Unofficial translation
In conformity with sub-paragraph 67 of Article 7 of the Code of the Republic of Kazakhstan of July 7, 2020 “On Public Health and the Health Care System”, I HEREBY ORDER:
1. That the attached rules for keeping records of healthcare subjects providing medical care within the guaranteed volume of free medical care and (or) in the system of compulsory social medical insurance shall be approved.
2. That in accordance with the procedure established by the legislation of the Republic of Kazakhstan, the Department for Coordination of Mandatory Social Health Insurance of the Ministry of Healthcare of the Republic of Kazakhstan shall provide:
1) the state registration hereof with the Ministry of Justice of the Republic of Kazakhstan;
2) the placement hereof on the website of the Ministry of Healthcare of the Republic of Kazakhstan after its official publication;
3) within ten working days after state registration hereof, submission to the Legal Department of the Ministry of Health of the Republic of Kazakhstan of information on the implementation of activities stipulated by sub-paragraphs 1) and 2) of this paragraph.
3. That the First Vice-Minister of Healthcare of the Republic of Kazakhstan, M.Y. Shoranova shall be charged with control over execution hereof.
4. This order shall be put into effect ten calendar days after the date of its first official publication.
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Minister of Healthcare of the Republic of Kazakhstan |
A. Tsoy |
| Approved by order of the Minister of Healthcare of the Republic of Kazakhstan № KR DSM-186/2020 dated 06.11.2020 |
The Rules for maintaining records of healthcare entities providing medical care within
the framework of the guaranteed volume of free medical care and (or) in the compulsory
social health insurance system
Footnote. Rules - as amended by the order of the acting Minister of Healthcare of the Republic of Kazakhstan dated 17.08.2023 № 145 (shall come into effect upon the expiration of ten calendar days after the day of its first official publication).
Chapter 1. General provisions
1. These Rules for maintaining records of healthcare entities providing medical care within the framework of the guaranteed volume of free medical care and (or) in the compulsory social health insurance system (hereinafter referred to as the Rules) have been developed in accordance with subparagraph 67) of Article 7 of the Code of the Republic of Kazakhstan "On Public Health and Healthcare System" (hereinafter referred to as the Code) and shall determine the procedure for maintaining records of healthcare entities providing medical care within the framework of the guaranteed volume of free medical care (hereinafter referred to as the Guaranteed volume of free medical care) and (or) in the compulsory social health insurance system (hereinafter referred to as the Compulsory social health insurance system).
2. These Rules shall use the following basic concepts:
1) social health insurance fund (hereinafter referred to as the Fund) - a non-profit organization that accumulates deductions and contributions, as well as purchases and pays for the services of healthcare entities providing medical care in the volumes and on the conditions stipulated by the contract for the purchase of medical services, and other functions, determined by the laws of the Republic of Kazakhstan;
2) co-executor - a healthcare entity included in the database of healthcare entities applying for medical care provision within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system (hereinafter referred to as the Database), with which the supplier entered into a co-execution agreement to fulfill part of the supplier’s obligations under the concluded agreement procurement of medical services within the framework of the guaranteed volume of medical care or in the compulsory medical insurance system or a contract for the purchase of services for additional provision of the guaranteed volume of medical care;
3) co-execution agreement - an agreement in writing between the supplier and the healthcare entity, providing for the provision of medical care within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system to fulfill part of the supplier’s obligations under the concluded contract for the purchase of services or additional provision of the guaranteed volume of medical care;
4) authorized body in the field of healthcare (hereinafter referred to as the Authorized body) - the central executive body exercising leadership and intersectoral coordination in the field of protecting the health of citizens of the Republic of Kazakhstan, medical and pharmaceutical science, medical and pharmaceutical education, sanitary and epidemiological welfare of the population, circulation of medicines and medical products, quality of medical services (assistance);
5) healthcare entities – healthcare organizations, as well as individuals engaged in private medical practice and pharmaceutical activities;
6) database – a list of healthcare entities applying for medical care provision within the framework of the State Guaranteed Volume of Medical Care and (or) the Compulsory Medical Insurance, formed by the fund in accordance with these Rules;
7) web portal for the procurement of services from healthcare entities (concerning the Rules) (hereinafter referred to as the Web portal) – an information system that provides a single point of access to electronic services for the procurement of services from healthcare entities within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system;
8) supplier - a healthcare entity with which the fund or administrator of budget programs has agreed on the purchase of medical services within the framework of the guaranteed volume of medical care or in the compulsory medical insurance system or an agreement for the purchase of services for additional provision of the guaranteed volume of medical care in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated December 8, 2020, № KR DSM-242/2020 "On approval of the rules for the procurement of services from healthcare entities for the provision of medical care within the framework of the guaranteed volume of free medical care and (or) in the compulsory social health insurance system" (registered in the State Register of Normative Legal Acts under № 21744) (hereinafter referred to as Procurement rules);
9) contract for the purchase of services for additional provision of the guaranteed volume of medical care (hereinafter referred to as the Contract for the purchase of services) - an agreement in writing between the administrator of budget programs and the healthcare entity, providing for the provision of medical care within the framework of the guaranteed volume of medical care;
10) contract for the purchase of medical services within the framework of the guaranteed volume of medical care or in the compulsory medical insurance system (hereinafter referred to as the Contract for the purchase of services) - an agreement in writing between the fund and the healthcare entity, providing for the provision of medical care within the framework of the guaranteed volume of medical care or in the compulsory medical insurance system;
11) digital healthcare entity – a legal entity carrying out activities or entering into public relations in terms of information and technical support of healthcare information systems, including organizational and methodological work with healthcare entities;
12) electronic document – a document in which information is presented in electronic digital form and certified employing an electronic digital signature;
13) electronic digital signature (hereinafter referred to as EDS) – a set of electronic digital symbols created using an electronic digital signature and confirming the authenticity of the electronic document, its ownership and immutability of content.
