The procedure for using normalized safety stock funds. Application

Regulations on the procedure for the formation and direction of normalized safety stock funds Federal Fund mandatory health insurance in 2007 for leveling financial conditions activities of territorial compulsory health insurance funds to finance territorial compulsory health insurance programs (approved by the decision of the FFOMS board of September 19, 2007 N 13A/01) (Registered with the Ministry of Justice of the Russian Federation on September 26, 2007 N 10182)

17. Control over the intended use of normalized safety stock funds transferred to complete payments for actually dispensed medicines individual categories citizens, carried out in accordance with the law Russian Federation.

IV. Procedure for referral to Territorial

funds of the normalized insurance stock of the Compulsory Medical Insurance Fund

to finance territorial compulsory programs

medical insurance due to natural disasters,

disasters, terrorist attacks and other

emergency circumstances

18. The basis for the provision of reserved funds of the normalized safety stock are proposals and recommendations submitted in writing from legislative and executive bodies of state power of the Russian Federation, requests from legislative (representative) and executive bodies of state power of the constituent entities of the Russian Federation, heads of territorial funds for the provision of financial assistance, in connection with the above circumstances and financial and economic justification for the requested funds.

19. Control over the intended use of the reserved funds of the normalized safety stock is carried out in accordance with the legislation of the Russian Federation.

V. On recognition as invalid

regulatory legal act of the Compulsory Medical Insurance Fund

20. The Regulations on the procedure for allocating funds from the rationed safety stock of the Federal Compulsory Medical Insurance Fund to equalize the financial conditions of the activities of territorial compulsory medical insurance funds to finance territorial compulsory health insurance programs, approved by the Federal Compulsory Medical Insurance Fund on June 2, 2005 N 5A/7.1, shall be declared invalid, registered by the Ministry of Justice of the Russian Federation on June 15, 2005, registration N 6719 ("Bulletin of normative acts federal bodies executive power", No. 25, 06/20/2005).

