the stationary and hospital-replacing help in the manual or automated mode in IS "SUKMU" creates the act of the rendered services in specialized medical care and high-technology medical services in form according to appendix 47 to these rules (further - the act of the rendered services of the stationary and hospital-replacing help).

98. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

99. In cases of the translation of the patient between departments (divisions) of the isolated hospital registered in the information system "Resource management system" (further - IS "RMS") payment for treatment of the patient is performed as for one treated case according to the final diagnosis.

100. Payment is not performed according to the list of diagnoses which according to the International Statistical Classification of the diseases and problems connected with health of MKB-10 are not the main diagnosis and are excluded from the List of KZG on statistical and the problems connected with health according to appendix 48 to these rules.

101. Short-term (up to 3 (three) days inclusive) the stay of the patient in the round-the-clock hospital connected with transfer, unauthorized leaving of the patient is paid on actually spent koyko-days from the cost of KZG of the main diagnosis or transaction.

Payment in case of impreventable lethal outcomes in case of short-term stay (up to three days inclusive) is made at the fifty-percentage cost of the treated case on KZG of the main diagnosis or transaction.

In case of reducing terms of stay of the treated cases using advanced technologies of diagnostics and treatment, payment is performed on complete rate of KZG of the main diagnosis or transaction.

102. In cases of application of biological therapy in case of treatment of disease the Krone and nonspecific ulcer colitis in the round-the-clock hospitals is paid for cost for the treated case on KZG of the main diagnosis with payment of cost of medicines of biological therapy.

103. In case of primary establishment of the diagnosis of oncological disease, tuberculosis in non-core hospitals, payment for the treated case is performed at the cost of the relevant KZG of the main diagnosis or transaction.

104. Payment for specialized medical care in the form of the stationary help is performed on rates in 1 (one) koyko-day, for the treated cases on settlement average cost and medico-economic rates concerning suppliers for whom rates are determined according to Item 2 of article 23 of the Code about health.

To suppliers, payment by which for the treated cases is performed on settlement average cost, in cases of reasonable reducing duration of treatment, payment is made on rate for one treated case which calculation is perfromed for the actual koyko-days on average cost of one koyko-day, at the same time the cost of one koyko-day is estimated by division of cost of rate for one treated case on certain planned number of koyko-days.

105. Payment on transactions on correction of refraction properties of cornea of eye in carrying out cases in case of astigmatizm 4,0 and more dioptries, anizometropiya of 5,0 and more dioptries, is performed on rate for one treated case on KZG taking into account zatratoyemkost coefficient.

106. In case of carrying out the service "Coronary Arteriography" in the conditions of day hospital payment is made at the fifty-percentage cost of the treated case on KZG of the main diagnosis or transaction.

107. Payment for services of hemodialysis in the conditions of day hospital is made on rates for actually rendered sessions to the patients registered in the information system "Chronic Renal Failure" (further - IS "HPN").

108. All sessions of one patient for the accounting period are considered as one treated case, at the same time the rate of the main diagnosis is considered on zero rate.

109. Registration of the patient needing services of hemodialysis in IS "HPN" is performed by the service provider of hemodialysis, based on the free choice of the patient and its application in person written in any form.

110.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Paragraph 2. Payment procedure of the cases of rendering the stationary and hospital-replacing help which are subject to payment for actually incurred expenses or subject to payment on kliniko-costly groups with payment of additional expenses

111. Payment for transactions according to the list of the cases which are subject to payment for actually incurred expenses according to appendix 49 to these rules, is made on actual expenses according to the following expenditure items:

1) salary;

2) taxes or other obligatory payments in the budget, compulsory professional pension contributions paid according to the legislation of the Republic of Kazakhstan on provision of pensions, the social assignments paid according to the Law of the Republic of Kazakhstan "About compulsory social insurance", the assignments on compulsory social medical insurance paid according to the Law of the Republic of Kazakhstan "About compulsory social medical insurance";

3) food;

4) medicines, medical products (further - MI);

5) medical services in rates;

6) the utility costs estimated on actual costs on utility and other expenses of the supplier last month in terms of one patient.

In case of payment for actually incurred expenses medicines and MI are paid for their actual (purchasing) cost which is not exceeding marginal prices, the supplier enters into information systems the actual (purchasing) cost of medicines and MI with provision of supporting documents on the specified cost.

When carrying out transaction according to the list of the cases which are subject to payment for actually incurred expenses, payment for rendering service in preparation of cadaver for multiorgan organs harvesting and/or fabrics from one corpse for the purpose of transplantation is performed once. In case of presentation for payment of service in preparation of cadaver for multiorgan organs harvesting and/or fabrics from the same corpse by other subject of health care, payment is not performed.

111-1. Payment for rendering specialized and high-technology medical care to the women in critical condition after childbirth/abortions hospitalized in the Republican center of critical obstetrics is performed on actual costs, according to Item 118 of these rules.

112. According to the list of the cases which are subject to payment at the cost of kliniko-costly groups with payment of additional expenses according to appendix 50 to these rules, payment is performed by summing:

1) costs of the treated case which is paid for KZG of the main diagnosis or transaction on rates;

2) costs of medicines and MI which is paid for the actual (purchasing) cost which is not exceeding the marginal prices established by authorized body;

3) costs of the medical services paid for rates.

112-1. Payment in each case for rendering specialized and high-technology medical care by the patient with the diagnosis Incomplete osteogenesis in the medical organizations of republican level is performed on actual expenses after monitoring of quality and amount of the provided medical care with reasons for provision to the patient of medicines and MI.

113. Payment for services of hemodialysis in the conditions of the round-the-clock hospital by the patient with chronic renal failure in the terminal stage which is the basic or the accompanying diagnosis is made on KZG of the main diagnosis or transaction and with payment of cost of the rendered sessions on rates.

114. Payment for services of hemodialysis in the conditions of the round-the-clock hospital in case of hard cases of the diseases complicated by sharp renal failure which was not stopped by medicamentous therapy is made on KZG of the main diagnosis or transaction and with payment of cost of the rendered sessions on rates.

115. In case of the statement from the round-the-clock hospital of the woman in childbirth with the living newborn, payment to the supplier is performed at the cost of KZG of the main diagnosis or transaction with payment of cost of set on care of the baby (the newborn's first-aid kit) on the actual (purchasing) cost with provision of supporting documents on the specified cost no later than 5 (fifth) following behind day of completion of the accounting period in time.

The supplier provides registration of leave of set on care of the baby (the newborn's first-aid kit) in IS "LO".

116. Payment for the complicated course of pregnancy and childbirth in the conditions of the round-the-clock hospital according to the list of the cases which are subject to payment at the cost of kliniko-costly groups with payment of additional expenses according to appendix 50-1 to these rules is performed taking into account the principles of regionalization at the cost of KZG of the main diagnosis or transaction with payment of additional expenses on medicines and MI.

Payment for services of albumin and peritonealny dialysises in the conditions of the round-the-clock hospital is made on KZG of the main diagnosis or transactions and with payment of cost of the rendered sessions on rates.

To the organizations of health care costs for the consumable materials issued to the patient for independent carrying out peritonealny dialysis at home on the delivery note attached in the scanned type in IS "ERSB" are paid.

116-1. In case of use of monoxide of nitrogen in case of treatment of pulmonary hypertensia, and also the conditions complicated by pulmonary hypertensia in the conditions of the round-the-clock hospital payment it is made on KZG of the main diagnosis or transaction with payment of cost of service in rates.

117.  No. KR DSM-23 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019

118. The fund, in case of inefficiency of the carried-out therapy in the conditions of the round-the-clock hospital and reasonable provision to the patient according to vital indications, the medicines and MI which are not entering conditions of these rules pays these additional costs for the treated case and reflects in the protocol of agreement performance of purchase of services in rendering the stationary and hospital-replacing help according to the procedure, stipulated in Item 30 these rules.

Payment of additional costs is performed on the basis:

1) the written address of the supplier with application of documents, to the patient of the additional medicines and MI which are not entering conditions of these rules confirming the shown costs for provision which goes to fund no later than 15 (fifteenth) following the accounting period;

2) the reconciliation statement signed by officials of fund and the supplier;

3) results of monitoring of quality and amount about justification of provision to the patient of the additional medicines and MI which are not entering conditions of these rules;

4) the positive conclusion of the commission about the justification of additional costs on medicines and MI created by fund. The commissions are included representatives of authorized body and fund.

118-1. Payment for delivery of health care to the women in childbirth in critical condition hospitalized in the Republican center of critical obstetrics is performed on actual expenses on medicines, MI and medical services according to the procedure, stipulated in Item 118 these rules.

119. Payment of medical care to patients with malignant new growths of lymphoid and haematogenic fabric which in the conditions of the round-the-clock hospital carries out chemotherapy is performed on KZG of the main diagnosis or transactions and with payment on actual costs of the cost of himiopreparat which is not exceeding its marginal price.

120. In case of treatment of sharp forms of malignant new growths of lymphoid and haematogenic fabric and depression of blood formation, primary hospitalization of the round-the-clock hospital is paid for cost for the treated case on KZG of the main diagnosis or transaction with payment of cost of himiopreparat on actual costs, payment of the subsequent hospitalization is made at the thirty-percentage cost of the treated case on KZG of the main diagnosis or transaction with payment on actual costs of the cost of himiopreparat which is not exceeding their marginal price.

121. To the suppliers applying high-dose chemotherapy in case of treatment of sharp forms of malignant new growths of lymphoid and haematogenic fabric and depression of blood formation in case of the subsequent hospitalization of the round-the-clock hospital it is paid on semidesyatipyat of percentage cost of the treated case for KZG of the main diagnosis or transaction with payment on actual costs of the cost of himiopreparat which is not exceeding their marginal price except cases of carrying out transaction on transplantation of marrow. Treatment of patients with malignant new growths of lymphoid and haematogenic fabric with carrying out transaction on transplantation of marrow, is paid for cost for the treated case on KZG of the main diagnosis or transaction with payment on actual costs of the cost of himiopreparat which is not exceeding their marginal price.

122. In the conditions of the round-the-clock hospital of the republican organization of health care rendering medical services by the oncological patient, payment for the treated patients is made on KZG of the main diagnosis or transactions and with payment of cost of chemotherapy, radiation therapy, immunohistochemical research.

123. In case of treatment of cirrhosis and fibrosis of liver payment is made on the relevant KZG of the main diagnosis or transaction and with payment of expenses in the republican organizations of health care.

