Document from CIS Legislation database © 2003-2024 SojuzPravoInform LLC

The document ceased to be valid since November 29, 2020 according to Item 1 of the Order of the Minister of Health of the Republic of Kazakhstan of November 13, 2020 No. KR DSM-190/2020

I.O'S ORDER. MINISTER OF HEALTH AND SOCIAL DEVELOPMENT OF THE REPUBLIC OF KAZAKHSTAN

of July 28, 2015 No. 627

About approval of Rules of cost recovery to the organizations of health care at the expense of budgetary funds

(as amended on 16-02-2018)

According to the subitem 81) Item 1 of article 7 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" PRIKAZYVAYU:

1. Approve Rules of cost recovery to the organizations of health care at the expense of budgetary funds according to appendix 1 to this order.

2. Recognize invalid some decisions of the Ministry of Health of the Republic of Kazakhstan and the Ministry of health and social development of the Republic of Kazakhstan according to appendix 2 to this order.

3. To provide to committee of payment of medical services of the Ministry of health and social development of the Republic of Kazakhstan:

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

2) the direction on official publication of the copy of this order in periodic printing editions and information system of law of Ad_let within ten calendar days after its state registration in the Ministry of Justice of the Republic of Kazakhstan;

3) placement of this order on Internet resource of the Ministry of health and social development of the Republic of Kazakhstan;

4) within ten working days after state registration of this order in the Ministry of Justice of the Republic of Kazakhstan submission to Department of legal service of the Ministry of health and social development of the Republic of Kazakhstan of data on execution of the actions provided by subitems 1), 2) and 3) of this Item.

4. To impose control of execution of this order on the first Vice-Minister of health and social development of the Republic of Kazakhstan Kairbekova of Page Z.

5. This order becomes effective after day of its first official publication.

Acting Minister

B. Nurymbetov

It is approved

Deputy. Minister of Finance of the Republic of Kazakhstan

2015

 

R. Beketayev

It is approved

Deputy Minister of national economy of the Republic of Kazakhstan

2015

 

T. Zhaksylykov

Appendix 1

to the Order of the Minister of health and social development of the Republic of Kazakhstan of July 28, 2015 No. 627

Rules of cost recovery to the organizations of health care at the expense of budgetary funds

Chapter 1. General provisions

1. These rules of cost recovery to the organizations of health care at the expense of budgetary funds (further - Rules) are developed according to the subitem 81) of Item 1 of article 7 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" (further - the Code about health) and determine procedure for cost recovery taking into account results of quality control and amount of medical care at the expense of budgetary funds to the organizations of health care rendering the guaranteed amount of free medical care (further - the organizations rendering GOBMP), except for the organizations of health care:

1) being public institutions;

2) actionees of the state task;

3) rendering treatment according to the procedure, determined by the Rules of the direction of citizens of the Republic of Kazakhstan on treatment abroad at the expense of budgetary funds approved by the order of the Minister of health and social development of the Republic of Kazakhstan of June 30, 2015 No. 544 (it is registered in the Register of state registration of regulatory legal acts for No. 11795) (further - Rules of the direction of citizens on treatment abroad).

2. The basic concepts used in these rules of compensation:

1) the basic complex per capita standard rate of the out-patient and polyclinic help (further - APP) - estimated cost of complex of out-patient and polyclinic services GOBMP in forms of primary health care (further - PHC) and the consulting and diagnostic help according to the list of services determined by authorized body in the field of health care without correction coefficients;

2) the guaranteed component of the complex per capita standard rate of APP - estimated cost of complex of out-patient and polyclinic services of the guaranteed amount of free medical care (further - GOBMP) in the PHC forms and the consulting and diagnostic help on determined by authorized body in the field of health care by the list of services taking into account correction coefficients;

3) the complex per capita standard rate on rendering the out-patient and polyclinic help (further - the complex per capita standard rate of APP) - the cost of complex of out-patient and polyclinic services of the guaranteed amount of free medical care on one attached person registered in the Registr Prikreplennogo Naseleniya portal (further - the RPN portal) to the subject of health care giving primary health care consisting of the guaranteed component of the complex per capita standard rate of APP and the stimulating component of the complex per capita standard rate;

4) method of annuity payments - accrual method of remuneration (percent) in case of which debt repayment on financial leasing is performed by equal payments throughout all term of leasing, including the increasing payments on principal debt and the decreasing payments on the remuneration added for the period on remaining balance of principal debt;

5) rate for one treated case on disease (further - rate on disease) - the cost of complex of the medical services rendered to the patient applying for medical treatment abroad at the expense of budgetary funds in the conditions of the domestic medical organizations;

6) the list of diseases and the list of separate categories of citizens - the list of diseases in case of which citizens of the Republic of Kazakhstan go for treatment abroad at the expense of budgetary funds, and the list of separate categories of the citizens of the Republic of Kazakhstan directed to treatment abroad at the expense of budgetary funds, determined based on the subitem 80) of article 7 of the Code about health;

7) the subject of the village - the subject of health care of district value and the village entering one of the following administrative and territorial units the city of district value, the village, the settlement, the rural district, the area, and providing range of services of GOBMP to the rural population registered in the RPN portal on determined by management of health care (further - UZ) to the list of forms of medical care;

8) the guaranteed component of the complex per capita standard rate on rural population - estimated cost of range of services of GOBMP rendered to rural population according to the list of forms of medical care determined by authorized body in the field of health care taking into account correction coefficients;

9) the complex per capita standard rate on rendering services GOBMP to rural population (further - the complex per capita standard rate on rural population) - the cost of range of services of GOBMP according to the list of forms of medical care determined by authorized body in the field of health care counting on one villager registered in the RPN portal, to the subject of health care of district value or the village, consisting of the guaranteed component of the complex per capita standard rate on rural population and the stimulating component of the complex per capita standard rate;

10) the cost of base rate - estimated cost of one unit of service GOBMP;

11) primary medical documentation - the documents intended for data recording about the state of health of the patients reflecting nature, amount and quality of the provided medical care which forms are approved by the order of the deputy. The Minister of Health of the Republic of Kazakhstan of November 23, 2010 No. 907 "About approval of forms of primary medical documentation of the organizations of health care" (it is registered in the Register of state registration of regulatory legal acts No. 6697) (further - the order No. 907): medical records of the ambulatory patient (form No. 025/at) (further - form No. 025/at), cards of the ambulatory patient (form No. 025-5/u) (further - form No. 025-5/u) statistical cards of the ambulatory patient for the consulting and diagnostic centers (polyclinics) (form No. 025-9/u) (further - form No. 025-9/u), cards of the ambulatory patient for routine medical examination (screening) (No. form to 025-8) (further No. to 025-8), the statistical card of routine medical examination (screening) of the child (form to 025-07) (further - No. form to 025-07), cards of the inpatient (form No. 003/at) (further - form No. 003/at), cards of sick day hospital (polyclinic, hospital), hospital at home (form No. 003-2/u) (further - form No. 003-2/u), stories of childbirth (form No. 096/at) (further - form No. 096/at), stories of development of the newborn (form No. 097/at) (further - form No. 097/at), the notice on the patient with for the first time in life the established diagnosis of cancer or other malignant new growth in form No. 090/at (further - form No. 090/at), the direction on consultation, diagnostic testing (form No. 001-4/u) (further - form No. 001-4/u);

12) the administrator of the budget program (further - the administrator) - the Ministry of Health of the Republic of Kazakhstan (further - the Ministry) or local authorities of public administration by health care of areas, cities of Astana and Almaty (further - UZ);

13) the subject of informatization in the field of health care (further - the SI) - the state bodies, physical persons and legal entities performing activities or entering legal relationship in the sphere of informatization in the field of health care;

14) authorized body in the field of health care (further - authorized body) - the state body performing management in the field of protection of public health, medical and pharmaceutical science, medical and pharmaceutical education, drug circulation, products of medical appointment and medical equipment, control of quality of medical services;

15) the treated case - complex of the medical services rendered to the patient in stationary and (or) hospital-replacing conditions from the moment of receipt to the statement;

16) Working body - the coordinating body for questions of the direction of citizens of the Republic of Kazakhstan on treatment abroad at the expense of budgetary funds;

17) gender and age correction coefficient - the coefficient considering distinctions in level of consumption of medical care by different gender and age categories of the population;

18) the stimulating component of the complex per capita standard rate (further - SKPN) - the stimulating component of the complex per capita standard rate directed to stimulation of workers of the subject of the health care rendering PHC on the basis of the achieved indicators of resulting result according to the procedure, the deputy determined by the order. The Minister of Health of the Republic of Kazakhstan of May 29, 2015 No. 429 (it is registered in the Register of state registration of regulatory legal acts for No. 11526) (further - the order No. 429);

19) complex rate - the cost of complex of medical services GOBMP counting on one oncological patient registered in the electronic register of oncological patients (further - EROB), except for, patients with malignant new growths of lymphoid and haematogenic fabric, according to Item 2 of article 23 of the Code about health;

20) kliniko-costly groups (further - KZG) - clinically uniform groups of diseases similar on costs for their treatment;

21) the agreement of financial leasing - the tripartite agreement according to which the lessor shall acquire in property the leasing subject specified by the leasing recipient at the supplier according to these rules and provide to the leasing recipient leasing subject in temporary ownership and use for a fee according to the civil legislation of the Republic of Kazakhstan;

22) the permanent Commission of the Republic of Kazakhstan on the direction of citizens of the Republic of Kazakhstan on treatment in the foreign medical organizations (further - the Commission on the direction on treatment abroad) - advisory advisory body in the direction of citizens of the Republic of Kazakhstan on treatment in the foreign medical organizations under the authorized body according to the procedure determined based on Rules of the direction of citizens on treatment abroad;

23) subcontractor - subject of health care with which the supplier signed the agreement of sub contracting;

24)  No. 874 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 27.11.2017;

25) the agreement of sub contracting - the civil agreement signed between subcontractor and the supplier for execution of part of obligations of the supplier under the contract for rendering GOBMP;

26) examination of documentation - the retrospective analysis on the basis of studying of medical documentation of the patients who earlier received medical services;

27) the supplier - the subject of health care with whom the contract for rendering GOBMP is signed;

28) the Commission on fee - the permanent collegiate organ created by the customer from among in writing presented candidacies of the relevant UZ, territorial departments of Committee of control of medical and pharmaceutical activities of the Ministry of health and social development of the Republic of Kazakhstan and Committee of payment of medical services of the Ministry of health and social development of the Republic of Kazakhstan for determination of the amount which is subject to payment for the rendered services GOBMP taking into account results of quality control and amount of medical care;

29) the leasing recipient - the organization of health care (the participant of the leasing transaction) who accepts leasing subject on terms of the contract of financial leasing;

30) the lessor - the participant of the leasing transaction who by the attracted and (or) own money acquires subject of leasing in property and gives him to the leasing recipient on terms of the contract of financial leasing;

31) leasing term - the term for which the subject of leasing is provided to the leasing recipient in temporary ownership and use according to the agreement of financial leasing. At the same time early agreement cancelation of financial leasing in case of reservation of ownership right regarding leasing for the lessor does not involve change of term of leasing;

32) leasing payments - the periodical payments representing the total amount of payments under the agreement of financial leasing for all duration of the agreement of financial leasing;

33) the schedule of leasing payments - information on terms, the amount of repayment of leasing payments, share of leasing payment on one medical service, the total amount of remuneration and the planned number of medical services in month created for each leasing recipient individually according to the agreement of financial leasing and accounting of delivery dates of subject of leasing;

34) payment of leasing payments - cost recovery of the leasing recipient on payment of leasing payments on the terms of financial leasing;

35) medical equipment - the devices, devices and the equipment used separately in complexes or systems in the medical purposes for prevention, diagnostics, treatment of diseases, rehabilitation, scientific research of medical nature;

36) Committee of protection of public health of the Ministry (further - KOOZ) - the department of the Ministry and its territorial subdivisions (further - KOOZ TD) exercising the state control in the sphere of rendering medical services;

37) Committee of payment of medical services of the Ministry (further - KOMU) - the department of the Ministry and its territorial subdivisions (further - TD to WHOM) performing payment for the rendered medical services at the expense of means of the republican budget and also coordination and monitoring of implementation and execution of the programs and the directions realized within the Single national health care system including target current transfers on providing and the GOBMP expansion (further - TsTT);

38) the per capita standard rate on rendering PHC - cost rate counting on one person for providing GOBMP in the form of PHC;

40) medical care by the oncological patient - complex of the medical services directed to diagnostics and treatment (including with precancer diseases and good-quality new growths) and dispensary observation of patients with malignant new growths, including provision of medicines, at all levels;

41) the average number of oncological patients - the number of oncological patients on average for the accounting period which is determined by summing of number of the oncological patients registered in EROB, for each calendar day of the accounting period and division of the received amount on number of calendar days of month;

42) EROB - unified information system of electronic registration, accounting, processing and data storage of patients with oncological pathology which data are used in case of placement of GOBMP and its payment;

43) the domestic medical organization - the organization of health care registered according to the legislation on state registration of legal entities with which the contract for rendering medical services to the patient applying for medical treatment abroad is signed

44) payback period - the period of time necessary for covering of costs of the leasing recipient for acquisition in property of subject of leasing;

45) the customer - the territorial department of Committee of payment of medical services of the Ministry or UZ performing cost recovery at the expense of means of republican or local budgets;

46) tasksetter - the list of rates for medical services approved by authorized body according to Item 2 of article 23 of the Code about health;

47) the contract for rendering GOBMP - the civil contract for rendering GOBMP signed between the customer and the supplier according to Rules of the choice of the supplier;

48) service GOBMP rate (further - rate) - the cost of unit or range of services of GOBMP;

49) the subject of monitoring and the analysis of GOBMP - the legal entity performing activities and entering legal relationship in the sphere of informatization in the field of health care regarding monitoring, the analysis of results of activities of subjects of health care for rendering GOBMP and assessment of medico-cost efficiency of implementation of payment methods of GOBMP;

50) payment documents - the account register, the protocol of agreement performance and the act of the performed works (services);

51) correction coefficients - the coefficients applied by the administrator for the purpose of adjustment of rate according to the procedure, determined by the Technique of forming of rates and costs planning on the medical services rendered within the guaranteed amount of the free medical care approved by the order of the Minister of Health of the Republic of Kazakhstan of November 26, 2009 No. 801 (it is registered in the Register of state registration of regulatory legal acts for No. 5946) (further - the Technique of forming of rates);

52) linear rating scale of agreement performance (further - the Linear scale) - the mechanism of calculation of compensation amount in cases of excess of the monthly amount of the contract for rendering GOBMP without results of quality control and amount of medical care;

53) the foreign specialist - the foreign diplomaed and certified specialist in health sector invited on a visit to the Republic of Kazakhstan for rendering the high-technology medical services which are not rendered by the domestic organizations of health care including for holding master classes;

54) zatratoyemkost coefficient - the coefficient determining degree of cost intensity of kliniko-costly groups to the cost of base rate.

Chapter 2. Procedure for cost recovery to the organizations of health care rendering GOBMP at the expense of budgetary funds

3. Cost recovery to the organizations rendering GOBMP at the expense of budgetary funds is performed by the customer taking into account realization by citizens of the Republic of Kazakhstan of the right of the free choice of the subject rendering GOBMP, and results of quality control and amount of medical care based on the signed contracts for rendering GOBMP within the means provided by funding plans of the budget programs (subprogrammes) for obligations and payments of the administrator for the corresponding financial year and also for the medical services rendered in the last month of prior financial year - at the expense of budgetary funds of the current financial year with the suppliers who signed contracts on rendering GOBMP in prior financial year within the amounts determined by authorized body in health sector.

4. Cost recovery is performed on the rates approved by the administrator based on Item 2 of article 23 of the Code about health based on acts of the performed works (services).

5. Rates taking into account correction coefficients are created according to the Technique of forming of rates.

6. To the organizations rendering GOBMP the costs connected with their activities for delivery of health care within GOBMP, included in rate according to the Technique of forming of rates are compensated.

In case of excess by the organizations rendering GOBMP in form of business of the state companies of the amount of the contract for rendering GOBMP in connection with increase in expenses on payment of utilities, running repair of buildings, constructions and the equipment, compensation of these expenses it is performed according to the decision of local representative body from means of the local budget of areas, the city of republican value and the capital.

7. Results of quality control and amount of medical care are provided on the Commission on fee following the results of:

the quality control and amount which is carried out within the state control in the sphere of rendering medical services for the purpose of assessment of conformity of the rendered medical services to standards, regulatory legal acts of the Republic of Kazakhstan in the field of health care in the form of selective, unscheduled inspections and other forms of control without visit of subject (object) of health care according to the procedure, established by the Entrepreneurial code of the Republic of Kazakhstan of October 29, 2015 (further - the Entrepreneurial code) (further - quality control and amount) entered into the information system "Quality Management System of Medical Services" (further - SUKMU), including in the "Defects of Rendering Medical Services" module, specialists of KOOZ and TD KOOZ;

examinations of amount for the purpose of assessment of conformity of delivery of health care within GOBMP to standards, regulatory legal acts of the Republic of Kazakhstan in the field of health care according to article 7 of the Code about health which is carried out by the customer for check of reliability of amount of medical care within the signed contract for rendering GOBMP (further - control of amount).

8. KOOZ by results of selective and unscheduled inspections creates TD:

the act of results of check which is drawn up according to the procedure, determined based on article 152 of the Entrepreneurial code;

on each case of death (lethal outcome) the expert opinion in form according to appendix 1 to these rules based on examination of medical documentation on request.

9. On each case with the revealed defects of rendering medical services TD KOOZ creates leaf of expert evaluation of medical services in form according to appendix 2 to these rules.

10. The customer following the results of half-year two times a year, in July and in November, performs reduction of the amount under the signed contract for rendering GOBMP with the organization rendering GOBMP, way of the conclusion of the supplementary agreement for the amount withheld by results of quality control and amount, except for impreventable lethal cases and except for the amount for the rendered services in December which is subject to retrospective examination in the next accounting period of the next year.

