of May 3, 2017 No. 272
About the services in employment rehabilitation provided by the Republican experimental prosthetic and orthopedic and rehabilitation center
Based on parts (5) – (9) article 40 of the Law No. 60 of March 30, 2012 on social integration of persons with limited opportunities (The official monitor of the Republic of Moldova, 2012, Art. No. 155-159, 508), with subsequent changes and amendments, article 12 of the Law No. 146-XIII of June 16, 1994 on the state company (The official monitor of the Republic of Moldova, 1994, No. 2, the Art. 9), with subsequent changes and amendments, and for the purpose of settlement of procedure for rendering services in employment rehabilitation by the Republican experimental prosthetic and orthopedic and rehabilitation Government DECIDES: center
1. Approve:
1) Regulations on the services in employment rehabilitation provided by the Republican experimental prosthetic and orthopedic and rehabilitation center according to appendix No. 1;
2) Methodology of calculation of rates for provision of services for employment rehabilitation by the Republican experimental prosthetic and orthopedic and rehabilitation center according to appendix No. 2.
2. The expenses connected with rendering services in employment rehabilitation will be covered for the account and within the financial assignments approved annually on these purposes in the budget of the Ministry of Labour, Social Protection and Family.
3. To confer responsibility for accomplishment of provisions of this resolution on the Republican experimental prosthetic and orthopedic and rehabilitation center.
4. To impose control of execution of this resolution on the Ministry of Labour, Social Protection and Family.
|
Prime Minister |
Paweê Phillip |
|
Countersign: Minister of Labour, Social Protection and Family |
Stele Grigorash |
|
Minister of Finance |
Octavian to Armash |
Appendix №1
to the Order of the Government of the Republic of Moldova of May 3, 2017 No. 272
1. The regulations on the services in employment rehabilitation provided by the Republican experimental prosthetic and orthopedic and rehabilitation center (further – the Provision), are developed for the purpose of accomplishment of provisions of parts (5) – (9) article 40 of the Law No. 60 of March 30, 2012 on social integration of persons with limited opportunities.
2. The resolution determines procedure for the organization and provision of services by employment rehabilitation by the Republican experimental prosthetic and orthopedic and rehabilitation center (further – the Center).
3. The purpose of services in employment rehabilitation is recovery or compensation of the broken functions of organism and working capacity of persons with limited musculoskeletal opportunities which for health reasons, under different circumstances, in case of interaction with obstacles and other contextual factors in which are (environment and personal factors) cannot perform labor activity according to qualification.
4. Employment rehabilitation includes complex of medical, professional, social and pedagogical measures.
5. The purpose of employment rehabilitation is:
1) diagnostics of persons with limited opportunities;
2) determination of requirements for intervention;
3) recovery or compensation of the broken functions of organism and working capacity necessary for effective integration on the labor market;
4) assistance in finding of independence and integration into society.
6. Services in employment rehabilitation are organized and function according to the following principles:
1) participation in complete and effective integration into society and on the labor market;
2) planning and rendering the individual services directed to the personality;
3) multi-profile approach.
7. The center has the following powers:
1) performs the organization and rendering services in employment rehabilitation in department on employment rehabilitation;
2) is provided by employment of necessary personnel for rendering services in employment rehabilitation within the personnel units approved by the staff list;
3) will be organized by training of the hired personnel involved in rendering services in employment rehabilitation;
4) makes the decision on the admission of applicants to provision of services on employment rehabilitation;
5) is established by the schedule and determines terms of provision of services by employment rehabilitation of applicants on the basis of the revealed requirements;
6) cooperates with other organizations and the organizations in such areas as: the sphere of employment in the labor market, the public assistance, social insurance, medicine, education, and also with employers;
7) observes the rights of beneficiaries in the course of rendering services in employment rehabilitation.
8. Services in employment rehabilitation are rendered: the psychologist, the psychoteacher, the social assistant, the doctor in the field of work medicine, kinetoterapevty, the therapist, the traumatologist-orthopedist, the psychotherapist, and also other specialists.
9. The psychologist carries out the following obligations:
1) conducts examination, diagnostics and assessment of mental development and mental health (cognitive, neuropsychological, behavioural) and makes recommendations;
2) is performed by psychological consultation and makes recommendations;
3) carries out standard therapy, autogenic training and meditation and makes recommendations about their implementation;
4) participates in development and implementation of the individual plan of the help.