124. In the conditions of day hospital to the suppliers rendering medical services by the oncological patient and the patient with malignant new growths of lymphoid and haematogenic fabric payment is made:

1) for chemotherapy sessions on rate 1/4 (one fourth) from rate for one treated case on KZG taking into account coefficient of zatratoyemkost of the stationary help and with payment of cost of himiopreparat on actual costs;

2) when rendering radiation therapy on rate 1/4 (one fourth) from rate for one treated case on KZG taking into account coefficient of zatratoyemkost of the stationary help and with payment of cost of actually rendered sessions of radiation therapy;

3) for sessions himio-and radiation therapy on rate 1/4 (one fourth) from rate for one treated case on KZG taking into account coefficient of zatratoyemkost of the stationary help and with payment by cost recovery of himiopreparat on actual costs and cost of actually rendered sessions of radiation therapy.

All sessions of chemotherapy and radiation therapy on 1 (one) patient for the accounting period are considered as one treated case.

125.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Paragraph 3. Payment procedure of cases of rendering the stationary and hospital-replacing help to children with oncological diseases on medico-economic rates

126. Payment of the medical services rendered to children with oncological diseases at the level of the round-the-clock hospital for treatment on blocks (schemes), duration of treatment and cost of full course of treatment of specific nosology including the hospital-replacing help is performed on medico-economic rates.

127.  No. KR DSM-23 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019

128. The payment amount for treatment of specific nosology does not exceed the cost of full course of treatment. Payment on medico-economic rates is performed step by step on blocks (schemes) of course of treatment.

If the number of the spent koyko-days makes fifty percent and less established treatments of treatment of one block (scheme), payment is made with deduction of 30 (thirty) percent from the cost of the block (scheme) of treatment.

129. In need of observation of children with oncological diseases in treatment break between blocks (schemes) of treatment, payment is performed at the level of the hospital-replacing help.

When rendering rehabilitation with oncological diseases the supplier in coordination with fund attracts collaborators by transfer of part of the obligations to children to them on rendering services. Payment of the rendered services of collaborators is performed according to Item 45 of these rules.

130. For the nozologiya having stage of out-patient treatment, medicines are issued on completion of rate of hospitalization, at the same time, payment of cost issued to the patient of medicine is performed based on attached in the scanned type in IS "ERSB" of delivery note, except for the medicines entering the List of medicines and products of medical appointment for providing citizens, including separate categories of citizens with certain diseases (conditions) of free and (or) preferential medicines, products of medical appointment and specialized medical products at the out-patient level approved by the order of the Minister of Health of the Republic of Kazakhstan of August 29, 2017 No. 666 (it is registered in the Register of state registration of regulatory legal acts for No. 15724) (further - the order No. 666).

131.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Chapter 3. Payment procedure for rendering emergency medical service

132. Payment to the supplier for rendering emergency medical service is performed:

1) according to the per capita standard rate on rendering emergency medical service;

2) for performing thrombolytic therapy - on the actual (purchasing) cost of medicine which is not exceeding its ceiling price determined by authorized body according to subitems 20) and 68) of Item 1 of article 7 of the Code about health.

133. The payment amount for rendering emergency medical service to the supplier for the accounting period is determined by multiplication of the per capita standard rate of ambulance by population according to the agreement of purchase of services.

The payment amount for rendering emergency medical service to the supplier according to the per capita standard rate of ambulance for the accounting period does not depend on amount of the rendered services.

133-1. Accounting of agreements of purchase of services of the emergency medical service and medical care connected with transportation of qualified specialists and (or) the patient with the hospital transport is performed by fund in manual or in the automated mode in IS "EPS".

In case of the automated mode the Fund enters data in the Terms of the contract tab in the module "Payment system" of IS "EPS", confirms them and attaches the copy of the agreement of purchase of services and supplementary agreements to it in case of their availability.

134. For carrying out payment in case of the automated forming of accounts register for rendering the emergency medical service and medical care connected with transportation of qualified specialists and (or) the patient with the hospital transport in form according to appendix 51 to these rules (further - the account register for rendering the emergency medical service, medical care connected with transportation of qualified specialists and (or) the patient with the hospital transport) and correct calculation of the amount shown for payment the supplier provides the daily personified data entry in forms No. 110/at, No. 110-2/u and No. 114/at of primary medical documentation approved by the order No. 907, in MIS integrated with IS "EPS" (in case of its availability).

135. The protocol of agreement performance of purchase of services in rendering the emergency medical service and medical care connected with transportation of qualified specialists and (or) the patient with the hospital transport in form according to appendix 52 to these rules (further - the protocol of agreement performance of purchase of services of emergency medical service) in the manual or automated mode in IS "EPS".

136. By results of monitoring of quality and amount of services of emergency medical service, are created:

1) the register of the services of emergency medical service which underwent the current monitoring in form according to appendix 54 to these rules;

2) the register of the services of emergency medical service which underwent target monitoring in form according to appendix 54-1 to these rules;

3) the act of monitoring of quality and amount of medical services of emergency medical service in form according to appendix 55 to these rules.

137. The supplier based on source documents of financial accounting till the 30th following the accounting period provides in IS "EPS" forming for the accounting period information about:

1) to structure of the income when rendering emergency medical service in form according to appendix 56 to these rules;

2) to expense structure when rendering emergency medical service in form according to appendix 57 to these rules;

3) to the differentiated compensation of workers when rendering emergency medical service in form according to appendix 58 to these rules;

4) advanced training and retraining of personnel when rendering emergency medical service in form according to appendix 59 to these rules;

5) distribution of planned advance amount when rendering emergency medical service in form according to appendix 60 to these rules;

In case of failure to provide information provided by this Item forming of the act of the rendered services for the current accounting period to the supplier is not made before provision of the specified information.

The supplier at the request of fund provides copies of source accounting documents based on which forming of information specified in this Item is performed.

138. The fund based on the protocol of agreement performance of purchase of services of emergency medical service in the manual or automated mode in IS "EPS" creates the act of the rendered services in the emergency medical service and medical care connected with transportation of qualified specialists and (or) the patient with the hospital transport in form according to appendix 61 to these rules (further - the act of the rendered services of emergency medical service).

139. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

140. Payment to the supplier for delivery of health care connected with transportation of qualified specialists and (or) the patient with the hospital transport is performed on rate for one challenge of medical care.

141. The payment amount to the supplier for delivery of health care connected with transportation of qualified specialists and (or) the patient with the hospital transport for the accounting period is determined by multiplication of rate for one challenge for the actual quantity of challenges for the accounting period.

142. The supplier, based on form No. 110-2/u of primary medical documentation approved by the order No. 907, creates and contributes to fund the account register for delivery of health care, connected with transportation of qualified specialists and (or) the patient with the hospital transport in form according to appendix 51 to these rules (further - the account register for rendering the ambulance, medical care connected with transportation of qualified specialists and (or) the patient with the hospital transport) according to the procedure and terms, stipulated in Item 27 these rules.

143. The fund creates the protocol of agreement performance of purchase of services of the emergency medical service and medical care connected with transportation of qualified specialists and (or) the patient with the hospital transport in form according to appendix 52 to these rules (further - the protocol of agreement performance of purchase of services of emergency medical service).

144. By results of monitoring of quality and amount of transportation services of qualified specialists and (or) the patient with the hospital transport are created:

1) the register of the services connected with transportation of the qualified specialists and (or) the patient with the hospital transport who underwent the current monitoring in form according to appendix 63 to these rules;

2) the register of the services connected with transportation of the qualified specialists and (or) the patient with the hospital transport who underwent target monitoring in form according to appendix 63-1 to these rules;

3) the act of monitoring of quality and amount of transportation services of qualified specialists and (or) the patient with the hospital transport, in form according to appendix 64 to these rules.

145. The fund based on the protocol of agreement performance of purchase of services of emergency medical service creates the act of the rendered services of the emergency medical service and medical care connected with transportation of qualified specialists and (or) the patient with the hospital transport in form according to appendix 61 to these rules (further - the act of the rendered services of emergency medical service).

146. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

147.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Chapter 4. Payment procedure for rendering complex of forms of medical care

Paragraph 1. Payment procedure for delivery of health care to rural population

148. Fee, rendered by subjects of the village is performed according to the complex per capita standard rate on rural population (further - KPN on rural population) which includes:

1) providing range of services to rural population in the PHC, KDP forms, hospital-replacing and stationary medical care, including delivery of health care by the student of the organizations of secondary education which are not relating to the residential organizations, the round-the-clock emergency medical service to the attached population for servicing 4 categories of urgency of challenges, providing with specialized medical products according to the list of services on which costs are considered in case of payment for the rendered complex of out-patient and polyclinic services by subjects of health care of city value and subjects of health care of district value and the village according to the complex per capita standard rate according to appendix 5 to these rules;

2) stimulation of workers of PHC;

3) it is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-140.

149. KPN on rural population for the accounting period for the subjects of the village rendering PHC is determined by the number of the attached population registered in RPN for the last date of month under report.

150. The payment amount for rendering services to rural population for the accounting period is determined by multiplication of KPN by rural population by quantity of the attached population registered in RPN for the last date of month under report.

151. The payment amount for rendering services to rural population in KPN on rural population for the accounting period does not depend on amount of the rendered services.

152. In case of fee for subjects of the village it are provided to rural population:

1) costs for providing with medical reduced-protein products and products with low content of phenylalanine for the subjects of the village serving the attached population with disease fenilketonuriya;

2) costs for providing in case of the statement from the round-the-clock hospital of the woman in childbirth with the living newborn of cost of set on care of the baby (the newborn's first-aid kit).

Leave of medical reduced-protein products and products with low content of phenylalanine, sets on care of the baby (the newborn's first-aid kit) is registered in IS "LO".

The fund based on the reconciliation statement performs adjustment of the amount of the agreement of purchase of services in connection with change of number of persons who received set on care of the baby (the newborn's first-aid kit) and persons with disease fenilketonuriya attached to the subject of the village.

153. The automated accounting of agreements of purchase of services for rendering services to rural population, and also supplementary agreements to them, is performed by fund in IS "EPS".

The fund enters data in the Main Terms of the Contract tab in the module "Payment system" of IS "EPS", confirms them and attaches copies of agreements of purchase of services and supplementary agreements to it in case of their availability.

