ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of December 31, 2019 No. KR DSM-157

About modification and amendments in the order of the Minister of Health of the Republic of Kazakhstan of November 26, 2009 No. 801 "About approval of Rules of forming of rates for the medical services rendered within the guaranteed amount of free medical care and in system of compulsory social medical insurance and the Technique of forming of rates for the medical services rendered within the guaranteed amount of free medical care and in system of compulsory social medical insurance"

According to Item 2 of article 23 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system", I ORDER:

1. Bring in the order of the Minister of Health of the Republic of Kazakhstan of November 26, 2009 No. 801 "About approval of Rules of forming of rates for the medical services rendered within the guaranteed amount of free medical care and in system of compulsory social medical insurance and the Technique of forming 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 No. 7) the following changes is published in the Register of state registration of regulatory legal acts at No. 5946, in 2010 in the Collection of acts of the central executive and other central state bodies of the Republic of Kazakhstan:

in Rules of forming of the rates for the medical services rendered within the guaranteed amount of free medical care and in system of compulsory social medical insurance, approved by the specified order:

state Item 20 in the following edition:

"20. Calculation of rates is perfromed by the worker of bodies within 6 months from the date of obtaining from reference subjects of information, taking into account the requirements established by Items 17, of 18 these rules according to the Technique.";

state Item 22 in the following edition:

"22. Modeling of results of calculation of rates is performed by working body in terms of carrying out calculation of rates taking into account the following information:

1) the year preceding the current financial year;

2) the current financial year taking into account development until the end of the year.";

in the Technique of forming of rates for the medical services rendered within the guaranteed amount of free medical care and in the system of compulsory social medical insurance approved by the specified order:

state Item 2 in the following edition:

"2. In this Technique the following concepts are used:

1) the basic complex per capita standard rate of primary health care (further - PHC) - estimated cost of range of services of primary health care within GOBMP without correction coefficients;

2) the guaranteed component of the complex per capita standard rate of PHC - estimated cost of range of services of PHC within GOBMP taking into account correction coefficients;

3) the complex per capita standard rate on rendering primary health care (further - KPN PHC) - the cost of range of services of PHC within GOBMP on one attached person registered in the information system "The Register of the Attached Population" (further - IS "RPN") to the subject of PHC consisting of the guaranteed KPN PHC component and the stimulating KPN PHC component;

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

5) the complex per capita standard rate on rendering services within GOBMP to rural population (further - the complex per capita standard rate on rural population) - the cost of range of services within GOBMP counting on one villager registered in IS "RPN" consisting of the guaranteed component of the complex per capita standard rate on rural population and the stimulating component of the complex per capita standard rate;

6) 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;

7) base rate - average amount of financial resources on delivery of health care counting on one treated case at the level of the stationary and hospital-replacing help;

8) 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) within GOBMP counting on one HIV-positive and (or) the patient AIDS, created on the basis of clinical protocols;

8-1) rate for inspection of the population concerning HIV/AIDS - the cost of services within GOBMP counting on one addressed concerning inspection on HIV/AIDS;

8-2) complex rate on one addressed in the Friendly office - the cost of complex of medical services within GOBMP counting on one addressed in the Friendly office;

9) complex rate for one oncological patient - the cost of complex of medical services within GOBMP counting on one oncological patient registered in the information system "Electronic Register of Oncological Patients", except for patients with malignant new growths of lymphoid and haematogenic fabrics and diseases of blood, the haematogenic bodies for the MKB-10 codes and children up to eighteen years with oncological diseases approved by authorized body according to Item 2 of article 23 of the Code;

10) 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;

11) 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;

12) the private partner - the individual entrepreneur, particular partnership, consortium or the legal entity, except for persons acting as the state partners according to the Law of the Republic of Kazakhstan "About public-private partnership", signed the agreement of public-private partnership;

13) 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;

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