Chairman of the Board

Federal Compulsory Medical Insurance Fund

M.Yu.ZURABOV

Appendix No. 1

to the Regulations on Procedure

formations and directions

funds rationed

Federal safety stock

compulsory medical fund

insurance in 2007

to equalize financial

operating conditions

territorial funds

compulsory medical

financing insurance

territorial programs

compulsory medical

insurance

from ____________ N ________

Application __________________________________________________________ (name territorial fund compulsory medical insurance) for the provision of funds from the standardized insurance reserve of the Federal Compulsory Medical Insurance Fund to equalize the financial conditions of the activities of territorial compulsory medical insurance funds to finance territorial compulsory medical insurance programs in 2007 ─────────────────────────────────────┬── ────┐ │Amount of application, million . rub. │ │ ├──────────────────────────────────── ─────────── ──────────┼──────┤ │Cost approved in in the prescribed manner for the current│ │ │year of the territorial compulsory medical insurance programs, million rubles │ │ └──────────────────────────────────── ─────────── ──────────┴──────┘ ┌─────┬─────────────── ────────── ──────────┬──────────┬───────────┐ │N p/p│ Name of indicators │ Approved│Executed from│ │ │ │for the current│beginning of the year│ │ │ │ year │ as of the date │ │ │ │ according to the │drafting│ │ │ │ budget │application "__"│ │ │ │ TFOMS, │"____" 2007│ │ │ │ million rubles. │ g., million │ │ │ │ │ rub. │ ├─────┼──────────────────────────────── ───┼────── ────┼───────────┤ │ 1 │ 2 │ 3 │ 4 │ ├─────┼────── ─────────── ──────────────────┼──────────┼────────── ─┤ │ 1. │ Starting balance year │ │ │ ├─────┼───────────────────────────── ──────┼─── ───────┼───────────┤ │ │including bank deposits│ X │ │ │ │and government securities │ │ │ ├─────┼───────────────────── ─────────── ───┼──────────┼───────────┤ │ 2. │Receipt of funds - total: │ │ │ ├── ───┼──── ───────────────────────────────┼──────── ──┼─────── ────┤ │2.1. │including: │ │ │ │ │single social tax, │ │ │ │ │credited to territorial funds│ │ │ │ │Compulsory medical insurance │ │ │ ├─────┼─ ────────── ────────────────────────┼──────────┼──── ───────┤ │2.2 . │ insurance premiums for compulsory │ │ │medical insurance │ │ │ │ │non-working population, │ │ │ │ │paid to territorial │ │ │ │ │compulsory medical insurance funds by executive bodies │ │ │ │ │authorities of the Russian subject │ │ │ │ │Federation │ │ │ ├─────┼──────────────────────────────── ───┼────── ────┼───────────┤ │2.3. │arrears, penalties and fines for │ │ │ │ │insurance contributions for compulsory medical insurance │ │ │ │ │non-working population │ │ │ ├─────┼─────── ────────── ──────────────────┼──────────┼────────── ─┤ │2.4. │ single tax levied in connection with │ │ │ │ │application of a simplified system │ │ │ │ │taxation │ │ │ ├─────┼───────── ──────────── 2.5 . │single tax on imputed income for│ │ │ │ │certain types of activities │ │ │ ├─────┼───────────────── ──────── ──────────┼──────────┼──2.6 unified agricultural tax ─────────┼ ──────────┼──────────2.7. │arrears, penalties and fines one at a time │ │ │ │ │ social tax and insurance premiums (valid until January 1, 2001) ────────── ────────────────┼──────────┼───────────┤ │2.8. │funds from the NHS Federal Compulsory Medical Insurance Fund│ X │ │ │ │to equalize financial conditions │ │ │ │ │financing activities │ │ │ │ │territorial compulsory medical insurance program │ │ │ ├─── ──┼──────── ───────────────────────────┼──────────┼─ ────────── ┤ │2.9. │subsidies from the Federal │ │ │ │ │CHI Fund for the implementation of the │ │ │ │ │territorial compulsory medical insurance program within the │ │ │ │ │basic compulsory medical insurance program │ │ │ ├───── ┼──────── ───────────────────────────┼──────────┼─ ────────── ┤ │2.10.│subsidies from the federal │ │ │ │ │budget for compulsory medical insurance of non-working │ │ │ │ │population (children) │ │ │ ├─────┼─── ────────── ──────────────────────┼──────────┼────── ─────┤ │2.11.│ subsidies from the federal │ X │ │ │ │budget for additional payment│ │ │ │ │outpatient care,│ │ │ │ │provided to non-working pensioners │ │ │ │ │within the framework of the territorial program │ │ │ │ │Compulsory medical insurance (completion of payments for 2006 │ │ │ │ │year) │ │ │ ├─ ────┼─────────────────────────────────── ┼───────── ─┼───────────┤ │2.12.│subventions from the federal │ │ │ │ │ │pediatricians, general doctors (family) │ │ │ │ │practices, nurses │ │ │ │ │relevant doctors, subject to │ │ │ │ │inclusion in the Federal Register │ │ │ │ │ medical workers│ │ │ ├─────┼───────────────────────────── ──────┼──── ──────┼───────────┤ │2.13.