ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of November 17, 2004 No. 815

About approval of Rules of rendering the guaranteed amount of free medical care

List of amending documents

According to the Law of the Republic of Kazakhstan "About health care system", for the purpose of enhancement of management system health care in the Republic of Kazakhstan I ORDER:

1. Approve the enclosed Rules of rendering the guaranteed amount of free medical care (further - Rules).

2. To heads of managements (departments) of areas, of Almaty, Astana (under approval) when rendering to citizens the guaranteed amount of free medical care, provision of medicines within the guaranteed amount of free medical care, and also when implementing purchase of services in rendering the guaranteed amount of free medical care to be guided by these rules.

3. To financial department (Litvinenko T. V.) direct this order to state registration in the Ministry of Justice of the Republic of Kazakhstan.

4. To provide to administrative department (Akrachkov D. V.) after state registration its official publication in mass media.

5. To impose control of execution of this order on the vice-minister Amangeldiyev A. A.

6. This order becomes effective from the date of its official publication and extends to the relations arising since January 1, 2005.

 

Approved by the order of the Minister of Health of the Republic of Kazakhstan of November 17, 2004 No. 815

Rules of rendering the guaranteed amount of free medical care

1. General provisions

1. These rules determine procedure for rendering to citizens of the guaranteed amount of free medical care (further - GOBMP), including determination of the planned amounts of rendering GOBMP, provision of medicines within GOBMP, and also purchase of services in rendering GOBMP, except for highly specialized medical care.

2. Procedure for determination of the planned amounts of rendering GOBMP

2. The planned amounts of GOBMP are determined the forthcoming financial year on the basis of requirement analysis of the population in the following types of medical care:

1) primary health care (further - PHC), the specialized out-patient and polyclinic help and hospital-replacing medical care, including persons having the socially important diseases and diseases constituting danger to people around;

2) emergency medical service;

3) the stationary help, including persons having the socially important diseases and diseases constituting danger to people around;

4) the additional forms of medical care taken according to the procedure, established by the legislation of the Republic of Kazakhstan.

3. The planned amounts of GOBMP are determined by local authorities of public administration by health care (further - local authorities):

for primary health care counting on the attached population;

for the specialized out-patient and polyclinic help proceeding from the number of the medical services providing use of ad hoc methods of diagnostics, treatment and difficult medical technologies;

for emergency medical service (including sanitary aircraft) proceeding from quantity of challenges;

for the hospital-replacing help proceeding from quantity of cases of hospitalization in day hospitals and chambers of day stay.

4. The planned amounts of the stationary help (limiting amounts) are determined by authorized body in the field of health care (daleeupolnomochenny body) for areas, cities of Astana and Almaty by representation of the local authorities exercising control of their accomplishment. In case of objective need for change of the established planned amounts of the stationary help local authorities submit the corresponding reasons in authorized body.

5. The planned amounts of medical care the forthcoming calendar year are created on basis:

1) the analysis of statistical data for the last three years;

2) the requests of the medical organizations which are carrying out medical services within GOBMP, represented by November 15 of year prior planned, actually rendered amounts of medical care containing information about from November 1 of the current year, previous till October 30, and the planned amounts taking into account the analysis of incidence, structure and justification of hospitalization;

3) amounts of the budgetary funds allocated from the relevant budget for rendering GOBMP;

4) the reasonable need of the population of the region for the stationary help represented annually by December 1 to authorized body.

6. The established planned amounts of medical care are distributed by local authorities on months, taking into account seasonal fluctuations of incidence and other regional features.

3. Procedure for provision of medicines within GOBMP

7. Provision of medicines within GOBMP is performed within medicinal forms of the organizations of health care.

8. Free and (or) preferential providing with medicines in case of out-patient treatment is performed according to recipes, according to the list of types of diseases and separate categories of citizens approved by authorized body through objects of retail sale of medicines (further - out-patient provision of medicines). Increase in number of the pharmaceutical organizations performing free and preferential provision of medicines including state is allowed. Providing with the medicines containing drugs, psychotropic substances can be performed through the medical organizations having the license for activities connected with drug trafficking, psychotropic substances and precursors.

9. Provision of medicines in the organizations giving stationary help, emergency medical service, day hospitals, chambers of day stay is performed according to the medicinal forms approved by heads of data of the organization.

3-1. Procedure for purchase of services in out-patient provision of medicines

9-1. The purchase of services in out-patient provision of medicines is performed by local authorities at the legal entities or physical persons performing pharmaceutical activities (further - Service providers).

9-2. For the conclusion of the contract for out-patient provision of medicines local authorities are developed and approve documentation in which specify the following information:

1) the list and amounts of the medicines under international non-proprietary names provided free of charge;

2) the list and amounts of the medicines under international non-proprietary names provided on favorable terms with indication of compensation coefficient;

3) the list of settlements in which it is necessary to perform out-patient provision of medicines;

4) the requirements to potential suppliers of services specified in Item 9-4 of these rules;

5) requirements to the provided medicines specified in Item 9-5 of these rules;

6) standard form of the contract with service providers for rendering services in out-patient provision of medicines according to appendix 2 to these rules;

7) place and closing date of the agreement.

9-3. Local authorities inform potential suppliers of services by the publication of the announcement on the forthcoming purchase of services in out-patient provision of medicines at least in 20 days prior to the conclusion of the agreement, in the special periodic printing edition and (or) by placement of information on the Website of authorized body. The announcement shall contain the following information:

1) the name of the purchased services;

2) timeline for delivery of services;

3) the place and methods of receipt of documentation for the conclusion of the agreement;

4) place of provision of documents and final submission due date of requests.

9-4. When purchasing services in out-patient provision of medicines local authorities establish the following main requirements to potential suppliers of services:

1) availability of the right to occupation pharmaceutical activities;

2) experience of work in the pharmaceutical market at least one year (including experience to re-registration of the legal entity);

3) availability necessary financial, material and manpower for obligation fulfillment under the agreement, including qualified personnel, the computer equipment and means of telecommunication communication for maintaining the automated system of accounting of out-patient provision of medicines;

4) availability of civil legal capacity for the conclusion of the agreement;

5) to be solvent, not to be subject to liquidation, shall not be seized property, financial and economic activities shall not be suspended according to the legislation of the Republic of Kazakhstan;

6) not to be made responsible for non-execution or improper execution of obligations by it according to the purchase agreements of services in out-patient provision of medicines signed within the last two years based on the judgment which took legal effect.

9-5. To the provided medicines local authorities impose the following requirements:

1) registration availability in the Republic of Kazakhstan and permissions to application;

2) lack of the registered cases of side effect which are not described in the approved instruction for use of medicines officially;

3) compliance to requirements of the approved regulating documentation;

4) availability of reliable data about clinical testing in the country of the producer or testing for bioequivalence for generics (this requirement is established at the discretion of the organizer of the tender);

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