154. For payment and the automated forming in IS "EPS" of the account register for delivery of health care in form according to appendix 65 to these rules (further - the account register for rendering services to rural population) and correct calculation of the amount shown for payment the subject of the village provides to rural population:

1) daily input of data on graphics of acceptance and the schedule of doctors, making an appointment with the doctor, assets and challenge on the house in the module "Registry" of MIS;

2) the daily personified registration in MIS integrated with IS "EPS" the rendered out-patient and polyclinic services to the population specialists of PHC and KDP in the forms No. 025/at and No. 025-7/u of primary medical documentation approved by the order No. 907;

3) daily input of the external directions on KDU in MIS integrated from IS "EPS" in the form No. 201/at approved by the order No. 907;

4) daily input of leave of adapted substitutes of breast milk in IS "LO";

5) input and confirmation in the module "Payment system" of IS "EPS" of data on agreements of co-execution in time no later than 3 (three) working days from the date of their conclusion;

6) forming in IS "EPS" of the protocol of agreement performance of co-execution on rendering KDU to the attached population of the supplier, the act of the rendered services APP in the agreement of co-execution to the attached population of the supplier;

7) data entry, SKPN, necessary for payment, which calculation and distribution is performed according to the procedure, determined by paragraph 1 of Chapter 1 of subsection 2 of Section 2 of these rules;

8) forming in IS "EPS" of information for the accounting period based on source accounting documents about:

to structure of the income in case of delivery of health care by the subject of the village in form according to appendix 66 to these rules;

to expense structure in case of delivery of health care by the subject of the village in form according to appendix 67 to these rules;

to structure of the income and expenses in case of delivery of health care by the subject of the village in form according to appendix to 68 these rules

to the differentiated compensation of workers in case of delivery of health care by the subject of the village in form according to appendix 69 to these rules;

advanced training and retraining of personnel in case of delivery of health care by the subject of the village in form according to appendix 70 to these rules;

distribution of planned advance amount in case of delivery of health care by the subject of the village in form according to appendix 71 to these rules;

9) data entry, necessary for report generation, specified in the subitem 8) this Item, is performed till 30 (thirtieth) following the accounting period;

10) data entry in IS "DKPN" according to paragraph 1 of Chapter 1 of subsection 2 of Section 2 of these rules;

11) daily input and confirmation of data in IS "ERSB" in the forms No. 003/at of primary medical documentation approved by the order No. 907. The entered data after their confirmation are not subject to adjustment, except as specified input in IS "ERSB" of results of histologic and patomorfologichesky researches;

12) forming of vypisny epikriz in IS "ERSB", in time no later than day of the disposal of the patient following behind day from hospital;

13) forming by results of data entry in IS "ERSB" from medical records the statistical card disposed from hospital (forms No. 066/at and No. 003/at of primary medical documentation approved by the order No. 907).

In case of absence in IS "EPS" of information provided by the subitem 7) of this Item forming of accounts register for rendering services to rural population for the current accounting period to the subject of the village is not made before introduction of the specified information.

The subject of the village at the request of fund provides copies of source accounting documents based on which forming of information specified in the subitem 8) of this Item is performed.

155. Fund for subjects of the village:

1) enters results of examination of quality of the stationary and hospital-replacing help into IS "SUKMU";

2) in IS "EPS" is attached in the scanned option by the expert opinion on each case of death (lethal outcome) of inpatients in form according to appendix 2 to these rules.

156. The fund in manual or in the automated mode in IS "EPS" creates the protocol of agreement performance of purchase of services in delivery of health care to rural population (further - the protocol of agreement performance of purchase of services to rural population) in form according to appendix 72 to these rules in which results of achievement by the subject of the village of the indicators of resulting effect calculated in the automated mode in IS "DKPN" are considered.

157. By results of monitoring of quality and amount of the medical services rendered to rural population are created:

1) the register of the services of the out-patient and polyclinic help which underwent the current monitoring in form according to appendix 14 to these rules;

2) the register of the services of the out-patient and polyclinic help which underwent target monitoring in form according to appendix 14-1 to these rules;

3) the act of monitoring of quality and amount of medical services of the out-patient and polyclinic help with form according to appendix 15 to these rules;

4) the register of the services of emergency medical service which underwent the current monitoring in form according to appendix 54 to these rules;

5) the register of the services of emergency medical service which underwent target monitoring in form according to appendix 54-1 to these rules;

6) the act of monitoring of quality and amount of medical services of emergency medical service in form according to appendix 55 to these rules;

7) the register of cases of the hospitalization which underwent the current monitoring in form according to appendix 37 to these rules;

8) the register of cases of the hospitalization which underwent target monitoring in form according to appendix 38 to these rules;

9) the act of monitoring of quality and amount of medical services of the stationary and hospital-replacing help with form according to appendix 43 to these rules.

158. The fund based on the protocol of agreement performance of purchase of services to rural population in manual or in the automated mode in IS "EPS" creates the act of the rendered services for delivery of health care to rural population in form according to appendix 79 to these rules (further - the act of the rendered services to rural population).

159. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

160.  No. KR DSM-23 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019

161. No. KR DSM-23 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019

162.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Paragraph 2. Payment procedure for delivery of health care by the oncological patient

163. Fee of suppliers - the regional, regional, city oncological organizations and oncological departments of multi-profile clinics (further - oncology dispensary) is performed within the amount provided by the agreement of purchase of services:

1) on complex rate for one oncological patient for rendering complex of medical services according to the Technique of forming of rates, the oncological patient at the age of 18 years is also more senior, suffering from malignant new growths (by the MKB-10 S00-S codes 80, C97, C81-C85), except for the services provided by subitems 2) - 8) this Item;

2) for providing oncological patients with himiopreparata - on the actual (purchasing) cost of himiopreparat which is not exceeding their marginal price;

3) for rendering sessions of radiation therapy by the oncological patient, except for high-technology medical services - on rates;

4) according to the list of services/transactions by the MKB-9 codes rendered in the form of stationary and hospital-replacing medical care by the oncological patient according to appendix 79-1 to these rules - on rates for one treated case on KZG taking into account zatratoyemkost coefficient;

5) for rendering specialized medical care in the form of stationary and hospital-replacing medical care by the oncological patient (the patient with precancer diseases directed to verification of the diagnosis) within realization of their right to the free choice who is not staying on the registry in this oncology dispensary (further - the nonresident patient) - on rates for one treated case on KZG taking into account zatratoyemkost coefficient (by the MKB-10 S00-S codes 80, C81-C85, C97) except for services/transactions according to appendix 79-1 to these rules;

6) for rendering palliative care by mobile crews by the oncological patient of the IV clinical group with the burdening accompanying pathology not allowing to carry out specific treatment - on rates, approved by authorized body;

7) for carrying out the international teleconsultations of biosamples of tumors through system of telepathology - on rates;

8) for performing molecular and genetic and molecular and biological diagnostics - on rates.

164. The automated accounting of agreements of purchase of services in delivery of health care by the oncological patient, and also supplementary agreements to them, is performed by fund in IS "EROB".

The fund enters data in the Terms of the contract tab in the Financial Block module of IS "EROB", confirms them and attaches copies of the contract of purchase of services for delivery of health care by the oncological patient and supplementary agreements to it in case of their availability.

165. The payment amount to oncology dispensaries for delivery of health care by the oncological patient for the accounting period is determined by complex rate for one oncological patient by multiplication of complex rate for one oncological patient by the average number of oncological patients for the accounting period, except for children up to eighteen years with oncological diseases and the patients with malignant new growths of lymphoid and haematogenic fabric registered in IS "EROB".

The average number of oncological patients for the accounting period is determined by summing of number of the oncological patients registered in IS "EROB" for each calendar day of the accounting period and division of the received amount on number of calendar days of month.

166. Forming of the account register for delivery of health care by the oncological patient is performed in IS "EROB" in the manual or automated mode in form according to appendix 80 to these rules (further - the account register for delivery of health care by the oncological patient).

167. The automated calculation of the amount shown by oncology dispensary for payment for the accounting period and reflected in the account register for delivery of health care by the oncological patient is provided based on registration (re-registration) during the accounting period in information systems of health care:

1) registrations of oncological patients;

2) removals from accounting of oncological patients;

3) cases of delivery of health care by the oncological patient.

168. In case of fee, rendered to oncological patients, registration (re-registrations) of registration of oncological patients with oncology dispensary daily in the automated mode in IS "EROB" on the basis is performed:

1) forms No. 090/at, No. 025/at or No. 003/at of primary medical documentation approved by the order No. 907;

2) the application in person of the oncological patient (who is drawn up in any form) of re-registration in other oncology dispensary;

3) request of oncology dispensary for registration (dislocation) of the oncological patient in other oncology dispensary, based on the application in person (who is drawn up in any form) the oncological patient given to this oncology dispensary which is attached in the scanned type.

169. The oncology dispensary in case of refusal in dislocation of the oncological patient in other oncology dispensary specifies motivated cause of failure and attaches in IS "EROB" in the scanned type the decision on refusal signed by the head of oncology dispensary.

170. By results of registration (re-registration) of registration of oncological patients in IS "EROB" in the automated mode lists of oncological patients are created:

1) deployed from one oncological dispensary in another;

2) attached in the PHC organization, and not staying on the registry in oncology dispensary of this region;

3) staying on the registry in oncology dispensary of this region, and attached in the PHC organization of other region.

171. Registration of removal from accounting of oncological patients is performed by oncology dispensary in the automated mode in IS "EROB" on the basis:

1) conclusions of dispensary department of oncology dispensary about recovery of the oncological patient;

2) the data on death arriving from departments of civil registration of areas, the cities of republican value (further - bodies of ORAGS);

3) death certificates of the oncological patient registered in RPN.

4) official these law-enforcement bodies of the Republic of Kazakhstan about the citizens of the Republic of Kazakhstan who left the Republic of Kazakhstan on the permanent residence.

For the purpose of fee the oncology dispensary specifies in IS "EROB" of cause of death of oncological patients, except for the dead struck off the register automatically no later than ten calendar days from the date of registration of death of oncological ORAGS sick with body. By results of registration of removal from accounting of oncological patients in IS "EROB" in the automated mode lists of the oncological patients struck off the register automatically and the died oncological patients who are not struck off the register are created.

172. Registration of cases of delivery of health care by the oncological patient is performed in IS "EROB" by input:

1) daily confirmation of data on rendering stationary, hospital-replacing and out-patient and polyclinic medical care in the forms No. 066-2/u, No. 003/at and 025/at of primary medical documentation approved by the order No. 907;

2) confirmations of vypisny epikriz in time no later than 3 (three) working days following disposal of the patient from hospital or completion of out-patient treatment;

3) confirmations of data on the himiopreparata used in the accounting period by the oncological patient, including targetny medicines, at all stages of treatment.

173. Input in IS "EROB" of the himiopreparat this on the actual use by the oncological patient is performed by the doctor himioterapevty oncology dispensary according to the scheme of application of himiopreparat taking into account the actual (purchasing) cost of himiopreparat which is not exceeding their marginal price.

