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ORDER OF THE GOVERNMENT OF THE RUSSIAN FEDERATION

of December 7, 2019 No. 1610

About the Program of the state guarantees of free rendering medical care to citizens for 2020 and for planning period of 2021 and 2022

(as amended of the Order of the Government of the Russian Federation of 05.06.2020 No. 829)

For the purpose of ensuring constitutional rights of citizens of the Russian Federation on free delivery of health care the Government of the Russian Federation decides:

1. Approve the enclosed Program of the state guarantees of free rendering medical care to citizens for 2020 and for planning period of 2021 and 2022.

2. To the Ministry of Health of the Russian Federation:

a) bring in accordance with the established procedure in the Government of the Russian Federation:

till July 1, 2020 - the report on realization in 2019 of the Program of the state guarantees of free rendering medical care to citizens for 2019 and for planning period of 2020 and 2021;

till October 1, 2020 - the draft of the program of the state guarantees of free rendering medical care to citizens for 2021 and for planning period of 2022 and 2023;

b) make explanations concerning forming and economic case of territorial programs of the state guarantees of free rendering medical care to citizens for 2020 and for planning period of 2021 and 2022, including approaches to determination of the differentiated standard rates of amount of medical care, including together with Federal Compulsory Health Insurance Fund - concerning forming and economic case of territorial programs of compulsory medical insurance;

c) perform monitoring of forming, economic case and assessment of implementation of territorial programs of the state guarantees of free rendering medical care to citizens for 2020 and for planning period of 2021 and 2022, including together with Federal Compulsory Health Insurance Fund - territorial programs of compulsory medical insurance;

d) bring the regulatory legal acts into accord with this resolution.

3. Recommend to public authorities of subjects of the Russian Federation to approve till December 30, 2019 territorial programs of the state guarantees of free rendering medical care to citizens for 2020 and for planning period of 2021 and 2022.

Russian Prime Minister

D. Medvedev

Approved by the Order of the Government of the Russian Federation of December 7, 2019 No. 1610

The program of the state guarantees of free rendering medical care to citizens for 2020 and for planning period of 2021 and 2022

I. General provisions

The program of the state guarantees of free rendering medical care to citizens for 2020 and for planning period of 2021 and 2022 (further - the Program) establishes the list of types, forms and conditions of medical care which rendering is performed free of charge, the list of diseases and conditions in case of which delivery of health care is performed free of charge, categories of citizens, delivery of health care by which is performed free of charge, average standard rates of amount of medical care, average standard rates of finance costs per unit of amount of medical care, average per capita standard rates of financing, procedure and structure of forming of rates for medical care and methods of its payment, and also the requirement to territorial programs of the state guarantees of free rendering medical care to citizens regarding determination of procedure and conditions of provision of medical care, criteria of availability and quality of medical care.

The program is created taking into account procedures for delivery of health care and standards of medical care, and also taking into account the features of gender and age structure of the population, level and structure of population morbidity of the Russian Federation based on data of medical statistics.

Public authorities of subjects of the Russian Federation according to the Program are developed and approve territorial programs of the state guarantees of free rendering medical care to citizens for 2020 and for planning period of 2021 and 2022, including the territorial programs of compulsory medical insurance installed in accordance with the legislation of the Russian Federation about compulsory medical insurance (further respectively - the territorial program, the territorial program of compulsory medical insurance).

II. The list of types, forms and conditions of provision of medical care which rendering is performed free of charge

Within the Program (except for) it are free of charge provided to the medical care provided within clinical approbation:

primary health care, including primary pre-medical, primary medical and primary specialized;

specialized, including high-technology, medical care;

fast, including fast specialized, medical care;

palliative medical care, including palliative primary medical care, including pre-medical and medical, and palliative specialized medical care.

The concept "medical organization" is used in the Program in the value determined in the Federal Laws "About Bases of Protection of Public Health in the Russian Federation" and "About Compulsory Medical Insurance in the Russian Federation".

Primary health care is basis of system of delivery of health care and includes actions for prevention, diagnostics, treatment of diseases and conditions, medical rehabilitation, observation of the course of pregnancy, forming of healthy lifestyle and sanitary and hygienic education of the population.

Primary health care is given free of charge in out-patient conditions and in the conditions of day hospital in planned and urgent forms.

Primary pre-medical medical and sanitary help appears paramedics, obstetricians and other health workers with secondary medical education.

Primary medical medical and sanitary assistance appears therapists, therapists district police officers, pediatricians, pediatricians district police officers and general practitioners (family doctors).

Primary specialized medical and sanitary help appears specialists doctors, including specialists doctors of the medical organizations rendering specialized, including high-technology, medical care.

Specialized medical care is provided free of charge in stationary conditions and in the conditions of day hospital by specialists doctors and includes prevention, diagnostics and treatment of the diseases and conditions (including during pregnancy, childbirth and the postnatal period) requiring use of ad hoc methods and difficult medical technologies, and also medical rehabilitation.

The high-technology medical care which is part of specialized medical care includes application of new difficult and (or) unique methods of treatment, and also resource-intensive methods of treatment with scientifically proved efficiency, including the cellular technologies, the robotic equipment, information technologies and methods of genetic engineering developed on the basis of achievements of medical science and allied industries of science and technology.

The high-technology medical care which is part of specialized medical care appears the medical organizations according to the list of types of high-technology medical care containing including methods of treatment and sources of financial provision of high-technology medical care, according to appendix (further - the list of types of high-technology medical care).

Fast, including fast specialized, medical care is provided to citizens in the emergency or urgent form out of the medical organization, and also in out-patient and stationary conditions in case of the diseases, accidents, injuries, poisonings and other conditions requiring urgent medical intervention.

Fast, including fast specialized, medical care appears the medical organizations of the state and municipal health care systems free of charge.

When rendering emergency medical service the medical evacuation representing transportation of citizens for the purpose of rescuing of life and preserving health is in case of need performed (including persons which are on treatment in the medical organizations in which there is no possibility of rendering necessary medical care in case of life-endangering conditions, women during pregnancy, childbirth, the postnatal period and newborns, persons, injured emergency situations and natural disasters).

Medical evacuation is performed by mobile teams of emergency medical service with carrying out during transportation of actions for delivery of health care, including using the medical equipment.

Palliative medical care is provided free of charge in out-patient conditions, including at home, in the conditions of day hospital and stationary conditions by the health workers who were trained on rendering such help.

The medical organizations providing palliative medical care perform interaction with the relatives and other members of the family of the patient or the legal representative of the patient, persons performing care of the patient, volunteers (volunteers), and also the organizations of social servicing, the religious organizations and the organizations specified regarding the 2nd article 6 of the Federal law "About Bases of Protection of Public Health in the Russian Federation" including for the purpose of provision to such patient of social services, measures of social protection (support) in accordance with the legislation of the Russian Federation, measures of psychological support and spiritual help.