10. The psychoteacher and the social assistant carry out the following obligations:
1) develop the individual plan of the help on the basis of offers and recommendations of multi-profile group of specialists;
2) participate in implementation of the measures provided by the individual plan of the help;
3) is revealed by requirements of training and occupational retraining, make recommendations;
4) are established and undertake intervention measures;
5) provide cooperation with the services (the services provided by territorial authorities of employment of the population, territorial authorities of social protection, education, employers, etc.) operating at the place of residence of beneficiaries.
11. The doctor in the field of medicine of work carries out the following obligations:
1) estimates opportunities and capabilities in the field of employment, advises and makes recommendations;
2) is estimated by the need for preparation, professional retraining, advises and makes recommendations;
Establishes 3) and performs intervention measures;
4) is provided by development of skills for accomplishment of some works;
5) participates in development and implementation of the individual plan of the help.
12. Other specialists in the field of medicine participating in provision of services on employment rehabilitation carry out the following obligations:
1) provide assessment, diagnostics and render services in medical rehabilitation and, as necessary, recommend treatment;
2) estimate need of providing with supportive technical means, advise and make recommendations;
3) give support in development of capabilities and skills of use of supportive technical means;
4) provide development of motive capabilities of the upper and lower extremities;
5) participate in development and implementation of the individual plan of the help.
13. The specialists specified in Items 8-12 of this provision create multi-profile group of the specialists responsible for all process for employment rehabilitation.
14. Services in employment rehabilitation have the right to use the persons with limited musculoskeletal opportunities which are in job search and who are staying on the registry of territorial agencies of employment of the population, person with limited opportunities, having work, but for health reasons under different circumstances, in case of interaction with obstacles and other contextual factors in which are (environment and personal factors) cannot hold position or perform labor activity according to qualification, needing recovery, rehabilitation or compensation of the broken functions of organism and working capacity.
15. Has the right to use services in employment rehabilitation in the Center the applicant satisfying the following conditions:
1) is person with limited musculoskeletal opportunities and within the individual program of rehabilitation and social integration services of employment rehabilitation are recommended to it;
2) stays on the registry of territorial agency of employment of the population, being in job searches, but for health reasons cannot hold position or perform the labor activity offered according to qualification and needs rehabilitation, recovery or compensation of the broken functions of organism and working capacity;
3) it is employed, but for health reasons cannot carry out labor activity according to qualification and needs rehabilitation, recovery or compensation of the broken functions of organism and working capacity.
16. Services in employment rehabilitation are provided based on the appeal of National employment agency of the population (further – the Agency), on the statement of territorial agency of employment of the population where applicant/person with limited musculoskeletal opportunities it is registered as the unemployed or on the petition of the employer (in case of the employed persons) to which the following documents are attached:
1) the statement of applicant/person with limited opportunities;
2) copy of the certificate of restriction of opportunities and working capacity;
3) copy of the individual program of rehabilitation and social integration;
4) the copy of diplomas/diplomas about education and other education documents or occupational retraining;
5) the detailed information about available services, about the services which are received/received by the beneficiary or about those which can be provided to this person, about vacancies of the workplaces available to person, and other relevant information provided by the Agency in case of persons with limited musculoskeletal opportunities registered as the unemployed in territorial agency of employment of the population;
6) the detailed information concerning the characteristic of person and post, conditions on workplace, the existing vacancies in this organization and requirements to them, other relevant information provided by the employer in case of the employed persons with limited musculoskeletal opportunities.
17. Based on document package, the this provision specified in Item 16, the Center constitutes the register of accounting of applicants and in cooperation with the Agency or, as necessary, with the employers who directed petitions and also with persons with limited opportunities, establishes the schedule of rendering services of employment rehabilitation.
18. Effective period and term of consideration of document package, specified in Item 16 of the this provision transferred and registered in the Center constitutes 15 calendar days.
19. If according to the schedule of rendering services in employment rehabilitation the term provided in Item 18 of this provision was exceeded, the document package is updated by the Agency within 15 calendar days. In this regard the Center sends to the Agency the written request for updating and provision of document package.
