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RESOLUTION OF THE CABINET OF MINISTERS OF UKRAINE

of December 27, 2019 No. 1161

About introduction of amendments to some resolutions of the Cabinet of Ministers of Ukraine concerning realization of pilot project concerning change of the mechanism of financial provision of delivery of health care

The Cabinet of Ministers of Ukraine decides:

Bring in resolutions of the Cabinet of Ministers of Ukraine concerning realization of pilot project concerning change of the mechanism of financial provision of delivery of health care of change which are attached.

Prime Minister of Ukraine

A. Goncharuk

Approved by the Resolution of the Cabinet of Ministers of Ukraine of December 27, 2019 No. 1161

Changes which are made to resolutions of the Cabinet of Ministers of Ukraine

1. Item 36 of the Section I of the list of paid services which are provided in the state and utility healthcare institutions and the highest medical educational institutions, the Cabinet of Ministers of Ukraine approved by the resolution of September 17, 1996 to No. 1138 (ZP of Ukraine, 1996, No. 18, by Art. 501; Official Bulletin of Ukraine, 2017, No. 51, Art. 1573; 2018, No. 19, to the Art. 636) to state in the following edition:

"36. Medical services which are provided in separate research establishments of National academy of medical sciences which are participants of pilot project on change of the mechanism of financial provision of delivery of health care, according to the address of citizens without the corresponding direction or according to the self-address (except medical emergencies).".

2. Item 26 of appendix to the resolution of the Cabinet of Ministers of Ukraine of December 25, 1996 No. 1548 "About establishment of powers of executive bodies and executive bodies of city councils concerning price regulation (rates)" (ZP of Ukraine, 1996, No. 21, Art. 596; Official Bulletin of Ukraine, 2017, No. 51, Art. 1573; 2018, 19, the Art. 636) to exclude No.

3. Paragraph two of Item 2 of the Procedure for provision of medical care to foreigners and stateless persons which constantly live or temporarily are in the territory of Ukraine which filed petition for recognition by the refugee or person who needs additional protection, concerning whom the decision on document creation for the solution of question concerning recognition by the refugee or person who needs additional protection and who are recognized as refugees or persons who need additional protection, and compensation of cost of the medical services and medicines provided to foreigners and stateless persons which temporarily live is made or stay in the territory of Ukraine, the Cabinet of Ministers of Ukraine approved by the resolution of March 19, 2014 No. 121 (The Official Bulletin of Ukraine, 2014, No. 37, Art. 988; 2018, No. 44, to the Art. 1544) to state in the following edition:

"The cost of the medical care provided to the foreigner or the stateless person who temporarily are in the territory of Ukraine is determined by healthcare institution which presented her, in the procedure established by the Ministry of Health, except separate research establishments of National academy of medical sciences which are participants of pilot project on change of the mechanism of financial provision of delivery of health care.".

4. In the resolution of the Cabinet of Ministers of Ukraine of June 14, 2017 No. 425 "Some questions of realization of pilot project concerning change of the mechanism of financial provision of delivery of health care in separate research establishments of National academy of medical sciences" (The Official Bulletin of Ukraine, 2017, No. 51, Art. 1573; 2018, No. 19, Art. 636; 2019, No. 22, Art. 761):

  To replace 1) in Item 1 of figure "2019" with figures "2020";

2) in Item 3:

word in paragraph three" which is not included into the specified list" to exclude;

the fourth to state the paragraph in the following edition:

"at the expense of means of legal entities and physical persons according to the list of paid services which are provided in the state and utility healthcare institutions and the highest medical educational institutions, to No. 1138 approved by the resolution of the Cabinet of Ministers of Ukraine of September 17, 1996 (ZP of Ukraine, 1996, No. 18, to Art. 501; The Official Bulletin of Ukraine, 2016, No. 77, the Art. 2567), on the rates determined and approved by participants of pilot project. Rates for the paid services provided on contracts with legal entities (including with insurance companies), to foreigners and stateless persons which temporarily are in the territory of Ukraine affirm participants of pilot project taking into account the norm of profitability which is determined independently by participants of pilot project.";