The medical organization to which the patient is attached for receipt of primary health care will organize rendering palliative primary medical care to it health workers, including health workers medical assistant's, medical and obstetrical centers, medical out-patient clinics and other divisions of the medical organizations giving primary health care in interaction with mobile patronage teams of the medical organizations providing palliative medical care and in interaction with the medical organizations providing palliative specialized medical care.

The medical organizations providing specialized medical care, including palliative in case of identification of the patient needing palliative primary medical care in out-patient conditions, including at home, in 3 days prior to implementation of the statement of the specified patient from the medical organization providing specialized medical care, including palliative in stationary conditions and conditions of day hospital, inform on it the medical organization to which such patient is attached for receipt of primary health care, or the medical organization, adjacent to the place of its stay, giving primary health care.

Within budgetary appropriations of budgets of subjects of the Russian Federation such medical organizations and their divisions are provided with the medical products intended for maintenance of functions of bodies and systems of human body, for use at home according to the list approved by the Ministry of Health of the Russian Federation, and also necessary medicines, including the narcotic medicines and psychotropic medicines used in case of visits at home.

For the purpose of providing the patients receiving palliative medical care, narcotic medicines and psychotropic medicines executive bodies of subjects of the Russian Federation having the right in accordance with the legislation of the Russian Federation in case of availability of requirement to organize production in the pharmaceutical organizations of narcotic medicines and psychotropic medicines in the noninvasive dosage forms including applied at children.

Actions for development of palliative medical care are performed within the appropriate state programs of the subjects of the Russian Federation including the specified actions, and also target indicators of their effectiveness.

For the purpose of rendering to the citizens who are in the stationary organizations of social servicing, medical care of subjects of the Russian Federation by executive bodies in the sphere of health protection interaction of the stationary organizations of social servicing with the nearby medical organizations will be organized.

Concerning persons which are in the stationary organizations of social servicing within the basic program of compulsory medical insurance with involvement of the nearby medical organizations medical examination, and in the presence of chronic diseases - dispensary observation according to the procedures established by the Ministry of Health of the Russian Federation is carried out.

In case of identification within medical examination and dispensary observation of indications to rendering specialized, including high-technology, medical care of person, being in the stationary organizations of social servicing, are transferred to the specialized medical organizations in the terms established by this Program.

Concerning persons with mental disturbances and disorders of behavior including which are in the stationary organizations of social servicing and also in the conditions of the accompanied accommodation, including cohabitation of such persons in certain premises, within budgetary appropriations of budgets of subjects of the Russian Federation dispensary observation by the medical organizations giving primary specialized medical and sanitary help in case of mental disturbances and disorders of behavior in the interaction with psychiatrists of the stationary organizations of social servicing according to the procedure established by the Ministry of Health of the Russian Federation is made.

For persons with mental disturbances and disorders of behavior living in the rural zone, working settlements and settlements of city type, the organization of medical care including on the psychiatry profile, it is performed in interaction of health workers, including health workers of infirmaries, medical and obstetrical centers, medical out-patient clinics and departments (the centers, offices) of general medical practice, with the medical organizations giving primary specialized medical and sanitary help in case of mental disturbances and disorders of behavior, including forces of mobile psychiatric teams, according to the procedure, established by the Ministry of Health of the Russian Federation.

Under the organization by the medical organizations giving primary specialized medical and sanitary help in case of mental disturbances and disorders of behavior, medical care to persons with mental disturbances and disorders of behavior living in the rural zone, working settlements and settlements of city type provision of medicines of such patients, including delivery of medicines at the place of residence is performed.

Medical care is provided in the following forms:

emergency - the medical care provided in case of sudden sharp diseases, conditions, exacerbation of the chronic diseases posing threat of life of the patient;

urgent - the medical care provided in case of sudden sharp diseases, conditions, exacerbation of chronic diseases without strong indications of threat of life of the patient;

planned - the medical care provided when holding preventive actions in case of the diseases and conditions which are not followed by threat of life of the patient, not requiring emergency and emergency medical service which rendering delay for a certain time will not entail deterioration in condition of the patient, threat of his life and to health.

When rendering within the Program of primary health care in the conditions of day hospital and in urgent form, specialized medical care, including high-technology, fast, including fast specialized, medical care, palliative medical care in stationary conditions, conditions of day hospital and in case of visits providing citizens with medicines for medical application and the medical products included in the lists of vital and essential drugs and the list of the medical products implanted into human body approved by the Government of the Russian Federation respectively and also the medical products intended for maintenance of functions of bodies and systems of human body, for use at home when rendering palliative medical care according to the list approved by the Ministry of Health of the Russian Federation is performed at home.

The procedure for transfer by the medical organization to the patient (his legal representative) of the medical products intended for maintenance of functions of bodies and systems of human body for use at home when rendering palliative medical care is established by the Ministry of Health of the Russian Federation.

III. The list of diseases and conditions in case of which delivery of health care is performed free of charge and categories of citizens, delivery of health care by which is performed free of charge

The citizen has the right to free receipt of medical care by types, forms and conditions of its rendering according to the Section II of the Program in case of the following diseases and conditions:

infectious and parasitic diseases;

new growths;

diseases of endocrine system;

frustration of food and metabolic disorder;

diseases of nervous system;

diseases of blood, haematogenic bodies;

the separate violations involving the immune mechanism;

diseases of eye and its additional device;

diseases of ear and mastoidal shoot;

blood circulatory system diseases;

diseases of respiratory organs;

diseases of digestive organs, including diseases of oral cavity, salivary glands and jaws (except for tooth prosthetics);

diseases of urinogenital system;

diseases of skin and hypodermic cellulose;

diseases of bone and muscular system and connecting fabric;

injuries, poisonings and some other consequences of impact of the external reasons;

congenital anomalies (malformations);

deformations and chromosomal violations;

pregnancy, childbirth, postnatal period and abortions;

the separate conditions arising at children during the perinatal period;

mental disturbances and disorders of behavior;

the symptoms, signs and aberrations which are not carried to diseases and conditions.

The citizen has the right at least once a year to free routine medical examination, including within medical examination.

In accordance with the legislation of the Russian Federation separate categories of citizens have the right:

on providing with medicines (according to the Section V of the Program);

on routine medical examinations and medical examination - the certain groups of adult population (at the age of 18 years also is more senior) including working and the unemployed citizens studying in the educational organizations for full-time;

on medical examinations, including routine medical examinations, in connection with occupations physical culture and sport - minors;

on medical examination - the orphan children and children who are in difficult life situation and also the orphan children and children without parental support including adopted (adopted), accepted under guardianship (guardianship) in foster or foster home staying in the stationary organizations;

on dispensary observation - the citizens having the socially important diseases and diseases constituting danger to people around, and also the faces having chronic diseases, functional frustration and other conditions;

on prenatal (prenatal) diagnostics of violations of development of the child - expectant mothers;

on neonatal screening on 5 heritable and congenital diseases - newborn children;

on audiological screening - newborn children and children of the first year of life.

