On amendments and additions to the order
Minister of Health of the Republic of Kazakhstan
dated November 13, 2020 No. ҚR DSM-194/2020
"On approval of the rules for attaching individuals
to health care organizations providing primary health care "
I ORDER:
No. 21642) the following changes and additions:
in the Rules for the attachment of individuals to health care organizations providing primary health care:paragraph 2 shall be supplemented with subparagraphs 5-1), 5-2) and 7-1) as follows:"5-1) migrant worker - a person who is a citizena member state of the Eurasian Economic Union legally located and legally carrying out labor activities in the territory of employment, a citizen of which it is not and in which it does not permanently reside;5-2) kandas - an ethnic Kazakh and (or) members of his family of Kazakh nationality, who previously did not have citizenship of the Republic of Kazakhstan, who arrived in their historical homeland and received the appropriate status in the manner prescribed by the Law of the Republic of Kazakhstan "On population migration";7-1) insured - a person in respect of whom voluntary medical insurance is carried out; ";add clause 3-1 as follows:"3-1. Attachment to PHC organizations of citizens of the Republic of Kazakhstan, kandas, refugees, foreigners and (or) stateless personspermanent residents of the Republic of Kazakhstan, is carried out to exercise the right to receive medical care within the guaranteed volume of free medical care (hereinafter referred to as the guaranteed volume of medical care) and in the system of compulsory social health insurance (hereinafter referred to as the OSHI).Foreigners and (or) stateless persons temporarily staying in the Republic of Kazakhstan, asylum seekers, are attached to PHC organizations to provide:PHC within the framework of voluntary medical insurance (hereinafter - VHI);medical care under the guaranteed volume of medical care according to the list and in the amount approved by order of the Minister of Health of the Republic of Kazakhstan dated October 9, 2020 No. citizenships temporarily staying in the Republic of Kazakhstan, asylum seekers have the right to receive a guaranteed volume of free medical care ”(registered in the Register of State Registration of Regulatory Legal Acts under No. 21407);medical care in the compulsory social health insurance system in accordance with paragraph 3 of article 2 of the Law of the Republic of Kazakhstan "On compulsory social health insurance."Clause 4 shall be stated in the following edition:"4. Individuals are assigned to exercise the right to receive medical care within the guaranteed volume of medical care and in the compulsory health insurance system by an individual identification number (hereinafter - IIN) to one PHC organization.Provision of primary health care within the framework of the guaranteed volume of medical care for citizens of the Republic of Kazakhstan, kandas, refugees, foreigners and (or) stateless persons permanently residing in the territory of the Republic of Kazakhstan, under a voluntary health insurance agreement for migrant workers and members of their families who are citizens of the member states of the Eurasian Economic Union (hereinafter - EAEU) is carried out by the organization of PHC,having a contract for the purchase of medical services with the fund for the provision of medical care within the guaranteed volume of medical care and (or) in the compulsory health insurance system (hereinafter - the contract for the purchase of medical services) and (or) having medical information systems integrated with the information systems of the Ministry of Health of the Republic of Kazakhstan in order to obtain and (or) transfer of information for the provision of medical services in the OSHI system.When an individual is attached to a PHC organization, the detachment from the previous PHC organization is carried out automatically. ”;Clause 8 shall be stated in the following edition:
"8. The attachment of individuals to health care organizations that provide PHC within the framework of the GOBMP is carried out at the place of permanent or temporary residence, taking into account the right to freely choose a PHC organization within one administrative-territorial unit (village, village, rural district, district in the city, city, district, region), with the exception of persons living in border territories who, by the right of free choice of a medical organization, are attached to a PHC organization located on the territory of a nearby administrative-territorial unit.
The free choice of a PHC specialist is carried out within the PHC organization at the place of attachment, taking into account the number of the attached population on the site (part of the territory of the population service by the PHC subject assigned to the PHC specialist).
The attachment of individuals within the framework of the VMI is carried out at the place of permanent or temporary residence to the health care organization providing PHC, provided for in the VMI contract.";
paragraph 9 should be worded as follows:
"9. In order to attach to a primary health care organization at the place of permanent or temporary residence for the provision of medical care, the state service "Attachment to a medical organization providing primary health care" (hereinafter referred to as the state service) has been implemented within the framework of the GOBMP.
The organization of PHC provides individuals with a public service when applying independently or through the web portal of "Electronic Government" (hereinafter – the PEP).
The PHC organization receives information about identity documents from the relevant state information systems through the PEP.
The list of the main requirements for the provision of public services, including the characteristics of the process, the form, content and result of the provision, as well as other information, taking into account the specifics of the provision of public services, is given in accordance with the annex to these Rules.