174. The oncology dispensary till 30 (thirtieth) following the accounting period enters the following reports for the previous accounting period containing information about into IS "EROB":

1) to structure of the income when rendering medical services in form according to appendix 81 to these rules;

2) to expense structure when rendering medical services in form according to appendix 82 to these rules;

3) to the differentiated compensation of workers in form according to appendix 83 to these rules;

4) advanced training and retraining of personnel in form according to appendix 84 to these rules;

5) distribution of planned advance amount to rendering medical services in form according to appendix 85 to these rules.

In case of absence in IS "EROB" of information provided by this Item forming of accounts register for delivery of health care by the oncological patient for the current accounting period to oncology dispensary is not made before introduction of the specified data.

At the request of fund the oncology dispensary provides copies of source accounting documents based on which forming of information specified in this Item is performed.

175. The protocol of agreement performance of purchase of services in delivery of health care by the oncological patient in form according to appendix 86 to these rules (further - the protocol of agreement performance of purchase of services in delivery of health care by the oncological patient), is created by fund in manual or in the automated mode in IS "EROB.

176. By results of monitoring of quality and amount of the medical services rendered by oncology dispensary are created:

1) the register of cases of the hospitalization which underwent the current monitoring in form according to appendix 37 to these rules;

2) the register of cases of the hospitalization which underwent target monitoring in form according to appendix 38 to these rules;

3) the act of monitoring of quality and amount of medical services of the stationary and hospital-replacing help with form according to appendix 43 to these rules;

4) the register of cases of hospitalization, subjects and not subject to payment, including partially by results of monitoring of quality and amount of medical services by all participants in form according to appendix 46 to these rules.

177. The fund for the died oncological patients attaches in IS "EROB" in the scanned option the expert opinion on each case of death (lethal outcome) in form according to appendix 2 to these rules.

178. In case of removal from accounting in IS "EROB" of oncological patients for cause of death which date of death is registered in last accounting period payment is performed in the accounting period taking into account removal of the sum calculated for each calendar day of finding of the oncological patient on accounting from the date of registration of date of his death for complex rate for one oncological patient in day and penalties according to the list of defects according to the Single qualifier of defects.

179. In case of payment penalties for untimely removal from accounting and untimely registration of data on the death of the oncological patient in IS "EROB" are not applied to patients with malignant new growths of lymphoid and haematogenic fabric, posthumously registered oncological patients, and also the onokologichesky sick dead till January 1, 2012.

180. The fund based on the protocol of agreement performance of purchase of services in delivery of health care by the oncological patient in manual or in the automated mode in IS "EROB" creates the act of the rendered services for delivery of health care by the oncological patient in form according to appendix 88 to these rules (further - the act of the rendered services for delivery of health care by the oncological patient).

181. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

182. The oncology dispensary for the purpose of ensuring availability and quality of medical care by the oncological patient (the patient with precancer diseases directed to verification of the diagnosis) attracts the collaborator to delivery of health care by the oncological patient. Payment for the rendered services of the collaborator is performed under the agreement signed with the collaborator according to the civil legislation, within the amount of the agreement of purchase of services:

1) for the rendered KDU - on rates;

2) for rendering specialized medical care in the form of stationary and hospital-replacing medical care by the oncological patient (the patient with precancer diseases directed to verification of the diagnosis) - on rates for one treated case on KZG taking into account zatratoyemkost coefficient (by the MKB-10 S00-S codes 80, C81-C85, C97).

183.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

184. Payment for rendering high-technology medical services is performed on rates.

Payment for performing radiation therapy at the out-patient level is performed for actually rendered sessions of radiation therapy on rates. At the same time, the supplier provides patients with accommodation in boarding house at the expense of the cost of radiation therapy.

185. Payment for rendering palliative care and sisterly leaving by the oncological patient of the IV clinical group with the burdening accompanying pathology not allowing to carry out specific treatment is performed on rate in one koyko-day, except for services of mobile crews.

Paragraph 3. Payment procedure for rendering the medico-public assistance to TB patients

186. Payment to suppliers - antitubercular dispensaries for rendering the medico-public assistance to TB patients is performed within the amount provided by the agreement of purchase of services:

1) on complex rate for one TB patient;

2) for providing with antitubercular medicines according to the medicinal form of the medical organizations for the actual (purchasing) cost of antitubercular medicines which is not exceeding their marginal price and according to the order No. 666.

Fee is performed on complex rate for one TB patient which provides costs on:

1) implementation of medical and diagnostic actions for detection of tuberculosis at persons with suspicion on availability of this disease;

2) providing TB patients with medical and diagnostic actions (active tuberculosis) and dispensary observation of persons staying on the dispensary registry in antitubercular dispensaries;

3) rendering social and psychological and palliative care by the TB patient.

Payment for rendering the medico-public assistance to TB patients in the republican organization is performed for rendering stationary and hospital-replacing medical care on rate in one koyko-day.

187. In case of absence in antitubercular dispensaries of dispensary departments with the organization of out-patient treatment and dispensary observation of persons staying on the dispensary registry subjects of PHC at the expense of the means provided under the agreement of purchase of services are involved in rendering these medical services, in coordination with fund, as the collaborator.

188. The payment amount for rendering the medico-public assistance to antitubercular dispensaries for the accounting period is determined by complex rate for one TB patient by multiplication of complex rate for one TB patient by the average number of active TB patients for the accounting period.

The average number of active TB patients for the accounting period is determined by summing of number of the TB patients registered in IS "NRBT" for each calendar day of the accounting period and division of the received amount on number of calendar days of month.

189. The automated accounting of agreements of purchase of services in rendering the medico-public assistance to TB patients, and also supplementary agreements to them, is performed by fund in IS "EROB". The fund enters data in the Terms of the contract tab in the Financial Block module of IS "EROB", confirms them and attaches copies of agreements of purchase of services in rendering the medico-public assistance to TB patients and supplementary agreements to it in case of their availability.

190. Forming of the account register for rendering the medico-public assistance to TB patients in form according to appendix 89 to these rules (further - the account register for rendering the medico-public assistance to TB patients) is performed by antitubercular dispensary in IS "EROB" in the manual or automated mode.

191. The automated calculation of the amount shown by antitubercular dispensary for payment for the accounting period and reflected in the account register for rendering the medico-public assistance to TB patients is performed on the basis:

registration (re-registration), registration and removal from accounting of persons with active tuberculosis in IS "NRBT";

registration of consumption (receipt, write-off) of antitubercular medicines in IS "LO".

192. Registration (re-registration) of registration of TB patients, is performed by antitubercular dispensary daily in the automated mode in IS "NRBT" based on the medical record of the TB patient of form No. TB 01/at or the TB 01/at form - category IV. Registration of removal from accounting of the active TB patient is performed by antitubercular dispensary in the automated mode in IS "NRBT" on the basis:

1) forms of primary medical documentation: forms No. TB 01/at or form No. TB 01/at - category IV about the end of treatment, approved by the order No. 907;

2) the data on death arriving from ORAGS;

3) death certificates of the TB patient registered in RPN;

4) the fact of registration of case of death of the TB patient in IS "NRBT";

5) confirmations of disposal of the TB patient to other region established in the TB 01/at form approved by the order No. 907;

6) departure out of limits of the Republic of Kazakhstan on the permanent residence;

7) No. TB 01/at this the medical record of form or the TB 01/at form - category IV about separation from treatment (lack of treatment within 2 (two) months).

By results of registration of removal from accounting of active TB patients in IS "NRBT" in the automated mode lists of the TB patients struck off the register of active patients are created.

193. For fee the antitubercular dispensary in case of registration of services in delivery of health care by the TB patient in IS "ERSB" and MIS integrated with IS "EPS" provides:

1) daily input and confirmation of data on the forms No. 003/at, 025/at of primary medical documentation approved by the order No. 907. After confirmation of correctness of input, data in IS "ERSB" are not subject to adjustment, except as specified input of results of histologic and patomorfologichesky researches;

2) forming no later than 1 (one) working day after day of the statement of the patient from hospital - forms No. 003/at, No. TB 01/at or No. TB 01 category IV of primary medical documentation approved by the order No. 907;

3) data entry till 30 (thirtieth) following the accounting period, the following reports, necessary for forming, containing information about:

to structure of the income when rendering medical services in form according to appendix 81 to these rules;

to expense structure when rendering medical services in form according to appendix 82 to these rules;

to the differentiated payment of workers in form according to appendix 83 to these rules;

advanced training and retraining of personnel in form according to appendix 84 to these rules;

distribution of planned advance amount to rendering medical services in form according to appendix 85 to these rules.

In case of absence in IS "EROB" of information provided by the subitem 3) of part one of this Item forming of accounts register for rendering the medico-public assistance to patients for the current accounting period to the supplier is not made before introduction of the specified data.

The supplier at the request of fund provides copies of source accounting documents based on which forming of information specified in this Item is performed.

194. In case of removal from accounting in IS "NRBT" of active TB patients for cause of death which date of death is registered in last accounting period payment is performed in the accounting period taking into account removal of the sum calculated for each calendar day of finding of the active TB patient on accounting from the date of registration of date of his death for complex rate for one TB patient in day and penalties according to the list of defects according to the Single qualifier of defects.

195. Penalties for untimely removal from accounting of the active TB patient and untimely registration of data on the death of the TB patient in IS "NRBT" are not applied to posthumously registered tubercular patients, and also the suffering from tuberculosis dead till January 1, 2018.

196. Registration of consumption of antitubercular medicines in IS "LO" is performed by antitubercular dispensary.

For registration of issue of antitubercular medicines by other organizations of health care according to the Instruction on the organization of delivery of health care on tuberculosis approved by the order of the Minister of Health of the Republic of Kazakhstan of December 25, 2017 No. 994 (it is registered in the Register of state registration of regulatory legal acts for No. 16381) the antitubercular dispensary signs with them the non-paid contract for provision of medicines. The organizations of health care performing leave of antitubercular medicines under the non-paid civil agreement bring and confirm consumption of antitubercular medicines in IS "LO".

197. The protocol of agreement performance of purchase of services in rendering the medico-public assistance to TB patients, in form according to appendix 90 to these rules (further - the protocol of agreement performance of purchase of services in rendering the medico-public assistance to TB patients), is created by fund in the manual or automated mode in IS "EROB".

198. By results of monitoring of quality and amount of the medical services rendered by antitubercular dispensary are created:

1) the register of cases of the hospitalization which underwent the current monitoring in form according to appendix 37 to these rules;

2) the register of cases of the hospitalization which underwent target monitoring in form according to appendix 38 to these rules;

3) the act of monitoring of quality and amount of medical services of the stationary and hospital-replacing help with form according to appendix 43 to these rules;

4) the register of cases of hospitalization, subjects and not subject to payment, including partially by results of monitoring of quality and amount of medical services by all participants in form according to appendix 46 to these rules.