│subsidies from the federal │ X │ │ │ │budget for the implementation of │ │ │ │ │ additional medical examination of │ │ │ │ │working citizens │ │ │ ├─────┼───────────────────────────── ──────┼──── ──────┼───────────┤ │2.14.│remedies federal budget for │ │ │ │ │providing state social services. │ │ │ │ │assistance to certain categories of citizens│ │ │ │ │providing medicinal │ │ │ │ │funds provided for 2007│ │ │ │ │year in accordance with Appendix N 4 of Art. 5 │ │ │ │ │MHIF budget │ │ │ ├─────┼─────────────────── ───────────── ───┼──────────┼───────────┤ │2.15.│federal budget appropriations │ implementation of territorial │ │ │ │ │compulsory medical insurance programs within the framework of the basic │ │ │ │ │ compulsory medical insurance program, taking into account the balance │ │ │ │ │of funds as of January 1, 2007, │ │ │ │ │formed in the compulsory medical insurance budget as a result of │ │ │ │ │incomplete use of │ │ │ │ │allocations for implementation of measures │ │ │ │ │social support for certain │ │ │ │ │categories of citizens to provide │ │ │ │ │necessary medicinal │ │ │ │ │means to complete payments │ │ │ │ │for actually dispensed │ │ │ │ │medicinal funds to individual │ │ │ │ │categories of citizens in 2006 │ │ │ ├─────┼────────────────── ────────── │X │ │ │ │within the basic program │ │ │ │ │compulsory medical │ │ │ │ │insurance transferred from the │ │ │ │ │federal budget in 2007, │ │ │ │ │according to Art. 8 of the MHIF budget │ │ │ ├─────┼─────────────────────────── ────────┼─ ─────────┼───────────┤ │2.17.│subsidies from the Federal │ X │ │ │ │compulsory medical insurance fund for the implementation of │ │ │ │ │territorial compulsory medical insurance program in │ │ │ │ │within the framework of the basic compulsory medical insurance program, │ │ │ │ │aimed at providing │ │ │ │ │state social services. assistance │ │ │ │ │certain categories of citizens for │ │ │ │ │providing medicinal │ │ │ │ │means in accordance with the Post. │ │ │ │ │Government of the Russian Federation N 102 dated │ │ │ │ │02/19/2007 │ │ │ ├─────┼───────── ───────────── ─────────────┼──────────2.18. │standardized insurance funds │ X │ │ │ │ reserves of the Federal Compulsory Medical Insurance Fund, │ │ │ │ │aimed at providing │ │ │ │ │state social services. assistance │ │ │ │ │certain categories of citizens for │ │ │ │ │providing medicinal │ │ │ │ │means │ │ │ ├─────┼──── ───────────── ──────────────────┼──────────┼────────── ─┤ │2.19.│funds from the Federal Compulsory Medical Insurance Fund , │ X │ │ │ │listed from the federal │ │ │ │ │budget for the implementation of a pilot │ │ │ │ │project aimed at improving the quality of services in the field │ │ │ │ │healthcare │ │ │ ├── ───┼───────────────────────────────────┼ ────────── ┼───────────┤ │2.20.│subsidies from the federal │ │ │ │inpatient institutions for children- │ │ │ │ │orphans and children left without │ │ │ │ │parental care │ │ │ ├─────┼──────────────── ───────── ──────────┼──────────┼──2. 21. other income ────────── ┼──────────┼───────────┤ │ 3. │Expenses - total: │ │ │ ├───── ┼──────── ───────────────────────────┼──────────┼─ ────────── ┤ │ │including: │ │ │ ├─────┼──────────────────────── ───────── ──┼──────────┼───────3.1. │Costs for financing │ │ │ │ │ territorial compulsory medical insurance program - │ │ │ │ │total: │ │ │ ├─────┼───────── ─────────── │ │including: │ │ │ ├─ ────┼─────────────────────────────────── ┼───────── ─┼───────────┤ │ │- expenses for the implementation of the │ │ │ │ │territorial compulsory medical insurance program for │ │ │ │ │ provision medical care│ │ │ ├─────┼───────────────────────────── ──────┼──── ──────┼───────────┤ │ │- costs of performing │ │ │ │ │managerial functions │ │ │ ├──── ─┼──────── ───────────────────────────┼──────────┼─ ────────── ┤ │ │- costs of providing │ │ │ │ │state social assistance │ │ │ │ │certain categories of citizens for │ │ │ │ │providing medicinal │ │ │ │ │ means │ │ │ ├─────┼─── ────────────────────────────────┼─────── ───┼────── ─────┤ │3.2. │expenses for additional payment │ X │ │ │ │outpatient care,│ │ │ │ │provided to non-working pensioners │ │ │ │ │within the territorial program │ │ │ │ │Compulsory medical insurance (for completion of calculations for 2006 │ │ │ │ │year ) │ │ │ ├─────┼──────────────────────────── ───────┼─── ───────┼───────────┤ │3.3. │expenses for cash payments │ X │ │ │ │precinct doctors, local │ │ │ │ │pediatricians, general (family) doctors │ │ │ │ │practitioners, nurses │ │ │ │ │according ing doctors subject to │ │ │ │ │ inclusion in the Federal Register │ │ │ │ │medical workers │ │ │ ├─────┼─────────────────── ────────── ──────┼──────────┼───3.4. │expenses for carrying out │ X │ │ │ │additional medical examination │ │ │ │ │working citizens │ │ │ ├─────┼───────── ──────────── ──────────────┼──────────┼───────────┤