Chapter 2.
The procedure for maintaining records of healthcare entities providing medical care within the framework
of the guaranteed volume of free medical care and (or) in the compulsory social health insurance system
3. Maintaining records of healthcare entities providing medical care within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system (hereinafter referred to as the Registration of healthcare entities) shall be carried out by the fund.
4. Registration of healthcare entities shall be carried out through:
1) formation and updating of the database;
2) formation and updating of the list of healthcare entities excluded from the database;
3) formation and updating of the list of co-executors;
4) identification of healthcare entities included in the database as appropriate for the conclusion of long-term procurement contracts for up to three years (hereinafter referred to as the long-term contract).
Footnote. Paragraph 4 as amended by the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).5. The formation of the database shall be carried out by the fund on the web portal on an ongoing basis based on applications submitted by healthcare entities for inclusion (updating) in the database(s) of healthcare entities applying for medical care provision within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system under form in accordance with Appendix 1 to these Rules (hereinafter referred to as the Application).
6. The application shall be submitted by the healthcare entity at the location of the production base(s) located in the corresponding administrative-territorial unit (region, city of republican significance, capital), on the web portal in electronic form, certified by the digital signature of the head of the healthcare entity or person authorized by him in cases of:
1) availability of a license for medical activities and annexes to it, confirming the right to provide relevant medical services at the location of the production base of the healthcare entity in accordance with the Law of the Republic of Kazakhstan "On Permits and Notifications" (hereinafter referred to as the Law), registered in the information system "E-Licensing" State Database"(hereinafter referred to as the "E-licensing" SDB);
2) non-involvement in bankruptcy or liquidation proceedings;
3) absence of restrictions on inclusion in the database in accordance with subparagraphs 2), 3), 4), 6) and 9) of paragraph 17 of these Rules;
4) availability of a license for pharmaceutical activities and annexes to it, confirming the right to manufacture medicinal products and (or) retail sale of medicinal products at the location of the production base(s) of the healthcare entity applying to provide medical care within the framework of State guaranteed volume of medical care and (or) in the compulsory medical insurance system in accordance with the Law and Rules for organizing the provision of medical care, established by the Code and other regulatory legal acts in the field of healthcare, registered in "E-licensing" SDB;
5) availability of a license to handle devices and installations that generate ionizing radiation and appendices to it, confirming the right to use devices and installations that generate ionizing radiation at the location of the production base(s) of the healthcare entity applying (claiming) to provide medical care within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system in accordance with the Law and the rules for organizing the provision of medical care, established by the Code and other regulatory legal acts in the field of healthcare, registered in "E-licensing" SDB;
6) availability of a license to carry out activities in the field of trafficking in narcotic drugs, psychotropic substances, and precursors and appendices to it, confirming the right to carry out activities related to the trafficking of narcotic drugs, psychotropic substances and precursors in the field of health care at the location of the production base(s) of the healthcare entity applying for medical care provision within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system in accordance with the Law and the rules for organizing the provision of medical care established by the Code and other regulatory legal acts in the field of healthcare, registered in "E-licensing" SDB;
7) availability of a permit in the field of sanitary and epidemiological welfare of the population issued in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated December 30, 2020, № KR DSM-336/2020 "On some issues of the provision of public services in the field of sanitary and epidemiological welfare of the population" (registered in the State Register of Normative Legal Acts under № 22004) (for an object of high epidemiological significance - a copy of the sanitary and epidemiological conclusion on the compliance of the object of high epidemiological significance with regulatory legal acts in the field of sanitary and epidemiological welfare of the population or its electronic form from the state electronic register of permits and notifications; for an object of minor epidemic significance - a copy or electronic form of notification about the start of activities (operation) of an object of minor epidemic significance from the state electronic register of permits and notifications (hereinafter referred to as the Permitting document in the field of sanitary and epidemiological welfare of the population) to the productionbase(s) of a healthcare entity applying for the provision of medical care within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system.
A healthcare entity that has a branch, representative office or another separate structural unit shall apply to a supplier and (or) co-executor indicating all available production bases applying for the provision of medical care within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system.
Healthcare entities under the jurisdiction of local executive bodies of regions, cities of republican significance and the capital, regardless of the location of the production base, shall apply to the territory of these local executive bodies.
