In case of exceeding the size of the normalized insurance stock. Normalized insurance stock of the territorial fund of compulsory medical insurance checks

The document as amended by: order of the MHIF dated December 26, 2011 N 245 ( Russian newspaper, N 35, February 17, 2012); by order of the MHIF dated April 29, 2016 N 85 (Official Internet portal of legal information www.pravo.gov.ru, May 25, 2016, N 0001201605250036); by order of the MHIF dated January 22, 2018 N 9 (Official Internet portal of legal information www.pravo.gov.ru, 02/08/2018, N 0001201802080051). Article 26 federal law dated November 29, 2010 N 326-FZ "On compulsory medical insurance in Russian Federation” (“Rossiyskaya Gazeta” dated December 3, 2010 N 274) I order: Approve the procedure for using the funds of the normalized safety stock territorial fund mandatory health insurance according to the application. Chairman A.Yurin Registered by the Ministry of Justice of the Russian Federation on January 27, 2011, registration N 19588 Appendix.

Normalized safety stock tfoms

By accepting the terms of these Rules, the Customer agrees to the processing by the Contractor (including its employees and other persons involved by him 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 execution of the Agreement, including the one that is automatically determined by modern means of fixing, for example: phone number, e-mail 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, not subject to disclosure and 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 get the funds of the normalized insurance stock

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

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

4.6. Legally significant interaction of the Parties (exchange of documents and contact details, 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 insurance stock of the fund for additional events

Attention

Stavropol Territory in the amount of 43020.52 thousand. Chapter 29 Federal Compulsory Medical Insurance Fund Federal CHI Fund - entity, accountable to the Government of the Russian Federation, its financial resources are in state property 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 system of compulsory medical insurance; - participates in the development and implementation of the state financial policy in the field of compulsory medical insurance; - develops and implements a set of measures to ensure financial stability compulsory health insurance systems.

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

Independently make a decision on the appropriateness of using the information and information obtained during the information and consultation event. 6. COST OF SERVICES AND PROCEDURE OF PAYMENTS 6.1. The total 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, who wants to receive services, registers for the selected event by filling out and sending an online application on the Contractor's website www.kormed.ru. When submitting an online application, an obligatory prerequisite is the familiarization and consent of the Customer with the provisions provided for in art.
2.2. of the Rules, including the Program of the event chosen by the Customer. The program of the event 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 venue, cost, date and time of the event, the representative of the Contractor (lecturer), as well as other characteristics.
4.2. When filling out the application, the Customer in the "Additional Information" field can provide: both his participation (his representative or authorized person), and an additional number of participants.
The funds provided from the normalized insurance stock are sent by the medical insurance organization exclusively for payment medical care insured persons under the territorial program of compulsory medical insurance. 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 medical insurance policy was issued, at the expense of the normalized insurance stock, is determined by the rules of compulsory medical insurance. 9. Control over the intended use of the normalized insurance stock funds sent to insurance medical organizations is carried out in accordance with the legislation of the Russian Federation. Order Federal Fund OMS dated December 1, 2010
The Contractor shall not be liable to the Customer for any indirect, special, consequential damages, lost profits, loss of profit or income, and any other indirect damage. Maximum size The liability of the Contractor under the Contract cannot exceed the cost of services provided by the Contractor under the Contract. 8.5. In case of violation of p.p. 5.2.7. of the Contract, the Customer undertakes to pay the Contractor a fine for each involved representative (lecturer) of the Contractor in the amount of 200,000 (two hundred thousand) rubles. 8.6. The Contractor shall not be liable for non-performance or untimely performance of the Agreement due to the absence or untimely appearance of the Customer (his authorized person or representative) at the venue of the event. 8.7.
In case of exceeding the amount of funds established in accordance with the Law for the insurance medical organization to pay for medical care due to increased morbidity, an increase in tariffs for paying for medical care, the number of insured persons and (or) a change in their structure by sex and age, the territorial fund makes a decision on the provision or refusal to provide the insurance medical organization with the funds that are missing to pay for medical care from the normalized insurance stock. The 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 program of compulsory medical insurance.