The customer accepts obligation fulfillment by the organization, under the signed contract for rendering GOBMP, for the rendered services in December taking into account results of quality control and amount.

11. Adjustment of the amounts of budgetary funds under the contract for rendering GOBMP for the medical services accepted for payment is made in case of the subsequent settlings with the supplier in the period of the duration of the agreement.

12. The customer in coordination with the organization rendering GOBMP performs advance (preliminary) payment under the signed contract for rendering GOBMP in the amount of no more than 30 percent from the agreement amount.

13. The customer in case of payment for the rendered medical services GOBMP for the accounting period in the protocol of agreement performance specifies payment amount (deduction) and the basis of payment (deduction) in case of the availability of the decision of judicial authorities or the commission decision by results of reconciliation statements for last payment periods on the registered payments which is drawn up by the protocol rendering GOBMP.

Paragraph 1. Cost recovery for rendering APP according to the complex per capita standard rate of APP

14. Cost recovery for rendering the out-patient and polyclinic help according to the complex per capita standard rate of APP to subjects of PHC is performed taking into account results of quality control and amount of medical care for the account:

means of the republican budget;

means of the local budget, in case of their additional allocation according to the decision of local representative body.

15. Cost recovery for rendering the out-patient and polyclinic help according to the complex per capita standard rate of APP to subjects of PHC is performed by the customer with participation of KOOZ and TD KOOZ, the lessor and the SI.

16. The complex per capita norm of APP for the subject of PHC for the accounting period is determined counting on one attached person registered in the RPN portal for the last date of month under report according to the Technique of forming of rates.

17. The complex per capita standard rate of APP is established not below the basic complex per capita standard rate of APP, according to Item 2 of article 23 of the Code about health.

18. The complex per capita standard rate of APP of the subject of PHC provides expenses within the signed contract for rendering GOBMP on:

1) providing complex of out-patient and polyclinic services GOBMP to the attached population in the PHC forms and the consulting and diagnostic help (further - KDP) by the following types of medical care: pre-medical, qualified, specialized, medico-social within the means provided on the guaranteed component of the complex per capita standard rate of APP according to the list of services on which costs are considered in case of payment for the rendered complex of out-patient and polyclinic services GOBMP by subjects of health care of city value and subjects of health care of district value and the village according to the complex per capita standard rate according to appendix 3 to these rules;

2) stimulation of workers of PHC for the achieved indicators of resulting effect of activities of subjects of PHC approved by authorized body, within the means provided on SKPN, according to the procedure, determined by the order No. 429 (further - stimulation of workers of PHC).

19. The complex per capita standard rate of APP does not include expenses on payment of leasing payments.

20. The payment amount for rendering APP to subjects of PHC for the accounting period is determined by the complex per capita standard rate of APP by multiplication of the complex per capita standard rate of APP for subjects of PHC on the number of the attached population registered in the RPN portal for the last date of month under report.

The payment amount for rendering APP of the subject of PHC according to the complex per capita standard rate of APP for the accounting period does not depend on amount of the rendered services.

21. Subjects of PHC provide APP within GOBMP to the attached population according to the list of services within GOBMP according to the List of the guaranteed amount of free medical care approved by the order of the Government of the Republic of Kazakhstan of December 15, 2009 No. 2136, of costs on which are considered in case of payment for the rendered APP by subjects of health care of city value and subjects of district value and the village according to the complex per capita standard rate, according to standards in the field of health care, according to the subitem 6) of Item 1 of article 7 of the Code about health within the amounts of the contract for rendering GOBMP.

22. The customer establishes terms (dates) of the accounting period.

23. The subject of PHC in time no later than the 10th following the accounting period (for December - on December 20), transfers to the Customer, created in the information system "Out-patient and Polyclinic Help" (further - IS "APP") the account register for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care in form according to appendix 3-1 to these rules (further - the account register of the subject of PHC) signed by the head on paper or electronically by means of the EDS.

In case of the circumstances of indefinable force specified in the contract for rendering GOBMP, and (or) the circumstances connected with the IS updating, the customer accepts the account register of the subject of PHC after fixed term.

24. The customer creates in IS "APP" the protocol of agreement performance on rendering the guaranteed amount of free medical care by the subject of health care giving primary health care in form according to appendix 3-2 to these rules (further - the protocol of agreement performance on rendering PHC) on the basis:

the subject of PHC signed by the subject of PHC of accounts register;

results of quality control and the amount (in case of their availability) which is carried out by TD of KOOZ and the customer on the bases stipulated by the legislation and the contract for rendering GOBMP, according to the list of the cases which are subject to removal and not subject to payment, including partially by results of selective control of quality and amount of the given out-patient and polyclinic help (primary medical and sanitary and consulting and diagnostic) according to appendix 4 to these rules;

results of achievement by the subject of PHC of the indicators of resulting effect calculated in the automated mode in DKPN.

The protocol of agreement performance on rendering PHC is considered and signed by the Commission on fee.

25. The customer based on the protocol of agreement performance on rendering GOBMP in IS "APP" creates the act of the performed works (services) rendered within the guaranteed amount of free medical care by the subject of health care giving primary health care in form according to appendix 4-1 to these rules (further - the act of the performed works (services) of PHC) in duplicate which is signed by both parties on paper or electronically by means of the EDS which one copy is transferred to the subject of PHC.

26. Payment under signed acts of the performed works (services) of PHC is performed by the customer no later than 15 calendar days after the accounting period (December - to the 25th) taking into account deduction of part of earlier paid advance payment in amount and the terms provided in the contract for rendering GOBMP, way of money transfer on the settlement account of the subject of PHC.

27. Forming of payment documents is performed in the automatic mode in case of accomplishment by responsible persons on information systems (further - IS) the following functions:

in the program complex "The Automated Information System of the Medical Organizations" of complex of the Polyclinic programs (further - AIS "Polyclinic"):

1) subject of PHC:

daily in the module "Registry" enters data on graphics of acceptance and the schedule of doctors, making an appointment with the doctor, assets and challenge on the house, distribution of the arrived directions;

daily performs the personified registration of the rendered out-patient and polyclinic services to the population by specialists of PHC and KDP on the basis of the following forms of primary medical documentation: form No. 025/at, form No. 025-5/u, form 025-9/y, form to 025-8, form to 025-07;

daily enters the external directions on consulting and diagnostic services (further - KDU) in the form 001-4/y approved by the order No. 907;

in IS "APP":

1) the customer in the module "Payment system":

enters data in the Main Terms of the Contract tab, confirms them and attaches copies of the contract for rendering PHC and supplementary agreements to the contract for rendering PHC in case of their availability;

creates the following payment documents for the accounting period:

protocol of agreement performance of PHC;

the act of the executed services PHC;

The lessor enters 2) and confirms data on the contracts for use of the medical equipment acquired on the terms of financial leasing signed with the subject of PHC;

The SI enters 3) and confirms data on subcontractors and KDU rendered by them according to the signed agreements of sub contracting;

4) subject of PHC:

in the module "Payment system":

enters and confirms data on the signed agreements of sub contracting and supplementary agreements to the agreement of sub contracting in case of their availability, no later than three working days from the date of its conclusion;

enters data on the number of KDU rendered on the medical equipment acquired on the terms of financial leasing in leaf of use of the medical equipment acquired on the terms of financial leasing in form according to appendix 5 to these rules;

creates for the accounting period of accounts register of the subject of PHC;

creates payment documents on subcontractor for the accounting period according to paragraph 7 of Section 2 of these rules:

enters data and confirms them for the accounting period based on primary financial documentation till the 30th following the accounting period (for December - till December 25) and by results of input creates the following reports for the previous accounting period:

information on structure of the income when rendering the out-patient and polyclinic help by the subject of health care giving primary health care in form according to appendix 6 to these rules;

information on expense structure when rendering the out-patient polyclinic help by the subject of health care giving primary health care in form according to appendix 7 to these rules;

information on the differentiated compensation of workers on form according to appendix 8 to these rules;

information on advanced training and retraining of personnel on form according to appendix 9 to these rules;

information on distribution of planned advance amount to rendering medical services in form according to appendix 10 to these rules.

28. By results of input in IS data become available to the customer, OUSE, the COMA and TD to the LUMP, KOOZ and TD KOOZ, the subject of monitoring and the analysis of GOBMP, SI, the lessor, the research organizations for daily monitoring, the analysis and assessment, for acceptance of management decisions by the customer within their competences.

29. The SKPN size is determined by the administrator based on Item 2 of article 23 of the Code about health and is single in the territory of the Republic of Kazakhstan.

30. Efficiency of use of funds of SKPN allocated for stimulation of workers of PHC for achievement of indicators of resulting effect of activities of the subjects of health care rendering PHC (further - indicators of resulting effect), is provided with the following participants in case of accomplishment of the functions determined by Items 31 and 32 of these rules by them (further - participants):

1) subjects of PHC;

2) subjects of the village;

3) the customer on behalf of TD to WHOM;

4) OUSE;

5) KOOZ and TD of KOOZ;

6) TO WHOM;

7) SI;

8) subject of monitoring and analysis of GOBMP.

31. Functions of participants when carrying out monitoring of ensuring effective use of the resources allocated for stimulation of workers of PHC for achievement of indicators of resulting effect:

1) TO WHOM:

ensuring realization of the SKPN system;

coordination of activities of participants of process;

participation in development and introduction of suggestions for improvement of the SKPN system;

consideration of addresses of citizens, subjects of PHC and subjects of the village concerning SKPN;

2) to the LUMP and TD to WHOM:

monitoring of target use of means of SKPN by subjects of PHC and subjects of the village;

forming assessment in DKPN of calculations of indicator values and amounts of SKPN according to the Technique of forming of rates;

monitoring of timely payment of the amounts of SKPN by subjects of PHC and subjects of the village to their workers;

monitoring and assessment of distribution of the amounts of SKPN to workers of PHC following the results of the achieved indicators of resulting effect for the accounting period according to the order No. 429 based on data in DKPN, including with exit in subject of PHC and the subject sat down;

consideration of addresses of citizens, subjects of PHC and subjects of the village concerning SKPN;

3) KOOZ and TD of KOOZ:

monitoring of indicators of process of activities of the subject of PHC and the subject of the village influencing indicator values of resulting effect based on data in DKPN according to the order No. 429;

4) OUSE:

ensuring realization of the SKPN system at the level of the region;

coordination of activities of participants of process at the level of the region;

monitoring of target use of means of SKPN by subjects of PHC and subjects of the village;

monitoring and control of complete distribution in DKPN of the cases influencing indicator values of resulting effect of activities of subjects of PHC and the subjects of the village and cases provided to KOOZ;

monitoring and control of placement in DKPN of data on indicators of process of activities of subjects of PHC and subjects of the village by each site;

participation in development and introduction of suggestions for improvement of the SKPN system;

consideration of addresses of citizens, subjects of PHC and subjects of the village concerning SKPN;

5) subjects of PHC and subjects of the village:

improvement of quality of rendering PHC;

acceptance of management decisions on enhancement of system of improvement of quality of rendering PHC;

approval of the indicators of process of activities of the subject of PHC influencing indicator values of resulting effect;

ensuring timely payment of the amounts of SKPN to workers of PHC according to the order No. 429.

32. Functions of participants on ensuring high-quality and timely forming of payment documents on payment of SKPN to subjects of PHC and subjects of the village in information systems:

in IS "SUKMU":

KOOZ TD:

enters data on appeals of physical persons (claims) among the attached population to activities of PHC with indication of their justification by subjects of PHC, no later than three working days after the accounting period in time;

creates for the accounting period by results of data entry the report on cases of reasonable appeals of physical persons (claims) to activities of the subject of the health care giving primary health care on form according to appendix 13 to these rules for provision on the commission on fee no later than four working days after the accounting period in time;

in IS "DKPN":

1) TO WHOM:

enters and confirms data on the approved planned annual amounts of SKPN and population size the current financial year on each region based on the approved data the current financial year of the budget programs according to the procedure, No. 195 determined by the order of the Minister of national economy of the Republic of Kazakhstan of December 30, 2014 "About approval of Rules of development and approval (reapproval) of the budget programs (subprogrammes) and requirements to their content" (it is registered in the Register of state registration of regulatory legal acts No. 10176) (further - the budget program);

confirms monthly distribution by the customer of the annual amount of SKPN to regions according to individual funding plan on payments;

enters and confirms establishment of target value on each indicator of the resulting effect approved with UZ;

monthly at the beginning of the accounting period over 150 tenges counting on 1 attached inhabitant set criterion of distribution of the amount of SKPN:

on the population;

on the population and points;

on the population, points and coefficient of compliance of the specific subject of PHC of complexity of rendering services PHC within GOBMP;

2) OUSE:

introduces before closing of the accounting period amendments on reference of the disputable cases influencing indicator value of resulting effect (except as specified maternal and child mortality, claims), to specific subjects of PHC based on the legal decision of the commission created under UZ in coordination with subjects of PHC;

carries out to closing of the accounting period the preliminary automated calculation of indicator values of resulting effect and the amounts of SKPN during the accounting period on the region by subjects of PHC;

creates results of assessment of the achieved resulting effects of activities by subjects of PHC for removal at consideration and approval by the commission on fee;

3) KOOZ and TD of KOOZ:

registers for the accounting period in all cases maternal and children's (from 7 days to 5 years) death rates, except for accidents, no later than three working days after the accounting period in time:

data on preventability of cases at the level of PHC and their participation in calculation of the amount of SKPN by results of the state control in the sphere of rendering medical services;

data on the cases which are not participating in calculation of the amount of SKPN in the accounting period in connection with incomplete state control in the sphere of rendering medical services;

creates by results of data entry for the accounting period for provision on the commission on fee no later than four working days after the accounting period the following reports in time:

in cases of maternal death rate at the level of primary health care in form according to appendix 14 to these rules;

in nursery cases (from 7 days to 5 years) death rates at the level of primary health care in form according to appendix 15 to these rules;

4) SI:

daily provides correct unloading of data in the automated mode from the databases of the RPN, SUKMU, EROB portal on cases of delivery of health care influencing indicator values of resulting effect on each subject of PHC and by its territorial sites;

monthly provides correct unloading of data in the automated mode in case of realization of service of interaction or in the manual mode in the absence of this service from the "National Registry of TB Patients" database not later than 3 dates following the accounting period;

creates the report on correctness and reliability of data loading of information systems for calculation of indicator values and amounts of the stimulating component of the complex per capita standard rate for form according to appendix 16 to these rules for provision on the commission on fee no later than the 5th following reporting in time;

5) subject of PHC:

in time no later than one working day following closing day of the accounting period the customer enters data on the expense amounts planned for the direction for advanced training of workers of PHC in the amount of at least 5% of the total amount of SKPN received by results of calculations for the accounting period;

confirms closing of the accounting period no later than three working days behind closing day of the accounting period in time with the customer then any changes of the entered data are impossible, and perfroms the automated calculation of indicator values of resulting effect and the amounts of SKPN to workers of PHC by territorial sites;

in case of lack of information on the site of attachment in the specific case influencing indicator value of resulting effect enters data into the RPN portal;

enters aggregated data for month under report by results of distribution of the amounts of SKPN on stimulation of workers of PHC according to the order No. 429 and creates the report on distribution of the amounts of the stimulating component of the complex per capita standard rate to workers of the subject of the health care giving primary health care in form according to appendix 17 to these rules till the 25th following the accounting period;

6) Customer:

enters and confirms data of monthly distribution of the annual amount of SKPN at the level of the region, according to individual funding plan on payments;

carries out to closing of the accounting period the preliminary automated calculation of indicator values of resulting effect and the amounts of SKPN during the accounting period on the region by subjects of PHC;

confirms closing of the accounting period no later than the tenth following the accounting period then any changes of the entered data are forbidden in time. If in the DKPN portal there are unallotted cases on the organizations of attachment and sites of attachment, then closing of the period is impossible;

removes confirmation of closing of the accounting period before closing of the accounting period with subjects of PHC in case of detection of discrepancies or incorrect actions of the participants influencing calculation of indicator values of resulting effect and the amounts of SKPN;

in the presence in the accounting period of the fact of excess of the amount of SKPN counting on one attached inhabitant over 150 tenges on the subject of PHC, are chosen by distribution algorithm: accept for payment in the current month under report, postpone to the following month under report, return in the budget. At the same time this algorithm is applied within one quarter;

performs unloading of data of the automated calculation of indicator values of resulting effect and the amounts of SKPN on payment in IS "APP";

transfers the amount of SKPN to subjects of PHC and subjects of the village following the results of assessment of the achieved indicators of resulting effect for the accounting period based on the decision of the commission on fee.

Paragraph 2. Cost recovery for rendering consulting and diagnostic services

33. Cost recovery to subjects of health care for rendering KDU within GOBMP is performed taking into account results of quality and amount of medical care according to tasksetter for the account:

means of republican value in the form of TsTT and means of the local budget, to the subjects of health care rendering KDU (further - local subjects of KDU);

means of the republican budget to the subjects of health care rendering KDU (further - the KDU organizations financed from the republican budget).

34. Cost recovery for rendering KDU within GOBMP to local subjects to KDU and the KDU republican organizations is performed by the customer with participation of KOOZ and TD KOOZ, KOMU and TD to WHOM, the lessor and the SI.

35. The customer establishes terms (dates) of the accounting period.

Subsection 1. Cost recovery for rendering KDU within GOBMP at the expense of means of the republican budget in the form of TsTT and means of the local budget

36. The local subject of KDU daily perform accounting of the rendered consulting and diagnostic services this by quantity (further - quantitative accounting of services).

37. The local subject of KDU no later than one working day of the month following the accounting period is created in time and transfer to the customer of accounts register for the rendered consulting and diagnostic services within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget, in form according to appendix 18 to these rules, signed by the head on paper or electronically by means of the EDS (further - the account the register).

38. In case of the force majeur circumstances specified in the agreement, the customer accepts the account register after fixed term according to Item 37 of these rules.

