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ORDER OF THE GOVERNMENT OF THE RUSSIAN FEDERATION

of April 3, 2020 No. 432

About features of implementation of the basic program of compulsory medical insurance in the conditions of emergence of threat of spread of the diseases caused by new koronavirusny infection

(as amended on 03-12-2020)

According to part 8.1 of article 35 of the Federal law "About Compulsory Medical Insurance in the Russian Federation" Government of the Russian Federation decides:

1. Determine that in the conditions of emergence of threat of spread of the diseases caused by new koronavirusny infection from the date of establishment by the solution of the management official of the subject of the Russian Federation (the head of the supreme executive body of the government of the subject of the Russian Federation) in the territory of the subject of the Russian Federation of rationing arrangements on ensuring sanitary and epidemiologic wellbeing of the population in connection with spread of new koronavirusny infection (COVID-19) and about day of their cancellation:

a) holding the preventive actions regarding medical examination including staying in the stationary organizations of 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 and routine medical examinations of citizens, including minors stops;

b) receipt of medical care in stationary conditions and conditions of day hospital in planned form and purpose of separate tool and laboratory researches (computer tomography, magnetic and resonant tomography, ultrasonic examination of cardiovascular system) are performed in the direction of the doctor giving primary health care in out-patient conditions in the medical organization chosen by the citizen for receipt of primary health care or for the direction issued by executive body of the subject of the Russian Federation in the sphere of health protection;

c) medical care to the patients with oncological diseases, diseases of cardiovascular and endocrine system and also who are on replacement kidney therapy (dialysis) appears in full;

d) rendering primary health care in urgent form, emergency medical service, specialized medical care in stationary conditions in the emergency form in case of sharp respiratory viral diseases, flu, pneumonia, new koronavirusny infection, and also medical care to the patients needing respiratory extracorporal membrane oxygenation is performed taking into account needs of insured persons;

e) payment of the primary health care given in out-patient conditions is performed according to the per capita standard rate of financing of the medical organization on the attached persons taking into account suspension of the preventive actions specified in the Item "and" of this resolution (except for 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 medical organizations which do not have the attached persons for the list of such medical organizations approved by executive body of the subject of the Russian Federation, authorized supreme executive body of the government of the subject of the Russian Federation is issued);

e) in the territorial program of compulsory medical insurance standard rates of amount of medical care when carrying out the laboratory researches directed to confirmation of the diagnosis of the disease caused by coronavirus of strain of COVID-19, and also standard rates of finance costs on one research are established;

g) the validity of the granted interim certificates confirming execution of the policy of compulsory medical insurance for operation of this resolution is extended;

h) performing by medical insurance companies and territorial funds of compulsory medical insurance of planned medico-economic examinations and examinations of quality of medical care, except for medico-economic examinations of medical care stops in case of oncological diseases, sharp violation of brain blood circulation, sharp coronary syndrome, and also medico-economic examinations according to addresses of insured persons. The medical organizations have the right to make the decision on provision of the medical documentation necessary for monitoring procedure of amounts, terms, quality and conditions of provision of medical care on compulsory medical insurance, in medical insurance company;

i) carrying out compulsory medical insurance by territorial funds in planned form of control of activities of medical insurance companies stops;

j) the supreme executive body of the government of the subject of the Russian Federation has the right to increase the terms of expectation of delivery of health care in planned form established in the territorial program of the state guarantees of free rendering medical care to citizens;

k) territorial programs of compulsory medical insurance are implemented taking into account the features specified in subitems "an" - "e", "m" and "N" of this Item, without entering of corresponding changes into territorial programs of compulsory medical insurance;

l) financial provision of expenses of the medical insurance companies and medical organizations performing activities in the sphere of compulsory medical insurance is performed according to the procedure of monthly advancing of payment of medical care at the rate to one twelfth amounts of annual financial provision of amount of the provision of medical care on compulsory medical insurance distributed by the decision of the commission on development of the territorial program of compulsory medical insurance without the actual accomplishment of amounts of provision of medical care;

m) the medical organizations performing activities in the sphere of compulsory medical insurance perform expenses on compensation of the workers, tax payment and charges, the insurance premiums established by the legislation of the Russian Federation, and the expenses connected with payment of utilities and content of property (further - fixed expenses), at the expense of means of compulsory medical insurance irrespective of amount of the medical care provided by them. The specified medical organizations in addition to fixed expenses can perform expenses on the purposes provided by part 7 of article 35 of the Federal law "About Compulsory Medical Insurance in the Russian Federation" and connected with need of proper execution of obligations assumed by them under the signed civil agreements, at the expense of means of compulsory medical insurance irrespective of amount of the medical care provided by them in the amount of, not exceeding 5 percent of the size of fixed expenses of the medical organization for the corresponding period. The amount of accounts payable of the medical organizations performing activities in the sphere of compulsory medical insurance before medical insurance companies decreases by payment amount of the expenses specified in this subitem. The payments of the specified expenses of means of compulsory medical insurance which remained later are subject to return to the budget of the relevant territorial fund of compulsory medical insurance;

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