from ____________ N ________

From 2019, the normalized insurance stock of Compulsory Health Insurance Terfunds will include funds to combat staffing shortages in primary care. Now it is used to finance medical care provided outside the home region, additional education for doctors, as well as the purchase and repair of medical equipment.

The Ministry of Health proposes to form the normalized insurance stock (NSS) of territorial compulsory health insurance funds (CHI) differently. Now it is intended “for the implementation of territorial compulsory medical insurance programs, payments for medical care provided to insured persons outside the territory of the subject of the Russian Federation in which the compulsory medical insurance policy, organization of additional professional education for medical workers under advanced training programs, acquisition and repair of medical equipment.” In 2019–2024, it will also include funds to eliminate staffing shortages in clinics providing primary medical care. The corresponding draft law amending Article 51 of the Federal Law “On Compulsory Health Insurance in the Russian Federation” was published on the website of the Government of the Russian Federation.

Where the funds will come from and how they will be used by medical organizations must be approved by the Ministry of Health in an additional order. , now rationed insurance TFOMS stock is formed from the budget revenues of the territorial fund (subsidies from the Federal Compulsory Medical Insurance Fund), money intended to pay for medical care for residents of other regions, as well as part of the funds from penalties imposed on clinics based on the results of inspections.

The government also ordered the submission to the State Duma of a draft budget for the Federal Compulsory Medical Insurance Fund for the next year and for the planning period of 2020 and 2021. According to it, the formation of a normalized safety stock of the Federal Compulsory Medical Insurance Fund is planned annually in the amount of 3.1 billion rubles.

For the next year, MHIF revenues are provided in the amount of 2,098.2 billion rubles, for 2020 - 2,349.9 billion rubles, for 2021 - 2,495.8 billion rubles (2018 budget - 1,887.9 billion rubles). It is expected that expenses for 2019 will amount to 2,190.4 billion rubles, in 2020 – 2,350.5 billion rubles and in 2021 – 2,501.5 billion rubles (2018 budget – 1,994.1 billion rubles) .

“The Fund’s budget deficit in 2019 will amount to 92.3 billion rubles, in 2020 – 0.5 billion rubles, in 2021 – 5.7 billion rubles. The balance of the Fund’s budget will be achieved through the carryover balances of funds at the end of the corresponding financial year,” the Cabinet of Ministers said in its order.

"In them (budgets social funds- Approx. ed.) we have allocated funds that will ensure the required level social protection people,” said Prime Minister Dmitry Medvedev at a government meeting on September 20 during a discussion of bills. - The money will be used to further improve the quality of medicine. We will also include in the basic program Compulsory medical insurance new types of high-tech care, we will continue to eliminate the shortage of individual specialists in hospitals.”

Order
use of funds from the normalized insurance reserve of the territorial compulsory health insurance fund

With changes and additions from:

1. The procedure for using the funds of the normalized insurance reserve of the territorial compulsory medical insurance fund (hereinafter referred to as the Procedure) was developed in accordance with the Federal Law of November 29, 2010 N 326-FZ “On Compulsory Medical Insurance in the Russian Federation” (hereinafter referred to as the Law) and determines the rules of use the territorial fund of compulsory medical insurance (hereinafter referred to as the territorial fund) of the funds of the normalized insurance reserve of the territorial fund.

2. The normalized safety stock of the territorial fund (hereinafter referred to as the normalized safety stock) is formed as part of the expenses of the budget of the territorial fund to ensure financial stability compulsory health insurance.