When applying directly for the provision of public services in writing to the first head of the organization, the following individuals submit an application:
1) pensioners;
2) disabled people;
3) legal representatives of a disabled child from childhood, as well as guardians or trustees, foster carers and other persons replacing them, who, in accordance with the legislation of the Republic of Kazakhstan, take care, education, upbringing, protection of the rights and interests of the child (legal representatives);
4) convicted persons serving a sentence under a court sentence in places of deprivation of liberty, serving in colonies (at the place of serving), in the presence of a protocol of the commission for consideration of issues of registration of attachment (detachment) of the population to PHC in the information system "Register of attached population", created by the order of the first head of the local public health management body of regions, cities of republican significance and the capital;
5) students, as well as students studying in madrassas, if there is an official appeal of the rector of the higher educational institution to the PHC and the protocol of the commission between the educational institution and the PHC;
6) conscripts;
7) children born in foreign countries;
8) children, orphans, the elderly, and others who are taken care of by the homes;
9) making out the attachment by proxy;
10) making out the attachment under the LCA agreement, if there is a contract.
When contacting the PHC organization directly, the specialists of the PHC organization issue a request for attachment to the information system "Register of the attached population". The specialist of the digital healthcare subject reviews the request for attachment and makes a decision on approving the application or on a reasoned refusal.
The state service is provided from the moment of submission of documents within 1 (one) working day. The request for the provision of public services is accepted 2 (two) hours before the end of the work of the organization of primary health care (until 18.00 hours on working days).
The result of the provision of a public service is a notification of attachment or a reasoned refusal in the form of an electronic document to the "Personal Account".
The state service through the PEP is provided on the day of applying to the PEP.
The organization of primary health care provides the entry of data on the provision of public services into the information system for monitoring the provision of public services, for the purpose of monitoring the provision of public services in accordance with the procedure established by the authorized body in the field of informatization in accordance with subparagraph 11) of paragraph 2 of Article 5 of the Law.";
add the following paragraph 9-1:
"9-1. The attachment of foreigners and (or) stateless persons temporarily staying in the territory of the Republic of Kazakhstan, asylum seekers to the organization of PHC within the framework of the VMI is carried out on the basis of the VCA agreement, an application of any form in Kazakh or Russian and an identity document (passport) at any calendar time in accordance with the work schedule of the organization of PHC.
The document certifying the attachment of foreigners and (or) stateless persons temporarily staying in the territory of the Republic of Kazakhstan, asylum seekers to the PHC organization within the framework of the VMI is a coupon for attachment to a medical organization in the form No. 064/u approved by the order of the Acting Minister of Health of the Republic of Kazakhstan dated October 30, 2020 No. KR DSM-175/2020 "On approval of forms of accounting documentation in the field of healthcare" (registered in the Register of State Registration of Regulatory Legal Acts under No. 21579). The attachment card is issued by the medical registrar of the medical organization.
Attachment to the organization of PHC is carried out for the duration of the VMI agreement.
PHC organizations carry out the attachment at the personal request of the insured or the appeal of the insurance organization with which the VMI contract is concluded.
The attachment of family members is carried out with their written consent by one of the family members on the basis of an application of any form in Kazakh or Russian when providing a VMI contract and an identity document for each family member.
The attachment of persons under the age of eighteen years is carried out in the presence of a document certifying the identity of the attached person and his legal representative.";
subparagraph 4) of paragraph 10 should be worded as follows:
"4) a VMI agreement concluded between the policyholder and an insurance company, under which the PHC organization provides medical services to the insured;";
paragraph 11 should be worded as follows:
"11. Attachment of citizens of the Republic of Kazakhstan, Kandas, refugees, foreigners and (or) stateless persons permanently residing in the territory of the Republic of Kazakhstan to PHC organizations on the grounds provided for in sub-paragraphs 1), 2), 3), 5) paragraph 10 of these Rules is carried out by submitting an electronic application by a person through a PEP for attachment.
Attachment of foreigners and (or) stateless persons temporarily staying in the Republic of Kazakhstan, asylum seekers to PHC organizations on the basis provided for in subparagraph 4) paragraph 10 of this regulation by submitting a face of the application or treatment of an insurance company, with whom a contract of DMS to the insured in any form in the Kazakh or Russian language on the attachment.";
subparagraphs 1) and 2) of paragraph 17 to read as follows:
"1) establish the fact of death is attached to a person on the basis of death certificate;
2) the change by the attached person of the place of permanent residence outside the country on the basis of information from the state database "Individuals" of the Ministry of Justice of the Republic of Kazakhstan;".
1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;
2) placement of this order on the Internet resource of the Ministry of Health of the Republic of Kazakhstan after its official publication;
3) within ten working days after the state registration of this order in the Ministry of Justice of the Republic of Kazakhstan, submission to the Legal Department of the Ministry of Health of the Republic of Kazakhstan of information on the implementation of measures provided for in subparagraphs 1) and 2) of this paragraph.
Position Full name
"AGREED"
Ministry of Foreign Affairs of the
Republic of Kazakhstan
"AGREED"
Ministry of Labor and Social
Protection of the Population of the Republic of Kazakhstan
"AGREED"
Ministry of Internal Affairs
Of the Republic of Kazakhstan
"AGREED"
Ministry of Digital Development,
Innovation and Aerospace
Industry of the Republic of Kazakhstan