 Item 4 to state 3) in the following edition:

"4. Approve such which are applied:

Procedure for use of the means provided in the government budget for realization of pilot project concerning change of the mechanism of financial provision of delivery of health care in separate research establishments of National academy of medical sciences;

the list of services in rendering tertiary (highly specialized) medical care by participants of pilot project concerning change of the mechanism of financial provision of delivery of health care and rates for such services.";

 Item 6 to add 4) with paragraphs of the following content:

"submit quarterly to the 20th of the month following reporting quarter to the Ministry of Finance, the Ministry of Health and National medical authorities information on the course of realization (execution) of pilot project on the form determined by National service of health;

according to the Procedure for functioning of electronic health care system approved by the resolution of the Cabinet of Ministers of Ukraine of April 25, 2018 No. 411 "Some questions of electronic health care system" (Official Bulletin of Ukraine, 2018, No. 46, Art. 1604), to provide registration of participants of pilot project in electronic health care system.";

5) in Item 7:

third to exclude the paragraph;

in paragraph four of the word "calculations of rates" shall be replaced with words "calculation of rates";

6) Item 3 of the Procedure for use of the means provided in the government budget for realization of pilot project concerning change of the mechanism of financial provision of the delivery of health care in separate research establishments of National academy of medical sciences approved by the specified resolution after words of "the list of services in rendering tertiary (highly specialized) medical care by participants of pilot project" to add with the words "concerning change of the mechanism of financial provision of delivery of health care and rates for such services";

7) to add the resolution with the list of services in provision of tertiary (highly specialized) medical care by participants of pilot project concerning change of the mechanism of financial provision of delivery of health care and to rates for such services of the following content:

"No. 425 is approved by the Resolution of the Cabinet of Ministers of Ukraine of June 14, 2017

The list of services in rendering tertiary (highly specialized) medical care by participants of pilot project concerning change of the mechanism of financial provision of delivery of health care and rates for such services

Name of service

Rate for service unit excluding tax on value added, hryvnias

National institute of surgery and transplantology of name A.A. Shalimova of National academy of medical sciences

1. Extirpation and plastics of gullet stomach

43 465

2. Extirpation and plastics of gullet intestines

44 601

3. Miniinvasive torokolaparoskopichesky extirpation and plastics of gullet and other hybrid transactions

45 192

4. Bougieurage of gullet

26 775

5. Endoscopic argonoplazmovy ablation of gullet of Barrett

21 996

6. Stenting of gullet

15 196

7. Stomach resection in case of new growths

43 419

8. Gastrektomiya in case of new growths

42 159

9. Gastrostomiya

41 306

10. Laparoscopic resection of stomach

47 019

11. Endoscopic hydrodilatation of stenoses/strictures of gullet

16 813

12. Endoscopic stenting of piloroduodenalny zone

17 005

13. Laparoscopic gastrektomiya

47 019

14. Laparoscopic resection of small intestine

28 989

15. Gut resection from laparotomny access / imposing of eyunostoma with entero-enteroanastomozy in case of high-quality and malignant new growths of duodenum, small intestine, others it is also inexact the designated digestive organs in case of new growths / энтеротомия and removal of tumor or foreign body / palliative enterostomiya/гастроэнтеростомия/гастродуоденостомия/паллиативное/этапное removal of duodenal gut / колостомия / bypass enterokolostomiya in case of new growths and other pathological conditions

39 182

16. Puncture of cystous formations of bodies of digestive tract under control of endosonografiya

20 178

17. Endosonografiya and biopsy of new growths of bodies of digestive tract

20 072

18. Gemikolektomiya in case of new growths / obstructive resection of thick gut / front resection of rectum with manual anastomoz


