ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of November 22, 2024 No. 96

About modification and amendments in some orders of the Ministry of Health of the Republic of Kazakhstan

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 amendment:

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 6 in the following edition:

"6. The purchase of services in delivery of health care is performed based on the plan of purchase of medical services within GOBMP and in the OSMS system (further – the plan of purchase).

The fund or the administrator of budget programs before approval of the plan of purchase the forthcoming financial year performs the first stage of the procedure of the choice of subjects of health care specified in the subitem 1) of Item 20 of these rules, based on the draft of the plan of the purchase created according to the paragraph the twenty first item 4 of Rules of planning of amounts of medical services within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance, No. KR DSM-290/2020 approved by the order of the Minister of Health of the Republic of Kazakhstan of December 20, 2020 (it is registered in the Register of state registration of regulatory legal acts at No. 21844) which is effective before approval of the annual plan of purchase.";

exclude Item 7;

6) of Item 10 to state the subitem in the following edition:

"6) the subject of digital health care for inclusion in structure of regional commission and the commission in case of the administrator of budget programs;";

add with Item 10-1 of the following content:

"10-1. Alternate members of the commissions shall correspond to the following criteria:

1) to be citizen of the Republic of Kazakhstan;

2) availability of postgraduate or higher education;

3) not to have employment or civil relations with potential suppliers or collaborators of services in delivery of health care within GOBMP and (or) in the OSMS system;

4) not to be close relative, the spouse (spouse) or the cousin-in-law to the head, the shareholder or the founder of the potential supplier or the collaborator of services in delivery of health care within GOBMP and (or) in the OSMS system, having power of decision;

To which 5) the measure of the administrative responsibility for corruption offenses and (or) criminal liability was not applied.

The candidates who are not conforming to requirements of part one of this Item are not allowed in members of the commission.";

state Items 18 and 19 in the following edition:

"18. The choice of subjects of health care and placement of amounts of services within GOBMP and (or) in the OSMS system is performed by means of the web portal, except for purchase of services of collateral security of GOBMP performed by the administrator of budget programs who is led in paper form.

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:

1) in case of change 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 suppliers of the specified services;

2) in case of realization of pilot projects according to the decision of authorized body or Government of the Republic of Kazakhstan;

3) with participation in purchase of services of the subject of PHC having again entered health care facility constructed at the expense of budgetary funds or within project implementation of public-private partnership (further – PPP), based on the order of management of health care on distribution of the territory of servicing of the population and meeting standards of regulatory legal acts in the field of health care, for rendering PHC, 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 rules, 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, which placement is performed counting on the attached population, including services to school students in the presence of their fixing to the subject of PHC based on the solution of management of health care in the presence of unallotted amounts and means;

4) by reorganization of the supplier in case of legal succession of its obligations according to the Civil code of the Republic of Kazakhstan to the subject of health care included in the database;

5) in case of increase in number of the attached population and (or) change of gender and age structure of the attached population to the supplier of PHC including by the right of the free choice of the medical organization in case of delivery of health care paid for the complex per capita standard rate in case of placement among suppliers of the specified services;

6) in case of change of number of school students and amounts of funds for rendering services to the school students fixed to the supplier of PHC based on the solution of management of health care among the acting suppliers of the specified services;

7) in case of increase in the number of patients in case of delivery of health care paid for complex rate or increases in the population in case of delivery of health care paid for the per capita standard rate in case of placement among suppliers of the specified services;

8) in case of increase in amount of the services and (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 in case of placement among suppliers of the specified services;

9) increase in amount of means in respect of purchase of medical services to rural population of specialized medical care in stationary and inpatient replacing conditions which payment is performed according to the complex per capita standard rate to suppliers who according to the Law of the Republic of Kazakhstan "About the administrative-territorial device of the Republic of Kazakhstan" (further – the Law on the administrative-territorial device) treat the rural settlement;