Namely, the sources of formation of the funds of the normalized insurance reserve of the territorial fund of compulsory medical insurance and the direction of spending these funds are specified. According to federal law and the provisions of the regional bill, the normalized insurance reserve includes funds for additional financing of the implementation of territorial programs of compulsory medical insurance (CMI), as well as funds for paying for medical care provided to insured persons outside the territory of the constituent entity of the Russian Federation in which the compulsory medical insurance policy was issued.

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

The refusal is implemented by sending a written notice to the Customer by the Contractor. The cost of the prepayment is returned to the Customer within 14 calendar days, except for the cost of actually rendered services and the costs incurred by the Contractor. 9.6. Termination of the Agreement does not release the Parties from the fulfillment of 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 CHI Fund, in the scope of the basic CHI program, allocates grants 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 Health Insurance of Citizens in the Russian Federation" territorial program compulsory medical insurance, the availability of its sources of financing, the completeness of the collection of insurance premiums; b) efficiency of use financial resources participants CHI systems; c) the existence of facts of seizure and misuse of compulsory medical insurance funds by decisions of regional authorities and local administrations; d) the subsidization of the budget of the constituent entity of the Russian Federation; e) a complex indicator of the health of the population. The normalized insurance reserve of the territorial fund of compulsory medical insurance of rubles. Article 2

Regulations on the procedure for the formation and direction of the funds of the normalized insurance reserve of the Federal Compulsory Medical Insurance Fund in 2007 for equalization financial terms activities of territorial compulsory medical insurance funds for financing territorial programs of compulsory medical insurance (approved by the decision of the FFOMS Board of September 19, 2007 N 13A / 01) (Registered in the Ministry of Justice of the Russian Federation on September 26, 2007 N 10182)

17. Control over the intended use of the normalized insurance stock funds transferred for the completion of payments for actually dispensed medicines certain categories citizens, is carried out in accordance with the legislation of the Russian Federation.

IV. The order of the direction of the Territorial

funds of the normalized insurance stock of the MHIF

to finance the territorial programs of mandatory

medical insurance as a result of natural disasters,

disasters, terrorist attacks and other

emergency

18. The basis for the provision of reserved funds of the normalized insurance reserve are proposals and recommendations submitted in writing by the legislative and executive bodies of state power of the Russian Federation, appeals of 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 justifications for the requested funds.

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

V. On declaring invalid

normative legal act of the MHIF

20. Recognize as invalid the Regulations on the procedure for directing funds from the normalized insurance reserve of the Federal Compulsory Medical Insurance Fund to equalize the financial conditions for the activities of territorial compulsory medical insurance funds to finance territorial programs of compulsory medical insurance, approved by the Federal Compulsory Medical Insurance Fund on 02.06.2005 N 5A / 7.1, 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", N 25, 06/20/2005).