3. The size and purposes of using funds from the normalized safety stock are established by the law on the budget of the territorial fund. The amount of funds in the normalized safety stock (excluding funds for making payments for medical care provided to insured persons outside the territory of the constituent entity of the Russian Federation in which the compulsory health insurance policy was issued, and funds for financial support for organizing additional professional education of medical workers under advanced training programs qualifications, as well as for the acquisition and repair of medical equipment (hereinafter referred to as the measures)) should not exceed the average monthly amount of planned revenues from the territorial fund for the next year for the financial support of the territorial compulsory health insurance program. The purposes for using funds from the normalized safety stock are established in accordance with paragraph 4 of this Procedure. Normalized safety stock funds are accounted for in the account for compulsory health insurance funds. The volume of funds from the normalized safety stock is included in the total amount of financial support for the territorial compulsory health insurance program, with the exception of funds from the normalized safety stock allocated for the purposes established in subparagraph “b” of subparagraph 2 and subparagraph 3 of paragraph 4 of this Procedure.

4. Standardized safety stock funds are used for:

1) additional financial support for the implementation of territorial compulsory health insurance programs through the provision of insurance medical organization insufficient funds to pay for medical care in accordance with Part 6 of Article 38 of the Law;

2) payments for medical care provided to insured persons outside the territory of the constituent entity of the Russian Federation in which the compulsory health insurance policy was issued, in part:

a) reimbursement to other territorial funds for the cost of medical care provided to insured persons outside the territory of the constituent entity of the Russian Federation in which the compulsory health insurance policy was issued, in the amount provided for by the basic compulsory health insurance program;

b) payment of the cost of medical care provided by medical organizations of a constituent entity of the Russian Federation to persons insured on the territory of other constituent entities of the Russian Federation, with the subsequent restoration of funds to the normalized insurance reserve as costs are reimbursed by other territorial funds;

5. Financial support for activities is carried out within the limits of the normalized insurance reserve of the territorial fund, formed in accordance with Part 6.3 of Article 26 of the Law.

6. The territorial fund within 5 working days from the date of approval of the action plan provided for in paragraph 8 of the Rules for the use by medical organizations of the normalized safety stock of the territorial compulsory medical insurance fund for financial support of activities for the organization of additional professional education of medical workers under advanced training programs, as well as acquisition and repair of medical equipment approved by Decree of the Government of the Russian Federation of April 21, 2016 N 332 (hereinafter referred to as the Rules for the Use of Funds), notifies the medical organization in writing of the availability in the budget of the territorial fund of normalized safety stock funds for financial support of the activities planned for this medical organization.

6.1. Funds of the normalized safety stock for financial support of events are provided by the territorial fund to medical organizations located in the constituent entity of the Russian Federation, which provide for the implementation of activities, subject to the conditions established by paragraphs 4-7 of the Rules for the use of funds, on the basis of an agreement concluded by the territorial fund with the medical organization on financial support for events.

7. In case of exceeding the amount of funds established in accordance with the Law for a medical insurance organization to pay for medical care due to increased morbidity, an increase in tariffs for payment of medical care, the number of insured persons and (or) a change in their structure by gender and age, the territorial fund makes a decision on providing or refusing to provide the medical insurance organization with funds from the normalized insurance reserve that are missing to pay for medical care. Funds provided from the normalized insurance reserve are directed by the medical insurance organization exclusively to pay for medical care to insured persons under the territorial compulsory health insurance program.

Document with amendments made by: MHIF order of December 26, 2011 N 245 (Rossiyskaya Gazeta, N 35, 02/17/2012); MHIF order of April 29, 2016 N 85 (Official Internet portal of legal information www.pravo.gov.ru , 05/25/2016, N 0001201605250036); by order of the Compulsory Medical Insurance Fund of January 22, 2018 N 9 (Official Internet portal of legal information www.pravo.gov.ru, 02/08/2018, N 0001201802080051). In accordance with Article 26 Federal Law dated November 29, 2010 N 326-FZ “On compulsory health insurance in the Russian Federation” (“Rossiyskaya Gazeta” dated December 3, 2010 N 274) I order: Approve the Procedure for using the funds of the normalized insurance reserve of the territorial compulsory health insurance fund in accordance with the appendix. Chairman A. Yurin Registered with the Ministry of Justice of the Russian Federation on January 27, 2011, registration N 19588 Appendix.