7. Healthcare entities shall attach to the application the following:
1) information on state registration (re-registration) of a legal entity (for a legal entity) or a copy of the certificate (statement) of registration as an individual entrepreneur and a copy of an identity document (for an individual);
2) documents specified in subparagraphs 1), 4), 5) and 6) of paragraph 6 of these Rules, which are attached to the application through integration with the E-Licensing SDB;
3) copy(ies) of the permit(s) in the field of sanitary and epidemiological welfare of the population for the production base(s) of the healthcare entity applying to provide medical care within the framework of the guaranteed volume of medical care and (or) in the system CSHI (compulsory social health insurance);
4) a copy of the power of attorney when signing and (or) applying by the head’s attorney;
5) consent to enter data and update them in the "Resource Management System" information system (hereinafter referred to as"RMS" IS), "Medical Equipment Management System" information system (hereinafter referred to as"MEMS" IS) (all healthcare entities), in the portal "Register of assigned population" (hereinafter referred to as the "RAP" Portal) (healthcare entities applying for the provision of primary healthcare) in the form in accordance with Appendix 2 to these Rules (hereinafter referred to as Consent according to the "RMS" IS, "RMS" IS and the "RAP" Portal).
8. The Fund shall, within three working days (within five working days when submitting an application in accordance with paragraph 6 of the Rules, a health care entity that has not been previously included in the database as a supplier) from the date of submission by the health care entity of the application, consider it for compliance with paragraphs 6 and 7 of the Rules.
If the application complies with paragraphs 6 and 7 of these Rules, the health care subject on the web portal is included in the database or updates the information on the declared (declared) type (s), form (s) of medical care, conditions (conditions) for its provision within the framework of the GAFMC and (or) a notification of inclusion shall be sent in the CSHI and to the health care entity (on updating) in the database (databases) of health care entities applying for the provision of medical care under the GAFMC and (or) in the compulsory health insurance system in accordance with Annex 3 to these Rules in electronic form, certified by the EDS of the authorized person of the fund.
In case of non-compliance of the application with paragraphs 6 and 7 of these Rules, a notification is sent to the health care entity on the web portal on the rejection of the application for inclusion (updating) in the database (databases) of health care entities applying for the provision of medical care under the GAFMC and (or) in the compulsory health insurance system in the form according to Annex 4 in electronic form, certified by the EDS of the authorized person of the fund, indicating one of the following reasons:
1) absence (non-compliance) of a license for medical activities and (or) appendices to it according to the declared forms (types) of medical care, the condition (conditions) of its provision within the framework of the GAFMC and (or) in the compulsory health insurance system;
2) absence (non-compliance) of a license for pharmaceutical activities and (or) appendices confirming the right to manufacture medicinal products and (or) retail sale of medicines at the location of the production (production) base (bases) of the health care subject applying (claiming) for the provision of medical care within the framework of the GAFMC and (or) in the compulsory health insurance system in accordance with the Law and the rules for organizing the provision of medical care established by the Code and other regulatory legal acts in the field of health care registered in the State database "E-licensing";
3) absence (non-compliance) of a license for handling devices and installations that shall generate ionizing radiation and (or) annexes thereto confirming the right to use devices and installations generating ionizing radiation at the location of the production (producing) base (s) of the health care subject applying (claiming) for the provision of medical care within the framework of the GAFMC and (or) in the compulsory health insurance system in accordance with the Law and the rules for organizing the provision of medical care established by the Code and other regulatory legal acts in the field of health care registered in the State database "E-licensing";
4) absence (non-compliance) of a license to carry out activities in the field of circulation of narcotic drugs, psychotropic substances, and precursors and (or) annexes thereto confirming the right to carry out activities related to the circulation of narcotic drugs, psychotropic substances and precursors in the field of healthcare at the location of the production (production) base (s) of the health care subject applying (claiming) for the provision of medical care within the framework of the GAFMC and (or) in the compulsory health insurance system in accordance with the Law and the rules for organizing the provision of medical care established by the Code and other regulatory legal acts in the field of health care registered in the State database "E-licensing";
5) absence (non-conformity) of the attached copy of the permit document in the field of sanitary and epidemiological well-being of the population to the production (production) base (base) of the healthcare subject applying (claiming) for the provision of medical care within the framework of the GAFMC and (or) in the compulsory health insurance system;
6) conducting bankruptcy or liquidation procedures at a health care entity;
7) lack of information on state registration (re-registration) of a legal entity (for a legal entity) or a certificate (certificate) of registration as an individual entrepreneur and an identity document (for an individual);
8) inconsistency (unreliability) of the documents submitted by the health care subject and (or) the data (information) contained in them with the data specified in the annex;
9) the existence of restrictions on inclusion in the database in connection with the exclusion of a health care subject from the database on the basis of subparagraphs 2), 3), 4), 6) and 9) of paragraph 17 of these Rules;
10) on the basis of a court decision that has entered into legal force;
11) lack of consent according to IS "RMS," IS "MTMS" and APR Portal;
12) absence of a copy of the power of attorney when signing and (or) submitting the application by the manager's attorney;
13) on the basis of a negative conclusion based on the results of a visit to a health care subject by the fund in accordance with paragraph 15-1 of these Rules;
14) non-compliance with the requirements in the field of sanitary and epidemiological well-being of the population in terms of the number of beds for the declared types of medical care based on the results of the fund visiting the production bases of the subject of health care.
Footnote. Paragraph 8 – in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).9. Applications shall be automatically registered on the web portal and assigned continuous numbering.