Chairman of the Board

Federal Compulsory Medical Insurance Fund

M.Yu. ZURABOV

Appendix No. 1

to the regulation

formation and direction

normalized

insurance stock of the Federal

mandatory 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 of the territorial compulsory medical insurance fund) for the provision of funds from the normalized insurance reserve of the Federal Compulsory Medical Insurance Fund to equalize the financial conditions for the activities of territorial compulsory medical insurance funds to finance territorial compulsory medical insurance programs in 2007 ┌────────────────── ─────────────────────────────────────────────────── ┐ │Amount of application, million rubles │ │ ├─────────────────────────────────────────────── ──────────┼──────┤ │Cost of the territorial CHI program duly approved for the current│ │ │year, million rubles. │ │ └────────────────────────────────────────────── ──────────┴─────────────────────────────────────── ──────────┬──────────┬────────────┐ │N p/p│ Name of indicators │Approved│Executed with│ │ │ │for the current│beginning of the year│ │ │ │ year │ as of the date │ │ │ │ according to │drafting│ │ │ │ budget │applications "__"│ │ │ │ TFOMS, │"____" 2007│ ││ │ year, million │ │ │ │ │ rub. │ ├─────┼───────────────────────────────────┼──────── ────┼────────────┤ │ 1 │ 2 │ 3 │ 4 │ ├─────┼─────────────────── ─────────────────┼───────────┼───────────┤ │ 1. │ Balance at the beginning years ───────┼─────────────┤ │ │ including in bank deposits│ X │ │ │ │and government securities ───┼─────────┼────────────┤ │ 2. │Receipt of funds - total: │ │ │ ├─────┼───── ───────────────────────────────────────────────────── ────┤ │2.1. │ including: │ │ │ │ │ unified social tax, │ │ │ │ │ credited to territorial funds 2.2 . │ insurance premiums for the mandatory │ │ │ │ │ Medicine insurance │ │ │ │ │ │ -working population, │ │ │ │ │ │ paid to the territorial │ │ │ │ │ funds by the executive bodies │ │ │ │ │ ├─────┼───────────────────────────────────┼──────── ────┼────────────┤ │2.3. │ arrears, penalties and fines for │ │ │ │ │ insurance premiums for CHI │ │ │ │ │ non-working population │ │ │ 2.4. │ single tax levied in connection with │ │ │ │ │ application of the simplified taxation system │ │ │ 2.5. │single tax on imputed income for│ │ │ │ │separate types of activity ──────────┼────────────────────────┤│2.6 │single agricultural tax │ │ │ ──────────┼────────────┤│2.7. │arrears, penalties and fines for a single │ │ │ │ │ social tax and insurance premiums 2.8. │NHA funds of the Federal Compulsory Medical Insurance Fund│ X │ │ │ │for equalizing financial conditions │ │ │ │ │financing activities │ │ │ │ │territorial program of compulsory medical insurance ────────────────────────────────────────────────────── ┤ │2.9. │ │ │ │ │ │ │ │ │ │ │ │ │ Federal CHI Fund for the implementation of the │ │ │ │ │ territorial CHI program in │ │ │ │ │ within the framework of the basic CHI program │ │ │ ├───────────── ────────────────────────────────────────────────────── ┤ │2.10.│subsidies from the federal budget ───────────────────────────────────────────────────┤ │2.11.│ subsidies from the federal budget │ X │ │ │ │ budget for additional payment│ │ │ │ │ ambulator-polyninic assistance, │ │ │ │ │ pricked non-working pensioners │ │ │ │ ────┼────────────────────────────────────────────── ─┼───────────┤ │2.12.│subventions from federal funds │ X │ │ │ │budget for cash payments │ │ │ │ │district doctors, district │ │ │ │ │pediatricians, general practitioners (family) │ │ │ │ │practices, nurses │ │ │ │ │relevant doctors, subject to │ │ │ │ │inclusion in the Federal Register │ │ │ │ │ medical workers│ │ │ ├─────┼───────────────────────────────────┼───── ──────┼──────────┤ │2.13.│subsidies from the federal budget │X │ │ │ │budget for additional medical examination │ │ │ │ │ │ │ │ │ │ │ working citizens │ │ │ ├─────┼───────────────────────────────────┼───── ──────┼────────────┤ │2.14.