The expectant mothers who addressed to the medical organizations providing medical care on the "obstetrics and gynecology" profile in out-patient conditions have the right legal, psychological and the medico-public assistance, including on prevention of termination of pregnancy.

IV. Basic program of compulsory medical insurance

The basic program of compulsory medical insurance is the Program component.

Within the basic program of compulsory medical insurance:

it appear to citizens (insured persons) primary health care, including the preventive help, emergency medical service (except for sanitary and aviation evacuation), specialized medical care, including the high-technology medical care included in the list of types of high-technology medical care which financial provision is performed at the expense of means of compulsory medical insurance, in case of the diseases and conditions specified in the Section III of the Program, except for diseases, sexually transmitted, caused by human immunodeficiency virus, acquired immunodeficiency syndrome, tuberculosis, mental disturbances and disorders of behavior;

preventive actions, including medical examination, dispensary observation (are performed in case of the diseases and conditions specified in the Section III of the Program, except for diseases, sexually transmitted, caused by human immunodeficiency virus, acquired immunodeficiency syndrome, tuberculosis, mental disturbances and disorders of behavior) and routine medical examinations of citizens, including their separate categories specified in the Section III of the Program, and also action for the medical rehabilitation performed in the medical organizations it is out-patient, stationary and in the conditions of day hospital, to audiological screening, use of auxiliary reproductive technologies (extracorporal fertilization), including providing with medicines in accordance with the legislation of the Russian Federation.

The procedure for forming and structure of rate for payment of medical care on compulsory medical insurance are established according to the Federal Law "About Compulsory Medical Insurance in the Russian Federation".

Rates for payment of medical care on compulsory medical insurance are established according to article 30 of the Federal law "About Compulsory Medical Insurance in the Russian Federation" the tariff agreement between authorized body of the executive authority of the subject of the Russian Federation, the territorial fund of compulsory medical insurance, medical insurance companies, medical professional non-profit organizations created according to article 76 of the Federal law "About Bases of Protection of Public Health in the Russian Federation", labor unions of health workers or their associations (associations) which representatives are included the commissions on development of the territorial program of compulsory medical insurance created in the subject of the Russian Federation in accordance with the established procedure.

In the subject of the Russian Federation rates for payment of medical care on compulsory medical insurance are created according to the payment methods of medical care accepted in the territorial program of compulsory medical insurance and regarding salary expenditures include financial provision of money payments of the stimulating nature, including money payments:

to therapists to district police officers, pediatricians to district police officers, general practitioners (family doctors), nurses to district police officers of therapists of district police officers, pediatricians of district police officers and nurses of general practitioners (family doctors) for the provided medical care in out-patient conditions;

to health workers medical assistant's and medical and obstetrical centers (to managers of medical and obstetrical centers, paramedics, obstetricians, nurses, including nurses patronage) for the provided medical care in out-patient conditions;

to doctors, paramedics and nurses of the medical organizations and divisions of emergency medical service for the provided emergency medical service out of the medical organization;

to specialists doctors for the provided medical care in out-patient conditions.

The supreme bodies of the executive authority of subjects of the Russian Federation and local government bodies in case of the solution of question of wages indexation of health workers of the medical organizations subordinated to executive bodies of subjects of the Russian Federation and local government bodies, provide wages indexation of the health workers providing primary health care and emergency medical service in priority procedure.

Wages indexation is performed taking into account actually developed level of the relation of the average salary of health workers to average monthly accrued payroll of workers in the organizations, at individual entrepreneurs and physical persons (the average monthly income from labor activity) on the subject of the Russian Federation.

Within holding preventive actions executive bodies of subjects of the Russian Federation in the sphere of health protection provide the organization of passing by citizens of routine medical examinations, medical examinations, including in the evening and Saturday, and also give to citizens opportunity of remote record on medical researches.

Preventive actions will be organized including for the detection of diseases of the blood circulatory system and oncological diseases creating the population leading causes of death.

Executive bodies of subjects of the Russian Federation in the sphere of health protection post on the official sites on the Internet information on the medical organizations based on which citizens can have routine medical examinations, including medical examination.

If necessary for carrying out medical researches within passing of routine medical examinations and medical examination health workers of the medical organizations providing specialized medical care can be attracted.

Compensation of health workers on performing routine medical examinations, including within medical examination, is performed according to the labor law of the Russian Federation taking into account work outside duration of working hours established for them.

In case of implementation of the territorial program of compulsory medical insurance the following payment methods of the medical care provided to insured persons on compulsory medical insurance in the Russian Federation are applied:

in case of payment of the medical care provided in out-patient conditions:

according to the per capita standard rate of financing on the attached persons (except for expenses on carrying out computer tomography, magnetic and resonant tomography, ultrasonic examination of cardiovascular system, endoscopic diagnostic testings, histologic researches and molecular and genetic researches for the purpose of detection of oncological diseases and matching of targetny therapy, and also funds for financial provision medical assistant's, medical and obstetrical centers) in combination with payment for unit of volume of medical care - for medical service, for visit, for the address (the finished case);

according to the per capita standard rate of financing on the attached persons (except for expenses on carrying out computer tomography, magnetic and resonant tomography, ultrasonic examination of cardiovascular system, endoscopic diagnostic testings, histologic researches and molecular and genetic researches for the purpose of detection of oncological diseases and matching of targetny therapy, and also funds for financial provision medical assistant's, medical and obstetrical centers) taking into account indicators of effectiveness of activities of the medical organization (including indicators of amount of medical care), including with inclusion of expenses on the medical care provided in other medical organizations (for unit of volume of medical care);

for unit of volume of medical care - for medical service, visit, the address (the finished case) (it is used in case of payment of the medical care provided to insured persons outside subject of the Russian Federation in the territory of which the policy of compulsory medical insurance, and also in the separate medical organizations which do not have the attached persons is issued);

for unit of volume of medical care - for medical service (it is used in case of payment of separate diagnostic (laboratory) testings - computer tomography, magnetic and resonant tomography, ultrasonic examination of cardiovascular system, endoscopic diagnostic testings, histologic researches and molecular and genetic researches for the purpose of detection of oncological diseases and matching of targetny therapy);

in case of payment of the medical care provided in stationary conditions, including for medical rehabilitation in the specialized medical organizations (structural divisions):

for the finished case of treatment of the disease included in the corresponding group of diseases (including kliniko-statistical groups of diseases);

for the interrupted case of delivery of health care in case of transfer of the patient to other medical organization, the premature statement of the patient from the medical organization in case of its written refusal of further treatment, lethal outcome, and also when conducting diagnostic testings, rendering services of dialysis;

in case of payment of the medical care provided in conditions of day hospital:

for the finished case of treatment of the disease included in the corresponding group of diseases (including kliniko-statistical groups of diseases);

for the interrupted case of delivery of health care in case of transfer of the patient to other medical organization, the premature statement of the patient from the medical organization in case of its written refusal of further treatment, lethal outcome, and also when conducting diagnostic testings, rendering services of dialysis;

in case of payment of the emergency medical service provided out of the medical organization (in the place of challenge of crew of the ambulance, including fast specialized, medical care, and also in the vehicle in case of medical evacuation), - according to the per capita standard rate of financing in combination with payment for challenge of emergency medical service.

