ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of November 27, 2017 No. 874

About modification and amendments in the order of the acting minister of health care 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"

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" I ORDER:

1. Bring in the order of the acting minister of health care 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" (it is registered in the Register of state registration of regulatory legal acts for No. 11976, published in information system of law of Ad_let on September 15, 2015) the following changes and amendments:

in Rules of cost recovery to the organizations of health care at the expense of the budgetary funds approved by the specified order:

in Chapter 1:

13) of Item 2 to state the subitem in the following edition:

"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 field of informatization in the field of health care;";

16) of Item 2 to state the subitem in the following edition:

"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;";

19) of Item 2 to state the subitem in the following edition:

"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;";

23) of Item 2 to state the subitem in the following edition:

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

24) of Item 2 to exclude the subitem;

in Chapter 2:

state item 4 in the following edition:

"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).";

6, 7 and 8 to state Items in the following edition:

"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 field 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 KKMFD and TD KKMFD;

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. KKMFD 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.";

state Item 10 in the following edition:

"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.";

state Item 14 in the following edition:

"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.";

state Items 16 and 17 in the following edition:

"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.";

state Items 20 and 21 in the following edition:

"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.";

23, 24 and 25 to state Items in the following edition:

"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 KKMFD 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.";

state Item 27 in the following edition:

"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 quantity 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.";

29, of 30, of 31, 32 and 33 to state Items in the following edition:

"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) KKMFD and TD KKMFD;

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 the 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) KKMFD and TD KKMFD:

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 KKMFD;

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":

TD KKMFD:

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 the current financial year on each region based on the approved data the current financial year of 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 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 from BONDS;

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 in case of BONDS 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) KKMFD and TD KKMFD:

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 field 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 field 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 prohibited 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 exceeding 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 SKPN amount 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.

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).";

to state heading of subsection 1 of paragraph 2 in the following edition:

"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";

state Item 37 in the following edition:

"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).";

state Items 39 and 40 in the following edition:

"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 KKMFD 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.";

to state heading of subsection 2 of paragraph 2 in the following edition:

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

42, of 43, of 44, 45 and 46 to state Items in the following edition:

"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 KKMFD 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.";

to state heading of paragraph 3 in the following edition:

"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";

state Item 47 in the following edition:

"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.";

state Item 50 in the following edition:

"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.";

state Items 52 and 53 in the following edition:

"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 KKMFD 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.";

state Items 55 and 56 in the following edition:

"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.";

state Item 58 in the following edition:

"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.";

state Item 64 in the following edition:

"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.";

state Item 66 in the following edition:

"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 peritoneal 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.";

state Item 75 in the following edition:

"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.";

state Item 77 in the following edition:

"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.";

state Items 84 and 85 in the following edition:

"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 KZG cost 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 incured 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.";

state Item 90 in the following edition:

"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 approval about the COMA.

The customer no later than the 25th of the following behind the accounting period sends in time inquiry to the COMA 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.";

state Items 92 and 93 in the following edition:

"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.";

add with Item 95-1 of the following content:

"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.";

state Item 96 in the following edition:

"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 delivery note ERSB, 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).";

exclude Item 98;

99, 100 and 101 to state Items in the following edition:

"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 serviced 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 KZG cost.";

state Items 107 and 108 in the following edition:

"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.";

state Items 113 and 114 in the following edition:

"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.";

to state heading of subsection 3 of paragraph 4 in the following edition:

"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";

state Items 118 and 119 in the following edition:

"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 BONDS to the subjects of health care which signed the contract for rendering GOBMP from BONDS (further - the MB medical organization) with participation of KKMFD and TD KKMFD, the subject of monitoring and the analysis of GOBMP, SI.";

state Items 124 and 125 in the following edition:

"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 TD KKMFD 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.";

to state heading of paragraph 5 in the following edition:

"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";

state Item 128 in the following edition:

"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 precancerous diseases and high-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 exceeding 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 precancerous 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.";

state Items 130 and 131 in the following edition:

"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.";

state Item 133 in the following edition:

"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.";

state Item 135 in the following edition:

"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 oncological sick with body of ORAGS.

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.";

state Item 137 in the following edition:

"137. The specialist of oncology dispensary daily performs input and confirmation of data, including vypisny epicrisis, 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.";

state Items 140 and 141 in the following edition:

"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).";

state Items 145 and 146 in the following edition:

"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 precancerous 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.";

to state heading of paragraph 6 in the following edition:

"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";

state Items 151 and 152 in the following edition:

"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.";

exclude Item 153;

154, of 155, 156 and 157 to state Items in the following edition:

"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 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.";

state Item 161 in the following edition:

"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.";

exclude Item 164;

state Items 165 and 166 in the following edition:

"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 TD KKMFD (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.";

state Items 168 and 169 in the following edition:

"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 agreements 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 quantity 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) TD KKMFD 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 epicrisis, 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 pathomorphologic 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.

