of July 28, 2021 No. PP-5199
About measures for further enhancement of system of rendering specialized medical care in health sector
For the purpose of forming of effective system of servicing in the sphere of rendering to the population of the highly skilled specialized medical care conforming to modern requirements on the basis of the principles of publicity, justice and transparency, and also enhancement and complete digitalization of the mechanism of issue of orders:
1. Establish procedure according to which:
a) since October 1, 2021 the procedure for issue of orders on the basis of quota of preferential category of persons in the public medical institutions (further - specialized agencies) specified in the list of appendix No. 1 to this resolution at the expense of means of the Government budget is cancelled and the electronic information system (further - information system) registrations and the directions of specified persons on treatment according to the procedure of priority on the basis of new funding mechanism takes root.
Determine that in case of the direction of preferential category of persons on treatment in specialized agencies:
proceeding from severity of disease by means of information system transparent mechanisms of priority are used;
the citizens included in category of persons from needy families are determined by means of the information system "Unified Register of Social Protection";
the possibility of receipt by patients of information on the requests, addresses and priority in real time is provided;
the direction (further - the direction) providing treatment in specialized agencies according to their diseases with indication of the cost of medical services and the put matrix barcode is issued to patients (QR code);
the direction is created in information system in automatic procedure and grants the right to medical services in the state or non-state medical organizations;
after completion of treatment of the patient the State fund of medical insurance transfers to medical institution the spent funds on the basis of the documents proving the medical services rendered to the patient within basic prices at the expense of the Government budget;
b) rendering medical services of preferential category of persons at the expense of means of the Government budget is allowed to the non-state medical organizations:
since November 1, 2021 - the provided republican specialized scientific and practical medical centers of microsurgery of eye and urology;
since January 1, 2022 - provided by the republican specialized scientific and practical medical centers of cardiology, traumatology and orthopedics, obstetrics and gynecology.
the preferential category of persons has the right to the independent choice of the state or non-state medical organizations which are rendering medical services and signed the contract with the State fund of medical insurance;
requirements imposed to the non-state medical organizations rendering medical services to preferential category of persons at the expense of means of the Government budget affirm the Ministry of Health;
rendering medical services of preferential category of persons by the non-state medical organizations is performed on the basis of the agreement signed with the State fund of medical insurance proceeding from basic prices;
c) till January 1, 2022 use of the orders which are drawn up according to the operating procedure for their issue is allowed;
d) since January 1, 2022 the procedure for registration and treatment of preferential category of persons in the public medical institutions specified in appendix No. 2 to this resolution according to the procedure of priority, by means of electronic information system takes root.
2. Determine that the quality evaluation and control of compliance of the medical services rendered to preferential category of persons, the approved standards, and also efficiency and effectiveness of use of allocated funds are performed by the State fund of medical insurance.
3. Allocate to the State fund of medical insurance in addition eight established posts at the expense of the established posts optimized according to the resolution of the President of the Republic of Uzbekistan of April 3, 2021 No. PP-5053 "About optimization of structure and reducing number of established posts of state governing bodies".
Enter within the total extreme number of employees of the organizations of system of the Ministry of Health and the funds allocated from the Government budget, 14 established posts of chief specialists of the State fund of medical insurance and to place them in territorial authorities of management of health care.
Form the Working group on the solution of the legal, financial and other organizational matters connected with treatment and financing of preferential category of persons under the leadership of the First Deputy Minister of Health Inoyatov A. and to assign rendering assistance of activities of the State fund of medical insurance in the specified direction to this group.
Provide to the Supervisory board of the State fund of medical insurance (L. Tuychiyev) the right to introduction, if necessary, of changes in the approved structure of executive office of the State fund of medical insurance within the extreme number of managerial personnel.
4. For the purpose of treatment of preferential category of persons to implement since October 1, 2021 funding mechanism for specialized agencies based on the agreements signed with the State fund of medical insurance according to basic prices, within the funds allocated from the Government budget.
To the Ministry of Health (A. Hadzhibayev) together with the Ministry of Finance (T. Ishmetov) and the State fund of medical insurance (F. Sharipov) till September 15, 2021 to approve procedure for financing of specialized agencies proceeding from basic prices on contractual basis.
(Zh. Abruyev) to provide to the Ministry of Finance transfer in the State fund of medical insurance of balance of the Government budget, persons allocated to specialized agencies for treatment of preferential category, as of October 1, 2021.
5. To the Ministry of Health (A. Hadzhibayev):
a) in a month:
Disclaimer! This text was translated by AI translator and is not a valid juridical document. No warranty. No claim. More info
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