10. The database of healthcare entities applying for medical care provision within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system in the form in accordance with Appendix 5 to these Rules shall be formed in electronic form on a web portal and posted by the fund on the fund’s Internet resource.
Submission of an application for inclusion in the database by a healthcare entity shall be an expression of the consent of the healthcare entity to comply with the norms of these Rules, the Procurement Rules, the order of the Minister of Healthcare of the Republic of Kazakhstan dated December 20, 2020, № KR DSM-291/2020 "On approval of the Rules for payment for services of healthcare entities within the framework of guaranteed volume of free medical care and (or) in the compulsory social health insurance system" (registered in the State Register of Normative Legal Acts under № 21831) and the order of the Acting Minister of Healthcare of the Republic of Kazakhstan dated December 24, 2020, № KR DSM-321/2020 " On approval of the Rules for monitoring the implementation of the terms of the contract for the purchase of medical services from healthcare entities within the framework of the guaranteed volume of free medical care and (or) in the compulsory social health insurance system" (registered in the State Register of Normative Legal Acts under № 21904).
The authorized body and local public health authorities of regions, cities of republican significance and the capital (hereinafter referred to as the Healthcare department) shall provide on their Internet resources a link to the database generated on the web portal.
11. Health departments annually for the coming year until October 1 of this year issue an order to determine the bed capacity of health care entities, including the bed capacity in the context of bed profiles in inpatient and (or) stationary substituting conditions within the framework of the GAFMC and (or) in the compulsory health insurance system in the form according to Annex 6 to these Rules (hereinafter referred to as the Order on the bed fund), taking into account permits in the field of sanitary and epidemiological well-being of the population.
The order for the bed fund shall be sent to the fund and the subject of digital health care and shall be posted on the Internet resource of the fund and health departments.
Footnote. Paragraph 11 – in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).12. Health care subjects included in the database receive access to IS "RMS" and IS "MTMS" (all health care subjects) and to the portal "APR" (health care subjects applying for primary health care) provided by the digital health care subject within three working days from the date of receipt from the fund of information about health care subjects included in the database.
Within ten working days after the day of access to IS "RMS," IS "MTMS" and Portal "APR," healthcare subjects shall make:
1) in the IS "RMS" - information on the bed fund in the context of bed profiles in stationary conditions and information on beds in stationary substituting conditions within the framework of the GAFMC and (or) in the compulsory health insurance system (the number of beds is entered from the sanitary and epidemiological conclusion);
2) in the IS "RMS" - information on buildings of healthcare entities at the addresses of production bases in accordance with the annexes (annexes) to the license for medical activities issued in accordance with the Law;
3) in IS "RMS" - information on personnel in accordance with annex (annexes) to the license for medical activities issued in accordance with the Law;
4) to the APR portal - information on the areas of population attachment;
5) in IS "MTMS" - information on medical devices.
Access to health information systems, in addition to those specified in part one of this paragraph, shall be provided to health care entities that have entered into a service purchase agreement with the fund or an additional provision agreement for GAFMC with the administrator of budget programs, and their co-executors.
Footnote. Paragraph 12 – in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).13. Healthcare departments annually from October 1 to October 15 shall monitor the healthcare entities included in the database:
1) in the IS "RMS" - information on the bed fund in the context of bed profiles in stationary conditions or beds in stationary substituting conditions within the framework of the GAFMC and (or) in the compulsory health insurance system in accordance with the order on the bed fund (the number of beds is entered from the sanitary and epidemiological conclusion;);
2) in the IS "RMS" - information on buildings of healthcare entities for compliance, at the addresses of production bases according to the annexes (annexes) to the license for medical activities issued in accordance with the Law;
3) in IS "RMS" - information on personnel for compliance with Annex (s) to the medical license issued in accordance with the Law.
If the fact of non-conformity of information on the health care subject is revealed in accordance with part one of this paragraph, the health care department shall send a written notification to the health care entity, the fund and the digital health care subject about the detected non-conformities in the IS "RMS" (hereinafter referred to as the notification according to the IS "RMS").
The health care entity by October 31 of this year shall eliminate non-conformities according to the notification according to the information of IS "RMS" and shall notify in writing the health care department, the fund and the digital health care entity about the elimination of non-conformities according to the notification according to the information of IS "RMS."
Until November 20 of this year, the fund shall monitor the elimination of non-conformities by the healthcare entity in accordance with the notification according to the information of the IS "RMS."
Footnote. Paragraph 13 – in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).14. The database shall be updated by the fund on the web portal on an ongoing basis based on applications submitted by healthcare entities in accordance with paragraphs 8 and 9 of these Rules, as well as on the grounds provided for in paragraph 17 of these Rules, and provide for changes to the information contained in the database.
15. Every year, from October 1 to October 31 of the current year, healthcare entities included in the database as suppliers shall apply to update information in the database.
During the year, healthcare entities shall update the information contained in the database no later than five working days from the date of changes.
15-1. When considering applications for updating the database information on the types or conditions of medical care submitted by the health care entity in accordance with paragraph 15 of these Rules, the Fund shall visit the production bases of the health care entity with a notification to the health care entity no later than one working day before the day of the visit.
