ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of January 29, 2022 No. KR DSM-8

About modification and amendments in the order of the Minister of Health of the Republic of Kazakhstan of December 8, 2020 No. KR DSM-242/2020 "About approval of rules of purchase of services at subjects of health care in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance"

I ORDER:

1. Bring in the order of the Minister of Health of the Republic of Kazakhstan of December 8, 2020 No. KR DSM-242/2020 "About approval of rules of purchase of services at subjects of health care in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance" (it is registered in the Register of state registration of regulatory legal acts at No. 21744) the following changes and amendments:

in Rules of purchase of services at subjects of health care in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance, approved by appendix 1 to the specified order:

state Item 1 in the following edition:

"1. These rules of purchase of services at subjects of health care in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance (further – Rules) are developed according to the subitem 62) of article 7 of the Code of the Republic of Kazakhstan "About health of the people and health care system" (further – the Code) and Item 1 of article 34 of the Law of the Republic of Kazakhstan "About compulsory social medical insurance" (further – the Law on OSMS) and determine procedure for purchase of services at subjects of health care within the guaranteed amount of free medical care (further – GOBMP) and (or) in system of compulsory social medical insurance (further – OSMS).";

state item 4 in the following edition:

"4. The purchase of services at the subjects of health care performing rendering services in prevention of spread of coronavirus of COVID-19 and (or) to treatment of patients with COVID-19, coronavirus with suspicion of COVID-19, coronavirus according to the list determined by local state body health care of areas, cities of republican value and the capital (further – management of health care) in coordination with territorial subdivision of state body in the field of sanitary and epidemiologic wellbeing of the population, is performed by fund without holding procedures of the choice of subjects of health care within the plan of purchase of medical services.

Management of health care within three working days from the date of approval of the list specified in part one of this Item sends it to branch of fund.

Validity of purchase of services on rendering services in prevention of spread of coronavirus of COVID-19 and (or) to treatment of patients with coronavirus of COVID-19, including with suspicion of coronavirus of COVID-19 and (or) viral pneumonia, extends to the period from start date of rendering services.";

state Item 10 in the following edition:

"10. The structure of the commission is created by the decision of fund or the administrator of budget programs from among representatives:

1) fund;

2) authorized body for inclusion in structure of the republican commission of fund;

3) managements of health care for inclusion in structure of the commission in case of the administrator of budget programs or regional commission;

4) National chamber of entrepreneurs of the Republic of Kazakhstan of Atameken (further – NPP Atameken) and (or) the non-governmental organizations representing the interests of patients, subjects of health care or health workers (further – NGO);

5) territorial subdivision of state body in the field of rendering medical services (help) for inclusion in structure of regional commission and the commission in case of the administrator of budget programs;

6) subject of digital health care.

Candidacies are presented by the official letter in writing within five working days from the date of receipt of request for forming of structure of the commission.

Candidates represent to fund in writing the information about close relatives, the spouse and the cousin-in-law (cousins-in-laws) of the candidate for inclusion in structure of the commission on the choice of subjects of health care and to placement of amounts of services within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance in form according to appendix 1 to these rules.";

state Item 13 in the following edition:

"13. The chairman of the republican commission and the vice-chairman of the republican commission under fund are officials of fund, for the commission in case of the administrator of budget programs – officials of the administrator of budget programs.

The chairman of regional commission under fund determines the representative of fund not below the director of the branch of fund or replacement his face, or the head of the structural unit of fund.

The vice-chairman of regional commission under fund determines the representative of fund not below the deputy director of branch of fund or replacement his face, or the head of the structural unit of fund.

The commission chairman directs activities of the commission, plans its work.

During absence of the chairman of its function the vice-chairman of the commission performs.";

state Item 15 in the following edition:

"15. The decision of the commission is considered competent if two thirds of the members who are its part participated in decision making.

Decisions of the commission are drawn up by protocols.

The decision of the commission is made by vote and deemed accepted if the simple majority of votes from the total number of the participating members of the commission is given for it.

In case of equality of votes the decision for which the commission chairman or, in case of its absence, the vice-chairman of the commission voted is deemed accepted.";

state Item 17 in the following edition:

"17. The choice of subjects of health care for placement of amounts of services and (or) amounts of means within GOBMP and (or) in the OSMS system, except as specified, of the these rules specified in the subitem 10) of Item 19, is performed among the subjects of health care included in the database according to the order of the Minister of Health of the Republic of Kazakhstan of November 6, 2020 in No. KR DSM-186/2020 "About approval of rules of accounting of the subjects of health care providing medical care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance" (it is registered in the Register of state registration of regulatory legal acts at No. 21619).";

19, 20 and 21 to state Items in the following edition:

"19. The amount of services and (or) amount of funds for delivery of health care within GOBMP and (or) in the OSMS system is placed without holding procedure of the choice of subjects of health care within the plan of purchase of medical services in cases:

1) changes of rates for the medical services provided within GOBMP and (or) in the OSMS system, No. KR DSM-170/2020 approved according to the order of the acting minister of health care of the Republic of Kazakhstan of October 30, 2020 "About approval of rates for the medical services provided within the guaranteed amount of free medical care and in system of compulsory social medical insurance" (it is registered in the Register of state registration of regulatory legal acts at No. 21550) (further – the order No. KR DSM-170/2020) in case of placement among subjects of health care with which agreements of purchase of services are signed;

2) realization of pilot projects according to the decision of authorized body;

3) participations in purchase of services of the subject of PHC having again entered health care facility based on the order of management of health care on distribution of the territory of servicing of the population, and No. KR DSM-90 meeting standards of regulatory legal acts in the field of health care on rendering services PHC according to the order of the Minister of Health of the Republic of Kazakhstan of August 24, 2021 "About approval of Rules of rendering primary health care" (it is registered in the Register of state registration of regulatory legal acts at No. 24094) (further – the order No. KR DSM-90), services when carrying out screening researches and routine medical examinations of target groups of the population according to the order of the acting minister of health care of the Republic of Kazakhstan of October 30, 2020 No. KR DSM-174/2020 "About approval of target groups of persons which are subject to screening researches and also governed, amount and frequency of carrying out these researches" (it is registered in the Register of state registration of regulatory legal acts at No. 21572) and services of the consulting and diagnostic help, placement of amounts of means by which it is performed counting on the attached population, including services to school students in the presence of their attachment of fixing to the subject of PHC based on the order of the chief of the department of health care;

4) reorganization of the subject of the health care which signed the agreement of purchase of services, in case of legal succession of obligations of the reorganized subject of health care according to the Civil code of the Republic of Kazakhstan to subject of health care with which the fund or the administrator of budget programs sign the agreement of purchase of services, on condition of availability of the license for medical activities for the corresponding subspecies of its activities granted according to the Law of the Republic of Kazakhstan "About permissions and notifications" (further – the Law on permissions and notifications);

5) increases in number of the attached population and (or) change of gender and age structure of the attached population to the subject of PHC and (or) change of number of the school students fixed to the subject of PHC based on the order of the chief of the department of health care;

6) increases in the number of patients in case of delivery of health care paid for complex rate or population according to the per capita standard rate;

7) increases in amount of the services or means entering the complex per capita standard rate and also the services and expenses paid for actual costs in case of delivery of health care which placement is performed counting on population on complex rate or according to the per capita standard rate;

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