20. Selection of applicants for receipt of services in employment rehabilitation in the Center, and also establishment of terms of provision of services on employment rehabilitation are performed by multi-profile group of the specialists specified in Item 13 of this provision taking into account the conditions specified in Items 14 and 15, and document package specified in Item 16 of this provision.
21. Duration of provision of services on employment rehabilitation constitutes no more than 18 days and is established by multi-profile group of specialists proceeding from individual needs of each person.
22. Services in employment rehabilitation for the purpose of recovery, improvements and compensations of the broken functions of organism and working capacity include:
1) assessment and diagnostics;
2) determination of requirements for intervention;
3) development of the individual plan of the help providing specific corrective actions, persons, responsible for execution, and completion dates;
4) accomplishment of the measures provided in the plan;
5) providing, as necessary, supportive technical means;
6) development of skills of use of supportive technical means and self-services;
7) recovery of skills of accomplishment of some works, motive functions of the upper and lower extremities;
8) psychological assistance and consultation;
9) support, informing and consultation for the purpose of simplification of access for persons with limited opportunities to the services rendered by territorial agencies of employment of the population at the place of residence;
10) consultation and recommendations about questions of employment and/or professional retraining;
11) cooperation with territorial agencies of employment of the population, with employers for the purpose of determination of requirements of the labor market, vacant workplaces, working conditions for acceptance of specific corrective actions for rehabilitation, recovery or compensation of the broken functions of organism and working capacity.
23. During rendering services in employment rehabilitation beneficiaries are provided with housing and food.
24. Upon termination of process of employment rehabilitation each beneficiary receives the certificate confirming the measures performed in the course of employment rehabilitation, and also the recommendation about employment and/or about occupational retraining which it without fail shall provide to territorial agency of employment of the population or the employer who directed it to rehabilitation. The copy of the certificate is transferred to the Agency by territorial agency of employment of the population.
25. The form of the certificate specified in Item 24, is provided in appendix to this Provision.
26. Fee on employment rehabilitation, provided at the request of National employment agency of the population, is performed based on the agreement on cooperation signed between the Center and the Ministry of Labour, Social Protection and Family according to the rates developed by the Center annually and approved by the Ministry of Labour, Social Protection and Family in coordination with the Ministry of Finance.
27. Financial accounting of the expenses and costs connected with rendering services is performed by accounts department of the Center according to provisions of the Law No. 113-XVI of April 27, 2007 on financial accounting, National accounting standards and Methodical instructions about financial accounting of production costs and calculation of product cost and services.
28. For persons with limited opportunities owing to industrial injury or occupational disease of service in employment rehabilitation are paid by the insurer for the statement of insured persons who cannot perform further activities according to qualification, based on the service provision agreement signed with the insurer according to applicable fares.
29. The center monthly represents to the Ministry of Labour, Social Protection and Family the report on the rendered services in employment rehabilitation which contains information on the number of beneficiaries, the number of days of rehabilitation and the incured actual costs. The center also represents to the Ministry of Labour, Social Protection and Family the annual statement about the rendered services in employment rehabilitation which is posted on the website of the Center and ministry.
30. The center quarterly represents to the Ministry of Labour, Social Protection and Family reports on obtaining and use of the money which is saved up due to provision of paid services in employment rehabilitation, according to forms and according to the procedure, established by the Ministry of Finance.
31. Responsibility for execution of this provision and the correct use of the financial resources which are saved up due to provision of paid medical services is assigned to management of the Center.
Appendix
to Regulations on the services in employment rehabilitation provided by the Republican experimental prosthetic and orthopedic and rehabilitation center
to Regulations on the services in employment rehabilitation provided by the Republican experimental prosthetic and orthopedic and rehabilitation center
CERTIFICATE
Proves to be true present that the Mr./Mrs. _________________________, person with limited opportunities ______________________________, living/living in _____________________________________ used/used the services in employment rehabilitation provided by the Republican experimental prosthetic and orthopedic and rehabilitation center during _____ days, during the period ______________ YoYoYoYo ______________.