The notification shall be sent in one of the following ways:
in electronic form in the presence of electronic document management at the health care entity;
registered mail with delivery notification;
in electronic form in your personal account on the web portal.
Based on the results of the visit, the fund shall form a conclusion based on the results of a visit to a health care entity applying for the provision of medical care within the guaranteed amount of free medical care and (or) in the compulsory social health insurance system in the form in accordance with Annex 6-1 to these Rules (hereinafter referred to as the conclusion based on the results of a visit to a health care entity).
A negative opinion on the results of a visit to a health care entity shall be the basis for a decision by the fund to reject the application in accordance with paragraph 8 of these Rules.
When an application is submitted by a health care entity who has been not previously in the database as a provider, the foundation visits the subject in accordance with parts one, two and three of these paragraphs.
Footnote. Chapter 1 as added by the paragraph 15-1 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).16. If the fund or administrator of budget programs identifies cases of changes in the information contained in the database, the fund or administrator of budget programs shall within three working days notify the healthcare entity in writing of the need to update the data in the database by applying the web portal.
17. Exclusion of healthcare entities from the database at the location of the production base(s) located in the corresponding administrative-territorial unit (region, city of republican significance, capital) by type(s), form(s) of medical care, condition(s) of its provision within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system, according to which the healthcare entity is included in the database, shall be carried out by the fund in the following cases:
1) as a supplier and co-executor upon termination by the fund of a contract for the purchase of services or by the administrator of budget programs of the contract for additional provision of the guaranteed volume of medical care during the liquidation or reorganization of a healthcare entity (if necessary) and in the event of a change in the form of ownership or its legal form, which involves the exclusion of the healthcare entity from the database – within ten working days from the date of termination of the contract for the purchase of services or the contract for additional provision of the guaranteed volume of medical care;
2) as a supplier and co-executor upon termination by the fund of a contract for the purchase of services or by the administrator of budget programs of the contract for additional provision of the Statewide Fund for Medical Care, if the financial and economic activities of the healthcare entity are suspended in accordance with the legislation of the Republic of Kazakhstan - within ten working days from the date of termination of the contract for the purchase of services or contract additional provision of guaranteed volume of medical care;
3) as a supplier and co–executor, if the fund unilaterally terminates the contract for the purchase of services or the administrator of budget programs of the contract for the additional provision of the GOBMP in connection with non-fulfillment, late or improper fulfillment of the terms of the contract for the purchase of services - within ten working days from the date of termination of the contract for the purchase of services or the contract for the additional provision of the GOBMP;
4) as a supplier and co-executor when the fund terminates the contract for the purchase of services or the administrator of budget programs of the contract for additional provision of the guaranteed volume of medical care unilaterally on the initiative of a healthcare entity - within ten working days from the date of termination of the contract for the purchase of services or the contract for the additional provision of the guaranteed volume of medical care;
5) as a supplier and co-executor upon termination by the fund of a contract for the purchase of services or by the administrator of budget programs of the contract for additional provision of the guaranteed volume of medical care, if the healthcare entity provided inaccurate data and (or) information containing false information about the activities of a legal entity or individual - within ten working days from the day of termination of the contract for the purchase of services or the contract for additional provision of the guaranteed volume of medical care;
6) as a supplier and co-executor upon termination by the fund of a contract for the purchase of services or by the administrator of budget programs of the contract for additional provision of the guaranteed volume of medical care based on a court decision on the implementation of medical activities in accordance with the Law - within ten working days from the date of termination of the contract for the purchase of services or the contract for additional provision of the guaranteed volume of medical care;
7) as a supplier and co-executor in the event of liquidation, reorganization, termination of the activity of a healthcare entity (if necessary), a change in the form of ownership or its organizational and legal form or a change in the type of activity that involves the exclusion of a healthcare entity from the database that is not a supplier - within ten working days from the date of discovery of the fact of termination of his legal capacity and capacity by exclusion from the state register of legal entities or changing registration data in the state register of legal entities;
8) as a supplier and co-executor when a healthcare entity that is not a supplier provides false data and (or) information containing false information about the activities of a legal or individual entity when included in the database - within ten working days from the date of detection of the fact of providing false information data and (or) information containing false information about the activities of a legal entity or individual;
9) as a co-executor, if the provision of services under a co-execution agreement served as the basis for unilateral termination by the fund or the administrator of budget programs of the contract for the purchase of services due to non-fulfilment, untimely or improper fulfilment of the terms of the contract for the purchase of services or the contract for additional provision of the state volume of free medical care - within ten working days from the date of termination of the contract for the purchase of services or the contract for additional provision of the guaranteed volume of medical care;
10) as a supplier and (or) co-executor at the initiative of a healthcare entity in accordance with paragraph 19 of these Rules;
11) as a supplier, if the healthcare entity, within three years from the date of inclusion in the database, did not agree with the fund for the purchase of services and (or) the administrator of the budget programs of the agreement for additional provision of the guaranteed volume of medical care - within thirty calendar days after three years from the date of inclusion to the database;
12) as a supplier and co-contractor in the absence (inconsistency) of the information entered into the "RMS" IS, in the "MEMS" IS (all healthcare entities) and in the "RAP" Portal (healthcare entities applying to provide primary healthcare) in accordance with paragraph 12 of these Rules - after thirty calendar days from the date of inclusion in the database;
13) as a supplier and co-executor in case of a negative conclusion on the results of a visit to a health care entity in accordance with paragraph 15-1 of these Rules - for the next year.