Payment of routine medical examinations, including within medical examination, is performed for unit of volume of medical care (complex visit) according to the amount of medical researches established by the Ministry of Health of the Russian Federation.

In case of payment of medical care in the medical organizations incorporating the divisions providing medical care in out-patient, stationary conditions and in the conditions of day hospital and also medical rehabilitation the payment method according to the per capita standard rate of financing on persons attached to such medical organization, including payment of medical care by all types and conditions by the provided specified medical organization of medical care, taking into account indicators of effectiveness of activities of the medical organization, including indicators of amount of medical care can be applied. At the same time in out-patient conditions expenses on carrying out computer tomography, magnetic and resonant tomography, ultrasonic examination of cardiovascular system, endoscopic diagnostic testings, histologic researches and molecular and genetic researches for the purpose of detection of oncological diseases and matching of targetny therapy, and also funds for financial provision medical assistant's, medical and obstetrical centers are excluded from expenses on financial provision of medical care.

Distribution of amount of separate diagnostic (laboratory) testings (computer tomography, magnetic and resonant tomography, ultrasonic examination of cardiovascular system, endoscopic diagnostic testings, histologic researches and molecular and genetic researches for the purpose of detection of oncological diseases and matching of targetny therapy) between the medical organizations providing medical care in out-patient conditions is performed in the presence in the license for medical activities of specifying for the corresponding works (services) which is available for the medical organization.

Purpose of separate diagnostic (laboratory) testings (computer tomography, magnetic and resonant tomography, ultrasonic examination of cardiovascular system, endoscopic diagnostic testings, histologic researches and molecular and genetic researches for the purpose of detection of oncological diseases and matching of targetny therapy) is performed by the attending physician giving primary health care, including primary specialized medical and sanitary help in the presence of medical indications in the terms established by the Program.

Daily the information on possible amounts of the separate diagnostic (laboratory) testings (computer tomography, magnetic and resonant tomography, ultrasonic examination of cardiovascular system, endoscopic diagnostic testings, histologic researches and molecular and genetic researches for the purpose of detection of oncological diseases and matching of targetny therapy) provided in the specific medical organizations is provided to the doctor giving primary specialized medical and sanitary help.

The procedure for the direction on such researches is established by regulatory legal act of executive body of the subject of the Russian Federation in the sphere of health protection.

Payment of these diagnostic (laboratory) testings is made for unit of volume of medical care - medical service and does not join in payment according to the per capita standard rate of financing on persons attached to the medical organization. At the same time in one medical organization the combination of payment methods of medical care in out-patient conditions - according to the per capita standard rate on the attached persons and for unit of volume of medical care (medical service) is possible.

Medical insurance companies exercise control of appointment, the direction on carrying out and accomplishment of separate diagnostic (laboratory) testings (computer tomography, magnetic and resonant tomography, ultrasonic examination of cardiovascular system, endoscopic diagnostic testings, histologic researches and molecular and genetic researches for the purpose of detection of oncological diseases and matching of targetny therapy) in accordance with the legislation of the Russian Federation.

The basic program of compulsory medical insurance includes standard rates of amounts of provision of medical care counting on 1 insured person (according to the Section VI of the Program), standard rates of finance costs per unit of amount of provision of medical care (including according to the list of types of high-technology medical care), standard rates of financial provision of the basic program of compulsory medical insurance counting on 1 insured person (according to the Section VII of the Program), requirements to territorial programs and conditions of delivery of health care (according to the Section VIII of the Program) and criteria of availability and quality of medical care (according to the Section IX of the Program).

In the territorial program of compulsory medical insurance counting on 1 insured person standard rates of amount of provision of medical care, standard rates of finance costs per unit of amount of provision of medical care and the standard rate of financial provision of the territorial program of compulsory medical insurance are established taking into account structure of incidence in the subject of the Russian Federation.

In case of establishment by the territorial program of compulsory medical insurance of the list of insured events, types and conditions of delivery of health care in addition to established by the basic program of compulsory medical insurance the territorial program of compulsory medical insurance shall include also values of standard rates of amounts of provision of medical care counting on 1 insured person, standard rates of finance costs per unit of amount of provision of medical care counting on 1 insured person, value of the standard rate of financial provision counting on 1 insured person, payment methods of the medical care provided on compulsory medical insurance to insured persons, structure of rate for payment of medical care, the register of the medical organizations participating in implementation of the territorial program of compulsory medical insurance, and condition of delivery of health care in such medical organizations.

V. Financial provision of the Program

Sources of financial provision of the Program are means of the federal budget, budgets of subjects of the Russian Federation and local budgets (in case of transfer of subjects of the Russian Federation of appropriate authority by public authorities in the sphere of protection of public health for implementation by local government bodies), and also means of compulsory medical insurance.

At the expense of means of compulsory medical insurance within the basic program of compulsory medical insurance:

it appear to the insured persons including which are in the stationary organizations of social servicing primary health care, including the preventive help, emergency medical service (except for sanitary and aviation evacuation), specialized medical care, including the high-technology medical care included in the Section I of the list of types of high-technology medical care, in case of the diseases and conditions specified in the Section III of the Program, except for diseases, sexually transmitted, caused by human immunodeficiency virus, acquired immunodeficiency syndrome, tuberculosis, mental disturbances and disorders of behavior;

financial provision of preventive actions, including routine medical examinations of the citizens and their separate categories specified in the Section III of the Program, including within medical examination, medical examination, dispensary observation (is performed in case of the diseases and conditions specified in the Section III of the Program, except for diseases, sexually transmitted, caused by human immunodeficiency virus, acquired immunodeficiency syndrome, tuberculosis, mental disturbances and disorders of behavior), and also actions for the medical rehabilitation performed in the medical organizations it is out-patient, stationary and in the conditions of day hospital, to audiological screening, use of auxiliary reproductive technologies (extracorporal fertilization), including providing with medicines in accordance with the legislation of the Russian Federation.