Standardized safety stock tfoms

By accepting the terms of these Rules, the Customer consents to the processing by the Contractor (including its employees and other persons engaged by it to fulfill obligations) of his personal data (data of his representative or authorized person), as well as any other information and documentation provided to the Contractor as part of the performance Agreements, including those that are determined automatically by modern means of recording, for example: telephone number, email address, IP address, other data. 7.3. The Parties acknowledge that all information that they exchange in the process of concluding and executing the Agreement, including its terms, is confidential and is not subject to disclosure or transfer to third parties, with the exception of employees, specialists of the Parties and other persons engaged by the Parties to fulfill their obligations under the Agreement .

Instructions to the head physician: how to obtain rationed safety stock funds

After registering for the event, the Customer’s personal account is automatically created on the Contractor’s website and the online order payment button becomes active. Through the personal account, the Customer can make payment using the online order payment button, taking into account the provisions of Section 6 of these Rules.
4.5.

Payment by the Customer for the order indicates full and unconditional agreement of the terms of service provision under the Agreement. From the moment of payment for the order, the terms of the Agreement are considered finally agreed upon, confirmed and are not subject to change, unless otherwise provided by these Rules.

4.6. Legally significant interaction between the Parties (exchange of documents and contact information, etc.) occurs through the use of the Customer’s personal account, unless otherwise agreed by the Parties. The customer has direct access to personal account through the authorization system.

Normalized safety stock of the fund for additional events

Attention

Stavropol Territory in the amount of 43,020.52 thousand. Chapter 29 Federal Compulsory Medical Insurance Fund Federal Compulsory Medical Insurance Fund - entity, accountable to the Government of the Russian Federation, its financial resources are in state property of the Russian Federation, are targeted, are not included in the budgets, other funds and are not subject to withdrawal. The Federal Compulsory Medical Insurance Fund performs the following main tasks: - ensures the implementation of the Law of the Russian Federation “On Medical Insurance of Citizens in the Russian Federation”; - ensures the rights of citizens in the compulsory health insurance system; - participates in the development and implementation of state financial policy in the field of compulsory health insurance; - develops and implements a set of measures to ensure the financial sustainability of the compulsory health insurance system.

Important

Postpone the date of the event or change other characteristics of the agreed information and consultation event, taking into account the provisions of clause 4.11. Rules 5.4. The customer has the right: 5.4.1. Receive services from the Contractor in accordance with the terms of these Rules.

5.4.2.

Info

Make your own decision on the advisability of using the information and information obtained during the information and consulting event. 6. COST OF SERVICES AND PAYMENT PROCEDURE 6.1. The final cost of services is determined depending on the information and consulting event chosen by the Customer and the number of sites, taking into account clause 4.2.