199. The fund based on the protocol of agreement performance of purchase of services in rendering the medico-public assistance to TB patients in the manual or automated mode in IS "EROB" creates the act of the rendered services for rendering the medico-public assistance to TB patients, in form according to appendix 91 to these rules (further - the act of the rendered services for rendering the medico-public assistance to TB patients).

200. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

201.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Paragraph 4. Payment procedure for rendering the medico-public assistance HIV-positive and (or) sick acquired immunodeficiency syndrome

202. Fee of suppliers - the regional, city centers for prevention and fight against acquired immunodeficiency syndrome (further - the centers for prevention and fight about AIDS) is performed:

1) on complex rate for one HIV-positive and (or) the patient AIDS;

2) for providing with anti-retrovirus medicines according to the medicinal form of the medical organizations for the actual (purchasing) cost of anti-retrovirus medicines which is not exceeding their marginal price and according to the order No. 666.

Payment of the republican organization of health care providing specialized medical care in the form of the consulting and diagnostic help is performed on the rate for rendering one medical service approved by authorized body.

203. Fee is performed on complex rate for one HIV-positive and (or) the patient AIDS which includes:

1) providing qualified, specialized, medico-public assistance in form of the out-patient and polyclinic help: the consulting and diagnostic help of HIV-positive people and (or) patients AIDS, including implementation of preventive actions for decrease in risk of transfer of HIV infection from mother to fruit and the child of early children's age;

2) ensuring confidential physical examination, provision of psychosocial, legal advice bureaus, functioning of Items of trust, friendly offices, realization action for prevention of HIV infection among the population;

3) holding treatment-and-prophylactic actions among the persons belonging to vulnerable national groups on the increased risk of infection of the HIV approved by authorized body;

4) carrying out laboratory researches on HIV infection for patients of the subjects of health care rendering stationary and hospital-replacing medical to the help and primary health care.

204. The payment amount to the centers for prevention and fight about AIDS for rendering the medico-public assistance to HIV-positive people and (or) patients AIDS is determined by multiplication of complex rate for one HIV-positive and (or) the patient AIDS on the average number of HIV-positive people and (or) patients AIDS for the accounting period.

205. The average number of HIV-positive people and (or) patients AIDS for the accounting period is calculated by summing of number of HIV-positive people and (or) patients AIDS, for each calendar day of the accounting period and division of the received amount on number of calendar days in month of this accounting period.

206. The payment amount for rendering services by the republican organization of health care is determined by multiplication of rates for medical services by the number of actually rendered services.

207. The account register for rendering the medico-public assistance to HIV-positive people and (or) patients AIDS is created in form according to appendix 92 to these rules (further - the account register for rendering the medico-public assistance in case of HIV/AIDS).

The republican organization of health care creates the account register for rendering the medico-public assistance to HIV-positive people and (or) patients AIDS with the republican organization of health care for form according to appendix 93 to these rules.

208. Calculation of the amount shown by the center for prevention and fight about AIDS for payment for the accounting period and reflected in the account register for rendering the medico-public assistance in case of HIV/AIDS is provided on the basis:

1) registration (re-registration) of registration and removal from accounting of HIV-positive people and (or) patients AIDS;

2) registration of secure recipes of anti-retrovirus medicines in IS "LO".

209. In case of payment registration (re-registration) of registration of HIV-positive people and (or) patients is performed AIDS is performed by the center for prevention and fight about AIDS according to the Rules of registration, accounting of cases of infectious, parasitic, occupational diseases and poisonings, and rules of accounting on them approved by the order of the Minister of national economy of the Republic of Kazakhstan of June 24, 2015 No. 451 (it is registered in the Register of state registration of regulatory legal acts for No. 12083), daily in the automated and manual mode on the basis:

1) the confirmed result about the availability of HIV infection issued by the Republican state company on the right of economic maintaining "The republican center for prevention and fight about AIDS" of the Ministry of Health of the Republic of Kazakhstan based on the conducted researches on algorithm of laboratory diagnosis of HIV infection and sent to the territorial centers for prevention and fight about AIDS;

2) arrivals of the HIV-positive and (or) the patient AIDS from other administrative and territorial unit of the Republic of Kazakhstan of other center for prevention and fight established based on the notification about AIDS on the translation of the patient, in connection with change of the residence, and also the citizens of the Republic of Kazakhstan, oralmans, foreigners and stateless persons who arrived from foreign countries on permanent residence in the territory of the Republic of Kazakhstan, with earlier established diagnosis HIV/AIDS.

210. Registration of removal from accounting of HIV-positive people and (or) patients AIDS which is performed by the center for prevention and fight about AIDS on the basis is made for payment:

1) disposals of the HIV-positive and (or) the patient AIDS out of limits by the served center for prevention and fight about AIDS of administrative and territorial unit of the Republic of Kazakhstan, with the direction of the transfer advice of the patient in connection with change of the residence for registration and dispensary observation in other center for prevention and fight about AIDS;

2) official these law-enforcement bodies of the Republic of Kazakhstan about the citizens of the Republic of Kazakhstan who left the Republic of Kazakhstan on the permanent residence;

3) the data on death arriving from ORAGS;

4) the death certificate of HIV-positive people and (or) patients AIDS registered in RPN;

5) the fact of registration of case of death of the patient of HIV-positive people and (or) patients AIDS in IS "ERSB".

211. In payment process the center for prevention and fight with AIDS, the republican organization of health care based on source documents of financial accounting till 30 (thirtieth) following the accounting period is provided by the following reports for the previous accounting period containing information about:

1) to structure of the income when rendering medical services in form according to appendix 81 to these rules;

2) to expense structure when rendering medical services in form according to appendix 82 to these rules;

3) to the differentiated payment of workers in form according to appendix 83 to these rules;

4) advanced training and retraining of personnel in form according to appendix 84 to these rules;

5) distribution of planned advance amount to rendering medical services in form according to appendix 85 to these rules;

In case of failure to provide information provided by this Item, forming of the act of the rendered services for the current accounting period to the center for prevention and fight about AIDS, the republican organization of health care it is not made before provision of the specified information.

The center for prevention and fight with AIDS, the republican organization of health care at the request of fund is provided by copies of source accounting documents based on which forming of information specified in this Item is performed.

212. For fee by Fund are created:

1) the protocol of agreement performance of purchase of services in rendering the medico-public assistance to HIV-positive people and (or) patients AIDS in form according to appendix 94 to these rules (further - the protocol of agreement performance of purchase of services in rendering the medico-public assistance in case of HIV/AIDS);

2) the protocol of agreement performance of purchase of services in rendering the medico-public assistance to HIV-positive people and (or) patients AIDS the republican organization of health care for form according to appendix 95 to these rules (further - the protocol of agreement performance of purchase of services in rendering the medico-public assistance in case of HIV/AIDS the republican organization).

213. Monitoring of quality and amount of the centers for prevention and fight about AIDS is performed 1 (one) time a half-year by visit of the supplier. By results of monitoring of quality and amount, the fund performs deduction of payment amount in current period, on the violations revealed in current and last periods in the amount of one complex rate for one HIV-positive and (or) the patient AIDS for each violation.

By results of monitoring of quality and amount are created:

1) the register of the rendered consulting and diagnostic services which are not included in the complex per capita standard rate on rendering the out-patient and polyclinic help underwent the current monitoring in form according to appendix 24 to these rules;

2) the register of the rendered consulting and diagnostic services which are not included in the complex per capita standard rate on rendering the out-patient and polyclinic help underwent target monitoring in form according to appendix 24-1 to these rules;

3) the act of monitoring of quality and amount of the consulting and diagnostic services which are not included in the complex per capita standard rate on rendering the out-patient and polyclinic help in form according to appendix 25 to these rules.

In case of removal from accounting in the current accounting period of HIV-positive people and (or) patients AIDS for cause of death whose date of death is registered in last accounting period payment is performed with removal of the amount for untimely registration of death of the patient. The withdrawal amount from payment for untimely registration is calculated for each calendar day of stay on accounting by the HIV-positive and (or) patient AIDS from the date of registration of date of his death for complex rate in day and penalties according to the list of defects according to the Single qualifier of defects.

213-1. In case of payment penalties for untimely removal from accounting and untimely registration of data on the death of the HIV-positive and (or) the patient AIDS are not applied to posthumously registered HIV-positive people and (or) patients AIDS, and also HIV-positive people and (or) patients AIDS of the dead till January 1, 2018.

214. And the protocol of agreement performance of purchase of services in rendering the medico-public assistance in case of HIV/AIDS the republican organization are created by fund based on the protocol of agreement performance of purchase of services in rendering the medico-public assistance in case of HIV/AIDS the act of the rendered services for rendering the medico-public assistance to HIV-positive people and (or) patients AIDS in form according to appendix 99 to these rules (further - the act of the rendered services for delivery of health care in case of HIV/AIDS) and the act of the rendered services for rendering the medico-public assistance to HIV-positive people and (or) patients AIDS by the republican organization of health care for form according to appendix 100 to these rules (the act of the rendered services for delivery of health care in case of HIV/AIDS by the republican organization).

215. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

216.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Paragraph 5. Payment procedure for rendering the medico-public assistance to persons suffering from mental disturbances (diseases)

217. Fee to suppliers - the organizations of health care giving mental health services (further - the psychiatric organizations), to the persons giving the medico-public assistance suffering from mental disturbances (diseases) is performed on complex rate for one patient with mental and behavioural disturbances (further - complex rate for one patient with mental and behavioural disturbances).

218. Fee is performed on complex rate for one patient with mental and behavioural disturbances which includes costs on:

1) the services directed to prevention of mental and behavioural disturbances (diseases), inspection of mental health, diagnostics of mental violations, treatment, leaving and medico-social resettlement of persons suffering from mental disturbances (diseases);

2) the services directed to prevention of mental and behavioural disturbances (diseases), inspection of mental health of the citizens who are not staying on the dispensary registry;

3) rendering to persons suffering from mental disturbances (diseases) qualified specialized, the medico-public assistance, including social and labor rehabilitation, in the following forms: emergency medical service, out-patient and polyclinic help: the consulting and diagnostic help, the stationary and hospital-replacing help, including hospitalization by a court decision about application of measures of forced treatment.

219. Payment for rendering the medico-public assistance to persons suffering from mental disturbances (diseases) in the republican organization is performed for rendering stationary medical care on rate for the treated case on settlement average cost and in one koyko-day according to Chapter 2 of subsection 2 of Section 2 of these rules.