At the expense of subventions from the budget of Federal Compulsory Health Insurance Fund financial provision of high-technology medical care in the medical organizations participating in implementation of territorial programs of compulsory medical insurance according to the Section I of the list of types of high-technology medical care is performed.

Within budgetary appropriations of the budget of Federal Compulsory Health Insurance Fund financial provision of the high-technology medical care which is not included in the basic program of compulsory medical insurance according to the Section II of the list of types of the high-technology medical care provided to citizens of the Russian Federation is performed:

the federal state institutions included in the list approved by the Ministry of Health of the Russian Federation, function and which powers of the founder perform federal executive bodies;

the medical organizations of private health care system included in the list approved by the Ministry of Health of the Russian Federation.

For the purpose of ensuring availability and quality of medical care to insured persons subjects of the Russian Federation distribute amount specialized, including high-technology, medical care between the medical organizations, including federal state budgetary institutions, taking into account annual extension of the basic program of compulsory medical insurance due to inclusion in it of the separate methods of treatment specified in the Section II of the list of types of high-technology medical care for each medical organization in the amount comparable to amount of previous year.

Within budgetary appropriations of the federal budget financial provision is performed:

the high-technology medical care which is not included in the basic program of compulsory medical insurance according to the Section II of the list of types of high-technology medical care at the expense of subsidies to budgets of subjects of the Russian Federation on joint financing of expenses of the subjects of the Russian Federation arising when rendering high-technology medical care by the medical organizations subordinated to executive bodies of the government of subjects of the Russian Federation;

fast, including fast specialized, medical care, primary medical and sanitary and specialized medical care provided by the medical organizations subordinated to federal executive bodies (regarding the medical care which is not included in the basic program of compulsory medical insurance, including in case of diseases, sexually transmitted, caused by human immunodeficiency virus, acquired immunodeficiency syndrome, tuberculosis, mental disturbances and disorders of behavior, and also regarding the expenses which are not included in structure of rates for the payment of medical care provided by the basic program of compulsory medical insurance);

the medical evacuation performed by the medical organizations subordinated to federal executive bodies, for the list approved by the Ministry of Health of the Russian Federation;

fast, including fast specialized, medical care, primary medical and sanitary and specialized medical care provided by the medical organizations subordinated to Federal Medical Biological Agency, including provision of additional types and amounts of medical care, stipulated by the legislation to the Russian Federation, the population of the closed administrative-territorial educations, the territories with physical, chemical and biological factors hazardous to health of the person included in the corresponding list and employees of the organizations included in the list of the organizations of separate industries with especially dangerous working conditions (regarding the medical care which is not included in the basic program of compulsory medical insurance and also regarding the expenses which are not included in structure of rates for the payment of medical care provided by the basic program of compulsory medical insurance);

the medical care provided by the Federal Laws for certain categories of citizens, rendered in the medical organizations subordinated to federal executive bodies;

treatments of the citizens of the Russian Federation outside the territory of the Russian Federation directed according to the procedure, established by the Ministry of Health of the Russian Federation;

sanatorium treatment of separate categories of citizens in accordance with the legislation of the Russian Federation;

purchases of the medicines intended for treatment of persons sick with hemophilia, mukovistsidozy, by hypophysial nanizm, disease to Gosha, malignant new growths lymphoid, haematogenic and related it fabrics, multiple sclerosis, gemolitiko-uraemic syndrome, juvenile arthritis with the system beginning, mukopolisakharidozy I, II and VI types, the aplastic anemia which is not specified, heritable deficit of factors of II (fibrinogen), the VII (labile), X (Stewart - Prauera), persons after organ transplantation and (or) fabrics, according to the list of medicines created in accordance with the established procedure and approved by the Government of the Russian Federation;

purchases of the anti-virus medicines for medical application included in the list of vital and essential drugs for treatment of persons infected with human immunodeficiency virus including in combination with viruses of the hepatitises B and C;

purchases of the antibacterial and antitubercular medicines for medical application included in the list of vital and essential drugs for treatment of persons, TB patients with multiple medicinal stability of the activator;

provisions in accordance with the established procedure to budgets of subjects of the Russian Federation and the budget of Baikonur of subventions on rendering the government public assistance to separate categories of citizens in the form of set of social services regarding providing with necessary medicines, medical products, and also specialized products of clinical nutrition for handicapped children according to Item 1 of part 1 of article 6.2 of the Federal law "About the Government Public Assistance";

the actions provided by national calendar of preventive inoculations within the subprogramme "Enhancement of delivery of health care, including prevention of diseases and forming of healthy lifestyle of" the state program of the Russian Federation "Health care development", approved by the order of the Government of the Russian Federation of December 26, 2017 No. 1640 "About approval of the state program of the Russian Federation "Health care development";

the additional actions established in accordance with the legislation of the Russian Federation;

the medical activities connected with organ donation and tissues of the person for the purpose of transplantation (change).

Within budgetary appropriations of budgets of subjects of the Russian Federation financial provision is performed:

the fast, including fast specialized, medical care which is not included in the territorial program of compulsory medical insurance, the sanitary and aviation evacuation performed by aircrafts and also the expenses which are not included in structure of rates for the payment of medical care provided in territorial programs of compulsory medical insurance;

fast, including fast specialized, medical care to persons who are not insured on compulsory medical insurance;

primary medical and sanitary and specialized medical care regarding medical care in case of the diseases which are not included in the basic program of compulsory medical insurance (disease, sexually transmitted, caused by human immunodeficiency virus, acquired immunodeficiency syndrome, tuberculosis, mental disturbances and disorders of behavior, connected including with the use of psychoactive agents, including routine medical examinations of students in the general education organizations and the professional educational organizations, and also in the educational organizations of the higher education for the purpose of early (timely) identification of illegal consumption of drugs and psychotropic substances), including concerning persons which are in the stationary organizations of social servicing including the medical care provided by mobile psychiatric teams and regarding expenses, the rates for the payment of medical care provided in territorial programs of compulsory medical insurance which are not included in structure;

the palliative medical care provided on an outpatient basis, including at home including the medical care provided by mobile patronage teams in day hospital and stationary, including beds of palliative medical care and bed of sisterly leaving;

the high-technology medical care provided in the medical organizations subordinated to executive bodies of the government of subjects of the Russian Federation according to the Section II of the list of types of high-technology medical care;

provisions in the medical organizations providing palliative medical care, the state and municipal health care systems of psychological assistance to the patient receiving palliative medical care and members of the family of the patient, and also medical care by psychotherapists to the patient and members of the family of the patient or members of the family of the patient after his death in case of their appeal to the medical organization.