Rules The cost of services per person (participant) is displayed when the Customer fills out an online application on the Contractor’s website, as well as in the Event Program.
The customer wishing to receive services registers for the selected event by filling out and submitting an online application on the Contractor’s website www.kormed.ru. When submitting an online application, a mandatory precondition is the Customer's familiarization and agreement with the provisions provided for in clause.
2.2. of the Rules, including the Program of the event chosen by the Customer. The event program contains such important and essential conditions provision of services, such as: the topic of the event and the issues under consideration, the form of the event and its location, cost, date and time of the event, the representative of the Contractor (lecturer), as well as other characteristics.
4.2. When filling out an application, the Customer in the “Additional information” field can provide: both his participation (his representative or an authorized person) and an additional number of participants.
Funds provided from the normalized insurance reserve are directed by the medical insurance organization exclusively to pay for medical care to insured persons under the territorial compulsory health insurance program. 8. According to Part 8 of Article 34 of the Law, the procedure for making payments for medical care provided to insured persons outside the territory of the constituent entity of the Russian Federation in which the compulsory health insurance policy was issued, at the expense of funds from the normalized safety stock, is determined by the rules of compulsory medical insurance. 9. Control over the intended use of normalized safety stock funds allocated to medical insurance organizations is carried out in accordance with the legislation of the Russian Federation. Order of the Federal Compulsory Medical Insurance Fund dated December 1, 2010
The Contractor is not liable to the Customer for any indirect, special, consequential damage, lost profits, loss of profit or income and any other indirect damage. Maximum size the Contractor's liability under the Agreement cannot exceed the cost of services provided by the Contractor under the Agreement. 8.5. In case of violation of paragraphs. 5.2.7. of the Agreement, the Customer undertakes to pay the Contractor a fine for each attracted representative (lecturer) of the Contractor in the amount of 200,000 (Two hundred thousand) rubles. 8.6. The Contractor is not responsible for non-fulfillment or untimely fulfillment of the Agreement due to the failure to appear or untimely appearance of the Customer (his authorized person or representative) at the venue of the event. 8.7.
If the amount of funds established in accordance with the Law for a medical insurance organization to pay for medical care is exceeded due to increased morbidity, an increase in tariffs for payment of medical care, the number of insured persons and (or) a change in their structure by gender and age, the territorial fund makes a decision on the provision or refusal to provide a medical insurance organization with funds from the normalized insurance reserve that are missing to pay for medical care. Funds provided from the normalized insurance reserve are directed by the medical insurance organization exclusively to pay for medical care to insured persons under the territorial compulsory health insurance program.

Namely, the sources of formation of funds for the normalized insurance reserve of the territorial compulsory health insurance fund and the directions for spending these funds are clarified. According to federal legislation and the provisions of the regional bill, the normalized insurance reserve includes funds for additional financing of the implementation of territorial compulsory health insurance (CHI) programs, as well as funds for payments for medical care provided to insured persons outside the territory of the subject of the Russian Federation in which the compulsory health insurance policy was issued.

Rules) less than 3 (three) calendar days before the agreed date for the start of the provision of services, the payment for services made by the Customer is considered to be actually incurred by the Contractor and is not refundable to the Customer. 9.5. The Contractor has the right to unilaterally refuse to perform the Agreement at any time without giving a reason.

The refusal is implemented by sending the Contractor a written notice to the Customer. The cost of the prepayment is returned to the Customer within 14 calendar days, with the exception of the cost of services actually rendered and expenses incurred by the Contractor. 9.6. Termination of the Agreement does not relieve the Parties from fulfilling their obligations and responsibilities that arose before the date of termination of the Agreement. 9.7. The provisions of these Rules may be changed by the Contractor unilaterally without any special notice to the Customer.
The Federal Compulsory Medical Insurance Fund, in the scope of the basic compulsory medical insurance program, allocates subsidies and subventions to territorial funds in amounts determined in accordance with the list of evaluation criteria: a) the degree of implementation of the Federal Law “On Medical Insurance of Citizens in the Russian Federation” - the presence of a territorial compulsory medical insurance program, its security sources of financing, completeness of collection of insurance premiums; b) efficiency of use financial resources participants compulsory medical insurance systems; c) existence of facts of seizure and misuse of compulsory medical insurance funds by decisions of regional authorities and local administrations; d) subsidization of the budget of a constituent entity of the Russian Federation; e) a comprehensive indicator of population health. Normalized insurance reserve of the territorial compulsory medical insurance fund in rubles. Article 2.

Despite the difficult financial situation in the country, which dictates conditions of austerity in all sectors without exception, the Russian government is seeking funds to support healthcare facilities. Thus, starting from the second half of this year, medical organizations in the Samara region have a unique opportunity to continue the modernization program implemented from 2011 to 2013. In this regard, a separate source of financing is being formed in the Territorial Compulsory Health Insurance Fund as part of the normalized insurance stock (NSS).

The money in question is accumulated from the application of sanctions for poor-quality medical care. In other words, these are funds returned to the Fund’s budget from those who committed fines. medical institutions. They are redistributed according to certain criteria.