│means federal budget on │ │ │ │ │providing state social. │ │ │ │ │ assistance to certain categories of citizens │ │ │ │ │ for the provision of medicinal │ │ │ │ │ funds provided for 2007 │ │ │ │ │ according to Appendix N 4 Art. 5 │ │ │ │ │ MHIF budget │ │ │ ───┼─────────┼───────────┤ │2.15.│ federal budget allocations │ X │ │ │ │ for the implementation of territorial │ │ │ │ │ CHI programs within the basic │ │ │ │ │ MHI program, taking into account the balance of │ │ │ │ │ funds as of January 1, 2007, │ │ │ │ │ formed in the MHIF budget in │ │ │ │ │ as a result of underutilization of ││ │ Implementation of measures │ │ │ │ │ │ social support of individual │ │ │ │ funds to certain │ │ │ │ │categories of citizens in 2006 ───────┼──────────┼────────────┤ │2.16.│subsidies for the implementation of activities │ X │ │ │ │under the basic program │ │ │ │ │ compulsory medical insurance │ │ │ │ │ insurance transferred from the │ │ │ │ │ federal budget in 2007, │ │ │ │ │according to Art. 8 budget of the MHIF ─────────┼───────────┤ │2.17.│subsidies from the funds of the Federal │ X │ │ │ │Compulsory Medical Insurance Fund for the implementation of the │ │ │ │ │territorial program of Compulsory Medical Insurance in │ │ │ │ │ within the framework of the basic CHI program, │ │ │ │ │ aimed at providing │ │ │ │ │ state social. assistance │ │ │ │ │ certain categories of citizens for │ │ │ │ │ provision of medicinal │ │ │ │ │ funds in accordance with the Post. │ │ │ │ │ Government of the Russian Federation N 102 dated │ │ │ │ │19.02.2007 ─────────────┼──────────┼───────────┤ │2.18.│normalized insurance funds │ X │ │ │ │ stock of the Federal Compulsory Medical Insurance Fund, │ │ │ │ │ aimed at providing │ │ │ │ │ state social. assistance │ │ │ │ │ certain categories of citizens in terms of │ │ │ │ │ provision of medicines │ │ │ │ │ funds │ │ │ ──────────────────┼───────────┼───────────────────┤ │2.19.│funds of the Federal CHI Fund , │ x │ │ │ │ │ listed from the federal │ │ │ │ ───┼──────────────────────────────────────────────── ┼───────────┤ │2.20.│subventions from the federal budget │ │orphans and children left without parental care │ │ │ ├────────────────────────── ──────────┼────────────────────────┤│ 21.│other income ┼──────────┼───────────┤ │ 3. │Expenses - total: │ │ │ ├─────┼───────── ────────────────────────────────────────────────────── ┤ │ │ including: │ │ │ ├─────┼───────────────────────────────── 3.1. │Funding costs │ │ │ │ │territorial CHI program - │ │ │ │ │total: │ │ │ ├────────────────────────────────────────── ───────────────┼──────────┼─────────────┤ │ │ including: │ │ │ ├─ ────┼────────────────────────────────────────────── ─┼───────────┤ │ │- expenses for the implementation of │ │ │ │ │territorial CHI program for │ │ │ │ │providing medical care │ │ │ ├──────┼─── ───────────────────────────────────────────────────── ─────┤ │ │- expenses for the implementation of │ │ │ │ │ management functions │ │ │ ├─────┼────────────────────── ──────────────┼──────────┼─────────────┤ │ │- expenses for rendering │ │ │ │ │state social assistance │ │ │ │ │ certain categories of citizens for │ │ │ │ │ provision of medicines 3.2. │ expenses for additional payment │ x │ │ │ │ ambulator-voglinical assistance, │ │ │ │ │ │ the limiting non-working pensioners │ │ │ │ │ for the territorial program │ │ │ │ │ MOS (completion of calculations for 2006 │ │ │ │ ) │ │ │ ───────┼────────────┤ │3.3. │expenses for cash payments │ X │ │ │ │district doctors, district doctors │ │ │ │ │pediatrists, general (family) doctors │ │ │ │ │practice, nurses │ │ │ │ │ │ │ │ │ │ │ │ │ inclusion in the Federal Register │ │ │ │ │medical workers 3.4. │expenses for carrying out │X │ │ │ │additional clinical examination │ │ │ │ │working citizens │ │ │ ───────────────┼──────────┼─────────────┤

