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ORDER OF THE GOVERNMENT OF THE REPUBLIC OF MOLDOVA

of December 10, 2007 No. 1387

About approval of the Single program of compulsory medical insurance

(as amended on 16-06-2021)

In pursuance of the Law on compulsory medical insurance No. 1585-XIII of February 27, 1998. (The official monitor of the Republic of Moldova, 1998, Art. No. 38-39, 280) DECIDES: the Government

1. Approve the Single program of compulsory medical insurance it (is applied).

2. To the Ministry of Health, work and social protection and National company of medical insurance:

1) annually in 2 weeks time after approval by Parliament of the Law on funds of compulsory medical insurance to establish the needs of the population for medical services correlated to health care system opportunities within means of the funds of compulsory medical insurance approved for the corresponding year;

2) annually, within one month after approval by Parliament of the Law on funds of compulsory medical insurance to approve and publish in the Official monitor of the Republic of Moldova Criteria of the conclusion of contracts with medical and sanitary organizations within system of compulsory medical insurance for the corresponding year according to the needs of the population for medical services correlated to health care system opportunities within means of funds of compulsory medical insurance;

3) within one month after approval of the changes and additions made to the Single program of compulsory medical insurance to approve and publish in the Official monitor of the Republic of Moldova Methodological regulations on application of the Single program of compulsory medical insurance;

4) to exercise control over the implementation of provisions of the Single program of compulsory medical insurance, Methodological regulations on its application, and also Criteria of the conclusion of contracts with medical and sanitary organizations within system of compulsory medical insurance in the corresponding year.

3. National company of medical strakhoyovaniye:

till December 31 every year to conclude with the suppliers of medical services working according to the legislation, agreements on delivery of health care (provision of medical services) within compulsory medical insurance according to the specified Program and Criteria of the conclusion of contracts with medical and sanitary organizations in system of compulsory medical insurance for the corresponding year. The basic principles of the conclusion of contracts with suppliers of medical services are compliance to provisions of national policy in the field of health care, effective and transparent use of public financial resources on the basis of the needs of the population for medical care correlated to health care system opportunities within means of the funds of compulsory medical insurance approved for the corresponding year;

together with bodies of local public authority and suppliers of medical services to organize acquaintance of the population with amount of the medical care provided by the Single program of compulsory medical insurance;

together with suppliers of medical services to provide transparency of use of the means stipulated by the agreement from funds of compulsory medical insurance;

organize, including through the territoyorialny agencies, protection of interests of insured persons regarding observance by suppliers of medical services of conditions of agreements on delivery of health care (provision of medical services) according to the current legislation.

3-1. The amount of the medical services provided by the Single program of compulsory medical insurance is provided within means of the funds of compulsory medical insurance approved for this year.

4. To impose control over the implementation of this postayonovleniye on the Ministry of Health, work and social protection.

5. The specified program becomes effective on January 1, 2008.

Prime Minister

Vasile Tarlev

Countersign:

Minister of Health

 

Ion Ababy

Minister of Economy and Trade

Igor Dodon

Minister of Finance

Mihail Pop

 

Approved by the Order of the Government of the Republic of Moldova of December 10, 2007 No. 1387

Single program of compulsory medical insurance

Chapter I. General provisions

1. The single program of compulsory medical insurance (further – the Single program) is developed based on article 2 of the Law on compulsory medical insurance No. 1585-XIII of February 27, 1998 and provides the list of the diseases and conditions requiring medical care and establishes amount of the medical services provided to persons by medical and sanitary organizations with which contracts by the National company of medical insurance and its territorial agencies according to legislative provisions are signed.

2. The amount of medical care established by the Single program includes types of medical care and general range of medical services which has the right to expect faces within system of compulsory medical insurance.

3. Conditions of delivery of health care for each level and type are established by the Metoyodologichesky regulations on application of the Single program (further – Methodological regulations) approved by the Ministry of Health, work and social protection and the National company of mediyotsinsky insurance and published in the Official monitor of the Republic of Moldova.

3-1. The principles based on which contracts are signed with suppliers of medical services, procedure for their payment on the types provided by the Single program, distribution of means by types of compulsory medical insurance for payment of medical services of feature of the conclusion of the agreements by types of medical care provided in the Single program and to suppliers of medical services are established by Criteria of the conclusion of contracts with the medical and sanitary organizations in system of compulsory medical insurance approved by the Ministry of Health, work and social protection and the National company of medical insurance and published in the Official monitor of the Republic of Moldova, according to the amounts approved by the law on funds of compulsory medical insurance for the corresponding year.

4. The types of medical care and medical services specified in the Single program are provided to all insured persons and are universal service package which is designed to meet the needs of the population caused properly:

1) a) demographic tendencies, mortality rate, characteristic of the Republic of Moldova, and priorities of public health care;

b) ensuring equal access to the main, high-quality medical services, with their step-by-step provision and emphasis of attention on vulnerable segments of the population and risk groups;

c) need of tallying to the level of requests for medical services of insured faces and provision in the long term high-quality and effective medical services according to the principle "ratio the price quality" for the purpose of the prevention and early detection of diseases and defeats.

2) Urgentnaya pre-hospital and primary medical care is provided to all persons including which do not have the status of insured person in the amount established by the Single program including purpose of the compensated medicines and medical products according to the existing regulations, without collection of payment for rendering the corresponding services.

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