Regulatory documents imply three main directions for spending NHA funds. They can be spent on:

1) advanced training of medical personnel;

2) maintaining the functionality of previously purchased medical equipment in health care facilities;

3) purchase of new medical equipment.

Treat according to standards

Let us recall that in 2016, in connection with emergencies that arose at two facilities in the regional healthcare industry - the Samara Clinical Geriatric Hospital and the Chelno-Vershinsk Central Regional Hospital - the TFOMS has already urgently made a positive decision on the application for the allocation of funds to eliminate the consequences of accidents .

In the Chelnovershinsky district, a medical facility was damaged as a result of a natural disaster. When assessing the damage to the corrugated roof of the transition from the infectious diseases department to the main building (area 212 square meters, length 30 meters), 465 thousand rubles were allocated from the Territorial Compulsory Medical Insurance Fund. The repair work has been completed and the hospital is operating as normal.

The Samara Clinical Geriatric Hospital was allocated 3 million 700 thousand rubles for repair work. There, as a result of a break in the cold and hot water supply system, the premises of the 1st floor, where the emergency department and intensive care wards are located, were flooded.

However, the main direction of expenditure of the normalized safety stock, according to the deputy director of the TFOMS of the Samara region Vladislava Romanova, is to equip medical institutions with the necessary medical equipment to provide medical care to the population within the framework of the compulsory health insurance program. It is important that the quality of service medical services must comply with current standards in all health care facilities in the region without exception.

System transparency is the basis for decision making

As Vladislav Romanov explained, there are two groups of criteria that determine the inclusion of medical organizations in the action plan for additional education of health workers, carrying out repairs and purchasing diagnostic and treatment equipment at the expense of the NHS.

- General criteria imply the operation of health facilities in the territorial compulsory medical insurance program, confirmed by all necessary documents, and timely submission of a correctly completed application, - Vladislav Romanov says . - When considering an application, the organization’s income from the implementation of the territorial compulsory medical insurance program, the staffing of the medical institution with doctors and nursing staff, and the proportion of doctors with qualification categories are also taken into account. Additional criteria include features of the medical organization (provision of planned, emergency, specialized and/or high-tech medical care, status of a regional vascular center, provision of assistance rural population etc.). For all of the above, according to the approved grid, the medical institution is awarded points, which form the basis for making a decision.

In total, about 78 million rubles are allocated for the implementation of these areas in the NHS in 2016. Almost 64 of them are for the purchase of equipment, 13 are for repairing equipment. Meetings on the inclusion of medical institutions in the Plan are being held at the regional Ministry of Health with the participation of the Federal Compulsory Medical Insurance Fund (three meetings have already taken place). Please note that the Program will continue next year.

Thus, among the measures already implemented are the repair of a mobile digital X-ray machine in the Syzran Central City Hospital for the amount of about 1.5 million rubles and a computer tomograph in the Samara City Hospital named after. Pirogov in the amount of about 2 million rubles. The equipment was also repaired in the Neftegorsk Central District Hospital, Togliatti City Clinical Hospital No. 2 named after. Banykin, Krasnoyarsk Central District Hospital, Bezenchuk Central District Hospital and Novokuibyshevsk Central City Hospital.

As for the purchase of necessary medical equipment, Samara City Children's Clinical Hospital No. 1 named after. Ivanova purchased an electrosurgical high-frequency device with the function of ligating blood vessels worth about half a million rubles; Togliatti City Children's Hospital No. 1 purchased a fiber gastroscope for neonatal and pediatric studies worth about 1.5 million rubles and a light source for it worth almost 150 thousand rubles. The list for updating the equipment fleet also included the Koshkinskaya Central District Hospital, the Pokhvistnevskaya Central City Hospital, the Otradnenskaya City Hospital, and the Special Clinical Hospital named after. Seredavina, Khvorostyanskaya Central District Hospital, Bezenchukskaya Central District Hospital, Samara City Clinical Hospital No. 8, Samara City Hospital No. 4, Samara City Hospital No. 7 and Samara City Consultative and Diagnostic Clinic No. 14.