39. The customer creates the protocol of agreement performance on rendering the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget in form according to appendix 19 to these rules (further - the protocol of agreement performance) on the basis:

KDU of accounts register signed by the local subject;

results of quality control and amount for the rendered KDU the local subject of KDU (in case of their availability) which is carried out by TD of KOOZ and the customer according to the list of the cases which are subject to removal and not subject to payment, including partially by results of quality control and amount of the rendered KDP.

The protocol of agreement performance is considered and signed by the commission on fee.

40. The customer based on the protocol of agreement performance draws up the statement of the performed works (services) rendered within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget, in duplicate in form according to appendix 20 to these rules (further - the act of the performed works (services)) which is signed by both parties which one copy is transferred to the local subject of KDU.

41. Payment under signed acts of the performed works (services) is performed by the customer no later than 10 calendar days after the accounting period (December - to the 25th) taking into account deduction of part of earlier paid advance payment in amount and the terms provided in the contract for rendering GOBMP, way of money transfer on the settlement account of the local subject of KDU.

41-1. Payment for the rendered services within GOBMP in the form of the consulting and diagnostic help, according to the contract for rendering GOBMP, GOBMP which did not enter the account register of the last month of prior financial year and (or) not accepted for payment during validity on rendering for the corresponding financial year, in connection with monitoring procedure of quality and amount, is made in the current financial year.

Subsection 2. Cost recovery for rendering KDU within GOBMP at the expense of means of the republican budget

42. The KDU organizations financed from the republican budget in IS "AIS-Poliklinika":

perform input and confirmation of data on forms of primary medical documentation of the organizations of health care on the basis of form 025-9/y.

43. The KDU organizations financed from the republican budget in time no later than the 10th following the accounting period (for December - on December 20) transfer to the customer, the account register for the rendered consulting and diagnostic services created in IS "APP" within the guaranteed amount of free medical care at the expense of means of the republican budget for form according to appendix 21 to these rules, signed by the head on paper or electronically by means of the EDS (further - the account register).

In case of the circumstances of indefinable force specified in the contract for rendering GOBMP, and (or) the circumstances connected with the IS updating, the customer accepts the account register after fixed term.

44. The customer creates in IS "APP" the protocol of agreement performance on rendering the guaranteed amount of free medical care at the expense of means of the republican budget, in form according to appendix 22 to these rules (further - the protocol of agreement performance) on the basis:

the account register, the signed KDU organization financed from the republican budget;

results of quality control and amount for the rendered KDU the KDU organization financed from the republican budget which is carried out by TD of KOOZ and the customer for the bases, stipulated by the legislation and the contract for rendering GOBMP according to the list of the cases which are subject to removal and not subject to payment, including partially by results of quality control and amount of the given consulting and diagnostic help which payment is performed at the expense of means of the republican budget according to appendix 24 to these rules.

The protocol of agreement performance is considered and signed by the commission on fee.

45. The customer based on the protocol of agreement performance in IS "APP" creates the act of the performed works (services) rendered within the guaranteed amount of free medical care in the form of the consulting and diagnostic help which payment is performed at the expense of means of the republican budget, in form according to appendix 25 to these rules, in duplicate, which is signed by both parties on paper or electronically by means of the EDS which one copy is transferred to the KDU organization financed from the republican budget.

46. Payment under signed acts of the performed works (services) is performed by the customer no later than 10 calendar days after the accounting period (December - till December 25) taking into account deduction of part of earlier paid advance payment in amount and the terms provided in the contract for rendering GOBMP, way of money transfer on the settlement account of the KDU organization financed from the republican budget.

Paragraph 3. Cost recovery for rendering services of emergency medical service within GOBMP at the expense of means of the republican budget in the form of TsTT and means of the local budget

47. Cost recovery for rendering services of emergency medical service within GOBMP at the expense of the republican budget in the form of TsTT and means of the local budget is performed taking into account results of quality control and amount of medical care on rate for one challenge of emergency medical service for the account:

means of the republican budget in the form of TsTT to the subjects of health care rendering services of emergency medical service (further - the subject of ambulance);

means of the local budget, in case of their additional allocation according to the decision of local representative body.

48. Cost recovery for rendering emergency medical service within GOBMP to the subjects of health care rendering services of emergency medical service within GOBMP (further - the subject of ambulance), is performed by the customer with participation of KOOZ and TD KOOZ, SI.

49. The customer establishes terms (dates) of the accounting period.

50. The subject of ambulance no later than one working day of the month following the accounting period creates in time and transfers to the customer, the account register for rendering services of emergency medical service within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget in form according to appendix 26 to these rules signed by the head on paper or electronically by means of the EDS.

51. In case of the force majeur circumstances specified in the agreement, the customer accepts the account register after fixed term.

52. The customer creates the protocol of agreement performance on rendering services of emergency medical service within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget in form according to appendix 27 to these rules (further - the protocol of agreement performance) on the basis:

the account register signed by the subject of ambulance;

results of quality control and the amount for the rendered services by the subject of ambulance (in case of their availability) which is carried out by TD of KOOZ and the customer according to the list of the cases which are subject to removal and not subject to payment, including partially by results of quality control and amount of the provided emergency medical service according to appendix 28 to these rules.

The protocol of agreement performance is considered and signed by the commission on fee.

In case of introduction of amendments and amendments to the protocol of agreement performance, the commission on fee constitutes and signed appendix to the specified protocol.

53. The customer based on the protocol of agreement performance draws up the statement of the performed works (services), the rendered services of emergency medical service within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget in form according to appendix 29 to these rules in duplicate which is signed by both parties on paper or electronically by means of the EDS which one copy is transferred to the subject of ambulance.

54. Payment under signed acts of the performed works (services) is performed by the customer no later than 10 calendar days after the accounting period (December - to the 25th) taking into account deduction of part of earlier paid advance payment in amount and the terms provided in the contract for rendering GOBMP, way of money transfer on the settlement account to the subject of ambulance.

Paragraph 4. Cost recovery for rendering stationary and hospital-replacing medical care within GOBMP

55. Cost recovery for rendering stationary and hospital-replacing medical care within GOBMP is performed taking into account results of quality control and amount of medical care at the expense of means:

1) republican budget:

to citizens of the Republic of Kazakhstan and oralmans according to subsection 1 of paragraph 4 of Section 2 of these rules;

to the patients applying for medical treatment abroad according to the list of diseases and the list of separate categories of citizens which treatment was performed in the conditions of the domestic medical organizations according to subsection 2 of paragraph 4 of Section 2 of these rules;

2) the republican budget in the form of TsTT and the local budget, according to subsection 3 of paragraph 4 of Section 2 of these rules.

56. Payment for one treated case of the day hospital registered in the information system "Electronic Register of Inpatients" (further - ERSB), constitutes 1/4 from rate for one treated case of the stationary help, except the treated cases in which payment is provided in Items 99, of 100, of 101 and 102 these rules.

57. Payment for one treated hospital case constitutes 1/6 from rate for one treated case of the stationary help at home.

Subsection 1. Cost recovery for rendering stationary and hospital-replacing medical care within GOBMP to citizens of the Republic of Kazakhstan and oralmans at the expense of means of the republican budget

58. Cost recovery for rendering stationary and hospital-replacing medical care to citizens of the Republic of Kazakhstan and to oralmans at the expense of means of the republican budget is performed taking into account results of quality control and amount of medical care by the following types of medical care: specialized, high-technology medical service, medico-social which appear in the following forms:

1) the stationary help and the hospital-replacing help, including rendering republican value of medical services by the medical organizations by the patient with mental, infectious diseases, tuberculosis, alcoholism, drug addiction and toxicomania, in the rehabilitation centers, sanatoria;

2) recovery treatment and medical rehabilitation.

59. Cost recovery for rendering stationary and hospital-replacing medical care to citizens of the Republic of Kazakhstan and to oralmans at the expense of means of the republican budget to the subjects of health care providing stationary and hospital-replacing medical care (further - the medical organization RB), is performed by the customer on behalf of TD to WHOM with participation of KOMU, KOOZ and TD KOOZ, SI, the subject of monitoring and the analysis of GOBMP and the lessor.

60. Cost recovery is performed on the rates approved by the administrator of the budget programs according to Item 5 of article 35 of the Code about health for one treated case:

on settlement average cost;

on KZG taking into account zatratoyemkost coefficient;

on koyko-days;

on medico-economic rates;

on actual expenses according to the list of diseases, transactions and manipulations.

61. In cases of the intrahospital translation payment for treatment of the patient is performed as for one treated case.

62. The medical organization RB daily performs input and confirmation of data, including vypisny epikriz in ERSB no later than one working day following disposal of the patient from hospital in forms of primary medical documentation on the basis of the following medical records: form 003/at, form 003-2/y, form 096/at, form 097/at (further - medical records).

When rendering medical service with use of the medical equipment acquired on the terms of financial leasing, the medical organization RB in forms of primary medical documentation of the organizations of health care approved by Authorized body puts down nine-digit code of medical equipment. These forms of primary medical documentation invest in medical records and in the respective fields ERSB data entry about use of medical equipment is performed.

After confirmation of correctness of input data in ERSB are not subject to adjustment, except as specified input of results of histologic and patomorfologichesky researches.

63. By results of input no later than one working day after day of the statement from hospital are created the statistical card disposed from hospital (forms 066/at, 066-1/at, 066-2/at, 066-3/at, 066-4/at) and the statement of the medical record out-patient, the inpatient (form 027/at), form 025-9/y, approved by the order No. 907.

64. The medical organization RB based on data ERSB monthly no later than one working day following the accounting period creates in time and transfers to the customer on the rendered services:

the account register of the medical organization for the rendered services in specialized medical care within the guaranteed amount of free medical care which payment is performed at the expense of means of the republican budget, in form according to appendix 30 to these rules, signed by the head on paper or electronically by means of the EDS (further - the account register).

The account register for January of the current year is performed taking into account cases and leasing payments which did not enter the account register since December 1 of previous year.

65. In case of excess by the medical organization RB rendering GOBMP in the form of specialized medical care in the form of stationary and hospital-replacing medical care, the monthly amount provided by the contract for rendering GOBMP without quality control and amount of medical care, cost recovery is performed according to the decision of the Commission on fee using the Linear scale according to appendix 32 to these rules.

66. The linear scale is not applied:

to the regional and city organizations of obstetric aid;

to the multi-profile hospitals rendering services of obstetric aid from shares of obstetric aid of 45% and above from the treated cases;

to hospitals, including the republican organizations rendering services to children up to one year from shares of children up to one year of 45% and more from the treated cases;

to hospitals, including the republican organizations rendering services to children up to one year and service of obstetric aid with cumulative share of children up to one year and services of obstetric aid of 45% and more from the treated cases;

on the services of hemodialysis and peritonealny dialysis rendered in form of hospital-replacing medical care;

on services to children with oncological diseases on which payment is performed according to Item 96 of these rules;

on the services provided by the medical organizations of republican value, providing medical care oncological patients and the patient with tuberculosis disease;

on the services provided by the organizations of health care and the Corporate fund "University Medical Center" providing medical care by the patient with malignant new growths of lymphoid and haematogenic fabric according to the list of hematologic diseases at children and adults in MKB-10 to which the Linear scale according to appendix 32-1 to these rules is not applied;

on high-technology medical services;

the Linear scale according to appendix 32-2 to these rules is not applied to the list of medical services to which.

67. Calculation of compensation amount for the rendered medical services of the medical organization RB rendering GOBMP using the Linear scale (further - compensation amount) is performed without quality control and amount of medical care in the following sequence:

1) the excess amount for application of linear scale which is calculated as difference of the shown amount on the account register for the rendered medical services (further - the shown amount), the registration of the treated cases created proceeding from the sequence is determined by date of their confirmation in ERSB, from the planned amount (further - the excess amount).

From the moment of formation of the amount of excess the actual amount is created in the treated cases which led to excess of the planned amount, at cost for one treated case using correction coefficient of equal 1,0.

If the amount formed at the time of excess of the planned amount constitutes 51% and more from the cost of the treated case with which excess of the planned amount begins, the cost of this treated case is created using correction coefficient of equal 1,0;

2) the percent of excess of estimated amount of excess to the planned amount is determined (further - excess percent);

3) the excess amount to compensation as follows is determined:

if the amount of excess constitutes 105% and below, the compensation amount is calculated by multiplication of the amount of excess and percent of compensation corresponding to excess percent according to appendix 32 to these rules;

if the amount of excess is higher than 105%, the compensation amount is calculated in two stages: the excess amount to 105% and the excess amount over 105% is determined, each of which is multiplied by compensation percent according to appendix 32 to these rules. The total sum of compensation is determined by summing of the amount of excess to 105% and the amount of excess over 105%;

4) the amount to compensation calculated by summing of the planned amount and the amount of excess to compensation is determined.

68. By results of quality control and amount, according to the list of the cases which are subject to removal and not subject to payment, including partially by results of quality control and amount of the provided stationary and hospital-replacing medical care from means of the republican budget (further - the List) according to appendix 33 to these rules, in SUKMU are created:

the list of the cases of hospitalization for the accounting period which are subject to payment according to appendix 34 to these rules;

the list of the cases of hospitalization for the accounting period which are subject to control of amount according to appendix 35 to these rules;

the list of the cases which are subject to quality control according to appendix 36 to these rules;

the list of lethal cases for reporting and the previous periods which are subject to control in form according to appendix 37 to these rules for reporting and previous periods.

69. By results of daily assessment of 20% of the treated cases which are subject to payment with automatic selection of the cases and cases which are subject to quality control of cases of complications, including postoperative, from the disease outcomes "deterioration", "without changes", the carried-out SI, in SUKMU are created:

lists of the cases of hospitalization which passed assessment of the subject of informatization in health sector, subject to quality control and KOOZ TD amount, except as specified with lethal outcomes according to appendix 38 to these rules;

lists of the cases of hospitalization which passed assessment of the subject of informatization in health sector, subject to control of amount according to appendix 39 to these rules.

Electronic versions of these lists are available to TD to the LUMP and TD of KOOZ.

70. By results of quality control and based on expert opinions on lethal outcomes monthly in time no later than one working day following the accounting period, which is carried out by KOOZ TD in SUKMU are created:

the list of the cases of hospitalization for the accounting period which underwent quality control and KOOZ TD amount after assessment of the subject of informatization in health sector, except as specified with lethal outcomes in form according to appendix 40 to these rules;

the list of cases of lethal outcomes for reporting and the previous periods which underwent control TD KOOZ in form according to appendix 41 to these rules;

the list of cases for reporting and the previous periods revealed by KOOZ TD by results of the selective, unscheduled inspections and other forms of control which are not subject to payment, including partially in form according to appendix 42 to these rules.

KOOZ TD in the cases directed to forensic medical examination, results of quality control submit to the customer on its completion no more than two months of date of lethal outcome in time.

71. By results of control of the amount which is carried out by the customer on the basis of examination of the treated cases by results of the automated selection of ERSB according to the list of the cases which are not subject to payment, including partially, and examinations of 10% of the treated cases which are subject to payment with selection by method of random sampling in SUKMU are created:

the list of the cases of hospitalization for the accounting period which underwent control of amount after assessment of the subject of informatization in health sector in form according to appendix 43 to these rules;

the list of the cases of hospitalization for the accounting period which underwent control of amount, except as specified, underwent quality control in form according to appendix 44 to these rules for the accounting period;

the list of cases of hospitalization for reporting and last periods on which control of amount on analysis results of execution of terms of the contract on rendering GOBMP, in form according to appendix 45 to these rules is carried out;

the control act of amount of medical services in rendering the guaranteed amount of free medical care in form according to appendix 46 to these rules.

72. By results of control of the amount and quality of the treated cases performed by all participants of process, the customer in SUKMU creates:

the list of cases of hospitalization, subjects and not subject to payment, including partially by results of control of amount by all participants in form according to appendix 47 to these rules.

the list of cases of hospitalization of subjects and not subject to payment, including partially, by results of quality control and amount by all participants in form according to appendix 48 to these rules.

73. The customer in SUKMU by results of quality control and amount of services GOBMP creates the summary list of cases by results of quality control and amount of services of the guaranteed amount of free medical care in form according to appendix 49 to these rules and submits it for consideration of the Commission on fee.

74. The reconciliation of the medical services shown for payment with confirmatory medical documentation in the analysis of execution of terms of the contract by the Customer is performed by request of medical documentation or with departure in the location of the medical organization RB.

The request is performed according to the register of the directed medical records of inpatients for carrying out reconciliation of amount of medical care within the guaranteed amount of free medical care in form according to appendix 50 to these rules.

On analysis results the reconciliation statement of execution of terms of the contract on rendering GOBMP signed by the head of the medical organization RB and officials of the customer whose one copy is stored at the customer, the second - at the medical organization RB is drawn up.

The lessor by results of input in SUKMU of data on use of the medical equipment acquired in leasing monthly creates the List of cases of rendering medical services with use of the medical equipment acquired on the terms of financial leasing in form according to appendix 51 to these rules and transfers in KOOZ TD.

75. The customer in SUKMU creates the protocol of agreement performance on rendering medical services in specialized medical care within the guaranteed amount of free medical care which payment is performed at the expense of means of the republican budget for form according to appendix 52 to these rules (further - the protocol of agreement performance) on the basis:

signed by the medical organization RB of accounts register;

results of calculation of application of the Linear scale;

the summary list of cases by results of quality control and amount of services GOBMP.

76. The protocol of agreement performance is considered and signed by the Commission on fee. By the written request medical the organizations of the Republic of Belarus the customer provides minutes abstract.

The protocol for January of the current year is created taking into account the treated cases and leasing payments which did not enter the account register since December 1 of previous year.

77. The customer based on the protocol of agreement performance constitutes:

the act of the executed (works) of the services rendered on specialized medical care within the guaranteed amount of free medical care which payment is performed at the expense of means of the republican budget for form according to appendix 54 to these rules (further - the act of the performed works (services)).

The statement of the performed works (services) is drawn up in duplicate and signed by both parties on paper or electronically by means of the EDS which one copy is transferred to the medical organization RB.