Financial provision of rendering social services and provision of measures of social protection (support) of the patient, including within activities of mobile patronage teams, is performed in accordance with the legislation of the Russian Federation.

The subject of the Russian Federation in the territory of which the citizen is registered at the place of residence, according to the procedure, established by the law of such subject of the Russian Federation performs compensation to subject of the Russian Federation in the territory of which medical care, the costs connected with delivery of health care in case of the diseases which are not included in the basic program of compulsory medical insurance, and palliative medical care based on the interregional agreement signed by subjects of the Russian Federation, including bilateral settlement of cost recovery is actually provided to the citizen.

Subjects of the Russian Federation of the budgets of subjects of the Russian Federation having the right to perform within budgetary appropriations financial provision of additional amounts of the high-technology medical care provided by the medical organizations subordinated to executive bodies of the government of subjects of the Russian Federation according to the Section I of the list of types of high-technology medical care.

Within budgetary appropriations of budgets of subjects of the Russian Federation are performed:

providing citizens with the medicines registered in accordance with the established procedure in the territory of the Russian Federation for treatment of the diseases included in the list zhizneugrozhayushchy and the chronic progressing rare (orphan) diseases leading to reducing life expectancy of citizens or to their disability;

providing with medicines according to the list of national groups and categories of diseases in case of which out-patient treatment medicines and medical products are in accordance with the legislation of the Russian Federation released according to recipes of doctors free of charge;

providing with medicines according to the list of national groups in case of which out-patient treatment medicines are released according to recipes of doctors with 50 percent discount;

prenatal (prenatal) diagnostics of violations of development of the child in expectant mothers, neonatal screening on 5 heritable and congenital diseases regarding the researches and consultations performed by the medico-genetic centers (consultations) and also medico-genetic researches in the relevant structural divisions of the medical organizations;

tooth prosthetics to separate categories of citizens in accordance with the legislation of the Russian Federation, including to persons which are in the stationary organizations of social servicing;

provision within rendering palliative medical care for use at home the medical products intended for maintenance of functions of bodies and systems of human body according to the list approved by the Ministry of Health of the Russian Federation and also providing with medicines for anesthesia, including narcotic medicines and psychotropic medicines, in case of visits at home;

ensuring the medical activities connected with organ donation and tissues of the person for the purpose of transplantation (change) in the medical organizations subordinated to executive bodies of the government of subjects of the Russian Federation.

At the expense of means of local budgets the medical care provided by the Program can be provided in the medical organizations of municipal health care system in case of transfer of subjects of the Russian Federation of appropriate authority by public authorities in the sphere of protection of public health for implementation by local government bodies.

Within the territorial program within budgetary appropriations of budgets of subjects of the Russian Federation and local budgets (in case of transfer of subjects of the Russian Federation of appropriate authority by public authorities in the sphere of protection of public health for implementation by local government bodies) (further - the relevant budgets) and means of compulsory medical insurance financial provision of carrying out surveys by doctors and diagnostic testings for the purpose of medical examination of persons wishing to adopt (to adopt), take under guardianship (guardianship), in foster or foster home of children without parental support, physical examination of the orphan children and children without parental support placed under supervision in the organization for orphan children and children without parental support is performed and also conducting obligatory diagnostic testings and delivery of health care to citizens in case of their statement on military accounting, appeal or revenues to military service under the contract or the service equated to it, receipt in the military professional educational organizations or the military educational organizations of the higher education, the conclusion with the Ministry of Defence of the Russian Federation of the training contract in military training center under the federal state educational organization of the higher education for the program of military preparation or in the military educational organization of the higher education according to the program of military training of sergeants, foremen of inventory or the program of military training of soldiers, sailors of inventory, appeal on military charges, and also in case of the direction on alternative civil service, except for medical examination for the purpose of determination of the validity of citizens to the military or equated to it service.

Besides, within budgetary appropriations of the federal budget, budgets of subjects of the Russian Federation and local budgets (in case of transfer of subjects of the Russian Federation of appropriate authority by public authorities in the sphere of protection of public health for implementation by local government bodies) medical care is in accordance with the established procedure provided and other state and municipal services (works are performed) in the medical organizations subordinated to federal executive bodies, executive bodies of the government of subjects of the Russian Federation and local government bodies respectively, except for types of the medical care provided at the expense of means of compulsory medical insurance in leper colonies and the relevant structural divisions of the medical organizations, the centers of prevention and fight against AIDS, medical and sports dispensaries are provided, the centers of health protection of family and reproduction, the medico-genetic centers (consultations), the centers of protection of reproductive health of teenagers, the centers of medical prevention (except for the primary health care included in the basic program of compulsory medical insurance), the centers of professional pathology and in the relevant structural divisions of the medical organizations, bureau of forensic medical examination, pathoanatomical bureaus and pathoanatomical departments of the medical organizations (except for the diagnostic testings conducted on the diseases specified in the Section III of the Program which financial provision is performed at the expense of means of compulsory medical insurance within the basic program of compulsory medical insurance), medical information and analysis centers, bureau of medical statistics, in the centers of blood, on blood transfusion stations, in children's homes, including specialized, dairy kitchens and in the other medical organizations entering the nomenclature of the medical organizations approved by the Ministry of Health of the Russian Federation and also financial provision of aviation works in case of the sanitary and aviation evacuation performed by aircrafts, medical care in the specialized medical organizations and the relevant structural divisions of the medical organizations providing medical care on the "medical rehabilitation" profile in case of the diseases which are not included in the basic program of compulsory medical insurance (disease, sexually transmitted, caused by human immunodeficiency virus, the acquired immunodeficiency syndrome, tuberculosis, mental disturbances and disorders of behavior including connected with the use of psychoactive agents), and also expenses of the medical organizations is performed, including on acquisition of fixed assets (the equipment, production and economic stock).

Within budgetary appropriations of the relevant budgets financial provision of transportation of the patients having chronic renal failure from the place of their actual accommodation to the place of receipt of medical care by method of replacement kidney therapy and back can be performed.