If the administrator of budget programs terminates the contract for additional provision of the guaranteed volume of medical care on the grounds of this paragraph, the administrator of the budget programs notifies the fund in writing within three working days from the date of termination of the contract for additional provision of the guaranteed volume of medical care, indicating the reason for excluding the healthcare entity from the database.
Footnote. Paragraph 17 as amended by the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).18. When excluding a healthcare entity from the database, the fund, within one working day from the date of exclusion from the database, shall send to the healthcare entity a notification about the exclusion of the healthcare entity from the database of healthcare entities applying for medical care provision within the framework of the State Fund for Medical Care and (or) in the system Compulsory medical insurance or type(s), form(s) of medical care, condition(s) for its provision under which the healthcare entity is included in the database of healthcare entities applying for medical care provision within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system, in the form according to Appendix 7 to these Rules (hereinafter referred to as the Notice of exclusion) on the web portal in electronic form, certified by the digital signature of the authorized person of the fund, indicating the reason for the exclusion according to the grounds specified in paragraph 17 of these Rules.
19. To exclude a healthcare entity from the database on the initiative of the healthcare entity itself, the healthcare entity shall apply to exclusion from the database of healthcare entities applying for medical care provision within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system in the form in accordance with Appendix 8 to these Rules (hereinafter referred to as the Application for exclusion) at the location of the production base(s) located in the relevant administrative-territorial unit (region, city of republican significance, capital), on the web portal in electronic form, certified by the digital signature of the head of the healthcare entity or a person authorized by him in the absence of current ones:
1) contracts for the purchase of services;
2) contracts for additional provision of guaranteed volume of medical care;
3) co-execution agreements.
20. The healthcare entity shall attach to the application for exclusion the following:
1) information on state registration (re-registration) of a legal entity (for a legal entity) or a copy of the certificate (statement) of registration as an individual entrepreneur and a copy of an identity document (for an individual);
2) a copy of the power of attorney when signing and (or) applying by the head’s attorney.
21. The web portal shall automatically register applications for exclusion and assign continuous numbering.
22. The Fund, shall within three working days from the date the healthcare entity applies to exclusion, consider it for compliance with paragraphs 19 and 20 of these Rules.
If the application for exclusion complies with paragraphs 19 and 20 of these Rules, the healthcare entity shall be excluded on the web portal from the database according to the declared type(s), form(s) of medical care, condition(s) of its provision within the framework of the State Fund for Medical Care and (or) the compulsory health insurance system and the healthcare entity shall be sent a notification of exclusion in electronic form, certified by the digital signature of an authorized person of the fund.
If the application for exclusion does not comply with paragraphs 19 and 20 of these Rules, a notification shall be sent to the healthcare entity on the web portal about the rejection of the application for exclusion from the database of healthcare entities applying for medical care provision within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system in the form according to Appendix 9 to these Rules in electronic form, certified by the digital signature of an authorized person of the fund, indicating one or more of the following reasons:
1) absence of information about state registration (re-registration) of a legal entity (for a legal entity) or a certificate (statement) of registration as an individual entrepreneur and an identity document (for an individual);
2) inconsistency (unreliability) of the documents submitted by the healthcare entity and (or) the data (information) contained therein with the data specified in the application for exclusion;
3) availability of valid purchase agreements;
4) availability of existing contracts for additional provision of guaranteed volume of medical care;
5) availability of valid co-execution agreements;
6) absence of a copy of the power of attorney when signing and (or) applying by the head’s attorney.
23. The list of healthcare entities excluded from the database of healthcare entities applying for medical care provision within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system (hereinafter referred to as the List of healthcare entities excluded from the database) shall be generated in electronic form on the web portal and posted by the fund on the fund’s Internet resource in the form in accordance with Appendix 10 to these Rules.
24. The list of healthcare entities excluded from the database shall be updated by the foundation on an ongoing basis on the foundation’s Internet resource.
25. A supplier excluded from the database on the grounds provided for in subparagraphs 3), 4) and 9) of paragraph 17 of these Rules shall not be included in the database as a supplier and (or) co-contractor for three years from the date of its exclusion from the database.
26. The list of co-executors applying for the provision of medical care within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system under a co-execution agreement (hereinafter referred to as the List of co-executors) is formed in accordance with Appendix 11 to these Rules in electronic form on the web portal and is posted by the fund on the Internet resource fund.
27. The list of co-executors shall be updated by the fund on an ongoing basis on the fund’s Internet resource based on applications submitted by healthcare entities for inclusion in the database as a co-executor.
28. Healthcare departments shall post on their Internet resources links to the list of suppliers, the list of co-executors and the list of healthcare entities excluded from the database, published on the web portal and Internet resource of the fund.
29. The healthcare entity shall, within thirty calendar days from the date of inclusion in the database, enter on the web portal the following:
1) information on the provision of medical services within the framework of specialized medical care in an outpatient setting within the framework of the Statewide Volume of Medical Care and (or) in the compulsory medical insurance system in the form in accordance with Appendix 12 to these Rules;
2) information on the provision of medical services within the framework of specialized medical care in inpatient and hospital-substituting conditions within the framework of the Statewide Volume of Medical Care and (or) in the compulsory medical insurance system in the form in accordance with Appendix 13 to these Rules;
3) information on the provision of high-tech medical services within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system in the form in accordance with Appendix 14 to these Rules.