78. The customer under signed acts of the performed works (services) performs payment within 10 calendar days from the date of the end of the accounting period taking into account deduction of part of earlier paid advance payment in amount and in the terms provided in the contract for rendering GOBMP, way of money transfer on the settlement account of the medical organization RB.

79. Payment for the cases of delivery of health care within GOBMP according to the contract for rendering GOBMP which are not accepted for payment during validity on rendering GOBMP in connection with quality monitoring procedure, and also did not enter the account register since December 1 year in which the contract for rendering GOBMP is effective before expiry date of the contract for rendering GOBMP is made in the year following after year of validity on rendering GOBMP.

79-1. Payment for the services provided by the organizations of health care and the Corporate fund "University Medical Center" providing medical care by the patient with malignant new growths of lymphoid and haematogenic fabric according to the list of hematologic diseases at children and adults on MKB-10 to which is not applied the Linear scale according to appendix 32-1 to these rules, rendered in prior financial year, but not accepted on payment in connection with application of the Linear scale, made in the current financial year.

80. Medicines, products of medical appointment (further - IMN) and the consumable materials included in the cost of the treated case or compensated on actual costs which are acquired by the medical organization RB at the expense of TsTT, and also received for the account of sponsorship, voluntary pozhertvovaniiya and other non-paid receipts are not subject to payment for the account of means of the republican budget.

The medical organization RB before completion of the accounting period informs the customer on use of these medicines, IMN and consumable materials in the treated case which are subject to removal from the means shown on payment for the account of means of the republican budget.

81. The medical organizations of the Republic of Belarus till the 30th following the accounting period (for the accounting period November - till December 25 and for the accounting period December - till the January 15 following the accounting period), bring in ERSB and provide to the customer the following reports:

information on expense structure for the rendered medical services in form according to appendix 56 to these rules;

information on the differentiated payment of workers on form according to appendix 57 to these rules;

information on distribution of planned advance amount to rendering medical services in form according to appendix 58 to these rules;

information on advanced training and retraining of personnel on form according to appendix 59 to these rules.

The customer based on information provided by the medical organization RB makes reconciliation of data, with the data entered in ERSB.

In case of absence in ERSB of information provided by this Item, payment for the current accounting period is not made before introduction of the specified data.

82. According to the list of diagnoses, which according to International Statistical Classification of the diseases and problems connected with health of the tenth review (further - MKB-10) are not the main diagnosis and are excluded from Lists of KZG according to appendix 60 to these rules, payment is not performed.

83. Short-term (up to three days inclusive) the stay of the patient in the round-the-clock hospital connected with transfer, unauthorized leaving of the patient is paid on actually spent koyko-days from the cost of KZG of the main diagnosis or transaction.

In case of impreventable lethal outcomes in case of short-term stay (up to three days inclusive) payment is made in the amount of 50% of the cost of KZG of the main diagnosis or transaction.

In case of reducing terms of stay of the treated cases using advanced technologies of diagnostics and treatment, payment is performed on complete rate of KZG of the main diagnosis or transaction.

84. According to the list of the cases which are subject to payment for actually incurred expenses or according to the list of the cases which are subject to payment at the cost of KZG with additional cost recovery according to Item 2 of article 23 of the Code about health, compensation it is performed on actually incurred expenses or with payment of the treated case on KZG of the main diagnosis or transaction with additional compensation of actually incurred costs.

Payment on actually incurred expenses is performed in case of application of the list of the cases which are subject to payment for actually incurred expenses. At the same time payment for transactions is made on actual expenses according to the following expenditure items: salary, social tax, food, medicines, IMN, medical services and utility and other expenses. Utility and other expenses at the same time are calculated on actual costs on utility and other expenses of the medical organization RB last month in terms of one patient.

Payment for cases using medicines and IMN is made on KZG of the main diagnosis or transaction and with additional compensation of their cost (costs) on the actual costs which are not exceeding the marginal prices established by authorized body according to Item 2 of article 76 of the Code about health.

Payment for cases using medical services is made on KZG of the main diagnosis or transaction and with additional compensation of their cost (costs) at tasksetter cost.

85. Payment for specialized medical care in the form of the stationary help with rates in one koyko-day, for the treated cases on settlement average cost and medico-economic rates is performed to the medical organizations of the Republic of Belarus, according to Item 2 of article 23 of the Code about health.

86. To the medical organizations of the Republic of Belarus, payment by which for the treated cases is performed on settlement average cost, in cases of reasonable reducing duration of treatment, payment is made on rate for one treated case which calculation is perfromed for the actual koyko-days on average cost of one koyko-day, at the same time the cost of one koyko-day is determined by division of cost of rate for one treated case on certain planned number of koyko-days.

87. Payment for services of hemodialysis in the conditions of the round-the-clock hospital by the patient with chronic renal failure in terminal stage is made on KZG of the main diagnosis or transaction and with cost recovery of the rendered sessions. At the same time, the diagnosis of chronic renal failure in terminal stage is the basic or the accompanying diagnosis.

Payment for services of hemodialysis in the conditions of the round-the-clock hospital in case of hard cases of the diseases complicated by sharp renal failure which was not stopped by medicamentous therapy is made on KZG of the main diagnosis or transaction and with cost recovery of the rendered sessions.

Payment for services of albumin and peritonealny dialysises in the conditions of the round-the-clock hospital is made on KZG of the main diagnosis or transactions and with cost recovery of the rendered sessions.

The medical organization RB costs for the consumable materials issued to the patient for independent carrying out peritonealny dialysis at home on the delivery note attached in the scanned type in ERSB are compensated.

88. In the conditions of the round-the-clock hospital the complicated course of pregnancy and childbirth are paid for the cost of KZG of the main diagnosis or transaction with compensation of actual costs on expensive medicines, IMN and services taking into account the principles of regionalization according to the list of the diagnoses (pathology) of MKB-10 on obstetric aid which are subject to payment at the cost of KZG with compensation of actual costs on medicines and IMN according to appendix 63 to these rules.

89. In the conditions of the round-the-clock hospital serious illnesses of newborns are paid for the cost of KZG of the main diagnosis or transaction with compensation of actual costs on expensive medicines and IMN taking into account the principles of regionalization according to the list of the diagnoses (pathology) of MKB-10 on perinatology which are subject to payment at the cost of KZG with compensation of actual costs on medicines and IMN according to appendix 64 to these rules.

90. The customer in case of inefficiency of the carried-out therapy in the conditions of the round-the-clock hospital and reasonable rendering to the patient according to vital indications, the medicines and IMN which are not entering conditions of these rules compensates these additional costs on the treated case through functionality "other payments and deductions" after written coordination with KOMU.

The customer no later than the 25th of the following behind the accounting period sends in time inquiry to KOMU with appendix of the following documents:

the written appeal of the medical organization RB with application of documents, confirming the shown costs for rendering to the patient the additional services which are not entering conditions of these rules which goes to the customer no later than the 15th of the following behind the accounting period;

the reconciliation statement signed by the head of the customer and the medical organization RB;

the decision of the commission on justification of rendering to the patient of the additional services which are not entering conditions of these rules.

91. In case of primary establishment of the diagnosis of oncological diseases and tuberculosis in non-core hospitals payment for the treated case is performed at the cost of the relevant KZG of the main diagnosis or transaction.

92. In the conditions of the round-the-clock hospital the medical organization RB rendering medical services by the patient with malignant new growths of lymphoid and haematogenic fabric, payment for the treated patients to whom the chemotherapy is carried out is made on KZG of the main diagnosis or transactions and with cost recovery of himiopreparat on actual costs.

93. In case of treatment of sharp forms of malignant new growths of lymphoid and haematogenic tkaniya of depression of blood formation primary hospitalization is paid for cost for the treated case on KZG of the main diagnosis or transaction with cost recovery of himiopreparat, the subsequent hospitalization are paid in the amount of 30% of cost for the treated case for KZG of the main diagnosis or transaction with cost recovery of himiopreparat.

To the medical organizations applying high-dose chemotherapy in case of treatment of sharp forms of malignant new growths of lymphoid and haematogenic tkaniya of depression of blood formation in case of the subsequent hospitalization it is paid in the amount of 3/4 amounts from the cost of KZG of the main diagnosis or transaction with cost recovery of himiopreparat for actual costs, except cases of carrying out transaction on transplantation of marrow.

Treatment of patients with malignant new growths of lymphoid and haematogenic fabric with carrying out transaction on transplantation of marrow, is paid for cost for the treated case on KZG of the main diagnosis or transaction with cost recovery of himiopreparat on actual costs.

94. In the conditions of the round-the-clock hospital of the medical organization RB of republican value rendering medical services by the oncological patient, payment for the treated patients is made on KZG of the main diagnosis or transactions and with cost recovery of chemotherapy, radiation therapy, immunohistochemical research.

95. In case of treatment of cirrhosis and fibrosis of liver payment is made on the relevant KZG of the main diagnosis or transaction and with additional cost recovery in the medical organizations of the Republic of Belarus of republican value.

95-1. In cases of application of biological therapy in case of treatment of disease Krone and nonspecific ulcer colitis primary hospitalization in the round-the-clock hospitals is paid for cost for the treated case on KZG of the main diagnosis or transaction, the subsequent hospitalization are paid in the amount of 50% of cost for the treated case for KZG of the main diagnosis or transaction.

96. To the medical organizations of the Republic of Belarus providing specialized medical care in the form of the stationary help, payment for rendering services to children with oncological diseases at the level of the round-the-clock hospital according to Item 2 of article 23 of the Code about health, it is performed according to medico-economic rates. At the same time, costs for rendering services to children with oncological diseases whose age at the time of the first hospitalization and the beginning of course of treatment reached eighteen years, are subject to compensation according to paragraph 5 of Chapter 2 of these rules.

medico-economic rates include treatment cost on blocks (schemes), duration of treatment and cost of full course of treatment of specific nosology, including the hospital-replacing help.

The compensation amount for treatment of specific nosology does not exceed the cost of full course of treatment. At the same time, cost recovery is performed step by step on blocks (schemes) of course of treatment.

If the number of the spent koyko-days makes 50% and less fixed terms of treatment of one block (scheme) of treatment, then compensation is made with deduction of 30% of the cost of the block (scheme) of treatment.

In need of observation of children with oncological diseases in treatment break between blocks (schemes) of treatment payment is performed at the level of the hospital-replacing help.

When rendering rehabilitation with oncological diseases the supplier in coordination with the customer attracts subcontractors by transfer of part of the obligations to children to them on rendering GOBMP and performs payment on rates, according to Item 2 of article 23 of the Code about health.

For the nozologiya having stage of out-patient treatment, medicines are issued on completion of rate of hospitalization, at the same time, cost recovery for the medicines issued to the patient is performed based on attached in the scanned type in ERSB of delivery note, except for the medicines entering the List of medicines and products of medical appointment for free providing the population within the guaranteed amount of free medical care at the out-patient level with certain diseases (conditions) and specialized medical products, the deputy approved by the order. The Minister of Health of the Republic of Kazakhstan of November 4, 2011 No. 786 (it is registered in the Register of state registration of regulatory legal acts for No. 7306).

97. Payment on transactions on correction of refraction properties of cornea of eye in carrying out cases in case of astigmatizm 4,0 and more dioptries, anizometropiya of 5,0 and more dioptries, is performed within GOBMP.

98.  No. 874 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 27.11.2017

99. In the conditions of day hospital to the medical organizations of the Republic of Belarus rendering medical services oncological and sick with malignant new growths of lymphoid and haematogenic fabric payment is made:

for chemotherapy sessions on rates in day hospital for one treated case and with cost recovery of himiopreparat on actual costs;

when rendering radiation therapy on rates in day hospital for one treated case and with cost recovery of actually rendered sessions of radiation therapy according to tasksetter;

for sessions of chemotherapy and radiation therapy on rates in day hospital for one treated case and with cost recovery of himiopreparat on actual costs and cost of actually rendered sessions of radiation therapy according to tasksetter.

All sessions of chemotherapy and radiation therapy on one patient for the accounting period are considered as one treated case.

100. Payment for services of hemodialysis in the conditions of day hospital is made for actually rendered sessions by the patient registered in the information system "Chronic Renal Failure" (further - IS "HPN"), on rates, according to Item 2 of article 23 of the Code about health. All sessions of one patient for the accounting period are considered as one treated case, at the same time the rate of the main diagnosis is considered on zero rate.

The organization rendering services of hemodialysis registers request for fixing of the patient needing services of hemodialysis in IS "HPN" to be served in this organization based on the statement in any form.

101. Payment according to the list of transactions and manipulations on MKB-9 in day hospital, according to Item 2 of article 23 of the Code about health, is made for preferential treatment in the amount of 3/4 amounts for the cost of KZG.

102. In case of carrying out the service "Coronary Arteriography" in the conditions of day hospital payment is made in the amount of 1/2 amounts from the cost of KZG of the main diagnosis / transaction.

Subsection 2. Cost recovery for treatment of the patient applying for medical treatment abroad in the conditions of the domestic medical organizations at the expense of means of the republican budget

103. Cost recovery for treatment of the patient applying for medical treatment abroad in the conditions of the domestic medical organizations at the expense of means of the republican budget according to the list of diseases and the list of separate categories of citizens is performed on rate on disease.

At the same time, the size of this rate on disease corresponds to the cost determined taking into account the accident analysis of the direction provided by Working body at the foreign medical organizations for this disease for the last accounting financial year according to the procedure, determined by Rules of the direction of citizens on treatment abroad.

In case of absence by this nosology of directed patients in the foreign medical organizations, rate for disease it is determined based on the analysis of price offers at least two foreign medical organizations provided by Working body and the program of treatment.

104. The conclusion about the direction on treatment in the domestic medical organizations of the patient applying for medical treatment abroad is accepted by the Commission on the direction on treatment abroad:

based on the documents provided in Working body and also the list of diseases and the list of separate categories;

taking into account the conclusion of the Worker of body about possibility of performing treatment of the patient applying for medical treatment abroad in the alternative domestic medical organization;

in the presence at the domestic medical organization of clinical base, scientific personnel: doctors, candidates of the medical sciences which are knowing English;

on condition of equipment of the domestic medical organization by the modern medical equipment for carrying out high-technology methods of diagnostics and treatment according to international standards;

5) in the presence at the domestic medical organization of telemedicine complex for carrying out telemedicine consultations with exit on:

all regional telemedicine centers of the Republic of Kazakhstan;

republican medical organizations;

foreign medical organizations.

105. The domestic medical organizations carry out treatment of the patient applying for medical treatment abroad as independently, and with involvement of foreign specialists, including in the form of master classes, according to the decision the Commission on the direction on treatment abroad.

106. The decision on settlement of a tariff on disease which is determined by the Commission on the direction on treatment abroad based on the analysis of price proposals of the Worker of body is drawn up by the protocol of this Commission on the direction on treatment abroad.

107. Cost recovery to the domestic medical organizations for treatment of the patient applying for medical treatment abroad at the expense of budgetary funds is performed based on the decision of the Commission on the direction on treatment abroad by the conclusion by authorized body or Working body of the contract with the domestic medical organization for rendering medical services to the patient applying for medical treatment abroad (further - the Agreement).

In cases when rendering medical services to the patient applying for medical treatment abroad is performed by the domestic medical organization performing functions of Working body, cost recovery is made based on the act of the executed services in any form by the conclusion by authorized body of the contract for rendering medical services with the specified domestic organization.

108. Cost recovery to the domestic medical organizations for treatment of the patient applying for medical treatment abroad is made by authorized body or Working body based on the act of the performed works provided by the domestic medical organization and copies of the invoice which are constituted in any form.

In cases when rendering medical services to the patient applying for medical treatment abroad is performed by the domestic medical organization performing functions of Working body, cost recovery for the rendered medical services it is made by authorized body.

The authorized body or Working body pays advance payment in the amount of 30% of the total amount of the Agreement within ten working days from the date of submission of the Agreement.

Final cost recovery is performed after representation by the domestic medical organization of the act of the performed works (services) in any form rendered within the guaranteed amount of free medical care (further - the Act of the domestic medical organization) in form according to appendix 67 to these rules.

109. The act of the domestic medical organization is provided by the domestic medical organizations no later than 10 calendar days from the date of the statement of the patient.

110. Cost recovery for treatment of the patient under the drawn-up Acts of the domestic medical organization is made within 15 calendar days after provision by transfer of budgetary funds for the settlement account of the domestic medical organization taking into account deduction of earlier paid advance payment.

111. The rate is determined taking into account expense recovery, connected with treatment of the patient, including the salary of the specialists of the domestic medical organization who were taking part in treatment of the patient applying for medical treatment abroad and also costs of the foreign experts (traveling expenses and carrying out transaction, which size is determined by the contract between the domestic medical organization and the involved foreign experts) involved to treatment of the patient applying for medical treatment abroad. The amount of compensation of the involved foreign experts is determined by the agreement between domestic the medical organization and the involved foreign experts.

112. In case of the direction of the patient on transplantation of marrow or stem haemo poetic cells (further - TKM) the Agreement provides step-by-step cost recovery for one treated case and includes:

1) the Stage 1 - search of the donor:

payment for start of search of 70%, the authorized body signs the Contract with the international register on search of the donor for carrying out necessary researches for search, matching and activation of the donor in the international register of donors;

payment after delivery of 30%, final cost recovery is performed after delivery of marrow for carrying out TKM in the domestic medical organization.

2) the Stage 2 - carrying out TKM.

When finding the donor in the international register of donors, the authorized body concludes with the domestic medical organization, the Contract for carrying out TKM.

113. In case of long-term treatment of the patient (for the term of more than one month), the domestic medical organization provides the monthly Act of the domestic medical organization in authorized body or Working body till the 5th following the accounting period (for December - till December 20 of the current year).

114. The authorized body or Working body pays the domestic medical organization advance payment for treatment of the patient applying for medical treatment abroad at the rate to 30% of the total amount of the Agreement.

Final cost recovery is performed after provision of the Act of the domestic medical organization by the domestic medical organization.