from ____________ N ________

FEDERAL FUND FOR MANDATORY HEALTH INSURANCE

ORDER

On the procedure for using the funds of the normalized insurance reserve of the territorial fund of compulsory medical insurance

(as amended on January 22, 2018)

Repealed from August 3, 2019 on the basis of
order of the MHIF dated March 27, 2019 N 54
____________________________________________________________________

____________________________________________________________________
Document as amended by:
(Rossiyskaya Gazeta, No. 35, February 17, 2012);
(Official Internet portal of legal information www.pravo.gov.ru, May 25, 2016, N 0001201605250036);
(Official Internet portal of legal information www.pravo.gov.ru, 02/08/2018, N 0001201802080051).
____________________________________________________________________

In accordance with Article 26 of the Federal Law of November 29, 2010 N 326-FZ "On Compulsory Medical Insurance in the Russian Federation" ("Rossiyskaya Gazeta" of December 3, 2010 N 274)

I order:

Approve the procedure for using the funds of the normalized insurance stock of the territorial fund of compulsory medical insurance in accordance with the appendix.

Chairman
A.Yurin

Registered
at the Ministry of Justice
Russian Federation
January 27, 2011
registration N 19588

Application. The procedure for using the funds of the normalized insurance stock of the territorial fund of compulsory medical insurance

Application

1. The procedure for using the funds of the normalized insurance stock of the territorial fund of compulsory medical insurance (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 for the use territorial fund of compulsory medical insurance (hereinafter referred to as the territorial fund) of the normalized insurance reserve of the territorial fund.

2. The normalized insurance reserve of the territorial fund (hereinafter referred to as the normalized insurance reserve) is formed as part of the expenses of the budget of the territorial fund to ensure the financial sustainability of compulsory medical insurance.
by order of the MHIF dated April 29, 2016 N 85.

3. The size and purpose of using the normalized insurance reserve funds are established by the law on the budget of the territorial fund. The amount of funds of the normalized insurance reserve (excluding funds for making payments for medical care provided to insured persons outside the territory of the subject of the Russian Federation in which the policy of compulsory medical insurance was issued, and funds for financial support of measures to organize additional professional education of medical workers under programs for improving qualification, as well as for the acquisition and repair of medical equipment (hereinafter referred to as events) & nbsp) should not exceed the average monthly amount of the planned receipts of the territorial fund for the next year to financially support the territorial program of compulsory medical insurance. The purposes of using the funds of the normalized insurance stock are established in accordance with paragraph 4 of this Procedure. The funds of the normalized insurance stock are accounted for in the account for accounting for the funds of compulsory medical insurance. The amount of funds of the normalized insurance reserve is included in the total amount of financial support for the territorial program of compulsory medical insurance, with the exception of the funds of the normalized insurance reserve allocated for the purposes specified in sub-subparagraph "b" of subparagraph 2 and subparagraph 3 of paragraph 4 of this Procedure.
(Paragraph as amended, entered into force on February 28, 2012 by order of the MHIF dated December 26, 2011 N 245; as amended, entered into force on June 5, 2016 by order of the MHIF dated April 29, 2016 N 85.

4. Means of normalized safety stock are used for:

1) additional financial support for the implementation of territorial programs of compulsory medical insurance by providing the medical insurance organization with the funds that are missing to pay for medical care in accordance with part 6 of Article 38 of the Law;
(Subparagraph as amended, put into effect on June 5, 2016 by order of the MHIF dated April 29, 2016 N 85.

2) 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 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 subject of the Russian Federation in which the compulsory medical insurance policy was issued, in the amount provided for by the basic program of compulsory medical insurance;

b) payment of the cost of medical care provided 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 composition of the normalized insurance reserve as the costs are reimbursed by other territorial funds;

3) financial support for events.
(The subparagraph was additionally included from June 5, 2016 by order of the MHIF dated April 29, 2016 N 85)

5. Financial provision of measures 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.
(Paragraph as amended, entered into force on June 5, 2016 by order of the MHIF dated April 29, 2016 N 85.

6. Territorial fund within 5 working days from the date of approval of the action plan provided for in clause 8 of the Rules for the use by medical organizations of the funds of the normalized insurance reserve of the territorial fund of compulsory medical insurance for financial support of activities for the organization of additional professional education of medical workers under advanced training programs, as well as for purchase 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 presence in the budget of the territorial fund of funds of the normalized insurance reserve for financial support of the activities planned for this medical organization.
(Paragraph as amended, entered into force on June 5, 2016 by order of the MHIF dated April 29, 2016 N 85.
________________
Official Internet portal of legal information http://www.pravo.gov.ru, 04/25/2016, N 0001201604250009.
(The footnote was additionally included from June 5, 2016 by order of the MHIF dated April 29, 2016 N 85)

6_1. The normalized insurance reserve funds for financial support of events are provided by the territorial fund to medical organizations located in the subject of the Russian Federation, which provide for the implementation of events, as well as to medical organizations subordinate to the executive bodies of state power of the subject of the Russian Federation, which provides for the implementation of events located on the territory of another subject of the Russian Federation, 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 a medical organization on the financial support of events.
(The paragraph was additionally included from June 5, 2016 by order of the MHIF of April 29, 2016 N 85; as amended, put into effect on February 19, 2018 by order of the MHIF of January 22, 2018 N 9.