10) in case of purchase of services on delivery of health care to citizens of the Republic of Kazakhstan on treatment abroad and (or) involvement of foreign specialists for performing treatment in the domestic medical organizations within GOBMP which is performed in compliance with the order of the Minister of Health of the Republic of Kazakhstan of May 26, 2021 No. KR DSM-45 "About approval of rules of the direction of citizens of the Republic of Kazakhstan on treatment abroad and (or) involvement of foreign specialists for performing treatment in the domestic medical organizations within the guaranteed amount of free medical care" (it is registered in the Register of state registration of regulatory legal acts at No. 22866);

11) on rendering services by the federal medical organizations of the Russian Federation to the citizens of the Republic of Kazakhstan living in the city of Baikonur, the settlements of Toretam and Akay, not being employees of the Russian organizations of the Baikonur complex, and also temporarily being in the territory of the Baikonur complex according to the Agreement between the Government of the Republic of Kazakhstan and the Government of the Russian Federation on procedure for medical attendance of personnel of the Baikonur spaceport, residents Baikonur, the settlements of Toretam and Akay in lease term the Russian Federation of the Baikonur complex ratified by the Law of the Republic of Kazakhstan of May 31, 2010;

12) on rendering services by subjects of health care for the provision account of fund on contingencies;

13) on rendering services during action of emergency state in all territory of the Republic of Kazakhstan or in its certain areas;

14) on rendering specialized medical care in out-patient conditions according to the Rules of rendering specialized medical care in out-patient conditions approved by the order of the Minister of Health of the Republic of Kazakhstan of April 27, 2022 No. KR DSM-37 (it is registered in the Register of state registration of regulatory legal acts at No. 27833) (further – the Order No. KR DSM-37) military-medical (medical) divisions of the central executive bodies and other central state bodies and their territorial subdivisions, and also military-medical (medical) organizations (organizations), other divisions performing military-medical (medical) providing;

15) in case of change or amendment of the list of the guaranteed amount of free medical care approved by the order of the Government of the Republic of Kazakhstan of October 16, 2020 No. 672 and (or) the list of medical care in system of the compulsory social medical insurance approved by the order of the Government of the Republic of Kazakhstan of June 20, 2019 No. 421. At the same time placement of released amount of services in connection with change of the above-stated lists, is performed to the same suppliers of the specified services in volume of no more released means;

16) in case of placement of amounts of means to the subjects of PHC which are subject to disaggregation according to the list of subjects of PHC approved by management of health care, per the number of the attached urban population;

17) in case of increase in number of the attached population of the supplier of PHC in connection with redistribution of the territory of servicing of the subject of PHC according to the solution of management of health care;

18) in case of increase in amount of services and (or) amount of means on procurement, conversion, storage and realization of blood and its components, production of medicines of blood in case of placement among suppliers of the specified services;

19) in case of change of the administrative-territorial device according to the Law on the administrative-territorial device on condition of compliance to regulations of regulatory legal acts in the field of health care;

20) on rendering services in procurement, conversion, storage and realization of blood and its components, to production of medicines of blood;

21) on rendering the emergency medical service and medical care connected with transportation of qualified specialists and (or) the patient by the hospital transport;

22) on rendering the medico-public assistance infected with HIV infection;

23) on rendering the medico-public assistance to TB patients;

24) on rendering the medico-public assistance to persons with mental disturbances (diseases).

The amount of services and (or) amount of funds for delivery of health care within GOBMP and (or) in the OSMS system in the cases specified in subitems 1), 2), 4), 5), 6), 7), 8), 9), 12), 13), 17), 18) and 19) to part one of this Item is placed in the form of the conclusion of agreements of purchase of services or the supplementary agreement to the agreement of purchase of services without execution of the decision of the commission based on the protocol on results of placement (reduction) of amounts of services by delivery of health care within GOBMP and (or) in the OSMS system without holding procedure of the choice of subjects of health care (further – the protocol on placement results without procedure of the choice) in form according to appendix 1-1 to these rules, except as specified, provided in subitems 3), 11), 14), 15), 16), 20), 21), 22) 23) and 24) parts one of this Item, on which the amount of services and (or) amount of means is placed based on the decision of the commission.";

state Items 21 and 22 in the following edition:

"21. In case of purchase of services at subjects of PHC placement of amounts of services PHC within GOBMP and (or) in the OSMS system includes annual holding campaign of attachment with participation of the subjects of PHC included in the database according to the order of the Minister of Health of the Republic of Kazakhstan of November 13, 2020 No. KR DSM-194/2020 "About approval of rules of attachment of physical persons to the organizations of health care giving primary health care" (it is registered in the Register of state registration of regulatory legal acts at No. 21642) (further – Rules of attachment).

22. Information on the beginning of campaign of attachment is placed on Internet resources of managements of health care.";

the second Item 25 to state part in the following edition:

"When holding procedure of placement of amounts of services within GOBMP and (or) in the OSMS system in paper form on Internet resource of fund or the administrator of budget programs the announcement of holding procedure of placement of amounts of services on delivery of health care within GOBMP and (or) in the OSMS system among the subjects of health care included in the database of the subjects of health care applying for delivery of health care within GOBMP and (or) in the OSMS system in form according to appendix 2 to these rules moves.";

the paragraph one of Item 26 to state in the following edition:

"26. Subjects of health care, including subjects of PHC which are allowed by the protocol of results of campaign of attachment to the procedure of the choice of subjects of health care and the subjects of health care applying for rendering in the cases specified in subitems 3), 14), 20), 21), 22), 23) and 24) to part one of Item 19 of these rules submit the application for the planned amounts of services in delivery of health care within GOBMP and (or) in the OSMS system in form according to appendix 3 to these rules in paper or electronically by means of the web portal in case of:";

state Item 27 in the following edition:

"27. The following documents are attached to the request for the planned amounts:

1) the certificate of state registration (re-registration) of the legal entity (for the legal entity) or the copy of the certificate (certificate) of registration as the individual entrepreneur and the copy of the identity document (for physical person);

2) the documents specified in subitems 1), 2), 3) and 4) of Item 26 of these rules which are attached to the request for the planned amounts by means of integration with GBD "E-licensing";

3) the copy of the agreement of PPP (it is represented the subject of health care realized within PPP);

4) the copy of the certificate on accreditation (it is represented the subject of health care in case of its availability);

5) the copy of the conclusion about compliance of the organization of the health care to provision of high-technology medical care (further – VTMP) issued according to the order of the Minister of Health of the Republic of Kazakhstan of December 8, 2020 to No. KR DSM-238/2020 "About approval of rules of rendering specialized, including high-technology medical care" (it is registered in the Register of state registration of regulatory legal acts at No. 21746), on appropriate technologies for which the application for the planned amounts is submitted (it is represented the subject of health care applying for rendering VTMP);

6) data on amounts and the amounts on delivery of health care, specified in the request for the planned amounts of services in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance in the corresponding form according to appendix 4 to these rules;

7) the copy of the allowing document in the field of sanitary and epidemiologic wellbeing of the population;

8) the obligation about failure to provide services on paid basis by types of medical care (activities) on which agreements of purchase of services within GOBMP and (or) in the OSMS system are signed, except as specified, No. KR DSM-170/2020 determined by the order of the Minister of Health of the Republic of Kazakhstan of October 29, 2020 "About approval of rules of rendering paid services by subjects of health care and standard form of the agreement on provision of paid medical services (help)" (it is registered in the Register of state registration of regulatory legal acts at No. 21559) (further – Rules of rendering paid services), in any form;

9) the list of production bases on which rendering the declared types of medical care, in form according to appendix 4-1 to these rules is planned;

10) the copy of the agreement of property hiring (lease) of the building (in case of its need);

11) the copy of the order on the acting as the head (in case of substitution of the head);

12) the original of the power of attorney (in case of submission of the request for the planned amounts in paper form) or its electronic copy (in case of submission of the request electronically) in case of signing and (or) submission of the request the confided face of the head.";

state Item 37 in the following edition:

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