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ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of December 8, 2020 No. KR DSM-242

About approval of rules of purchase of services at subjects of health care in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance

According to the subitem 62) article 7 of the Code of the Republic of Kazakhstan of July 7, 2020 "About health of the people and health care system" and Item 1 of article 34 of the Law of the Republic of Kazakhstan of November 16, 2015 "About compulsory social medical insurance" PRIKAZYVAYU:

1. Approve rules of purchase of services at subjects of health care in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance according to appendix 1 to this order.

2. Recognize invalid some orders of the Ministry of Health of the Republic of Kazakhstan according to appendix 2 to this order.

3. To provide to department of coordination of compulsory social medical insurance of the Republic of Kazakhstan in the procedure established by the legislation of the Republic of Kazakhstan:

1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;

2) placement of this order on Internet resource of the Ministry of Health of the Republic of Kazakhstan after its official publication;

3) within ten working days after state registration of this order in the Ministry of Justice of the Republic of Kazakhstan provision in Legal department of the Ministry of Health of the Republic of Kazakhstan of data on execution of the actions provided by subitems 1) and 2) of this Item.

4. To impose control of execution of this order on the first vice-Minister of Health of the Republic of Kazakhstan Shoranov M. E.

5. This order becomes effective since January 1, 2021 and is subject to official publication.

Minister of Health of the Republic of Kazakhstan

A. Tsoi

It is approved

Ministry of national economy of the Republic of Kazakhstan

 

 

Appendix 1

to the Order Minister of Health of the Republic of Kazakhstan of December 8, 2020 No. KR DSM-242/2020

Rules of purchase of services at subjects of health care in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance

Chapter 1. General provisions

1. These rules of purchase of services at subjects of health care in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance (further - Rules) are developed according to the subitem 62) of article 7 of the Code of the Republic of Kazakhstan of July 7, 2020 "About health of the people and health care system" (further - the Code) and Item 1 of article 34 of the Law of the Republic of Kazakhstan of November 16, 2015 "About compulsory social medical insurance" (further - the Law on OSMS) and determine procedure for purchase of services at subjects of health care within the guaranteed amount of free medical care (further - GOBMP) and (or) in system of compulsory social medical insurance (further - OSMS).

2. The purchase of services at subjects of health care within GOBMP is performed by fund of social medical insurance (further - fund) and (or) administrators of the budget programs.

The purchase of services at subjects of health care in the OSMS system is performed by fund.

The purchase of services at subjects of health care within GOBMP and (or) in the OSMS system is performed by the choice of subjects of health care and placement of amounts of services and (or) amounts of means (further - purchase of services).

3. The basic concepts used in these rules:

1) the appeal commission - the permanent body created by fund or the administrator of the budget programs for consideration of the questions arising on purchase of services in delivery of health care within GOBMP and in the OSMS system;

2) the collaborator - the subject of health care included in the database of the subjects of health care applying for delivery of health care within GOBMP and (or) in the OSMS system (further - the database) with whom the supplier signed the agreement of co-execution for execution of part of obligations of the supplier under the signed agreement of purchase of services;

3) the regional perspective plan of development of infrastructure of health care - the long-term plan of development of infrastructure of the region reflecting information on the existing network of the organizations of health care, the planned restructuring (opening, consolidation, closing, reshaping), and also information on the need for new health care facilities and planning of investments;

4) 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 of the Republic of Kazakhstan, medical and pharmaceutical science, medical and pharmaceutical education, sanitary and epidemiologic wellbeing of the population, drug circulation and medical products, qualities of rendering medical services (help);

5) subjects of health care - the organizations of health care, and also the physical persons practising private medicine and pharmaceutical activities;

6) the organization of health care - the legal entity performing activities in the field of health care;

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