220. The monthly payment amount to the psychiatric organizations for rendering the medico-public assistance to persons suffering from mental disturbances (diseases) is determined by multiplication of complex rate for one patient with mental and behavioural disturbances on the average number of patients with mental and behavioural disturbances (diseases) for the accounting period.

The average number of patients for the accounting period is calculated with mental and behavioural disturbances by summing of number of the patients with mental and behavioural disturbances registered in IS "ERPB" for each calendar day of the accounting period and division of the received amount on number of calendar days in month of this accounting period.

221. The automated accounting of agreements of purchase of services in rendering the medico-public assistance to persons suffering from mental disturbances (diseases) and also supplementary agreements to them, is performed by fund in IS "EROB". The fund enters data in the Terms of the contract tab in the Financial Block module of IS "EROB", confirms them and attaches copies of the agreement of purchase of services and supplementary agreements to it in case of their availability.

222. The automated calculation of the amount shown by the psychiatric organization for payment for the accounting period, and reflected in the account register for rendering the medico-public assistance to persons suffering from mental disturbances (diseases) is provided based on registration (re-registration) in information systems of health care:

1) registrations of persons suffering from mental disturbances (diseases);

2) removals from accounting of persons suffering from mental disturbances (diseases);

3) the cases of delivery of health care to persons suffering from mental disturbances (diseases).

223. Registration (re-registration) of registration of persons, suffering from mental disturbances (diseases) is performed by the psychiatric organizations daily in the automated mode in IS "ERPB" on the basis:

1) the forms No. 030-2/u, No. 25/at of primary medical documentation approved by the order No. 907;

2) written consent of the patient (or his legal representative) on physical examination;

3) arrivals of persons suffering from mental disturbances (diseases) from other administrative and territorial unit of the Republic of Kazakhstan, the patient established based on the notification of other psychiatric organization on the translation in connection with change of the residence and also the citizens of the Republic of Kazakhstan, oralmans, foreigners and stateless persons who arrived from foreign countries on the permanent residence in the Republic of Kazakhstan with earlier established mental and behavioural disturbances (diseases).

224. Registration of removal from accounting of persons suffering from mental disturbances (diseases) is performed by the psychiatric organization in the automated mode in IS "ERPB" on the basis:

1) the conclusions the commission of psychiatrists about recovery of person suffering from mental disturbances (diseases);

2) death certificates of the person suffering from mental disturbances (diseases), registered in RPN;

3) changes of the permanent residence with departure out of limits by the served psychiatric organization of the territory;

4) official these law-enforcement bodies of the Republic of Kazakhstan about the citizens of the Republic of Kazakhstan who left the Republic of Kazakhstan on the permanent residence;

5) the data on death arriving from ORAGS;

6) lack of any authentic location information of person suffering from mental disturbances (diseases) within 12 (twelve) months;

7) the confirmed fact of the condemnation connected with imprisonment (removal is made within 3 (three) months after receipt of reply to the request from Committee on legal statistics and special accounting of the Prosecutor General's Office of the Republic of Kazakhstan);

8) recognitions it is unknown absent or announcements the dead.

225. Registration of cases of delivery of health care to persons suffering from mental disturbances (diseases) in the form of the stationary and hospital-replacing help is performed in IS "ERSB" by daily input and confirmation of data on rendering stationary, hospital-replacing, the medico-public assistance in the form No. 066-3/u approved by the order No. 907.

226. For the automated forming of IS "EROB" of the account register for rendering the medico-public assistance to persons longing mental and behavioural disturbances (diseases) for form according to appendix 101 to these rules (further - the account register for rendering the medico-public assistance in case of mental disturbances) and correct calculation of the amount shown for payment the supplier provides in information systems:

1) daily input and confirmation of data on forms No. 025/at, No. 030-2/u of primary medical documentation approved by the order No. 907. After confirmation of correctness of input data in IS "ERSB" are not subject to adjustment, except as specified input of results of histologic and patomorfologichesky researches;

2) forming no later than 1 (one) working day after day of the statement of the patient from the hospital of statistical cards which was disposed from psychiatric hospital in the forms No. 066-3/u and No. 027/at of primary medical documentation approved by the order No. 907;

3) data entry till 30 (thirtieth) following the accounting period, the following reports, necessary for forming, containing information about:

to structure of the income when rendering medical services in form according to appendix 81 to these rules;

to expense structure when rendering medical services in form according to appendix 82 to these rules;

to the differentiated payment of workers in form according to appendix 83 to these rules;

advanced training and retraining of personnel in form according to appendix 84 to these rules;

distribution of planned advance amount to rendering medical services in form according to appendix 85 to these rules.

The supplier at the request of fund provides copies of source accounting documents based on which forming of information specified in this Item is performed.

In case of absence in IS "EROB" of information provided by the subitem 3) of part one of this Item, forming of accounts register for rendering the medico-public assistance in case of mental disturbances for the current accounting period it is not made before introduction of the specified data.

227. The protocol of agreement performance of purchase of services in rendering the medico-public assistance to persons longing mental and behavioural disturbances (diseases) for form according to appendix 102 to these rules (further - the protocol of agreement performance of purchase of services in rendering the medico-public assistance in case of mental disturbances) is created by fund in the manual or automated mode in IS "EROB".

228. By results of monitoring of quality and amount of the medical services rendered by the psychiatric center are created:

1) the register of cases of the hospitalization which underwent the current monitoring in form according to appendix 37 to these rules;

2) the register of cases of the hospitalization which underwent target monitoring in form according to appendix 38 to these rules;

3) the act of monitoring of quality and amount of medical services of the stationary and hospital-replacing help with form according to appendix 43 to these rules;

4) the register of cases of hospitalization, subjects and not subject to payment, including partially by results of monitoring of quality and amount of medical services by all participants in form according to appendix 46 to these rules.

In case of removal from accounting of person longing mental disturbances (diseases) in the current accounting period for cause of death which date of death is registered in last accounting period payment is performed with removal of the amount for untimely registration of death of the patient.

The withdrawal amount from payment for untimely registration is calculated for each calendar day of stay on accounting of person suffering from mental disturbances (diseases) from the date of registration of date of his death for complex rate in day and penalties according to the list of defects according to the Single qualifier of defects.

228-1. In case of payment penalties for untimely removal from accounting and untimely registration of information about persons suffering from mental disturbances (diseases) are not applied to posthumously registered persons suffering from mental disturbances (diseases) and also persons suffering from mental disturbances (diseases) of the dead till January 1, 2018.

229. The fund based on the protocol of agreement performance of purchase of services in rendering the medico-public assistance in case of mental disturbances in the manual or automated mode in IS "EROB" creates the act of the rendered services for rendering the medico-public assistance to persons longing mental and behavioural disturbances (diseases) for form according to appendix 103 to these rules (further - the act of the rendered services for rendering the medico-public assistance in case of mental disturbances).

230. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

231.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Paragraph 6. Payment procedure for rendering the medico-public assistance sick alcoholism, drug addiction and toxicomania

232. Fee to suppliers - the medical organizations giving narcological help (further - the narcological organization) is performed on complex rate for one patient with mental and behavioural disturbances, the psychoactive agents caused by the use (further - complex rate for one patient with mental and behavioural disturbances, caused by the use surfactant).

233. Fee is performed on complex rate for one patient with the mental and behavioural disturbances caused by the use surfactant which includes costs on:

1) rendering the services sent on delivery of health care to the persons having alcoholism, drug addiction and toxicomania, diagnosis of alcoholism, drug addiction and toxicomania, caused by the use surfactant, treatment, leaving and medico-social resettlement of persons having alcoholism, drug addiction and toxicomania caused by the use surfactant, medical examination for use factual determination surfactant, including hospitalization by a court decision about application of measures of forced treatment, content in the centers of temporary adaptation and detoxication;

2) is provided by rendering to persons having alcoholism, drug addiction and toxicomania qualified, specialized, the medico-public assistance, in the following forms: emergency medical service, consulting and diagnostic help, stationary and hospital-replacing help.

234. Payment for rendering the medico-public assistance by sick alcoholism, drug addiction and toxicomania in the republican organization is performed for rendering stationary medical care on rate in one koyko-day according to Chapter 2 of subsection 2 of Section 2 of these rules.

235. The amount of monthly payment to the narcological organizations for rendering the medico-public assistance to persons having alcoholism is determined by drug addiction and toxicomania by multiplication of complex rate for one patient with mental and behavioural disturbances, the patients called by the use surfactant on average number with mental and behavioural disturbances called by the use surfactant for the accounting period.

The average number of the patients with mental and behavioural disturbances called by the use surfactant for the accounting period is calculated by summing of number of the patients with mental and behavioural disturbances called by the use surfactant, registered in IS "RNB" for each calendar day of the accounting period and division of the received amount on number of calendar days in month of this accounting period.

236. The automated accounting of agreements of purchase of services in rendering the medico-public assistance to persons having alcoholism, drug addiction and toxicomania and also supplementary agreements to them, is performed by fund in IS "EROB".

The fund enters data in the Terms of the contract tab in the Financial Block module of IS "EROB", confirms them and attaches copies of the agreement of purchase of services and supplementary agreements to it in case of their availability.

237. Forming of the account register for rendering the medico-public assistance to persons longing alcoholism, drug addiction and toxicomania for form according to appendix 104 to these rules (further - the account register for rendering the medico-public assistance in case of narcological frustration) is performed by the narcological organization in IS "EROB" in the manual or automated mode.

238. The automated calculation of the amount shown by the narcological organization for payment for the accounting period and reflected in the account register for rendering the medico-public assistance in case of narcological frustration is provided based on registration (re-registration) in information systems of health care:

1) registrations of patients with alcoholism, drug addiction and toxicomania;

2) removals from accounting of patients with alcoholism, drug addiction and toxicomania;

3) cases of delivery of health care by sick alcoholism, drug addiction and toxicomania.

239. Registration (re-registration) of registration of patients with alcoholism, drug addiction and toxicomania in the automated mode in IS "ERNB" on the basis is daily performed:

1) forms No. 025/at and No. 030/at of primary medical documentation approved by the order No. 907;

2) written consent of the patient (or his legal representative) on physical examination;

3) medical examination about recognition of person sick alcoholism, drug addiction and toxicomania and (or) the judicial and narcological conclusion.