1. The services provided in the course of employment rehabilitation:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
2. Recommendations about employment and/or professional retraining, in case of need, on adaptation of workplace:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Director of the Republican experimental prosthetic and orthopedic and rehabilitation center
_________________________ ________________ OF M.P.
(surname, name) (signature)
Appendix № 2
to the Order of the Government of the Republic of Moldova of May 3, 2017 No. 272
1. The methodology of calculation of rates for services in employment rehabilitation (further – Methodology) is designed to establish method of determination, approval and updating of rates for the services in employment rehabilitation provided to persons with limited musculoskeletal opportunities the Republican experimental prosthetic and orthopedic and rehabilitation center (further – the Center).
2. This Methodology is developed according to provisions of the Law No. 146-XIII of June 16, 1994 on the state company, the Law No. 845-XII of January 3, 1992 on entrepreneurship and the companies, the Law No. 113-XVI of April 27, 2007 on financial accounting, National accounting standards and Methodical instructions about financial accounting of production costs and calculation of product cost and services.
3. The principle of domination of the actual costs / expenses provides that rates for the services in employment rehabilitation provided by the Center at the expense of budgetary funds are based on their cost.
4. Rates for services in employment rehabilitation are developed by the Center annually according to this Methodology and affirm the Ministry of Labour, Social Protection and Family in coordination with the Ministry of Finance. The expense budget and costs is developed and affirms the Center annually according to provisions of this Methodology.
5. In settlement process and applications of rates are considered the following features:
1) the rate for the services in employment rehabilitation rendered at the expense of budgetary funds is created only of its basic elements and does not include profitability share;
2) the services in employment rehabilitation rendered free of charge to persons with limited musculoskeletal opportunities (from among the unemployed registered in territorial agency of employment of the population), covered at the expense of means of the government budget are not profitable;
3) the services in employment rehabilitation paid by the insurer for persons with limited opportunities owing to industrial injury or occupational disease are provided according to applicable fares.
6. Financial accounting of costs and expenses on the provided services is conducted by accounts department of the Center according to Methodical instructions about financial accounting of production costs and calculation of product cost and services.
7. This Methodology is applied when forming rates for the services in employment rehabilitation provided by the Center to agreement signature about cooperation with the Ministry of Labour, Social Protection and Family for new accounting year, and in case of provision of paid services – to the conclusion of the contract with economic agents.
8. The cost of rates does not join the expenses/costs connected with:
1) accomplishment of research works;
2) capital investments in construction, the equipment and stock;
3) capital repairs of fixed assets;
4) repair and content of subjects to welfare appointment and other objects which are not connected with the main activities of organization;
5) rendering financial or financial aid to other organizations;
6) losses, thefts, sanctions, penalties.
9. When calculating cost of services in employment rehabilitation for basis data on the actual expenses / costs of Department of medicine for the previous accounting year and/or expected (predicted) the next accounting year undertake.
10. Depending on types of activity of service in employment rehabilitation are divided into two groups:
1) the I group – services in employment rehabilitation;
2) the II group – the medical rehabilitation services provided in the conditions of hospital and it is out-patient.
11. The cost of one koyko-day in the conditions of hospital consists of the amount of the actual expenses / costs (including expenses on food and treatment) calculated in rehabilitation departments of the Center, and the amount of the actual expenses / costs of the auxiliary departments falling on the relevant structures correlated to number of koyko-days.
12. Costs for food and providing with medicines for one koyko-day in the conditions of hospital are determined according to cash expense rates on providing persons containing in the social organizations approved by the Order of the Government No. 520 of May 15, 2006.
13. The cost of medical services of medico-social resettlement in out-patient conditions consists of the amount of the actual expenses / costs (except for expenses on medicines and food) calculated by each paraclinical department and the actual expenses / costs of the auxiliary departments falling on the relevant structures, correlated to number of visits (services).
14. The cost of out-patient treatment (consultation at specialists doctors) for one beneficiary of services in employment rehabilitation is determined on the basis of rates for provision of rehabilitation services and the medical care provided to beneficiaries at the expense of means of the government budget and for a fee.
15. Calculation of cost of the complex services of medical rehabilitation rendered to one beneficiary of services in employment rehabilitation is performed according to the Methodology of establishment of rates for provision of medical and sanitary services approved by the Order of the Government No. 1020 of December 29, 2011.
16. Medical services are provided in the conditions of hospital and is out-patient by means of visits of patients for inspection and out-patient treatment, and also services of fizio-kinetoterapiya).