The information specified in part one of this paragraph shall be available for the services provided in the public domain on the web portal for viewing and shall be constantly updated by healthcare entities.
30. A healthcare entity included in the database as a supplier, when concluding co-execution agreements with healthcare entities included in the database, shall provide the fund in paper form or enter information on the web portal every month before the 25th day following the reporting period. concluded agreements for co-execution of agreements for the purchase of medical services within the framework of the guaranteed volume of medical care and (or) in the compulsory medical insurance system in the form in accordance with Appendix 15 to these Rules.
30-1. Identification of health care entities as appropriate for selection for conclusion of long-term procurement contracts by types of medical care, services and (or) the conditions for the provision of medical services for the next year shall be carried out by decision of the fund on the basis of applications submitted by health care entities to determine the health care subject as appropriate for selection for the conclusion of a long-term contract for the purchase of medical services within the guaranteed amount of free medical care and (or) in the system of compulsory social health insurance in the form in accordance with Annex 16 to these Rules (hereinafter referred to as the application for compliance).
Footnote. Chapter 1 as added by the paragraph 30-1 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).30-2. An application for compliance shall be submitted by a healthcare entity at the location of the production (production) base (s) located in the corresponding administrative-territorial unit (region, city of republican significance, capital), if:
1) inclusion of a health care entity in the database according to the declared (declared) type (s), form (s) of medical care, condition (s) for its provision within the framework of the GAFMC and (or) in the compulsory health insurance system;
2) continuous experience in the provision of medical care services within the framework of the GAFMC and (or) in the compulsory health insurance system according to data obtained from the information systems of the authorized body or fund (hereinafter referred to as the IS of health care) for five years, with the exception of:
health care entities involved in the implementation of the project within the framework of public-private partnership (hereinafter referred to as the PPP);
health care entities reorganized in accordance with Articles 45 and 46 of the Civil Code of the Republic of Kazakhstan;
3) availability of a certificate of accreditation in the field of health care of the highest or first category, with the exception of health care entities participating in the implementation of the project within the framework of PPP;
4) non-involvement in bankruptcy or liquidation proceedings.
Health care entities under the jurisdiction of local executive bodies of regions, cities of republican significance and the capital, regardless of the location of the production base, shall submit an application on the territory of these local executive bodies, regardless of the location of the production base.
Footnote. Chapter 1 as added by the paragraph 30-2 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).30-3. The Fund, within five working days from the date of submission by the health care entity of an application for compliance, shall consider it for compliance with the requirements of paragraph 30-2 of these Rules.
Footnote. Chapter 1 as added by the paragraph 30-3 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).30-4. In case of non-compliance of the application with the requirements of paragraph 30-2 of these Rules, a notification shall be sent to the health care entity on the rejection of the application for determining the health care subject as appropriate for selection for concluding a long-term contract for the purchase of medical services within the guaranteed amount of free medical care and (or) in the system of compulsory social health insurance in the form in accordance with Annex 17 to these Rules within one working day from the date of expiration of the period of consideration specified in paragraph 30-3 of these Rules.
Footnote. Chapter 1 as added by the paragraph 30-4 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).30-5. The supplier who has entered into a long-term purchase agreement shall be excluded from the database in the cases specified in paragraph 17 of these Rules
Footnote. Chapter 1 as added by the paragraph 30-5 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).Form
Application for inclusion (updating) in the database(s)
of healthcare entities applying for medical care provision within the framework
of the guaranteed volume of free medical care and (or) in the compulsory
social health insurance system № ____
1. To ______________________________________________________________________
(name of the branch of the non-profit joint-stock company "Social Health Insurance Fund")
from ______________________________________________________________________
(name of the healthcare entity)__________________________________________________
(BIN* of the healthcare entity (IIN** for an individual))
___________________________________________________________________________
(a form of ownership of the healthcare entity)
________________________________________
(name of the region, city of republican significance or capital)
___________________________________________________________________________
(legal address of the healthcare entity)
_____________________________________________________________________
(last name, first name, patronymic (if any) of the head of the healthcare entity)
___________________________________________________________________________.
(contact numbers, email address of the healthcare entity)
2. The healthcare entity claims to provide medical care within the framework of a guaranteed volume of free medical care and (or) in the system compulsory social health insurance as (specify as required):
provider according to the following type(s), following form(s) of medical care, condition(s) of its provision:
№ | Type, form of medical care or conditions for its provision | Subtype of type, form of medical care or conditions for its provision |
1 | 2 | 3 |
1 |
co-executor for the following type(s), the following form(s) of medical care, the condition(s) of its provision:
№ | Type, form of medical care or conditions for its provision | Subtype of type, form of medical care or conditions for its provision |
1 | 2 | 3 |
1 |
3. The specified medical services are subject to provision to the population at the following production base(s):
№ | Name of the region, city of republican significance or capital | Production base address | Latitude | Longitude | CATO *** of production base |
1 | 2 | 3 | 4 | 5 | 6 |
1 |
4. By this application, the healthcare entity shall confirm the absence of violations of the standards imposed by the order of the Minister of Healthcare of the Republic of Kazakhstan dated November 6, 2020, № KR DSM-186/2020 "On approval of the Rules for maintaining records of healthcare entities providing medical care within the framework of the guaranteed volume of free medical care and (or) in the compulsory social health insurance system" (registered in the State Register of Normative Legal Acts under № 21619) to healthcare entities for inclusion or updating of the database, and the reliability of the information provided.