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

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 medical insurance policy was issued, at the expense of the normalized insurance stock, is determined by the rules of compulsory medical insurance.

9. Control over the intended use of the normalized insurance stock funds sent to medical organizations, medical insurance organizations is carried out in accordance with the legislation of the Russian Federation.
(Paragraph as amended, entered into force on June 5, 2016 by order of the MHIF dated April 29, 2016 N 85.

Revision of the document, taking into account
changes and additions prepared
JSC "Kodeks"

Despite the difficult financial situation in the country, which dictates the conditions for 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 that was implemented from 2011 to 2013. In this regard, a separate source of financing is formed in the Territorial Compulsory Medical Insurance Fund as part of the normalized insurance reserve (NSZ).

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

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

1) advanced training of medical personnel;

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

3) purchase of new medical equipment.

Treat according to standards

Recall that in 2016, in connection with emergencies that arose at two facilities of the regional healthcare industry - the Samara Clinical Geriatric Hospital and the Chelno-Vershinskaya Central District Hospital, the TFOMS already made an urgent positive decision on an application for the allocation of funds to eliminate the consequences of accidents .

In the Chelnovershinskiy 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 funds of the Territorial Compulsory Medical Insurance Fund. Repairs have been completed and the hospital is operating normally.

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

However, the main direction of expenses of the normalized insurance stock, according to the deputy director of the TFOMS of the Samara region Vladislav Romanov, is to equip medical institutions with the necessary medical equipment to provide medical care to the population within the framework of the compulsory medical insurance program. It is important that the quality of delivery medical services must comply with applicable standards in all medical facilities in the region without exception.

Transparency of the system 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 medical workers, repairs and the purchase of medical diagnostic equipment at the expense of the NHS.

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

In total, about 78 million rubles are provided for the implementation of these areas in the NHA in 2016. Almost 64 of them - for the purchase of equipment, 13 - for the repair of equipment. Meetings on the inclusion of medical institutions in the Plan are held in the regional Ministry of Health with the participation of TFOMS (three meetings have already taken place). Note that the Program will continue next year.

Thus, among the activities already implemented is the repair of a mobile digital X-ray machine in the Syzran Central City Hospital in 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 Neftegorskaya Central District Hospital, Togliatti City Clinical Hospital No. Banykin, Krasnoyarsk Central District Hospital, Bezenchuk Central District Hospital and Novokuibyshevskaya Central City Hospital.

As for the purchase of the necessary medical equipment, the Samara City Children's Clinical Hospital No. Ivanova purchased a high-frequency electrosurgical apparatus with the function of vessel ligation worth about half a million rubles, to the Togliatti City Children's Hospital No. 1 - a fibrogastroscope 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 the renewal of the equipment fleet also includes the Koshkinskaya Central District Hospital, the Pokhvistnevskaya Central City Hospital, the Otradnenskaya City Hospital, the State Clinical Hospital named after. Seredavina, Khvorostyansk Central District Hospital, Bezenchuk 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 Polyclinic No. 14.

At the same time, the funds of the normalized insurance stock allocated for these payments cannot exceed 5 percent of the total amount of the normalized insurance stock. 7. In case of exceeding the amount of funds established in accordance with the Law for the insurance medical organization to pay for medical care due to increased morbidity, an increase in tariffs for paying for medical care, the number of insured persons and (or) a change in their structure by sex and age, the territorial fund makes a decision on providing or refusing to provide the medical insurance organization with the funds that are missing to pay for medical care from the normalized insurance stock.

Normalized safety stock tfoms

Such information may be provided in the following forms:

verbal (oral speech);
symbolic or graphic (signs, text, formulas, diagrams, graphs, presentations, etc., visualized, including with the help of computer technologies);
subject - figurative (information on paper and (or) electronic media).

7.8. The Customer has the right to use these results only for his own needs, provided for by the Agreement. Among other things, this limitation implies a ban on the publication of the results of intellectual activity on the Internet, use in presentations, reports and any other materials produced or distributed by the Customer.

The transfer of the results of intellectual activity to third parties is prohibited, except in cases where such transfer follows from the essence of the Agreement and the requirements of the law.