17. Single tariff (price) of services in employment rehabilitation for certain period are established depending on the cost of the services rendered to the beneficiary in the conditions of hospital using the following formula:
Amount of rates (T):
T=N1 x S1chasov
where:
N1 – the regulation of time of the rendered service expressed in hours;
S1chasov – the cost of unit of time of rendering service (in particular, cost person/hour).
18. The cost of one unit of time is determined by ratio of the amount of direct and indirect expenses and the number of the hours fulfilled monthly:
C1 of hours = (Snpryamye + Snkosvennye) / Q
where:
Snpryamye – direct costs;
Snkosvennye – indirect costs;
Q – worked time number of hours within a month specialists of department of employment rehabilitation.
19. Depending on specifics of each service and regulation of time necessary for its accomplishment, direct expenses (Snpryamye) are determined by formula:
Snpryamye = Cszp + Csmat + Cskosvennye,
where:
Cszp – costs for payment there;
Csmat – material costs;
Cskosvennye – indirect production costs.
20. Treat labor costs (Cszp):
1) labor costs of the employees who are directly participating in process of provision of services, including base pay and additional (surcharges and allowances to base pay), and also other stimulating and compensation payments calculated according to the Law No. 847-XV of February 14, 2002 on compensation and the Order of the Government No. 743 of June 11, 2002. "About compensation of employees of the self-supporting companies";
2) assignments on the national compulsory social insurance and compulsory medical insurance relying to expenses on compensation of the employees who are directly participating in provision of services.
Cszp = Sopl.Tr. + Scc + Sms,
where:
Sopl.Tr – expenses on compensation of the employees who are directly participating in provision of the corresponding services;
Scc – the sum of assignments paid by the employer on the national compulsory social insurance determined according to the approved rates to labor costs (Sopl.Tr);
Sms – the sum of assignments paid by the employer on compulsory medical insurance determined according to the approved rates to labor costs (Sopl.Tr).
21. Material cost, used directly in the course of provision of services, including expenses on acquisition of special literature and standards, subscription to special editions (newspapers, magazines, etc.), necessary for activities of the Center in the field of employment rehabilitation belongs to material costs (Csmat).
22. The cost of expenses / indirect costs (Cskosvennye) is determined separately by each Item and includes:
1) the cost of electricity costs, heat energy (natural gas for heating), drinking water;
2) expenses for payment of special services (servicing of elevators and garbage removal), clerical, postage, telephone, cable expenses;
3) expenses on operation and servicing of technical means of communication;
4) depreciation of the intangible assets used in the course of provision of services;
5) depreciation of the invaluable and fast-wearing-out objects;
6) costs on providing the adequate working conditions and safe engineering concerning specifics of rendering services;
7) costs for protection services;
8) the costs for fee provided by the third parties based on the direct agreements signed by the Center in the course of provision of services;
9) other costs relating to indirect expenses on rendering services according to Methodical instructions about financial accounting of production costs and calculation of product cost and services.
23. Services in employment rehabilitation for persons with limited musculoskeletal opportunities are specialists in the field (specialists doctors, the psychoteacher, the psychologist, the doctor in the field of medicine of work and the social assistant) by means of:
1) education / professional training and forming of capabilities;
2) razvivaniye of daily life skills and independence;
3) medical and social employment rehabilitation by preserving and use of potential;
4) consultation and employment rehabilitation;
5) supports for integration/reintegration into labor activity, encouragement and maintenance on workplace;
6) recovery and maintenance of health, identification of capabilities and labor skills;
7) consultations in the choice of rate of retraining / qualification for the purpose of job search or preserving workplace, considering requirements and skills of beneficiaries.
24. Rates for medical procedures and comprehensive examination (intellectual level and violation of memory, emotionally - the strong-willed sphere, personal features and features of thinking), psychological consultation and the help are established according to the rates calculated and approved by the Center annually taking into account the actual expenses / costs of organization.
25. Total and administrative expenses do not join in rate for services in employment rehabilitation, and become covered due to works and services rendered from the main activities of organization during the accounting period.
26. Regulation of rates is performed annually depending on inflation percent taking into account the last indicator of consumer prices and the annual macroeconomic forecast of the Ministry of Economics.
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The document ceased to be valid since December 31, 2025 according to item 4 of the Order of the Government of the Republic of Moldova of December 29, 2025 No. 834