115. Cost recovery to the domestic medical organizations within these rules is performed for treatment of the patient applying for medical treatment abroad on which the positive decision of the Commission on medical treatment abroad was made.

116. Payment for journey of the patient on the first and second stage of treatment in the domestic medical organizations is performed according to the current legislation of the Republic of Kazakhstan.

117. In case the condition of the patient applying for medical treatment abroad does not allow to transport in the domestic medical organizations by civil transport, its transportation is performed by means of sanitary aircraft.

Subsection 3. Cost recovery for rendering stationary and hospital-replacing medical care within GOBMP at the expense of means of the republican budget in the form of TsTT and the local budget

118. Cost recovery for rendering stationary and hospital-replacing medical care for the account:

means of the republican budget in the form of TsTT;

means of the local budget, in case of their additional allocation according to the decision of local representative body;

it is performed taking into account results of quality control and amount of the provided medical care by the following types of medical care:

1) qualified;

2) specialized;

3) medico-social and in forms:

1) stationary help;

2) hospital-replacing help;

3) recovery treatment and medical rehabilitation;

4) palliative care and sisterly leaving.

119. Cost recovery for rendering stationary and hospital-replacing medical care at the expense of means of the republican budget in the form of TsTT and means of the local budget, is performed by the customer on behalf of UZ to the subjects of health care which signed the contract for rendering GOBMP with UZ (further - the MB medical organization) with participation of KOOZ and TD KOOZ, the subject of monitoring and the analysis of GOBMP, SI.

120. Cost recovery for rendering stationary and hospital-replacing medical care is performed on rates for one treated case:

on settlement average cost;

on koyko-days;

on actual expenses.

121. In cases of the intrahospital translation payment for treatment of the patient is performed as for one treated case.

122. The customer establishes terms (dates) of the accounting period.

123. The MB medical organization daily in ERSB performs input and confirmation of data on the treated cases to which stationary or hospital-replacing medical care, on the basis of medical records is provided.

After confirmation in ERSB by the MB medical organization of data entry for the treated cases, data are not subject to adjustment, except as specified input of results of histologic and patomorfologichesky researches.

124. The MB medical organizations no later than one working day of the month following the accounting period create in time and transfer to the customer of accounts register for rendering stationary and hospital-replacing medical care within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget in form according to appendix 68 to these rules, signed by the head on paper or electronically by means of the EDS, according to forms of representation of medical care.

In case of the circumstances of indefinable force specified in the contract for rendering GOBMP, the customer accepts the account register after fixed term.

125. The customer creates the protocol of agreement performance on rendering stationary and hospital-replacing medical care within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget in form according to appendix 69 to these rules (further - the protocol of agreement performance) on the basis:

signed by the MB medical organization of accounts register;

results of quality control and amount (selective, unscheduled inspections and other forms of the control) for the rendered services by the MB medical organization (in case of their availability) which is carried out by KOOZ TD with appendix of the act of results of check or the expert opinion with appendix of the act with results of control.

The protocol of agreement performance is considered and signed by the commission on fee.

In case of introduction of amendments and amendments to the protocol of agreement performance, the commission on fee constitutes and signed appendix to the specified protocol.

126. The customer based on the protocol of agreement performance draws up the statement of the performed works (services) rendered within the guaranteed amount of free medical care in form according to appendix 70 to these rules in duplicate which is signed by both parties and one copy is transferred to the MB medical organization.

127. Payment under signed acts of the performed works (services) is performed by the customer no later than 10 calendar days after the accounting period (December - to the 25th) taking into account deduction of part of earlier paid advance payment in amount and the terms provided in the contract for rendering GOBMP, way of money transfer on the settlement account of the MB medical organization.

Paragraph 5. Cost recovery for delivery of health care by the oncological patient within GOBMP at the expense of means of the republican budget to the regional, regional, city oncological organizations and oncological departments of multi-profile clinics providing medical care by the oncological patient

128. Cost recovery for delivery of health care by the oncological patient within GOBMP at the expense of means of the republican budget to the regional, regional, city oncological organizations and oncological departments of multi-profile clinics providing medical care by the oncological patient (further - oncology dispensary) is performed taking into account results of quality control and amount of the provided medical care:

on complex rate for rendering complex of the medical services directed to diagnostics and treatment (including with precancer diseases and good-quality new growths) and dispensary observation of patients with malignant new growths by the MKB-10 S00-S codes 80, C97, C81-C85;

for use of himiopreparat by the oncological patient, targetny medicines, at the cost of himiopreparat which is not exceeding their ceiling price according to Item 2 of Article 76 and the subitem 68) Item 1 of article 7 of the Code about health;

for rendering sessions of radiation therapy by the oncological patient at the cost of tasksetter of medical services. In cases of excess of the planned amounts on radiation therapy according to the Contract for rendering GOBMP, cost recovery it is performed in case of confirmation of justification of the rendered services and confirmation of actual costs;

for rendering specialized medical care in form of stationary and hospital-replacing medical care by the oncological patient (the patient with precancer diseases directed to verification of the diagnosis) within realization of their right to the free choice who is not staying on the registry in this oncology dispensary (further - the nonresident patient) on rates for one treated case on KZG (by the MKB-10 S00-S codes 80, C97, C81-C85) within the amount provided by the contract for rendering GOBMP.

129. Cost recovery for delivery of health care by the oncological patient within GOBMP is performed by the customer to the regional, regional, city oncological organizations and oncological departments of multi-profile clinics providing medical care by the oncological patient (further - oncology dispensary) with participation of KOMU and TD to the LUMP, KOOZ and TD KOOZ, the Republican state company on the right of economic maintaining "The Kazakh research institution of oncology and radiology" of the Ministry (further - KAZNIIOIR) which is carrying out organizational and methodical work in case of delivery of health care by the oncological patient, the SI and the subject of monitoring and the analysis of GOBMP, the lessor.

130. The complex rate provides oncological patients by the following types of medical care qualified, specialized, medico-social and in forms:

1) consulting and diagnostic help;

2) hospital-replacing help;

3) stationary help;

4) palliative care.

In case of absence in oncology dispensary of palliative care, its rendering is performed in coordination with the customer with involvement of subcontractor at the expense of the means provided in complex rate.

The complex rate includes expenses on their rendering according to the Technique of forming of rates.

131. The complex rate does not include expenses:

on rendering hospital-replacing and stationary medical care to children up to eighteen years with oncological diseases. At the same time, the age of children at the time of the first hospitalization and the beginning of course of treatment does not reach eighteen years;

on delivery of health care by the patient with malignant new growths of lymphoid and haematogenic fabric by the MKB-10 S81-S96 codes (except patients with lymphoma by the C88-C96) codes;

on rendering high-technology medical services;

on rendering radiation therapy;

on providing oncological patients of himiopreparatama, including targetny medicines.

132. Cost recovery for delivery of health care by the oncological patient within GOBMP for the accounting period is performed on average payroll number of oncological patients on complex rate.

The accounting period is the period of time equal to one calendar month (from the first on the last date).

133. The responsible person of oncology dispensary on whom the personal responsibility for registration is conferred re-registration and removal taking into account oncological patients in EROB (further - the responsible person of oncology dispensary on IS), daily in EROB performs updating of data on oncological patients on the basis:

forms No. 090/at, forms No. 025/at or forms No. 003/at;

data on death from departments of civil registration of areas, the cities of republican value (further - bodies of ORAGS);

the application in person (any form) of the oncological patient of re-registration in other oncology dispensary;

conclusions of dispensary department of oncology dispensary about recovery of the oncological patient;

request of oncology dispensary for registration (dislocation) in other oncology dispensary based on the application in person in any form of the oncological patient in this oncology dispensary which is attached in the scanned type.

For implementation of cost recovery for delivery of health care by the oncological nonresident patient, the responsible person of oncology dispensary on IS registers the nonresident patients directed in planned procedure to hospitalization in other oncology dispensary in the information system "Bureau of Hospitalization":

in the direction of oncology dispensary in which it stays on the registry;

in the direction of the district oncologist of the out-patient and polyclinic organization in coordination with oncology dispensary in which he stays on the registry;

in the direction of the oncologist of oncology dispensary to which the nonresident patient independently addressed.

Stationary help to nonresident patients is given in the emergency procedure without the direction, at the same time the oncology dispensary in which he stays on the registry, during the accounting period is notified.

The oncology dispensary before carrying out in planned procedure for the first time for antineoplastic treatment to the nonresident patient directed by oncology dispensary in which he stays on the registry or in case of the independent address of the nonresident patient previously approves need of performing this antineoplastic treatment with oncology dispensary in which the nonresident patient stays on the registry.

134. The oncology dispensary in which the patient stays on the registry in case of registration (dislocation) of the oncological patient in other oncology dispensary confirms the decision on its dislocation in EROB no more than one working the day in time.

The oncology dispensary in case of refusal in dislocation of the oncological patient in other oncology dispensary specifies motivated cause of failure and attaches in EROB in the scanned type the decision on refusal signed by the head of oncology dispensary.

The oncology dispensary performs registration of the oncological patient attached to the PHC organization of this region.

In EROB it is created:

the list of the oncological patients deployed from one oncological dispensary in another;

the list of the oncological patients attached in the PHC organization, but who are not staying on the registry in oncology dispensary of this region;

the list of the oncological patients staying on the registry in oncology dispensary of this region, but attached in the PHC organization of other region.

135. Data on registration of death of the oncological patient are specified automatically in EROB based on the death certificate entered into RPN.

The responsible person of oncology dispensary specifies causes of death in EROB of oncological patients, except for the dead struck off the register automatically no later than ten calendar days from the date of registration of death of oncological ORAGS sick with body.

In EROB it is created:

the list of the oncological patients struck off the register automatically;

the list of the died oncological patients who are not struck off the register.

136. Vrach-himioterapevt oncology dispensary enters into EROB data on the actual use of himiopreparat by the oncological patient according to the scheme of application of himiopreparat taking into account limiting one-time doses.

137. The specialist of oncology dispensary daily performs input and confirmation of data, including vypisny epikriz, in EROB no later than three working days following disposal of the patient from hospital or completion of out-patient treatment on the basis of the following forms of primary medical documentation:

data on stationary and hospital-replacing medical care on the basis of medical records in forms No. 066-2/u and No. 003/at;

data on consulting and diagnostic medical care on the basis of medical records in form 025/at;

data on the used himiopreparata the oncological patient, including targetny medicines, at all stages of treatment;

data on use of the medical equipment acquired on the terms of financial leasing based on leaf of use of the medical equipment acquired on the terms of financial leasing from data of primary medical documentation which is appendix:

to the form No. 066-2/u approved by the order No. 907, when rendering stationary medical care;

to form 025/at, when rendering KDP.

138. By results of the quality control and amount for the provided medical care by oncological sick oncology dispensary which is carried out by TD of KOOZ and the customer measures of economic impact for the list of measures of economic impact in case of delivery of health care by the oncological patient within GOBMP on complex rate (further - measures of economic impact) according to appendix 71 to these rules are applied to oncology dispensary.

KOOZ TD by results of quality control in cases with lethal outcome of oncological patients attaches in EROB in the scanned type the expert opinion and represents it in the original to the Commission on fee no later than three working days of the month following the accounting period in time.

139. In case of removal from accounting in EROB of oncological patients for cause of death which date of death is registered in last accounting period payment is performed in the accounting period taking into account removal of the sum calculated for each calendar day of finding of the oncological patient on accounting from the date of registration of date of his death for complex rate in day and measures of economic impact according to appendix 71 to these rules.

140. Measures of economic impact for untimely removal from accounting and untimely registration of data on the death of the oncological patient in EROB do not extend in the relation:

patients with malignant new growths of lymphoid and haematogenic fabric;

posthumously registered oncological patients;

the oncological patients who died till January 1, 2012.

141. The oncology dispensary sends to the customer in time no later than one working day following the accounting period (for December - till December 25) the account register of the rendered medical services by the oncological patient created in EROB within the guaranteed amount of free medical care in form according to appendix 72 to these rules, signed by the head on paper or electronically by means of the EDS (further - the account register).

142. The customer based on the quality control signed accounts register, results and amount (in case of their availability) creates in EROB the protocol of agreement performance on rendering GOBMP in case of delivery of health care by the oncological patient in form according to appendix 73 to these rules.

The protocol of execution is considered and signed by the commission on fee.

143. Based on the protocol of agreement performance in EROB the act of the performed works (services) rendered to oncological patients within GOBMP in form according to appendix 74 to these rules is created (further - the act of the performed works (services) which one copy is transferred to oncology dispensary.

144. Payment under signed acts of the performed works (services) is performed by the customer within ten calendar days from the moment of the end of the accounting period (in December - to the 25th) taking into account deduction of part of earlier paid advance payment in amount and the terms provided in the contract for rendering GOBMP, way of money transfer on the settlement account of oncology dispensary.

144-1. Payment for himiopreparata, including the targetny, not included in complex rate in case of delivery of health care by the oncological patient within GOBMP according to the contract for rendering GOBMP which did not enter the account register and (or) acts of the performed works of the last month of prior financial year and (or) GOBMP which are not accepted for payment during validity on rendering in prior financial year in connection with monitoring procedure of quality and amount, is made in the current financial year.

145. The oncology dispensary till the 30th following the accounting period enters into EROB the following reports for the previous accounting period:

information on structure of the income when rendering medical services by the oncological patient in form according to appendix 75 to these rules;

information on expense structure when rendering medical services by the oncological patient in form according to appendix 76 to these rules;

information on the differentiated compensation of workers on form according to appendix 77 to these rules;

information on advanced training and retraining of personnel on form according to appendix 78 to these rules;

information on distribution of planned advance amount to rendering medical services in form according to appendix 78-1 to these rules.

In case of absence in EROB of information provided by this Item forming of accounts register for the current accounting period to oncology dispensary is not made before introduction of the specified data.

146. The oncology dispensary for the purpose of ensuring availability and quality of medical care by the oncological patient (the patient with precancer diseases directed to verification of the diagnosis) and realization of their right to the free choice performs payment under the signed contracts of sub contracting with the organizations of health care, including with oncology dispensaries, within the amounts provided by the basic agreement on rendering GOBMP for the rendered KDU on rates according to tasksetter.

147. Payment for the rendered services by the oncological patient staying on the registry in other oncology dispensary (further - the nonresident patient) is performed according to the procedure determined according to paragraph 7 of Chapter 2 of these rules.

Paragraph 6. Cost recovery to the organizations of district value or sat down at rendering services GOBMP to rural population at the expense of means of the republican budget and local budget

148. Cost recovery to subjects of the village for rendering services GOBMP to rural population is performed according to the complex per capita standard rate on rural population taking into account results of quality control and amount of medical care.

149. Cost recovery to subjects of the village for rendering services GOBMP to rural population is performed by the customer on behalf of UZ to subjects of the village, with participation of KOOZ and TD KOOZ, TD KOMU and TD KOMU, the subject of monitoring and the analysis of GOBMP, SI and the lessor.

150. The customer establishes terms (dates) of the accounting period.

151. The complex per capita standard rate on rural population of the subject of the village provides expenses within the signed agreement GOBMP on:

1) providing range of services of GOBMP to rural population according to standards in the field of health care, according to the subitem 6) Item 1 of article 7 of the Code about health by types of medical care: pre-medical, qualified, specialized, medico-social which appear in the following forms: PHC, KDP, hospital-replacing and stationary medical care, within the means provided on the guaranteed component of the complex per capita standard rate on rural population;

2) stimulation of workers of PHC.

152. The complex per capita norm on rural population for the accounting period is determined counting on one attached person registered in the RPN portal for the last date of month under report according to the Technique of forming of rates.

153.  No. 874 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 27.11.2017

154. The size of the complex per capita standard rate on rural population is determined by forms of medical care (PHC, KDP, the hospital-replacing help, the stationary help) according to the signed contract for rendering GOBMP.

155. Calculation of the complex per capita standard rate on rural population for the accounting period is perfromed according to the Technique of forming of rates:

to the subjects of the village rendering PHC, on the number of the attached population registered in the RPN portal for the last date of month under report;

to the subjects of the village which are not rendering PHC, on the number of the attached population registered in the RPN portal on this area according to the signed contract for rendering GOBMP.

156. The amount of financing to subjects of the village on rural population for the accounting period is determined by the complex per capita standard rate by multiplication of the complex per capita standard rate by rural population by population size according to Item 155 of these rules.

The amount of financing of the subject of the village according to the complex per capita standard rate on rural population for the accounting period does not depend on amount of the rendered services.

157. Fee of GOBMP to subjects of the village is performed by the Customer based on created in the automated mode in IS "APP", DKPN of the payment documents determined by these rules.

158. By results of data entry in IS specified in Item 157 of these rules, data become available to daily monitoring, the analysis and assessment and for acceptance of management decisions by the customer, OUSE, the COMA and TD to the LUMP, KOOZ and TD KOOZ, the subject of monitoring and the analysis of GOBMP, SI and its branches, the lessor, to the research organizations within their competences.

159. The subject of monitoring and the analysis of GOBMP, SI based on the data IS specified in Item 157 of these rules for the customer, OUSE, the COMA and TD provide to the LUMP, KOOZ and TD KOOZ within the signed contract with authorized body forming of analytical tables, creation of analytical reports or information and their provision.

160. The SI creates analytical tables to the Summary list determined by Item 165 of these rules (further - the Summary list), and submits to the Customer monthly in time no later than five working days after the accounting period.

161. The subject sat down no later than the tenth following the accounting period, in time (for December - on December 20) transfers to the customer, the account register for delivery of health care created in IS "APP" to the attached population within the guaranteed amount of free medical care by the subject of health care of district value and the village according to appendix 84-1 to these rules (further - the account register of the subject of the village) signed by the head on paper or electronically by means of the EDS.