VI. Average standard rates of amount of medical care

Average standard rates of amount of medical care by types, conditions and forms of its rendering in general by the Program are determined in units of volume counting on 1 inhabitant a year, by the basic program of compulsory medical insurance - counting on 1 insured person. Average standard rates of amount of medical care are used for the purpose of planning and financial and economic reasons for the size of the average per capita standard rates of financial provision provided by the Program and constitute:

for emergency medical service out of the medical organization, including medical evacuation, within the basic program of compulsory medical insurance for 2020 - 2022 - challenge 0,29 on 1 insured person;

for the medical care in out-patient conditions provided:

with preventive and other purposes (including the visits connected with preventive actions including visits of the centers of health, visit of average medical personnel and one-time visits in connection with diseases, including in case of diseases of oral cavity, salivary glands and jaws, except for tooth prosthetics, and also visit of the centers of the out-patient oncological help):

within budgetary appropriations of the relevant budgets for 2020 - 2022 - visit 0,73 on 1 inhabitant (including the medical care provided by mobile psychiatric teams), from them for palliative medical care, including at home, for 2020 - visit 0,0085 on 1 inhabitant, for 2021 - 2022 - visit 0,009 on 1 inhabitant, including when implementing visits at home mobile patronage teams for 2020 - visit 0,0015 on 1 inhabitant, for 2021 - 2022 - visit 0,002 on 1 inhabitant;

within the basic program of compulsory medical insurance for performing routine medical examinations for 2020 - 0,2535 of complex visit on 1 insured person, for 2021 - 0,26 of complex visit on 1 insured person, for 2022 - 0,274 of complex visit on 1 insured person, for carrying out medical examination for 2020 - 0,181 of complex visit on 1 insured person, for 2021 - 0,19 of complex visit on 1 insured person, for 2022 - 0,261 of complex visit on 1 insured person, for visits with other purposes for 2020 - visit 2,4955 on 1 insured person, for 2021 - visit 2,48 on 1 insured person, for 2022 - visit 2,395 on 1 insured person;

in urgent form within the basic program of compulsory medical insurance for 2020 - 2022 - visit 0,54 on 1 insured person;

in connection with diseases - within budgetary appropriations of the relevant budgets for 2020 - 2022 - address 0,144 on 1 inhabitant, within the basic program of compulsory medical insurance for 2020 - 2022 - address 1,77 (the finished case of treatment of disease in out-patient conditions, including in connection with carrying out medical rehabilitation, with frequency rate of visits concerning one disease is at least on 1 2) insured person;

in connection with carrying out the next separate diagnostic (laboratory) testings within the basic program of compulsory medical insurance for 2020 - 2022:

computer tomography - 0, researches on 1 insured person;

magnetic and resonant tomography - research 0,0119 on 1 insured person;

ultrasonic examination of cardiovascular system - research 0,1125 on 1 insured person;

endoscopic diagnostic testings - research 0,0477 on 1 insured person;

molecular and genetic researches for the purpose of detection of oncological diseases - research 0,0007 on 1 insured person;

histologic researches for the purpose of detection of oncological diseases - research 0,0501 on 1 insured person;

for medical care in the conditions of day hospitals within budgetary appropriations of the relevant budgets for 2020 - 2022 - treatment case 0,004 on 1 inhabitant (including cases of rendering palliative medical care in the conditions of day hospital), within the basic program of compulsory medical insurance for 2020 - treatment case 0,06296 on 1 insured person, for 2021 - treatment case 0,06297 on 1 insured person, for 2022 - treatment case 0,06299 on 1 insured person, including for medical care on the oncology profile for 2020 - treatment case 0,006941 on 1 insured person, for 2021 - treatment case 0,0076351 on 1 insured person, for 2022 - treatment case 0,0083986 on 1 insured person;

for specialized medical care in stationary conditions within budgetary appropriations of the relevant budgets for 2020 - 2022 - hospitalization case 0,0146 on 1 inhabitant, within the basic program of compulsory medical insurance for 2020 - 2022 - hospitalization case 0,17671 on 1 insured person, including for medical care on the oncology profile for 2020 - hospitalization case 0,01001 on 1 insured person, for 2021 - hospitalization case 0,011011 on 1 insured person, for 2022 - hospitalization case 0,0121121 on 1 insured person;

for medical rehabilitation in the specialized medical organizations providing medical care on the "medical rehabilitation" profile and rehabilitation departments of the medical organizations within the basic program of compulsory medical insurance for 2020 - 2022 - hospitalization case 0,005 on 1 insured person (including at least 25 percent for medical rehabilitation of children at the age of 0 - 17 years taking into account real requirement);

for palliative medical care in stationary conditions (including beds of palliative medical care and bed of sisterly leaving) within budgetary appropriations of the relevant budgets for 2020 - 2022 - 0,092 on about 1 koyko-day of the inhabitant.

Average standard rates of medical care in case of extracorporal fertilization constitute for 2020 - 0, case on 1 insured person, for 2021 - case 0,000507 on 1 insured person, for 2022 - case 0,00052 on 1 insured person.

The standard rates of amount of medical care established in territorial programs in case of extracorporal fertilization taking into account the real requirement caused including the number of women of fertile age, can be reasonable below or above the corresponding average standard rates provided by this Section of the Program.

The amount of the medical care provided to the citizens who are not insured on compulsory medical insurance in the emergency form in case of sudden sharp diseases, conditions, exacerbation of the chronic diseases posing threat of life of the patient, entering the basic program of compulsory medical insurance joins in average standard rates of amount of the medical care provided in out-patient and stationary conditions and is provided within budgetary appropriations of the relevant budgets.

Standard rates of amount of the ambulance, including the fast specialized, medical care which is not included in the territorial program of compulsory medical insurance including medical evacuation, are established by subjects of the Russian Federation.

Subjects of the Russian Federation on the basis of redistribution of amounts of medical care by types, conditions and forms of its rendering establish the differentiated standard rates of amount of medical care on 1 inhabitant and standard rates of amount of medical care on 1 insured person taking into account stages of delivery of health care, level and structure of incidence, features of gender and age structure and density of population, transport availability, and also climatic and geographical features of regions, considering priority of financial provision of primary health care.

Regarding medical care which financial provision is performed at the expense of the relevant budgets taking into account lower (in comparison with average Russian) the illness rate and death rate of the population from socially important diseases on the basis of real requirement of the population the differentiated standard rates of amount of medical care established in territorial programs can be reasonable below the average standard rates provided by this Section of the Program.

For the purpose of ensuring availability of medical care to the citizens living including in the sparsely populated, remote and (or) remote settlements, and also in the rural zone, as a part of the differentiated standard rates of amount of medical care by territorial programs amounts of medical care taking into account use of sanitary aircraft, telemedicine technologies and portable forms of delivery of health care can be established.

The standard rates of amount of medical care established in the territorial program are used for the purpose of planning and financial and economic reasons for the size of the per capita standard rates of financial provision provided by the territorial program.