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.";

exclude Item 172;

state Item 173 in the following edition:

"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.";

exclude Item 174;

state Item 176 in the following edition:

"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.";

state Item 184 in the following edition:

"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".";

state Items 195 and 196 in the following edition:

"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.";

add with the paragraph 9 of the following content:

"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 KKMFD, 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.";

be reworded as follows appendices 2 and 3 according to appendices 1 and 2 to this order;

add with appendices 3-1 and 3-2 according to appendices 3 and 4 to this order;

be reworded as follows appendix 4 according to appendix 5 to this order;

add with appendix 4-1 according to appendix 6 to this order;

5, of 6, of 7, of 8, 9 and 10 to be reworded as follows appendices according to appendices 7, of 8, of 9, of 10, 11 and 12 to this order;

exclude appendices 11 and 12;

13, 14 and 15 to be reworded as follows appendices according to appendices 13, 14 and 15 to this order;

18, 19 and 20 to be reworded as follows appendices according to appendices 16, 17 and 18 to this order;

exclude appendix 23;

be reworded as follows appendices 26 and 27 according to appendices 19 and 20 to this order;

be reworded as follows appendices 29 and 30 according to appendices 21 and 22 to this order;

exclude appendix 31;

add with appendices 32-1 and 32-2 according to appendices 23 and 24 to this order;

33, of 34, of 35, of 36, of 37, of 38, of 39, of 40, of 41, of 42, of 43, of 44, of 45, of 46, of 47, 48 and 49 to be reworded as follows appendices according to appendices 25, of 26, of 27, of 28, of 29, of 30, of 31, of 32, of 33, of 34, of 35, of 36, of 37, of 38, of 39, 40 and 41 to this order;

be reworded as follows appendices 51 and 52 according to appendices 42 and 43 to this order;

exclude appendix 53;

be reworded as follows appendix 54 according to appendix 44 to this order;

55, of 61, of 62, 65 and 66 to exclude appendices;

68, 69 and 70 to be reworded as follows appendices according to appendices 45, 46 and 47 to this order;

72, 73 and 74 to be reworded as follows appendices according to appendices 48, 49 and 50 to this order;

add with appendix 78-1 according to appendix 51 to this order;

add with appendix 84-1 according to appendix 52 to this order;

be reworded as follows appendices 85 and 86 according to appendices 53 and 54 to this order;

exclude appendix 87;

add with appendix 92-1 according to appendix 55 to this order;

add with appendices 112, 113 and 114 according to appendices 56, 57 and 58 to this order.

2. To provide to committee of payment of medical services of the Ministry of Health of the Republic of Kazakhstan in the procedure established by the legislation:

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

2) the direction of the copy of this order in printing and electronic type within ten calendar days from the date of state registration in one copy in the state and Russian languages in the Republican state company on the right of economic maintaining "The republican center of legal information" for official publication and inclusion in Reference control bank of regulatory legal acts of the Republic of Kazakhstan;

3) placement of this order on Internet resource of the Ministry of Health of the Republic of Kazakhstan;

4) within ten working days after day of 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 of the Republic of Kazakhstan of data on execution of the actions provided by subitems 1), 2) and 3) of this Item.

3. To impose control of execution of this order on the vice-Minister of Health of the Republic of Kazakhstan Aktayeva L. M.

4. This order becomes effective from the date of its first official publication and extends to the legal relationship which arose since January 1, 2017 except for paragraphs of the eleventh, twelfth, two hundred thirty fifth, two hundred thirty sixth, two hundred fiftieth and four hundred twenty eighth Item 1, which become effective after ten calendar days after its first official publication.

It is approved Minister of Finance of the Republic of Kazakhstan December 12, 2017

____________________ B. Sultanov

It is approved Minister of national economy of the Republic of Kazakhstan December 13, 2017

____________________ T. Suleymenov

Appendix 1

to the Order of the Minister of Health of the Republic of Kazakhstan of November 27, 2017 No. 874

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 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 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 approval of the statement of 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 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 2

to the Order of the Minister of Health of the Republic of Kazakhstan of November 27, 2017 No. 874

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 inborn 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 it is intravital);

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

to the Order of the Minister of Health of the Republic of Kazakhstan of November 27, 2017 No. 874

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; SKPN amount 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 *;  SKPN amount 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.

 

№ 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

№ 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

 

№ 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

№ 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 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

№ 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 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

№ 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 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

№ 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 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

№ 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 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 4

to the Order of the Minister of Health of the Republic of Kazakhstan of November 27, 2017 No. 874

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: ________________________________

№ 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	amount, tenge	quantity of cases	amount, tenge	population	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

№ 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

Other payments / deductions

№ of payment order	Basis	According to the decision of the commission
		Payment amount, tenge	Amount of deduction, tenge
TOTAL

 

In total it is shown for payment _______________________ to tenge
In total it is accepted for payment ___________________________ tenge
Chairman: ___________________________________/____________
(Surname, name, middle name (in case of its availability) / the signature) (for the protocol on paper)  Members of the commission: ___________________________________/______________
(Surname, name, middle name (in case of its availability) / the signature) (for the protocol on paper)  _______________________________/______________
(Surname, name, middle name (in case of its availability / signature) (for the protocol on paper)  _______________________________/______________ (Surname, name, middle name (in case of its availability / signature) (for the protocol on paper)
Date "___" _________________ 20 ___ years

 

Appendix 5

to the Order of the Minister of Health of the Republic of Kazakhstan of November 27, 2017 No. 874

Appendix 4

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

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)

№	code No.	Name	Unit of measure	Is subject to removal from the cost of the guaranteed component of the approved complex per capita standard rate (CPCSR) on 1 inhabitant a month
1	2	3	4	5
1	Primary health care
2	Control of preventive, medical and diagnostic actions
3	3.2.1	Reasonable complaints about quality of the rendered medical services
4	3.2.1.3	Attraction of medicines and money of the patient in case of delivery of health care entering GOBMP	1 case	15 multiple KPN size
5	3.2.1.4	Ethics violation by health workers		4 multiple KPN size
6	3.2.2	Attraction of medicines and money of the patient in case of delivery of health care entering GOBMP	1 case	On cost amount, documented
7	3.3	The unreasonable direction of patients on hospitalization	1 case	8 multiple KPN size
8	3.4	Overestimate of amount of the provided medical care by addition	1 case	20 multiple KPN size

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