162. By results of the quality control and amount for the rendered medical services by the subject of the village which is carried out by KOOZ TD (in case of their availability) according to the list of the cases which are subject to removal and not subject to payment, including partially by results of quality control and amount of the provided stationary and hospital-replacing medical care to rural population according to appendix 79 to these rules (further - the List) and by results of daily assessment of the SI of cases of the complications which resulted from treatment by the subject of the village based on the automated selection, the TD of KOOZ creates in SUKMU:

the list of the cases of hospitalization with complications for the accounting period which underwent quality control after assessment of the subject of monitoring and the analysis of the guaranteed amount of free medical care, except as specified with lethal outcomes in form according to appendix 80 to these rules;

the list of cases with lethal outcome by results of quality control for reporting and previous periods in form according to appendix 81 to these rules based on leaf of expert evaluation of medical services in form according to appendix 3 to these rules;

the list of cases by results of quality control and amount of services of the guaranteed amount of free medical care when rendering the stationary and hospital-replacing help by subjects of health care of district value and the village in form according to appendix 82 to these rules (further - the List of TD of KOOZ).

163. The TD to WHOM creates in SUKMU:

by results of control of amount of services GOBMP the list of cases by results of control of amount of services of the guaranteed amount of free medical care when rendering the stationary and hospital-replacing help by subjects of district value and the village in form according to appendix 83 to these rules (further - the List of TD to WHOM);

based on data of the List of TD of KOOZ and the List of TD to WHOM the Summary list of cases of rendering the stationary and hospital-replacing help with results of quality control and amount of services of the guaranteed amount of free medical care in form according to appendix 84 to these rules.

164.  No. 874 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 27.11.2017

165. The customer creates in IS "APP" the protocol of agreement performance considered and signed by the commission on fee on rendering the guaranteed amount of free medical care by the subject of health care of district value and the village in form according to appendix 85 to these rules (further - the protocol of agreement performance of the subject of the village) on the basis:

the village of accounts register signed by the subject;

results of quality control and amount of the rendered services by the subject of the village which is carried out by KOOZ TD (in case of their availability);

Summary list;

results of achievement by the subject of the village of the indicators of resulting effect calculated in the automated mode in DKPN.

166. The customer based on the protocol of agreement performance of the subject of the village in IS "APP" creates the act of the performed works (services) rendered within the guaranteed amount of free medical care by the subject of health care of district value and the village in form according to appendix 86 to these rules (further - the act of the executed services of the subject of the village) in duplicate which is signed by both parties on paper or electronically by means of the EDS which one copy is transferred to the subject of the village.

167. Payment under signed acts of the performed works (services) of the subject of the village is performed by the customer no later than fifteen calendar days after the accounting period (December - to the 25th) taking into account deduction of part of earlier paid advance payment in amount and the terms provided in the agreement GOBMP by money transfer on the settlement account of the subject of the village.

168. Forming of payment documents and the Summary list is performed based on IS in case of accomplishment by responsible persons on IS of the following functions:

in IS "APP":

1) customer:

enters and confirms the contracts GOBMP signed with subjects of the village;

creates the following payment documents for the accounting period:

protocol of agreement performance of the subject of the village;

the act of the executed services of the subject of the village;

The lessor enters 2) and confirms agreements on use of the medical equipment acquired on the terms of financial leasing, the villages concluded with subjects;

3) the subject sat down:

enters and confirms the signed agreements of sub contracting no later than three working days from the date of its conclusion;

creates for the accounting period of accounts register of the subject of the village;

enters data for the accounting period based on primary financial documentation till the 30th following the accounting period (for December - till December 25) and by results of input creates the following reports for the previous accounting period:

information on structure of the income in case of delivery of health care by the subject of health care of district value and the village in form according to appendix 88 to these rules;

information on expense structure in case of delivery of health care by the subject of health care of district value and the village in form according to appendix 89 to these rules;

information on structure of the income and expenses in case of delivery of health care by the subject of health care of district value and the village by structural divisions in form according to appendix 90 to these rules;

information on the differentiated compensation of workers of the subject of health care of district value and the village on form according to appendix 91 to these rules;

information on advanced training and retraining of personnel of the subject of health care of district value and the village on form according to appendix 92 to these rules;

information on distribution of planned advance amount to rendering medical services in form according to appendix 92-1 to these rules;

creates payment documents on subcontractor for the accounting period according to paragraph 7 of Section 2 of these rules;

enters data on the number of KDU rendered on the medical equipment acquired on the terms of financial leasing in leaf of use of the medical equipment acquired on the terms of financial leasing;

in SUKMU:

1) the subject of monitoring and the analysis of GOBMP creates the list of the cases of hospitalization which are subject to quality control after assessment of the subject of monitoring and the analysis of GOBMP on subjects of the village;

2) KOOZ TD on subjects of the village:

attaches the expert opinion in cases with lethal outcome of inpatients;

enters results of quality control of the stationary and hospital-replacing help;

the subject sat down in ERSB:

daily enters and confirms data, including the vypisny epikriz, no later than day following behind day of disposal of the patient from hospital on the basis of the following forms of primary medical documentation: form No. 003/at, form No. 003-2/u, form No. 096/at, form No. 097/at. The confirmations this later are not subject to adjustment, except as specified input in ERSB of results of histologic and patomorfologichesky researches;

creates by results of data entry of medical records the statistical card disposed from hospital (forms No. 066/at, No. 066-1/u, No. 066-2/u, No. 066-3/u, No. 066-4/u approved by the order No. 907) and the statement from the medical record (out-patient, stationary) the patient (the form No. 027/at approved by the order No. 907);

the subject sat down in AIS "Polyclinic":

daily enters data on graphics of acceptance and the schedule of doctors, making an appointment with the doctor, assets and challenge on the house, distribution of the arrived directions;

daily performs the personified registration of the rendered out-patient and polyclinic services to the population by specialists of PHC and KDP on the basis of the following forms of primary medical documentation: form No. 025/at, form No. 025-5/u, form 025-9/y, form to 025-8, form to 025-07;

daily enters the external directions on KDU in No. form to 001-4/a;

in DKPN - according to paragraph 1 of Section 2 of these rules.

Paragraph 7. Cost recovery by the supplier to subcontractor for rendering GOBMP

169. The supplier for the purpose of ensuring availability, complexity and quality of medical care to the population within GOBMP taking into account realization of their right to the free choice of the subject rendering GOBMP on the absent services GOBMP according to Rules of the choice of the service provider in rendering the guaranteed amount of free medical care and compensation of its costs, according to item 4 of article 34 of the Code about health (further - Rules of the choice of the supplier) attract in coordination with the customer of subcontractor and sign with it agreements of sub contracting within the amounts of the contract for rendering GOBMP.

170. Cost recovery by the supplier to subcontractor for rendering services GOBMP is performed with participation of KOOZ and TD KOOZ, TD KOMU and TD KOMU, the subject of monitoring and the analysis of GOBMP, SI and the lessor.

171. The accounting period is the period of time equal to one calendar month (from the first on the last dates).

172.  No. 874 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 27.11.2017

173. The supplier to subcontractor performs payment:

1) for the rendered KDU within GOBMP at cost according to tasksetter;

2) for rendering specialized medical care in the form of stationary medical care within GOBMP to rural population on rates for one treated case on KZG between subjects of the village within the region of the place of their stay;

3) for rendering specialized medical care in the form of hospital-replacing medical care to the population within GOBMP on rates for one treated case;

4) at rendering complex of medical services to rural population within GOBMP by other subject sat down in this region according to the complex per capita standard rate on rural population which size is established in coordination with the customer depending on certain list of forms of medical care.

174.  No. 874 is excluded according to the Order of the Minister of Health of the Republic of Kazakhstan of 27.11.2017

175. The subcontractor has the right to render on medical indications the services within GOBMP which are not included in the agreement of sub contracting, to the population within the issued direction the specialist of Service provider of GOBMP and to show them on payment.

The service provider of GOBMP perform payment for data of service with the conclusion of the supplementary agreement to the agreement of sub contracting.

176. Forming of payment documents of subcontractor is performed based on IS in case of accomplishment by responsible persons on IS of subcontractor of the following functions:

1) when rendering KDU to the population within the contract of sub contracting with the supplier on behalf of the subject of PHC and (or) the subject of the village:

in AIS "Polyclinic":

daily enters data on graphics of acceptance and the schedule of doctors, making an appointment with the doctor, assets and challenge on the house, distribution of the arrived directions;

daily enters the internal and external directions on KDU in form No. 001-4/u;

daily performs the personified registration of the rendered KDU to the population which addressed in the direction of specialists of subjects of PHC and subjects of the village or in the emergency condition, on the basis of the following forms of primary medical documentation: form No. 025/at, form No. 025-9/u;

in IS "APP":

creates for the accounting period of accounts register for rendering medical services within GOBMP in the agreement of sub contracting in form according to appendix 93 to these rules (further - the account register of subcontractor);

creates by results of data entry for the accounting period the personified register of the rendered medical services within the guaranteed amount of free medical care in the agreement of sub contracting which are subject to removal and not subject to payment, including partially in form according to appendix 94 to these rules (further - the personified register of subcontractor);

enters data for the accounting period based on primary financial documentation till the 30th following the accounting period (for December - till December 25) and by results of input creates the following reports for the previous accounting period:

information on structure of the income when rendering medical services by subcontractor in form according to appendix 95 to these rules;

information on expense structure when rendering medical services by subcontractor in form according to appendix 96 to these rules;

information on the differentiated compensation of workers on form according to appendix 97 to these rules;

information on advanced training and retraining of personnel on form according to appendix 98 to these rules;

2) in case of delivery of health care by the oncological patient within the contract of sub contracting with the supplier on behalf of regional oncological dispensary:

in IS "EROB":

in the Production Block module:

daily performs the personified registration of the rendered KDU by the patient who addressed in the direction of specialists of the supplier, or in the emergency condition, on the basis of the following forms of primary medical documentation: form No. 025/at, form No. 025-9/u;

in the Financial Block module:

creates for the accounting period of accounts register of the rendered services by the nonresident patient within the guaranteed amount of free medical care in form according to appendix 99 to these rules;

creates for the accounting period the register of the rendered services by the nonresident patient within the guaranteed amount of free medical care;

creates for the accounting period the individual account on the patient with disaggregation of expenses on delivery of health care;

creates the protocol of agreement performance of sub contracting for rendering the guaranteed amount of free medical care by the nonresident patient in form according to appendix 100 to these rules;

creates the act of the performed works (services), the rendered medical services within the guaranteed amount of free medical care by the nonresident patient, (further - the act of the executed services) in form according to appendix 101 to these rules.

177. Forming of payment documents of the subcontractor which is the subject of the village when rendering stationary and (or) hospital-replacing medical care within GOBMP or complex of medical services within GOBMP in this region is performed in the manual mode.

This subcontractor enters data for the accounting period based on primary financial documentation till the 30th following the accounting period (for December - till December 25) and by results of input creates reports.

178. The subcontractor in time no later than five calendar days after the accounting period transfers to the supplier of accounts register of subcontractor, signed by the head or with use of the EDS.

179. The supplier in case of the disputable cases on fee rendered by subcontractors within the agreement of sub contracting creates conciliation commission from competent representatives of the supplier and subcontractor.

The decision made at meeting of conciliation commission is drawn up by the protocol of agreement performance of sub contracting:

on rendering medical services within the guaranteed amount of free medical care in form according to appendix 102 to these rules;

on rendering medical services within the guaranteed amount of free medical care by the nonresident patient in form according to appendix 100 to these rules

The protocol of agreement performance of sub contracting is signed by members of conciliation commission with appendix to it of the personified register of the rendered medical services within GOBMP in the agreement of sub contracting which are subject to removal and not subject to payment, including partially (further - the personified register), one copy is transferred to subcontractor.

The personified register is signed by the first heads of both parties or with use of the EDS, one copy is transferred to subcontractor.

180. Results of quality control and amount of the given out-patient and polyclinic help by subcontractors are created by TD of KOOZ and the subject of PHC or the subject of the village under the agreement of sub contracting according to the list of the cases which are subject to removal and not subject to payment, including partially.

Results of quality control and amount of the provided stationary and hospital-replacing medical care by subcontractors are created by TD of KOOZ and the supplier under the agreement of sub contracting according to the list of the cases which are subject to removal and not subject to payment, including partially according to appendices 34 and 83 to these rules.

KOOZ TD and amount for the rendered services by subcontractors (in case of their availability) represents results of quality control to the customer for taking measures to deduction by the supplier in case of cost recovery to subcontractors under the agreement of sub contracting.

181. The supplier based on signed the account register by subcontractor, results of quality control and amount (in case of their availability), the protocol of agreement performance of sub contracting creates in duplicate the act of the performed works (services) when rendering medical services within the guaranteed amount of free medical care in the agreement of sub contracting in form according to appendix 103 to these rules which is signed by the first heads of both parties or with use of the EDS, one copy is transferred to subcontractor.

The services which are not shown by subcontractor for payment in the accounting period are not subject to compensation.

182. The supplier under signed acts of the performed works (services) in the agreement of sub contracting performs payment no later than twenty calendar days after the accounting period, taking into account deduction of part of earlier paid advance payment in amount and the terms provided in the agreement of sub contracting by money transfer on the settlement account of subcontractor.

183. Payment for rendering stationary and hospital-replacing medical care within GOBMP to villagers is not performed by subjects of health care of city, regional and republican value by the subject of the village on terms of the contract of sub contracting.

Paragraph 8. Compensation of leasing payments to the organizations rendering GOBMP

184. Compensation of leasing payments on the terms of financial leasing is performed from means of the republican budget and (or) at the expense of means local budgets, under the signed contract with the lessor to the organizations rendering GOBMP in form of business of the state companies, joint-stock companies and economic partnerships, hundred percent of voting shares (shares in the authorized capital) which belongs to the state and Corporate fund "University Medical Center".

185. Amount of remuneration on leasing does not exceed five annual interest rates from the cost of the medical equipment acquired on the terms of financial leasing.

186. Requirement analysis is made based on calculation of coefficient of requirement for formula of calculation of coefficient of requirement according to appendix 104 to these rules.

187. The analysis of payback is made through calculation of payback period for formula of calculation of payback period according to appendix 105 to these rules.

188. Within fifteen calendar days from the date of provision of the relevant information the list of potential leasing recipients and medical equipment approve within the competence:

the authorized body approves compliance of medical equipment to profile and level of the medical organization;

To WHOM confirms availability of the contract for rendering GOBMP with potential leasing recipients;

KOOZ approves the list of medical equipment and the number of the services planned to render the organization of health care in month on the medical equipment acquired on the terms of financial leasing.

189. In the period of the duration of the agreement of financial leasing monitoring of medical equipment regarding effective use is carried out.

190. The lessor annually till April first sends to authorized body the list of leasing recipients with indication of amount of budgetary funds for compensation of leasing payments for the forthcoming three-year period with appendix of supporting documents (the copy of the signed agreements of financial leasing, delivery-acceptance certificates and schedules of leasing payments) and the need for budgetary funds for compensation of leasing payments on the planned leasing projects with appendix of supporting documents (the copy of the approved investment plan of the lessor for the forthcoming three-year period on the planned leasing projects).

191. The lessor annually till November tenth, sends to authorized body the list of leasing recipients, with monthly distribution of amount of budgetary funds for compensation of leasing payments to planned financial year, for forming of funding plan according to obligations and (or) payments with appendix of supporting documents (the copy of the signed agreements of financial leasing, delivery-acceptance certificates and schedules of leasing payments) and requirement on compensation of leasing payments on the planned leasing projects with appendix of supporting documents (the copy of the approved investment plan of the Lessor for the forthcoming financial year on the planned leasing projects).

192. The lessor no later than the third of the following behind the accounting period, sends to authorized body the list of leasing recipients, delivery of medical equipment by which it is performed during the accounting period, with monthly distribution of amount of budgetary funds for compensation of leasing payments to the current financial year, with appendix of supporting documents (the copy of the signed agreements of financial leasing, delivery-acceptance certificates and schedules of leasing payments).

193. The authorized body till the tenth of the following behind the accounting period based on the list of leasing recipients provided by the lessor containing data on the amount of the leasing payments which are subject to compensation creates the change order of individual funding plan according to obligations and (or) payments according to the Rules of budget implementation and its cash servicing approved by the order of the Minister of Finance of the Republic of Kazakhstan of December 4, 2014 No. 540 (it is registered in the Register of state registration of regulatory legal acts for No. 9934) (further - Rules of budget implementation).

For compensation of leasing payments to leasing recipients the certificate of modification of individual funding plan according to obligations and (or) payments according to Rules of budget implementation goes to authorized body on budget implementation.

194. Adjustment and redistribution of the amounts of budgetary funds for compensation of leasing payments is made on the basis:

requests of the lessor for modification of individual funding plan according to obligations and (or) payments of any form;

offers of the provided KOMU and UZ by results of monthly compensation of leasing payments to leasing recipients.

195. OUSE and TD to WHOM perform payment of leasing payments to leasing recipients based on the signed contract for rendering GOBMP according to Rules of the choice of the supplier.

196. Providing the conclusion of the contract for rendering GOBMP with leasing recipients is performed according to individual funding plan.

197. The lessor performs information input in IS about the medical equipment established to the leasing recipient acquired on the terms of financial leasing before date of commissioning and share of leasing payment.

198. Leasing recipients when rendering medical service with use of the medical equipment acquired on the terms of financial leasing in forms of primary medical documentation, specify nine-digit code of medical equipment. Leasing recipients perform data entry in the relevant IS on actually rendered medical services on the medical equipment acquired on the terms of financial leasing from forms of primary medical documentation.

199. Leasing recipients according to Rules of the choice of the service provider create and provide in UZ or TD to WHOM accounts registers based on the data entered into the relevant IS about use of the medical equipment acquired on the terms of financial leasing.

200. The amount of financing on compensation of leasing payments to the leasing recipient for the medical services rendered on the medical equipment acquired on the terms of financial leasing is determined by formula of scoping of financing on compensation of leasing payments to the leasing recipient for the rendered medical services on the medical equipment acquired on the terms of financial leasing according to appendix 106 to these rules.

201. Leasing payments are paid monthly by the leasing recipient to the lessor according to the agreement of financial leasing according to the schedule of leasing payments.

202. The size of leasing payment is calculated by formula of calculation of the size of leasing payment according to appendix 107 to these rules by method of annuity payments.