240. Registration of removal from accounting of the patient with alcoholism, drug addiction and toxicomania in the automated mode in IS "ERNB" on the basis:

1) the conclusions of the treating narcologist signed by the chairman of VKK or the deputy first head about removal from accounting;

2) changes of the permanent residence with departure out of limits by the served narcological organization of the territory with transfer on narcological accounting and on dispensary/preventive observation in other narcological organization by the direction of documents of the patient in the regional narcological organization for the new residence;

3) official these law-enforcement bodies of the Republic of Kazakhstan about the citizens of the Republic of Kazakhstan who left the Republic of Kazakhstan on the permanent residence;

4) decisions of VKK of the narcological organization on removal from observation of the patient when the narcological organization cannot provide during 1 (one) survey of the patient, despite everything the taken measures (including appeals to law-enforcement bodies and to judicial authorities 1 (one) quarterly, in the absence of objective data on its location;

5) the condemnations connected with imprisonment for the term of over 3 (three) years; (removal is made within 3 (three) months after receipt of reply to the request from Committee on legal statistics and special accounting of the Prosecutor General's Office of the Republic of Kazakhstan);

6) death certificates of the patient with alcoholism, drug addiction and toxicomania registered in RPN.

7) the data on death arriving from ORAGS;

8) changes or amendments of the diagnosis on this nosology with capture on accounting on the specified nosology.

241. For payment registration of cases of delivery of health care by sick alcoholism, drug addiction and toxicomania in the form of the stationary and hospital-replacing help is performed in IS "ERSB" by daily input and confirmation of data on rendering stationary, hospital-replacing, the medico-public assistance in the form No. 066-1/u approved by the order No. 907.

242. The narcological organization based on source accounting documents till 30 (thirtieth) following the accounting period enters the following reports for the previous accounting period containing information about into IS "EROB":

1) to structure of the income when rendering medical services in form according to appendix 81 to these rules;

2) to expense structure when rendering medical services in form according to appendix 82 to these rules;

3) to the differentiated payment of workers in form according to appendix 83 to these rules;

4) advanced training and retraining of personnel in form according to appendix 84 to these rules;

5) distribution of planned advance amount to rendering medical services in form according to appendix 85 to these rules.

243. The protocol of agreement performance of purchase of services for rendering the medico-public assistance sick alcoholism, drug addiction and toxicomania (further - the protocol of agreement performance of purchase of services for rendering the medico-public assistance in case of narcological frustration) is created by fund in the manual or automated mode in IS "EROB" in form according to appendix 105 to these rules.

244. By results of monitoring of quality and amount of the medical services rendered by the narcological organization are created:

1) the register of cases of the hospitalization which underwent the current monitoring in form according to appendix 37 to these rules;

2) the register of cases of the hospitalization which underwent target monitoring in form according to appendix 38 to these rules;

3) the act of monitoring of quality and amount of medical services of the stationary and hospital-replacing help with form according to appendix 43 to these rules;

4) the register of cases of hospitalization, subjects and not subject to payment, including partially by results of monitoring of quality and amount of medical services by all participants in form according to appendix 46 to these rules.

244-1. In case of removal from accounting in the current accounting period of patients with alcoholism, drug addiction and toxicomania for cause of death whose date of death is registered in last accounting period payment is performed with removal of the amount for untimely registration of death of the patient.

The withdrawal amount from payment for untimely registration is calculated for each calendar day of stay on accounting of patients with alcoholism, drug addiction and toxicomania from the date of registration of date of his death for complex rate in day and penalties according to the list of defects according to the Single qualifier of defects.

In case of payment penalties for untimely removal from accounting and untimely registration of data on the death of patients with alcoholism, drug addiction and toxicomania are not applied to posthumously registered patients with alcoholism, drug addiction and toxicomania, and also patients with alcoholism, drug addiction and toxicomania of the dead till January 1, 2018 with fund.

245. The fund based on the protocol of agreement performance of purchase of services for rendering the medico-public assistance in case of narcological frustration in the manual or automated mode in IS "EROB" creates the act of the rendered services for rendering the medico-public assistance to persons longing alcoholism, drug addiction and toxicomania for form according to appendix 106 to these rules (further - the act of the rendered services for rendering the medico-public assistance in case of narcological frustration).

246. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

247.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Subsection 3. Payment procedure of laboratory diagnostics

248. Fee of laboratory diagnostics is performed on rates, except for:

1) the services paid according to paragraph 1 of Chapter 1 of subsection 2 of Section 2 of these rules;

2) the services paid according to Chapter 2 of subsection 2 of Section 2 of these rules except the cases specified in Item 111 and in the list of the cases which are subject to payment for actually incurred expenses according to appendix 49 to these rules.

249. The payment amount for rendering services is determined by multiplication of rates for medical services by the number of actually rendered services.

Subsection 4. Payment procedure of pathoanatomical diagnostics

250. Payment to suppliers for rendering services patologo0icheskogo opening and pathoanatomical diagnostics (further - PAB) based on the contract of purchase of services for rendering pathoanatomical diagnostics (further - the agreement PUB) carries out intake of biological material and its histologic, cytologic and other researches including conducted prizhiznenno, except for services which are paid in the cost of the treated case for kliniko-costly groups and medico-economic rates.

251. The payment amount for rendering services of pathoanatomical diagnostics is determined by multiplication of rates for the number of actually rendered services of pathoanatomical diagnostics taking into account correction coefficients.

252. The automated accounting of agreements PUBS, and also supplementary agreements to them, is performed by fund in IS "EPS" or on paper.

The fund enters data in the Terms of the contract tab in the module "Payment system" of IS "EPS", confirms them and attaches the copy of the agreement PUB and supplementary agreements to it in case of their availability.

253. The PUB creates the account register for the rendered services of pathoanatomical diagnostics in form according to appendix 107 to these rules (further - the account register for rendering services PUBS) in the manual or automated mode in IS "EPS" and contributes to fund.

254. For carrying out payment in case of the automated forming of accounts register for rendering services PUBS and correct calculation of the amount shown for payment:

On services of pathoanatomical diagnostics:

1) the subject of the health care giving stationary help, no later than the first working day following behind day of ascertaining of biological death of the patient provides input in IS "ERSB" of data on the form No. 066/at approved by the order No. 907, which become available to the service provider of pathoanatomical diagnostics;

2) the PUB provides daily input and confirmation of data on the form No. 004/at approved by the order No. 907, in laboratory information system (further - LYS), in the presence of integration with IS "ERSB" and IS "EPS";

on services of patogistologichesky diagnostics:

The subject of health care brings 1) in MIS integrated with IS "EPS" the direction on histologic research according to the loose leaf to the form No. 201/at approved by the order No. 907;

2) the PUB provides daily input and confirmation of data on the form 201/at approved by the order No. 907, in AIS "Polyclinic" or FOXES;

3) the PUB provides forming of the statistic report in AIS "Polyclinic" or to LYS about the number of the conducted histologic researches and their categories.

255. The fund creates in the manual or automated mode in IS "EPS" the protocol of agreement performance of purchase of services of pathoanatomical diagnostics in form according to appendix 108 to these rules (further - the protocol of agreement performance of purchase of services of pathoanatomical diagnostics).

256. By results of monitoring of quality and amount of services of pathoanatomical diagnostics are created:

1) the register of the services of pathoanatomical diagnostics which underwent monitoring in form according to appendix 110 to these rules;

2) the act of monitoring of quality and amount of pathoanatomical diagnostics in form according to appendix 111 to these rules.

257. The fund based on the protocol of agreement performance of purchase of services of pathoanatomical diagnostics in the manual or automated mode in IS "EPS" creates the act of the rendered services of pathoanatomical diagnostics in form according to appendix 112 to these rules (further - the act of the rendered services of pathoanatomical diagnostics).

258. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

259.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Subsection 5. Payment procedure of services in procurement, conversion, storage and realization of blood and its components, to production of medicines of blood

260. Payment to service providers on procurement, conversion, storage and realization of blood and its components, to production of medicines of blood (further - the center of blood) is performed for the health cares issued to subjects components and medicines of blood on rates.

Fee of the centers of blood for ensuring laboratory maintenance of organ and tissue transplantation according to Regulations on the organizations of health care performing activities in the sphere of service of blood, the approved order of the Minister of Health of the Republic of Kazakhstan of December 30, 2011 No. 931 (it is registered in the Register of state registration of regulatory legal acts for No. 7404) it is performed on rates.

261. The payment amount to the centers of blood for services in procurement, conversion, storage and realization of blood and its components, production of medicines of blood is determined by multiplication of the size of rates for quantity of the components and medicines of blood issued to subjects of health care within GOBMP and in the OSMS system.

262. The centers of blood based on forms No. 422/at, No. 422 - 2/at, No. 422 - 3/at, No. 422 - 4/at, No. 422 - 5/at primary medical documentation approved by the order No. 907, create in the manual mode of accounts register of the rendered services in procurement, conversion, storage and realization of blood and its components, to production of medicines of blood in form according to appendix 113 to these rules (further - the account register of the rendered services in providing blood with medicines and its components).

263. The fund creates in the manual mode the protocol of agreement performance of purchase of services in procurement, conversion, storage and realization of blood and its components, to production of medicines of blood in form according to appendix 114 to these rules (further - the protocol of agreement performance of purchase of services in providing blood with medicines and its components).

264. By results of monitoring of quality and amount of services in procurement, conversion, storage and realization of blood and its components, to production of medicines of blood are created:

1) the register of services in procurement, conversion, storage and realization of blood and its components, to production of the medicines of blood which underwent the current monitoring in form according to appendix 116 to these rules;

2) the register of services in procurement, conversion, storage and realization of blood and its components, to production of the medicines of blood which underwent target monitoring in form according to appendix 116-1 to these rules;

3) the act of monitoring of quality and amount of services in procurement, conversion, storage and realization of blood and its components, to production of medicines of blood in form according to appendix 117 to these rules.

265. The act of the rendered services in procurement, conversion, storage and realization of blood and its components, to production of medicines of blood in form according to appendix 118 to these rules (further - the act of the rendered services in providing blood with medicines and its components) it is created by fund in the manual mode based on the protocol of agreement performance of purchase of services in providing blood with medicines and its components.

266. It is excluded according to the Order of the deputy. The Minister of Health of the Republic of Kazakhstan of 05.11.2019 No. KR DSM-142

267.  No. KR DSM-35 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 06.12.2018

Subsection 6. Cost recovery for treatment of the patient with involvement of foreign specialists

268. Fee for delivery of health care in the conditions of the domestic medical organizations to the patient with involvement of foreign specialists in the bases according to Rules of the direction of citizens of the Republic of Kazakhstan on treatment abroad at the expense of the budgetary funds approved by the order of the Minister of health and social development of the Republic of Kazakhstan of June 30, 2015 No. 544 (it is registered in the Register of state registration of regulatory legal acts for No. 11795) (further - Rules of the direction of citizens on treatment abroad), it is made on actual expenses according to the following expenditure items:

1) salary;

2) taxes or other obligatory payments in the budget, compulsory professional pension contributions paid according to the legislation of the Republic of Kazakhstan on provision of pensions, the social assignments paid according to the Law of the Republic of Kazakhstan "About compulsory social insurance", the assignments on compulsory social medical insurance paid according to the Law of the Republic of Kazakhstan "About compulsory social medical insurance";

3) food;

4) medicines, MI;

5) medical services in rates;

6) services of foreign specialists;

7) the utility costs estimated on actual costs on utility and other expenses of the supplier last month in terms of one patient.