VII. Average standard rates of finance costs per unit of amount of medical care, average per capita standard rates of financing

Average standard rates of finance costs per unit of amount of medical care for the purposes of forming of territorial programs for 2020 constitute:

on 1 challenge of emergency medical service at the expense of means of compulsory medical insurance - 2428, the 6th ruble;

on 1 visit when rendering by the medical organizations (their structural divisions) of medical care in out-patient conditions:

with preventive and other purposes:

within budgetary appropriations of the relevant budgets (including expenses on delivery of health care by mobile psychiatric teams, expenses on rendering palliative medical care in out-patient conditions, including at home) - 457, 2 rubles, from them on 1 visit when rendering palliative medical care in out-patient conditions, including at home (except for visits at home mobile patronage teams), - 411 rubles, on 1 visit when rendering palliative medical care at home mobile patronage teams (without the expense accounting on payment of the social services rendered by social workers and expenses for provision at home medical products) - 2055, 2 rubles;

at the expense of funds of compulsory medical insurance for 1 complex visit for performing routine medical examinations - 1782, 2 rubles, on 1 complex visit for carrying out the medical examination including routine medical examination and additional methods of inspections including for the purpose of detection of oncological diseases, - 2048, the 7th ruble, on 1 visit with other purposes - 272, the 9th ruble;

in urgent form at the expense of means of compulsory medical insurance - 631 rubles;

on 1 address concerning disease in case of delivery of health care in out-patient conditions the medical organizations (their structural divisions) within budgetary appropriations of the relevant budgets - 1325, the 8th ruble, at the expense of means of compulsory medical insurance - 1414, 4 rubles, including average standard rates of finance costs on carrying out one research in 2020 - 2022:

computer tomography - 3539, the 9th ruble;

magnetic and resonant tomography - 3997, the 9th ruble;

ultrasonic examination of cardiovascular system - 640, the 5th ruble;

endoscopic diagnostic testing - 880, the 6th ruble;

molecular and genetic research for the purpose of detection of oncological diseases - 15000 rubles;

histologic research for the purpose of detection of oncological diseases - 575, 1 ruble;

on 1 case of treatment in the conditions of day hospitals at the expense of means of the relevant budgets - 13541, ruble, at the expense of means of compulsory medical insurance - 20454, 4 rubles, on 1 case of treatment on the oncology profile at the expense of means of compulsory medical insurance - 77638, 3 rubles;

on 1 case of hospitalization in the medical organizations (their structural divisions) providing medical care in stationary conditions at the expense of means of the relevant budgets - 78432, 1 ruble, at the expense of means of compulsory medical insurance - 34713, the 7th ruble, on 1 case of hospitalization on the oncology profile at the expense of means of compulsory medical insurance - 100848, the 9th ruble;

on 1 case of hospitalization on medical rehabilitation in the specialized medical organizations providing medical care on the "medical rehabilitation" profile and rehabilitation departments of the medical organizations at the expense of means of compulsory medical insurance - 36118, the 8th ruble;

for 1 koyko-day in the medical organizations (their structural divisions) providing palliative medical care in stationary conditions (including beds of palliative medical care and bed of sisterly leaving), - 2099, the 8th ruble.

Average standard rates of finance costs on 1 case of extracorporal fertilization constitute 118713, the 5th ruble.

Standard rates of finance costs on 1 challenge of the ambulance, including the fast specialized, medical care which is not included in the territorial program of compulsory medical insurance are established by subjects of the Russian Federation. The average standard rate of finance costs at the expense of funds of the relevant budgets for 1 case of delivery of health care by aviamedical mobile teams of emergency medical service in case of the sanitary and aviation evacuation performed by aircrafts taking into account real requirement (except for expenses on aviation works) constitutes 6343, the 5th ruble.

Average standard rates of finance costs per unit of amount of the medical care provided according to the Program for 2021 and 2022 constitute:

on 1 challenge of emergency medical service at the expense of means of compulsory medical insurance for 2021 - 2567, 3 rubles, for 2022 - 2666, the 9th ruble;

on 1 visit when rendering by the medical organizations (their structural divisions) of medical care in out-patient conditions:

with preventive and other purposes:

within budgetary appropriations of the relevant budgets (including expenses on delivery of health care by mobile psychiatric teams, expenses on rendering palliative medical care in out-patient conditions, including at home) for 2021 - 475, ruble, for 2022 - 504, the 5th ruble, from them on 1 visit when rendering palliative medical care in out-patient conditions, including at home (except for visits at home mobile patronage teams), for 2021 - 427, the 5th ruble, for 2022 - 453, the 6th ruble, on 1 visit when rendering palliative medical care at home mobile patronage teams (without the expense accounting on payment of the social services rendered by social workers and expenses for provision at home medical products) for 2021 - 2137, 4 rubles, for 2022 - 2267, the 7th ruble;

at the expense of funds of compulsory medical insurance for 1 complex visit for performing routine medical examinations for 2021 - 1891, the 6th ruble, for 2022 - 1944, the 6th ruble, on 1 complex visit for carrying out the medical examination including routine medical examination and additional methods of inspections including for the purpose of detection of oncological diseases, for 2021 - 2106, the 8th ruble, for 2022 - 2151, 4 rubles, on 1 visit with other purposes for 2021 - 305 rubles, for 2022 - 373, the 7th ruble;

in urgent form at the expense of means of compulsory medical insurance for 2021 - 670 rubles, for 2022 - 696, the 8th ruble;

on 1 address concerning disease in case of delivery of health care in out-patient conditions the medical organizations (their structural divisions) within budgetary appropriations of the relevant budgets for 2021 - 1378, the 9th ruble, for 2022 - 1462, the 9th ruble, at the expense of means of compulsory medical insurance for 2021 - 1475, 4 rubles, for 2022 - 1483 rubles, including funds for carrying out separate diagnostic (laboratory) testings;

on 1 case of treatment in the conditions of day hospitals at the expense of means of the relevant budgets for 2021 - 14082, the 9th ruble, for 2022 - 14930, ruble, at the expense of means of compulsory medical insurance for 2021 - 21490, the 8th ruble, for 2022 - 22394, the 8th ruble, on 1 case of treatment on the oncology profile at the expense of means of compulsory medical insurance for 2021 - 86673, 2 rubles, for 2022 - 90140, 1 ruble;

on 1 case of hospitalization in the medical organizations (their structural divisions) providing medical care in stationary conditions at the expense of means of the relevant budgets for 2021 - 81569, 4 rubles, for 2022 - 86382 rubles, at the expense of means of compulsory medical insurance for 2021 - 36876, the 5th ruble, for 2022 - 38389, 2 rubles, on 1 case of hospitalization on the oncology profile at the expense of means of compulsory medical insurance for 2021 - 113868, 2 rubles, for 2022 - 121019, 2 rubles;

on 1 case of hospitalization on medical rehabilitation in the specialized medical organizations providing medical care on the "medical rehabilitation" profile and rehabilitation departments of the medical organizations at the expense of means of compulsory medical insurance for 2021 - 37948, the 9th ruble, for 2022 - 39948, the 8th ruble;

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