203. The schedule of leasing payments is created by the lessor for each leasing recipient individually according to the agreement of financial leasing and accounting of delivery dates of subject of leasing.

204. Leasing payments are calculated taking into account compensation of all cost of subject of leasing at the price of the moment of the conclusion of the agreement of financial leasing, and are performed throughout the duration of the agreement of financial leasing which include:

compensation to the lessor of purchase costs of subject of leasing and any other expenses which are directly connected with acquisition, delivery of subject of leasing and its reduction in the working condition and further servicing (guarantee maintenance by the supplier of subject of leasing) for proper use according to the agreement of financial leasing;

remuneration on leasing.

205. Payment of leasing payments is performed by the leasing recipient monthly in terms and in sizes, according to the schedule of leasing payments constituted in form according to appendix 108 to these rules, the financial leasing which is appendix to the agreement.

206. Charge of remuneration is made from the date of input of subject of leasing in operation, specified in graphics of leasing payments.

The share of leasing payment is calculated as the relation of leasing payment in month to the planned number of medical services in month, on formula of calculation of share of leasing payment according to appendix 109 to these rules.

207. The planned number of medical services (Oplan) shall be multiple to twelve months towards the maximum value and no more maximum standard rate on the medical equipment requested in leasing and at least seventy five percent from this standard rate where Oplan - amount of the medical services planned to render the leasing recipient in month on the medical equipment acquired on the terms of financial leasing according to the agreement of financial leasing.

208. The maximum standard rate on the medical equipment requested in leasing is calculated by formula of calculation of the maximum standard rate of services for medical equipment according to appendix 110 to these rules.

209. To KOOZ TD to 3 dates of the following behind the accounting period and no later than November first of the current year, send to KOMU and (or) UZ the control act behind effective use of the medical equipment acquired on the terms of financial leasing in form according to appendix 111 to these rules (further - the control act).

210. Control of leasing recipients of effective use of medical equipment is exercised quarterly by KOOZ TD. In the control act the number of the medical services with use of the medical equipment acquired on the terms of financial leasing confirmed in case of control of effective use of medical equipment is specified.

211. OUSE and TD to WHOM based on control acts are performed by payments or removal of the budgetary funds intended for compensation of leasing payments to leasing recipients.

212. If following the results of control the treated case is not subject to payment fully or partially, according to the control act recalculation of number of medical services in actually rendered medical services on the medical equipment acquired on the terms of financial leasing and recalculation of the amount of leasing payments on compensation is made.

213. OUSE and TD to WHOM taking into account control acts create the protocol of execution of contracts for rendering GOBMP in terms and the procedure provided by these rules. At the same time forming of the protocol for January of the current year is performed taking into account cases and leasing payments which did not enter the account register for December of previous year.

214. The amount of the budgetary funds intended for compensation of leasing payments to leasing recipients, which is subject to deduction or removal is considered in case of the subsequent settlement with the leasing recipient in the period of the duration of the agreement on rendering GOBMP.

215. The act of the performed works (services) rendered by the leasing recipient within GOBMP is constituted based on the drawn-up protocol.

OUSE and TD to WHOM perform payment of leasing payments after execution of the act of the performed works (services) on condition of rendering medical services with use of the medical equipment acquired under the agreement of financial leasing according to these rules.

The funds allocated for payment of leasing payments are used by the leasing recipient only within agreements of financial leasing.

216. In case of failure to carry out of monthly number of the medical services planned to render on the medical equipment acquired on the terms of financial leasing, leasing payments only for medical services with use of the medical equipment acquired under the agreement of financial leasing for actually rendered medical services are paid to the leasing recipient.

In case of insufficiency of funds of leasing recipients for repayment of leasing payments, leasing recipients settle leasing payments for the account of own means except for of the means received from rendering medical services within GOBMP.

217. In case of excess of monthly number of the medical services shown for payment rendered on the medical equipment acquired on the terms of financial leasing over the monthly number of the medical services planned to render on the medical equipment acquired on the terms of financial leasing, leasing payments are paid in the amount of the leasing payment specified in graphics of leasing payments.

218. The lessor does not charge penalty fee on outstanding amount of leasing payments of the leasing recipient in cases independent of the leasing recipient (untimely receipt of budgetary funds for payments of leasing payments into the account of the leasing recipient not through his fault, and also in case of payment for January of the current year of the leasing payments which did not enter the account register for December of previous year).

Paragraph 9. Cost recovery to the organizations of service of blood for the issued components of blood and the rendered services at the expense of means of the republican budget in the form of target current transfers and means of the local budget

219. Cost recovery to the organizations of service of blood for the issued components of blood and the rendered services within GOBMP is performed taking into account results of quality control and amount of the issued components of blood and the rendered services in rates according to tasksetter for the account:

means of the republican budget in the form of TsTT;

means of the local budget, in case of their additional allocation according to the decision of local representative body.

220. The organization of service of blood in time no later than one working day of the month following the accounting period (for December - on December 20) creates and transfers to the customer signed by the head on paper or electronically by means of the EDS of accounts register on rendering services and issue of components of blood within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget (further - the account register by birth) in form according to appendix 112 to these rules.

221. The customer creates the protocol of agreement performance on rendering services and issue of components of blood within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget in form according to appendix 113 to these rules (further - the protocol of agreement performance by birth) on the basis:

signed by the organization of service of blood of accounts register by birth;

results of quality control and amount of the issued components of blood and the rendered services (in case of their availability), the carried-out TD of the KOOZ which are subject to removal and not subject to payment. The protocol of agreement performance is by birth considered and signed by the commission on fee.

In case of introduction of amendments and amendments to the protocol of agreement performance, the commission on fee constitutes and signed appendix to the specified protocol.

222. The customer based on the protocol of agreement performance by birth draws up the statement of the performed works on rendering services and issue of components of blood within the guaranteed amount of free medical care at the expense of means of the republican budget in the form of target current transfers and means of the local budget (further - the act of the executed services by birth) in form according to appendix 114 to these rules in duplicate which is signed by both parties and one copy is transferred to the subject of service of blood.

223. In case of the force majeur circumstances specified in the contract for rendering GOBMP, the customer accepts the account register by birth and the act of the executed services by birth is later than fixed term.

224. Payment under signed acts of the executed services by birth is performed by the customer no later than 10 calendar days after the accounting period (December - till December 25) taking into account deduction of part of earlier paid advance payment in amount and the terms provided in the contract for rendering GOBMP, way of money transfer on the settlement account to the subject of service of blood.

Appendix 1

to Rules of cost recovery to the organizations of health care at the expense of budgetary funds

Expert opinion

1. First name, middle initial, last name (in case of its availability) and position of person who was carrying out expertize including the independent expert, with indication of specialty, qualification category, academic degree, No. of the certificate on accreditation.

2. The name of subject (object) of health care in which expertize was carried out.

3. Basis of conducting examination, or information about the customer.

4. Terms of conducting examination.

5. Period of conducting examination.

6. Examination subject.

7. Data on results of examination, including on the revealed violations, on their nature.

8. Conclusions.

9. Recommendations.

First name, middle initial, last name (in case of its availability), the signature of person who was carrying out expertize

Date "____" ___________ 20 ___ years

Appendix 2

to Rules of cost recovery to the organizations of health care at the expense of budgetary funds

Form

Appendix 2

to Rules of cost recovery to the organizations of health care at the expense of budgetary funds

Form

Leaf of expert evaluation of medical services

1. The state body performing assessment.

2. Name of subject (object) of health care.

3. Surname, name, middle name (in case of its availability) the head of the subject of health care.

4. Start and end date of check.

5. The checked period.

6. Check subject ___________________________________________

(detection of defects of rendering medical services, including

accomplishment of contractual commitments on rendering GOBMP and another)

I. Expert evaluation of quality of the rendered medical services at the level of primary physician - the sanitary, consulting and diagnostic help:

1. Surname, name, middle name (in case of its availability) the patient.

2. The Individual Identification Number (IIN) (for the citizen of the Republic of Kazakhstan).

3. Birth date, age (complete years).

4. Nationality.

5. Residence.

6. Number of the medical record, treatment period.

7. Source of financing of the treated case.

8. The diagnosis of the directed organization.

9. The diagnosis final clinical (the main, accompanying, complications).

10. Defects at the level of primary medical and sanitary, consulting and diagnostic (are revealed, are not revealed, the patient was not observed, it is unknown).

11. Dynamic observation (description):

1) lack of dynamic observation;

2) non-compliance with standards of medical examination;

3) lack of patronage of the newborn in the first three days after the statement from maternity hospital;

4) variations from standards of observation of pregnant women and in the postnatal period;

5) untimely capture of children on dispensary accounting;

6) untimely capture on accounting on pregnancy (after the 12 weeks term of pregnancy);

7) non-compliance with standards of immunoprevention;

12. The inspection shortcomings (not compliance to standards in the field of health care) which entailed deterioration in condition or lethal outcome.

13. Underestimation of weight of condition (description).

14. Defects of hospitalization (description):

1) it is not hospitalized in case of the available indications;

2) the unreasonable direction on hospitalization;

3) overdue hospitalization;

4) rendering the hospital-replacing help without indications;

15. Results of treatment:

1) lethal outcome (it is preventable at the level of primary medical and sanitary, consulting and diagnostic and hospital-replacing medical care), factors are filled:

lack of pathoanatomical research, except as specified, stipulated by the legislation;

lack of histologic research;

timeliness of hospitalization of the patient;

social wellbeing of the patient;

early diagnostics of pathological condition;

purpose of additional methods of research;

correctness of interpretation of the drawn clinical and laboratory trials, the conclusions of consultants;

timeliness of purpose of adequate treatment, including operational;

qualification of specialists;

other result on specific case which is not specified in this list;

2) outcome "deterioration" (unreasonable variation from the main medical and (or) diagnostic actions).

16. Availability of recommendations (no, incomplete).

17. Availability of defects of organizational and tactical actions:

1) lack of access to the hospital transport, medicines, products of medical appointment and medical equipment;

2) lack of the help to the patient from Support service of the patient and internal control (audit);

3) lack of necessary medicines, products of medical appointment and medical equipment;

4) other (defect in specific case, not specified in this list).

18. Attraction of medicines and money of the patient in case of delivery of health care entering into GOBMP.

19. In case of death at home to specify its preventability, based on the revealed defects of quality and amount (preventive, diagnostic, medical and organizational and tactical).

20. Non-compliance with the code of honor of health and pharmaceutical workers (according to article 184 of the Code of the Republic of Kazakhstan "About health of the people and health care system") (description).

II. Expert evaluation of quality of the rendered medical services at the level of emergency medical service:

1. Surname, name, middle name (in case of its availability) the patient.

2. The Individual Identification Number (IIN) (for the citizen of the Republic of Kazakhstan).

3. Birth date, age (complete years).

4. Nationality.

5. Residence.

6. Source of financing of challenge.

7. The description of claims (incomplete, do not correspond to the diagnosis, etc.).

8. The description of the anamnesis (it is not specified, it is not opened completely, do not correspond to the diagnosis, etc.).

9. Underestimation of weight of condition (description).

10. Delivery of the patient to hospitalization without indications (description).

11. Lack of delivery of the patient in hospital in the presence of indications to hospitalization (description).

12. Cases of repeated challenges on the same disease within a day from the moment of the first challenge (description).

13. Mistakes in the diagnosis (description):

1) diagnosis incomplete;

2) cases of discrepancy of the napravitelny and clinical diagnosis;

3) the diagnosis is not established;

4) other (mistake in specific case, not specified in this list).

14. Availability of defects of organizational and tactical actions:

1) inopportuneness of arrival of ambulance crew on challenge (not observance of the approved regulations of time);

2) failure to provide assets in the organization giving primary health care;

3) other (defect in specific case, not specified in this list).

15. Attraction of medicines and money of the patient in case of delivery of health care entering into GOBMP.

16. In case of death to specify its preventability, based on the revealed defects of quality and amount (diagnostic, medical and organizational and tactical).

17. Non-compliance with the code of honor by health and pharmaceutical workers (according to article 184 of the Code of the Republic of Kazakhstan "About health of the people and health care system") (description).

III. Expert evaluation of quality of the rendered medical services at the level of stationary and hospital-replacing medical care:

1. Surname, name, middle name (in case of its availability) the patient.

2. The Individual Identification Number (IIN) (for the citizen of the Republic of Kazakhstan).

3. Birth date, age (complete years).

4. Nationality.

5. Residence.

6. Number of the medical record, treatment period.

7. Source of financing of the treated case.

8. The diagnosis of the directed organization.

9. The diagnosis is preliminary clinical.

10. The diagnosis final clinical (the main, accompanying, complications).

11. Results of treatment:

1) lethal outcome (it is not preventable, we will prevent at the level of stationary and hospital-replacing medical care) - factors are filled:

lack of pathoanatomical research, except as specified, stipulated by the legislation;

lack of histologic research;

timeliness of hospitalization of the patient;

social wellbeing of the patient;

early diagnostics of pathological condition;

purpose of additional methods of research;

correctness of interpretation of the drawn clinical and laboratory trials, the conclusions of consultants;

timeliness of purpose of adequate treatment, including operational;

qualification of specialists;

other result on specific case which is not specified in this list;

2) outcome "deterioration" (unreasonable variation from the main medical and (or) diagnostic actions);

3) outcome "without changes" (unreasonable variation from the main medical and (or) diagnostic actions);

4) hospitalization in hospital, owing to inefficiency of treatment on on an outpatient basis - polyclinic level;

5) cases of the complications which resulted from treatment (unreasonable variation from the main medical and (or) diagnostic actions);

6) other result on specific case which is not specified in this list.

12. Availability of coordination of the statement with the patient.

13. Availability of recommendations (no, incomplete).

14. Availability of defects of organizational and tactical actions:

1) lack of access to the hospital transport, medicines, products of medical appointment and medical equipment;

2) lack of the help to the patient from Support service of the patient and internal control (audit);

3) lack of necessary medicines, products of medical appointment and medical equipment;

4) other (defect in specific case, not specified in this list).

15. Attraction of medicines and money of the patient in case of delivery of health care entering into GOBMP.

16. In case of lethal outcome to specify its preventability, based on the revealed defects of quality and amount (preventive, diagnostic, medical and organizational and tactical).

17. Non-compliance with the code of honor by health and pharmaceutical workers (according to article 184 of the Code of the Republic of Kazakhstan "About health of the people and health care system") (description).

IV. Violations from the patient

1. There are no notes.

2. Late request for medical care.

3. Irregular observation at the doctor.

4. Failure to carry out or irregular accomplishment of recommendations of the doctor.

5. Refusal of the offered treatment.

6. Independent treatment.

7. Refusal of hospitalization.

8. Violation of the stay in hospital.

9. Unauthorized withdrawal from hospital.

10. Violation of ethics in relation to health workers of the subject of health care.

11. other (the violation in specific case which is not specified in this list).

V. Conclusions

Specify the main conclusions on the revealed defects of rendering medical services.

In cases if unscheduled inspection is carried out based on the claim to quality of the rendered medical services, it is necessary to specify justification of the claim (proved / partially / unreasonable) and to give explanations on each argument of the applicant.

Commission chairman ________________________________________/___________

                                        (Surname, name, middle name (in case of its availability) / the signature)

Members of the commission _____________________________________________/________

                                   (Surname, name, middle name (in case of its availability) / the signature)

Date "____" ___________ 20 ___ years

Appendix 3

to Rules of cost recovery to the organizations of health care at the expense of budgetary funds

The list of services on which costs are considered in case of payment for the rendered complex of out-patient and polyclinic services of the guaranteed amount of free medical care by subjects of health care of city value and subjects of health care of district value and the village according to the complex per capita standard rate

1. The complex per capita standard rate of APP and the complex per capita standard rate on rural population include services APP according to the List of the guaranteed amount of free medical care approved by the order of the Government of the Republic of Kazakhstan of December 15, 2009 No. 2136 (further - the List of GOBMP), including services:

on medical attendance of students in the organizations of secondary education which are not relating to the residential organizations;

on performing routine medical examinations of the target groups of the population directed to early identification and the prevention:

diseases at children up to 18 years;

main diseases of the blood circulatory system (arterial hypertension, coronary heart disease);

diabetes among men and women;

pretumoral, malignant new growths of mammary gland among women;

glaucomas among men and women.