40 141

19. Gemikolektomiya laparoscopic in case of new growths

38 897

20. Torokoskopichesky interventions on gullet, including removal leomiy

26 838

21. Front resection of rectum with equipment rooms anastomozy

39 579

22. Laparoscopic front resection of rectum with equipment rooms anastomozy

38 418

23. Transaction Kenyu-Maylsa/bryushno-analnaya resection with bringing down

38 618

24. Pulmonektomiya/angioplastichesky pulmonektomiya

37 820

25. Пульмонэктомия/резекция/пластика pericardium / плеврэктомия open

38 029

26. Lobectomy torakotomicheskaya/torakotomichesky trakheobronkhoplastika

38 453

27. Torokoskopichesky lobectomy

39 211

28. Tireoidektomiya/gemitireoidektomiya in case of new growths of thyroid gland

23 995

29. Segmented resection of lung

35 811

30. Plevrektomiya with lung decortication torakoskopichesky

38 784

31. Removal of neurogenetic tumor of sredosteniye, including with alloprotezirovaniye of vessels

34 215

32. Torakoskopichesky resection of lung

34 215

33. Inspection of potential living donors and recipients of lungs

18 200

34. Transplantation of lungs from the living donor (two donors)

1 247 006

35. Transplantation of lung from donor corpse

468 482

36. Laparotomichesky removal of polyp/new growth in case of new growths of colonic gut, rectum, anus and the anal channel

32 747

37. Laparoscopic resection of gut / колотомическое laparoscopic removal in case of new growths of colonic gut, rectum, anus and the anal channel

33 600

38. Polipektomiya during laparotomy in case of high-quality new growths of stomach, duodenum, others it is also inexact the designated bodies of digestion / лапаротомическая biopsy, stadirovaniye

27 864

39. Endoscopic removal of new growths of gullet, stomach, duodenum (resection)

17 964

40. Endoscopic removal of new growths of gullet, stomach, duodenum (desektion)

22 752

41. Endoscopic removal of new growths of gullet, stomach, duodenum (polipektomiya)

17 937

42. Enteroskopiya diagnostic

19 411

43. Enteroskopiya and removal of new growths of small intestine (полипэктомия / resection)

23 431

44. Laparoscopic polipektomiya/enterotomichesky laparoscopic removal of new growths of stomach, duodenum and thin gut / laparoscopic biopsy, stadirovaniye

28 126

45. Timektomiya

33 734

46. Torakoskopichesky timektomiya

30 434

47. Biliopankreatichesky shunting open

33 951

48. Biliopankreatichesky shunting open

38 985

49. Laparoscopic hose resection

38 151

50. Laparoscopic gastroplikation

34 496

51. Endoscopic implantation / removal of intragastrostinalny cylinder

32 912

52. Laparoscopic bandaging of stomach

33 467

53. Steplerny gemorroidektomiya

23 267

54. Laser coagulation of gemorroidalny nodes

23 998

55. Laparoscopic ezofagokardiomiotomiya

28 054

56. Balloon plastics / dilatation of gullet in case of sebesten achalasia

15 940

57. Conservative treatment and stenting of gullet / the upper site of digestive tract in case of fistulas/perforation

20 188

58. Sewing up of gullet and drainage средостения / drainage of abscess of lungs

28 675

59. Divertikulektomiya of gullet

28 357

60. Endoscopic septotomiya of diverticulum of Tsenker

24 439

61. Endoscopic section of structure or cicatricial changes of anastomoz of digestive tract

17 388

62. Endoscopic stop of bleeding of ulcer of stomach / peptic ulcer / duodenal gut / peptic ulcer of anastomoz of digestive tract with conservative therapy

44 582

63. Stomach resection from laparotomichesky access in case of stomach bleeding/resection in case of peptic ulcer of anastomoz of digestive tract with bleeding

42 123

64. Stomach resection laparoscopic in case of bleeding

44 163

65. Laparotomy and sewing up/excision of stomach ulcer, sanitation of abdominal cavity (in case of perforation of ulcer or bleeding)

44 097

66. Stomach resection laparoscopic and sanitation of abdominal cavity (in case of perforation of ulcer)

66 349

67. Laparotomy and sewing up/excision of stomach ulcer, sanitation of abdominal cavity (in case of perforation of ulcer or bleeding)

47 821

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