At the same time, the cost of the treated case does not exceed the cost determined taking into account the accident analysis of the direction provided by fund at the foreign medical organizations for this disease for the last accounting financial year according to the procedure, determined by Rules of the direction of citizens on treatment abroad.

In case of absence on this nosology of directed patients in the foreign medical organizations, the cost of the treated case is determined by disease based on the analysis of price offers at least two foreign medical organizations provided by fund and the program of treatment.

269. The basis for fee is the legal decision of the commission on the direction of citizens of the Republic of Kazakhstan on treatment in the foreign medical organizations at the expense of budgetary funds about performing treatment of the patient with involvement of foreign specialists.

270. The automated accounting of contracts of purchase of services in delivery of health care to the patient with involvement of foreign specialists, and also supplementary agreements to them, is performed by fund in IS "SUKMU" according to Item 88 of these rules.

271. The automated forming of payment documents and fee on delivery of health care to the patient with involvement of foreign specialists, is performed according to Items 89 - 92, 96 - 99 these rules.

272. In case of the direction of the patient on transplantation of marrow or stem haemo poetic cells (further - TKM) the Agreement of purchase of services provides stage payment of services for one treated case and includes:

1) the Stage 1 - search of the donor:

payment for start of search of the donor in the amount of 70% of the cost of marrow or stem haemo poetic cells. The basis for payment is the contract of the domestic organization with the international register for search of the donor for carrying out necessary researches for search, matching and activation of the donor in the international register of donors;

final payment on stage 1 is performed after delivery of marrow for carrying out TKM in the domestic medical organization.

2) the Stage 2 - payment for carrying out TKM.

 

Appendix 1

to Rules of fee of subjects of health care

Form

The conclusion on monitoring of quality and amount of medical services

No. ____/____                                               from "______" _______________ 20 ______ years

1. Name of the customer:

________________________________________________________________________________

                       (full name of FSMS NAO branch)

2. Name of the supplier:

________________________________________________________________________________

                         (full name of the supplier)

3. Form/type of the medical help / type of activity:

________________________________________________________________________________

4. Basis for monitoring:

________________________________________________________________________________

5. Surname, name, middle name (in case of its availability) / position of the specialist of the NAO "FSMS":

________________________________________________________________________________

6. Terms of carrying out monitoring: with "_____" _______ on "___" ________ 20 ____ years.

7. Results of monitoring:

No. of the medical card / code of service in tasksetter

IIN

Name of service

The revealed defects *



















































TOTAL, amount of defects



Note:

* - it is listed codes (subcodes) of defects depending on form of medical care or type of activity.

8. Offers, recommendations:

________________________________________________________________________________

________________________________________________________________________________

Specialist of the NAO "Fund of social medical insurance":
____________________________
(Surname, name, middle name (in case of its availability) / the signature)
(for the report on paper)
____________________________
(Surname, name, middle name (in case of its availability) / the signature)
(for the report on paper)

Supplier:
First head:
__________________________
(Surname, name, middle name (in case of its availability) / the signature)
(for the report on paper)
Head of Support service of the patient and internal control:
___________________________
(Surname, name, middle name (in case of its availability) / the signature)
(for the report on paper))

Appendix 2

to Rules of fee of subjects of health care

The expert opinion on each case of death (lethal outcome)

1. Surname, name, middle name (in case of its availability) and position of person who was carrying out expertize including the independent expert, with indication of specialty, qualification category, academic degree, No. of the certificate on accreditation.

2. The name of subject (object) of health care in which expertize was carried out.

3. Basis of conducting examination, or information about the customer.

4. Terms of conducting examination.

5. Period of conducting examination.

6. Examination subject.

7. Data on results of examination, including on the revealed violations, on their nature.

8. Conclusions.

9. Recommendations.

10. Surname, name, middle name (in case of its availability), the signature of person who was carrying out expertize

11. Date "____" ___________ 20 ___ years

Appendix 3

to Rules of fee of subjects of health care

It is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019 No. KR DSM-23

Appendix 4

to Rules of fee of subjects of health care

It is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 10.04.2019 No. KR DSM-23

Appendix 4-1

to Rules of fee of subjects of health care

Form

The single qualifier of defects in forms, types of medical care and types of medical activities

No. of payment order

Defect code

Name of defect

Out-patient and polyclinic help

The stationary and hospital-replacing help (from case cost)

Emergency medical service (1-3 category) (in frequency rate of the per capita standard rate of ambulance on 1 person in month (PN))

Transportation of qualified specialists and (or) the patient with hospital motor transport (from challenge cost)

according to the complex per capita standard rate (in frequency rate of the basic complex per capita standard rate on 1 person in month (KPN))

costs on which are not considered in case of payment according to the complex per capita standard rate (from service cost)

1

2

3

4

5

6

7

8

1

1.0.

Unreasonable hospitalization

30 KPN

-

100%

25 PN

-

2

1.1.

Unreasonable hospitalization of the patient in case of otsutstviye of medical indications

+

-

+

-

-

3

1.2.

The emergency hospitalization of the patient, help to which could be given in planned procedure

+

-

+

-

-

4

2.0

Defects of execution of medical documentation

5 KPN

20%

10%

5 PN

10%

5

2.1.

The defects of execution of medical documentation interfering carrying out monitoring of quality and amount of medical care (absence in primary medical documentation or in medical documentation in information system of results of inspections, surveys, consultations of specialists, the diary entries allowing to estimate dynamics of the state of health of the patient, amount, nature, conditions of provision of medical care)

+

+

+

+

-

6

2.2.

Data entry in information systems of health care (doubtful, untimely, incomplete and low-quality introduction of data)

+

+

+

+

+

7

2.3.

Untimely registration of data of death, after 10 days from the moment of the death of the patient

+

-

-

-

-

8

2.4.

Absence in primary medical documentation of the informed voluntary consent of the patient to medical intervention

+

+

+

+

+

9

3.0

Unreasonable overestimate of amount of the rendered medical help / services

10 KPN

100%

50%

-

100%

10

3.1.

Unreasonable increase in number of carrying out medical and diagnostic services

+

+

+

-

+

11

3.2.

Rise in price of cost clinic - diagnostic services by rendering more expensive services in the presence of alternatives

+

+

-

-

-

12

3.3.

Overestimate of level of weight coefficient of KZG

-

-

+

-

-

13

3.4.

Unreasonable rendering is advisory - diagnostic services

+

+

-

-

-

14

4.0

Unreasonable repeated hospitalization

-

-

100%

-

-

15

5.0

Unconfirmed case of delivery of health care (service)

100 KPN

300%

300%

30 PN

300%

16

5.1.

Inclusion in the account register on payment of visits, bed - days, unconfirmed cases of medical care

+

-

+

-

-

17

5.2.

Inclusion in the account register on payment of unconfirmed cases of medical service

+

+

+

+

+

18

5.3.

Unconfirmed case of issue of LS and IMN, including on ALO

+

-

+

-

-

19

5.4.

Attachment without notice and consent of the consumer of medical services

+

-

-

-

-

20

6.0

Unreasonable variation lechebno – diagnostic actions, rendering services from standards, rules of health care / clinical protocols

15 KPN

30%

30%

10 PN

-

21

6.1.

Untimely or inadequate accomplishment of the diagnostic actions which brought in the result of treatment to complications

+

+

+

+

-

22

6.2.

Untimely or inadequate accomplishment of the medical actions which brought in the result of treatment to complications

+

+

+

+

-

23

6.3.

Untimely or inadequate accomplishment of the diagnostic actions which brought in the result of treatment to deteriorations

+

+

+

+

-

24

6.4.

Untimely or inadequate accomplishment of the medical actions which brought in the result of treatment to deteriorations

+

+

+

+

-

25

6.5.

Untimely or inadequate accomplishment of diagnostic actions, from the result of treatment without changes

+

+

+

+

-

26

6.6.

Untimely or inadequate accomplishment of medical actions, from the result of treatment without changes

+

+

+

+

-

27

6.7.

Non-compliance with standards of delivery of health care

+

+

+

+

+

28

6.8.

Non-compliance with rules of performing routine medical examinations of target groups of the population (screening)

+

+

-

-

-

29

6.9.

Non-compliance with rules of carrying out preventive inoculations according to the National calendar of inoculations

+

-

-

-

-

30

6.10.

Untimely providing with medicines, IMN according to clinical protocols and according to the list of LS and IMN within GOBMP/OSMS, including on ALO

+

+

+

+

+

31

6.11.

Unreasonable purpose / statement of medicines and products of medical appointment in the absence of indications

+

-

+

+

-

32

6.12.

Non-compliance with obligations of the social contract by the medical organization for PUZ (discrepancy of the standard of dynamic observation)

+

-

-

-

-

33

6.13.

Delivery of health care in the presence of contraindications

+

+

+

+

-

34

6.14.

The untimely arrival of crew of emergency medical service on categories of challenge which led to development of complications or deterioration in condition of the patient

+

-

-

+

-

35

6.15.

Repeated challenge of ambulance within 24 hours on the same disease

+

-

-

+

-

36

6.16.

Untimely or incomplete ensuring need of subjects of health care for blood components

-

-

-

-

-

37

6.17.

The unreasonable direction on is advisory diagnostic services

+

-

+

-

-

38

6.18.

Polipragmaziya in case of delivery of health care

+

+

+

+

-

39

7.0

Duration of expectation of medical services

5 KPN

30%

-

15 PN

-

40

7.1.

Duration of expectation of KDU of services more than 10 calendar days

+

+

-

-

-

41

7.2.

Untimely arrival of crew of emergency medical service on categories of challenge

+

-

-

+

-

42

8.0

Reasonable complaints

30 KPN

100%

100%

25 PN

-

43

8.1.

Claims to quality of medical care

+

+

+

+

-

44

8.2.

Claims to availability of medical care

+

+

+

+

-

45

8.3.

Claims much delivery of health care

+

+

+

+

-

46

9.0.

Lethal outcome, preventable at the level statsionara/APP/emergency medical service

50 KPN

-

100%

100 PN

100%

47

10.0

Cases of discrepancy of clinical and morphological diagnoses

-

-

50%

-

-

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