2. The complex per capita standard rate of APP and the complex per capita standard rate on rural population do not include consulting and diagnostic services (further - KDU) on which compensation is performed:

1) at the expense of funds of the republican budget for rendering KDU:

to the participants, disabled people of the Great Patriotic War and persons equated to them, the health cares rendered in the specialized organizations;

to children with congenital pathology of maxillofacial area with use of the device for elimination of zubochelyustny anomalies (orthodontic plate) when rendering the orthodontic help;

the planned dental help to children and expectant mothers (except orthodontic and orthopedic) in the direction of the specialist, including extraction of teeth with anesthesia use, preparation and imposing of seal from composite materials of chemical hardening;

the emergency dental help (acute pain) for social and vulnerable category of the population: anesthesia, preparation and imposing of seal from composite materials of chemical hardening, extraction of tooth with anesthesia, periostotomiya, opening of abscesses;

services of portable medical complexes;

by types of expensive types of diagnostic testings for social and vulnerable category of the population in the direction of the specialist: polymerase chain reaction, immunophenotyping, computer tomography, magnetic resonance tomography;

medico-genetic researches of pregnant women;

positron and issued tomography, one-photon issued computer tomography;

in emergency stations;

in rehabilitation in the specialized centers;

in skin and venereologic dispensaries (departments under multi-profile hospitals);

in the republican organizations of health care;

on neonatal screening which is carried out at the stationary level and it is provided in costs of the treated case on kliniko-costly groups;

2) at the expense of funds of the local budget for rendering KDU:

to citizens of the Republic of Kazakhstan of military age during passing of the draft commission;

in medical and sports dispensaries;

prosthetic dentistry of participants, disabled people of the Great Patriotic War;

in rural hospitals of Kyzylorda area;

in children's homes;

3) at the expense of means of the republican budget in the form of TsTT on rendering KDU:

on carrying out screening researches according to Rules of use of target current transfers from the republican budget regional budgets, budgets of the cities of Astana and Almaty on health care approved by the order of the Government of the Republic of Kazakhstan the current financial year;

on recovery treatment and medical rehabilitation by the adult and to children, except for carried out at the republican level according to the Rules of recovery treatment and medical rehabilitation, including children's medical rehabilitation approved by the order of the Minister of health and social development of the Republic of Kazakhstan of February 27, 2015 No. 98;

on sisterly leaving and palliative care to persons specified in the List of categories of the population which gives palliative care and sisterly leaving, the Minister of health and social development of the Republic of Kazakhstan approved by the order of February 25, 2015 to No. 96;

on rendering the medico-public assistance to persons having tuberculosis, mental disturbances (diseases), alcoholism, the drug addiction and toxicomania except for rendered by the republican organizations;

on delivery of health care by the patient with infectious diseases at the local level;

on rendering the medico-public assistance to HIV-positive people and patients AIDS, and also on holding actions for the fight against AIDS except for rendered by the republican organization;

on rendering the narcological help in the Centers of temporary adaptation and detoxication to patients in state of intoxication (intoxication) from alcohol delivered by the staff of law-enforcement bodies or citizens according to the Regulations on activities of the center of temporary adaptation and detoxication approved by the order of the acting minister of health care of the Republic of Kazakhstan of January 5, 2011 No. 1;

on procurement of blood, its components, production of components, medicines of blood and diagnostic reagents for providing with blood, its components medical the organizations within GOBMP except for rendered by the republican organizations, cost recovery by which it is performed within the state task;

on pathoanatomical openings and on pathoanatomical diagnostics: intake of biological material and its research (except for carried out prizhiznenno);

intake of biological material and its research in case of socially important diseases;

on rendering emergency medical service to the population and services of sanitary aircraft;

on implementation of actions on forming and promotion of healthy lifestyle.

Appendix 3-1

to Rules of cost recovery to the organizations of health care at the expense of budgetary funds

Form

ACCOUNT-REGISTER

for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care
No. _______ from "___" _________ 20 ___ years
period: with "___" _______ 20 ___ years on "___" _______ 20 ___ years
under the Agreement No. ____ from "___" _________ 20 ___ years
 

Name of the subject of health care: ______________________

Name of the budget program: ________________________
Name of the budget subprogramme: _____________________

Quantity of the attached population ___________________ the person
including rural population _________________________ person *
The basic complex per capita standard rate of APP on one attached person registered in the RPN portal, in month ___________ by tenge;
The basic complex per capita standard rate of APP on one attached person registered in the RPN portal, in month (village) ___________ by tenge *
Gender and age correction coefficient ________;
Coefficient of density of population ________;
Coefficient of accounting of allowances for work in the rural zone ________;
Coefficient of accounting of duration of heating season ________;
The amount for work in zones of ecological catastrophe on the 1st inhabitant in month ______________ tenge;
The complex per capita standard rate on rendering the out-patient and polyclinic help on one attached person registered in the RPN portal, in month: ___ tenge, including: 
the guaranteed component of the complex per capita standard rate of APP on one attached person registered in the RPN portal to the subject of PHC a month ___________ tenge;
the amount of SKPN on one attached person registered in the RPN portal to the subject of PHC a month ____________ tenge.
The complex per capita standard rate on rendering the out-patient and polyclinic help to rural population on one attached person registered in the RPN portal, in month (village): ___ tenge *, including: 
the guaranteed component of the complex per capita standard rate of APP on one attached person registered in the RPN portal to the subject of PHC a month: ___________ tenge *; 
the amount of SKPN on one attached person registered in the RPN portal to the subject of PHC a month ____________ tenge;
Number of school students _________________________ person; 
The per capita standard rate on 1 school student a month ____________ tenge.


 

No. of payment order

Name

It is shown for payment (tenge)

And

B

In

1.

In total on rendering the out-patient and polyclinic help to the attached population, including:


1.1.

on rendering the out-patient and polyclinic help


1.2.

on stimulation of employees of the organization giving primary medical and sanitary help for the achieved resulting effects of their activities on the basis of assessment indicators


1.3.

on rendering consulting and diagnostic services


1.4.

for medical attendance of school students in the organizations of education


2.

Amount of leasing payment


TOTAL for payment:


Head of the subject of health care (supplier):

__________________________________________ /_____________________

            (Surname, name, middle name (in case of its availability) / the signature)

                  (for the account register on paper)

Chief accountant of the subject of health care (supplier):

_________________________ /_______________________

(Surname, name, middle name (in case of its availability) / the signature)

(for the account register on paper)

The locus sigilli (in case of availability / for the account register on paper)

Date "_____" _________ 20 ___ years

To this the account register the following appendices are applied:

data on dynamics of number and structure of the attached population according to the Registr Prikreplennogo Naseleniya portal in form according to table 1 to accounts register for rendering the out-patient and polyclinic help within GOBMP to the attached population of the subject rendering PHC;

the amount on stimulation of workers for the achieved indicators of resulting effect of activities of the subject of the health care rendering PHC in form according to table 2 to accounts register for rendering the out-patient and polyclinic help within GOBMP to the attached population of the subject rendering PHC;

the register of the rendered services PHC in form according to table 3 to accounts register for rendering the out-patient and polyclinic help within GOBMP to the attached population of the subject rendering PHC;

the register of the rendered KDU which are not included in the complex per capita standard rate on rendering the out-patient polyclinic help according to table 4 to accounts register for rendering the out-patient and polyclinic help within GOBMP to the attached population of the subject rendering PHC;

the register of KDU rendered without involvement of subcontractor according to table 5 to accounts to the register for rendering the out-patient and polyclinic help within GOBMP to the attached population of the subject rendering PHC;

the register of KDU rendered with involvement of subcontractor according to table 6 to accounts to the register for rendering the out-patient and polyclinic help within GOBMP to the attached population of the subject rendering PHC;

the register of KDU rendered to the children's population aged from 6 up to 17 years inclusive according to table 7 to accounts register for rendering the out-patient and polyclinic help within GOBMP to the attached population of the subject rendering PHC;

the register of the rendered KDU with use of the medical equipment acquired on the terms of financial leasing according to table 8 to accounts register for rendering on an outpatient basis polyclinic help within GOBMP to the attached population of the subject rendering PHC.

Note:

* this to be entered for subjects of PHC of city value having the attached rural population.

Table 1

to Accounts register for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care

Form

Data on dynamics of number and structure of the attached population according to the Registr Prikreplennogo Naseleniya portal

period: with "___" _______ 20 ___ years                on "___" _______ 20 ___ years

person

The number of the attached population for the beginning of the accounting period

Quantity of the attached population

Quantity of the unfastened population

The number of the attached population by the end of the reporting period

In total

including at the free choice

Total

including for the reasons

refusal at the free choice

death

departure









 

Gender and age structure of the attached population by the end of the reporting period

Age

In total

including:

Men

Women

0-12 months




12 months - 4 years




5-9 years




10-14 years




15-19 years




20-29 years




30-39 years




40-49 years




50-59 years




60-69 years




70 is also more senior




Total:




We confirm that

1) corresponds to quantity of the attached population for the accounting period: 

on newborns: to the number of the health certificates on the birth granted by the medical organization of obstetric aid, and (or) the certificates of birth registered in judicial authorities;

at the free choice: to the number of petitions from citizens and the copy of the documents proving their identity;

on geographical distribution: (specify the order of management of health care); 

2) corresponds to quantity of the unfastened population:

on death: to the number of certificates of death / perinatal death on departure out of country limits: to the number of petitions from citizens and the copy of the documents proving their identity.

Head of the subject of health care (supplier):

_________________________________/_____________________

      (Surname, name, middle name (in case of its availability) / the signature)

            (for the account register on paper)

Chief accountant of the subject of health care (supplier):

____________________________ /____________________

(Surname, name, middle name (in case of its availability) / the signature)

            (for the account register on paper)

The locus sigilli (for the account register on paper) 

Date "_____" _________ 20 ___ years

It is checked:

Head of the SI _______________________________/_______________

                        (Surname, name, middle name (in case of its availability) / the signature)

The locus sigilli (in case of availability / for the account register on paper)

Date "_____" _________ 20 ___ years

 

Table 2

to Accounts register for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care

Form

The amount on stimulation of workers for the achieved indicators of resulting effect of activities of the subject of the health care giving primary medico-sanitary help

period: with "___" _______ 20 ___ years on "___" _______ 20 ___ years

No. of payment order

Name

Planned target

It is shown for payment (the actual indicator *)

1

The number of the attached population, the person



2

The number of average medical personnel to one medical position, including.




on the therapeutic site




on the pediatric site




on the site of the family doctor / VOP



3

Security with social workers on 10 000 people of the attached population



4

Security with psychologists on 10 000 people of the attached population



5

Coefficient of the medical organization



 

No. of payment order

Activities assessment indicators

Planned target **

It is shown for payment ***

Target indicator

Number of points

Amount, tenge

Actual indicator

Number of points

% of achievement of target indicator

Amount, tenge

In total

 X



X




1

Maternal death rate, preventable at the level of PHC








2

Child mortality from 7 days to 5 years,
preventable at the level of PHC








3

Timely diagnosed tuberculosis of lungs








4

For the first time the revealed cases of malignant new growth visual localizations 1-2 stages








5

Level of hospitalization of patients with complications of diseases of cardiovascular system (myocardial infarction, stroke)








6

Reasonable complaints








Head of the subject of health care (supplier):

_______________________/_____________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

Chief accountant of the subject of health care (supplier):

____________________________ /________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

The locus sigilli (in case of availability / for the account register on paper)

Date "_____" _________ 20 ___ years

Note:

* calculation of the actual indicator is given in the basis of data of the Registr Prikreplennogo Naseleniya portal

** value of target indicator corresponds to data of the DKPN portal;

the number of points is specified in the maximum value according to the order of the Minister of Health of the Republic of Kazakhstan of November 26, 2009 to No. 801 "About approval of the Technique of forming of rates and costs planning the medical services rendered within the guaranteed amount of free medical care";

the amount is distributed on indicators of resulting effect of activities of the subject of the health care rendering PHC based on data on the signed contract for rendering GOBMP;

*** data correspond to data of the DKPN portal after closing of the accounting period in the DKPN portal with the customer.

 

Table 3

to Accounts register for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care

Form

The register of the rendered services of primary health care *

period: with "___" _______ 20 ___ years on "___" _______ 20 ___ year

No. of payment order

Complete code of service

Name of service

Cost of service, tenge

Number of services

Amount, tenge **

And

1

2

3

4

5

1






TOTAL



Head of the subject of health care (supplier):

_____________________________/______________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

Chief accountant of the subject of health care (supplier):

____________________________ /______________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

The locus sigilli (in case of availability / for the account register on paper)

Date "_____" _________ 20 ___ years

Note: 

* data are created based on data of IS "AIS Polyclinic";

** the amount does not influence payment for the accounting period.

Table 4

to Accounts register for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care

Form

The register of the rendered consulting and diagnostic services which are not included in the complex per capita standard rate on rendering the out-patient polyclinic help *

period: with "___" _______ 20 ___ years on "___" _______ 20 ___ years

No. of payment order

Complete code of service

Name of service

Cost of service, tenge

Number of services

Amount, tenge

And

1

2

3

4

5

1






TOTAL



Head of the subject of health care (supplier):

_____________________________/________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

Chief accountant of the subject of health care (supplier):

____________________________ /________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

The locus sigilli (in case of availability / for the account register on paper)

Date "_____" _________ 20 ___ years

Note: 

* data are created based on data of IS "AIS Polyclinic".

Table 5

to Accounts register for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care

Form

The register of the consulting and diagnostic services rendered without involvement of subcontractor *

period: with "___" _______ 20 ___ years on "___" _______ 20 ___ years

No. of payment order

Complete code of service

Name of service

Cost of service, tenge

Number of services

Amount, tenge **

And

1

2

3

4

5

1






TOTAL



Head of the subject of health care (supplier):

_____________________________/________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

Chief accountant of the subject of health care (supplier):

____________________________ /________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

The locus sigilli (in case of availability / for the account register on paper)

Date "_____" _________ 20 ___ years 

Note: 

* data are created based on data of IS "AIS Polyclinic";

** the amount does not influence payment for the accounting period.

Table 6

to Accounts register for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care

Form

The register of the consulting and diagnostic services rendered with involvement of subcontractor *

period: with "___" _______ 20 ___ years on "___" _______ 20 ___ years

No. of payment order

Complete code of service

Name of service

Cost of service, tenge

Number of services

Amount, tenge **

And

1

2

3

4

5

The name of subcontractor ______________________________ (under the agreement of sub contracting from _________№ ___)

including:
1) services in the agreement of sub contracting, total:



in the directions of specialists of PHC, total









according to the emergency indications, total









on medical indications in the directions of profile specialists of subcontractor (additional services), total









2) the services which are not included in the agreement of sub contracting, total:



in the directions of specialists of PHC, total









according to the emergency indications, total









on medical indications in the directions of profile specialists of subcontractor (additional services), total









TOTAL



Head of the subject of health care (supplier):

_____________________________/__________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

Chief accountant of the subject of health care (supplier):

____________________________ /__________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

The locus sigilli (in case of availability / for the account register on paper)

Date "_____" _________ 20 ___ years

Note:

* data are created based on data of IS "AIS Polyclinic";

** the amount does not influence payment for the accounting period, is subject to payment to subcontractors according to the procedure and the terms determined by these rules.

 

Table 7

to Accounts register for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care

Form

The register of the consulting and diagnostic services rendered to the children's population aged from 6 up to 17 years inclusive *

period: with "___" _______ 20 ___ years on "___" _______ 20 ___ years

No. of payment order

IIN

Complete code of service

Name of service

Amount, tenge *

1

2

3

4

5






TOTAL 


Head of the subject of health care (supplier):

_____________________________/__________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

Chief accountant of the subject of health care (supplier):

____________________________ /__________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

The locus sigilli (in case of availability / for the account register on paper)

Date "_____" _________ 20 ___ years

Note:

* data are created based on data of IS "AIS Polyclinic";

** the amount does not influence payment for the accounting period.

Table 8

to Accounts register for rendering the out-patient and polyclinic help within the guaranteed amount of free medical care to the attached population of the subject giving primary health care

Form

The register of the rendered consulting and diagnostic services with use of the medical equipment acquired on the terms of financial leasing

period: with "___" _______ 20 ___ years on "___" _______ 20 ___ years

Code of the medical equipment

Name of the medical equipment

Complete code of service

Name of service

Leasing payment on 1 service, tenge

Number of services

Amount of leasing payment for payment, tenge

1

2

3

4

5

6

7








TOTAL



Head of the subject of health care (supplier):

_____________________________/__________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

Chief accountant of the subject of health care (supplier):

____________________________ /__________________

(Surname, name, middle name (in case of its availability) / the signature)

      (for the account register on paper)

The locus sigilli (in case of availability / for the account register on paper)

Date "_____" _________ 20 ___ years

Appendix 3-2

to Rules of cost recovery to the organizations of health care at the expense of budgetary funds

Form

The protocol of agreement performance on rendering the guaranteed amount of free medical care by the subject of health care giving primary health care

period: with "___" _______ 20 ___ years on "___" _______ 20 ___ years

under the Agreement No. ____ from "___" _________ 20 ___ years

Name of the subject of health care: _____________________________

Name of the budget program: ________________________________

Name of the budget subprogramme: ________________________________

No. of payment order

Name

It is shown for payment

Is subject to removal and is not subject to payment, including partially

It is accepted for payment

population size

amount, tenge

quantity of cases

amount, tenge

population size

amount, tenge

1

In total on rendering the out-patient and polyclinic help to the attached population








including:







1.1.

on rendering the out-patient and polyclinic help







1.2.

on stimulation of employees of the organization giving primary medical and sanitary help for the achieved resulting effects of their activities on the basis of assessment indicators







1.3.

on rendering the consulting and diagnostic services which are not included in the complex per capita standard rate on rendering the out-patient and polyclinic help







1.4.

for medical attendance of school students in the organizations of education







The amount on stimulation of workers for the achieved indicators of resulting effect of activities of the subject of the health care rendering PHC

No. of payment order

Indicators of resulting effect

It is shown for payment

It is accepted for payment

Target indicator

Actual indicator

Number of points

% of achievement of target indicator

Amount, tenge

Amount, tenge

Total







1

Maternal death rate, preventable at the level of PHC







2

Child mortality from 7 days to 5 years, preventable at the level of PHC







3

Timely diagnosed tuberculosis of lungs







4

For the first time the revealed cases of malignant new growth visual localizations 1-2 stages







5

Level of hospitalization of patients with complications of diseases of cardiovascular system (myocardial infarction, stroke)







6

Reasonable complaints







Leasing payments

Name

The number of the services shown for payment

The shown amount of leasing payment for payment, tenge

The number of services to removal from payment

The amount of leasing payment to removal from payment

The number of the services accepted for payment

It is accepted for payment the amount of leasing payment, tenge

In total with use of the medical equipment acquired on the terms of financial leasing







Warning!!!

This is not a full text of document! Document shown in Demo mode!

If you have active License, please Login, or get License for Full Access.

With Full access you can get: full text of document, original text of document in Russian, attachments (if exist) and see History and Statistics of your work.

Get License for Full Access Now

Disclaimer! This text was translated by AI translator and is not a valid juridical document. No warranty. No claim. More info

Effectively work with search system

Database include more 50000 documents. You can find needed documents using search system. For effective work you can mix any on documents parameters: country, documents type, date range, teams or tags.
More about search system

Get help

If you cannot find the required document, or you do not know where to begin, go to Help section.

In this section, we’ve tried to describe in detail the features and capabilities of the system, as well as the most effective techniques for working with the database.

You also may open the section Frequently asked questions. This section provides answers to questions set by users.

Search engine created by SoyuzPravoInform LLC.