Instructions to the head physician: how to get the funds of the normalized insurance stock

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 medical insurance policy was issued, at the expense of the normalized insurance stock, is determined by the rules of compulsory medical insurance. 9. Control over the intended use of the normalized insurance stock funds sent to medical organizations, medical insurance organizations is carried out in accordance with the legislation of the Russian Federation.

Normalized insurance stock of the fund for additional events

The cost of services is not subject to VAT (Notice on the possibility of applying the simplified taxation system dated May 28, 2009 No. 1573). 6.2. The provision of services is carried out on the terms of their 100% advance payment by the Customer, unless otherwise provided by the characteristics of the order. The Contractor starts rendering services to the Customer only upon receipt of funds to the Contractor's settlement account, unless otherwise provided by the characteristics of the order.
6.3. Payment for the provision of services under the Agreement in cash is made to the cash desk of the Contractor with the issuance by the latter of a document confirming payment (cash receipt or receipt of the established form). 6.4. Payment for the provision of services under the Agreement in a non-cash form is made on the basis of the invoice issued by transferring funds to the account of the Contractor.
The amount of the normalized insurance reserve should not exceed the average monthly amount of the planned receipts of the territorial fund for the next year for the financial support of the territorial program of compulsory medical insurance. The purposes of using the funds of the normalized insurance stock are established in accordance with paragraph 4 of this Procedure. The funds of the normalized insurance stock are accounted for in the account for accounting for the funds of compulsory medical insurance.
The amount of funds of the normalized insurance reserve is included in the total amount of financial support for the territorial program of compulsory medical insurance. 4.

Comply with other terms of the Agreement and prevent violations of its provisions. 5.2. The Customer undertakes: 5.2.1. Fulfill obligations properly in accordance with the terms of this Agreement, as well as the obligations and requirements of the law, other legal acts, and in their absence, in accordance with business practices or other commonly required requirements. 5.2.2. Pay for the services of the Contractor in the amount, in the manner, on time and on other terms of the Agreement, taking into account the selected event.

5.2.3. In the case of holding an information and consultation event in person, ensure your timely appearance or your authorized person or representative. 5.2.4.
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Subject to the consent of the other Party and the achievement of relevant agreements on the terms of termination or amendment of the Agreement, the Parties draw up an Agreement to terminate the Agreement or an Additional Agreement to amend the provisions of the Agreement. 9.4. The Customer has the right to refuse to execute the Agreement, subject to payment to the Contractor for the actually rendered services and the expenses incurred by him. The refusal is implemented by sending a written notice to the Contractor by the Customer. Overpaid by the Customer cash are subject to return by the Contractor within 14 calendar days from the date of receipt from the Customer of a notice of withdrawal from the Agreement. In the event that the Customer refuses to provide services (including in the case provided for in clauses 4.8.

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Any customer is individual, legal entity or individual entrepreneur who, in accordance with applicable law, has the right to enter into legal relations of this kind, who has expressed a desire to take part in the event and consider himself to have concluded an Agreement with the Contractor on the terms of these Rules. 1.7. The Customer has the right to act through his authorized person or representative in accordance with the legislation of the Russian Federation, notifying the Contractor by any accessible way. 1.8. Due to the fact that in the process of executing the Rules there is no reliable identification of the Customer's personality, the responsibility for illegal actions in someone else's interest lies with the Customer.

1.9.
of the Russian Federation, in which the compulsory medical insurance policy was issued, in terms of: 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 medical 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 the costs are reimbursed by other territorial funds; 5.
Government of the Russian Federation dated May 22, 2015 In accordance with paragraph 1 of part 1 of Article 6 of the Federal Law "On the budget of the Federal Compulsory Medical Insurance Fund for 2015 and for the planning period of 2018 and 2018", the Government of the Russian Federation decides: 1. Approve the attached Rules for sending to 2015 of the funds of the normalized insurance reserve of the Federal Compulsory Medical Insurance Fund for additional financial support for the provision of specialized medical care by federal state institutions. Tasks and functions of the territorial fund CHI State Assembly (Il Tumen) of the Republic of Sakha (Yakutia) The bill provides for a change in the source of internal financing of the Fund's budget deficit for 2018 (Appendix No. 3 to the draft Law) by changing the balance of the budget as of January 01, 2018, in the amount of 93,631.6 thousand rubles.