5. The following documents shall be attached to this application
(indicate only the attached documents):
1) __ sheets;
2)...;
Note:* business identification number;** individual identification number;*** classifier of administrative-territorial objects.
______________________________________________________________________,
(position, surname, name, patronymic (if any) of the head of the healthcare entity or person authorized by him, signature)
Date of completion ______________
Form
Consent on entering data and updating it in the
"Resource Management System" information system, "Medical Equipment Management System"
information system (all healthcare entities), in the "Register of Attached Population"
portal (healthcare entities applying for primary healthcare) № ____
1. ______________________________________________________________________
(name of the healthcare entity)
_______________________________________________
(BIN* of the healthcare entity (IIN** for an individual))
________________________________________________________________________
(a form of ownership of the healthcare entity)
_____________________________________
(name of the region, city of republican significance or capital)
_________________________________________________________________________
(legal address of the healthcare entity)
__________________________________________
(last name, first name, patronymic (if any) of the head of the healthcare entity)
_________________________________________________________________________
(contact numbers, email address of the healthcare entity)
2. Enter data into healthcare information systems within ten working days after the day of gaining access to them, as well as on an ongoing basis keep data up to date:
1) "Resource Management System" information system:
information about the healthcare organization;
information on bed capacity in terms of bed profiles in inpatient settings and information on beds in hospital-replacement conditions within the framework of guaranteed volume of free medical care and (or) in the system of compulsory social health insurance;
information on buildings of healthcare facilities at the addresses of production bases annex to the license for medical activities issued in accordance with the Law;
information on the functional structure of the healthcare organization; information on the approved staffing table; information on personnel composition; information on advanced training of medical workers;
2) "Medical equipment management system" information system:
information on medical devices;
3) "Register of the assigned population" information system:
information on areas of attachment of the population.
Note: * business identification number; ** individual identification number.
______________________________________________________________________________________________,
(position, surname, first name, patronymic (if any) of the head of the healthcare entity or person authorized by him, signature)
Date of completion ______________
Notification of inclusion (updating) in the database(s) of
healthcare entities applying for medical care provision within the framework of the guaranteed
volume of free medical care and (or) in the compulsory social health insurance system № ____
_________________________________________________________________
(indicate the name of the branch of the "Social Health Insurance Fund" non-profit joint-stock company)
hereby notifies
_______________________________________________________________________
(indicate the name of the healthcare entity)
on inclusion (updating) in the database(s) of healthcare entities, providing medical care within the guaranteed volume of free medical care and (or) in the system of compulsory social medical care insurance based on compliance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated November 6, 2020, № KR DSM-186/2020 "On approval of the Rules for maintaining records of healthcare entities providing medical assistance within the guaranteed volume of free medical care and (or) in the compulsory social health insurance system" (registered in the State Register of Normative Legal Acts under № 21619).
Head (person authorized by him) of the branch
________________________________________________________________________
(name of the branch of the non-profit joint stock company "Social Health Insurance Fund")
________________________________________________________________________
(signature, last name, first name, patronymic (if any)
Place of stamp (if any)
Date of completion
Form
Notice of rejection of an application for inclusion (updating) in the database(s) of
healthcare entities applying for medical care provision within the framework of the guaranteed
volume of free medical care and (or) in the compulsory social health insurance system № ____
______________________________________________________________________________
(indicate the name of the branch of the "Social Health Insurance Fund" non-profit joint-stock company)
hereby notifies
_____________________________________________________________________
(indicate the name of the healthcare entity)
on the rejection of an application for inclusion (updating) in the database(s) of healthcare entities,
providing medical care within the framework of guaranteed volume of free medical care and (or)
in the compulsory social health insurance in connection with
_____________________________________________________________________
(indicate the reason for deviation)
based on paragraph
_____________________________________________________________________
(indicate item number)
of the Order of the Minister of Healthcare of the Republic of Kazakhstan dated November 6, 2020,
№ KR DSM-186/2020 "On approval of Rules for maintaining records of healthcare entities, providing
medical care within the framework of guaranteed volume of free medical care and (or) in the compulsory
social health insurance" (registered in the State Register of Normative Legal Acts under № 21619).
Head (person authorized by him) of the branch
________________________________________________________________________
(name of the branch of the non-profit joint stock company "Social Health Insurance Fund")
________________________________________________________________________
(signature, last name, first name, patronymic (if any)
Place of stamp (if any)
Date of completion
Form
Database of healthcare entities applying for medical
care provision within the framework of the guaranteed volume of free medical care and (or) in the compulsory social health insurance system
№ | BIN* (IIN**) | Name of healthcare entity | Legal address | Address of the location of the production base*** | Form of ownership of the healthcare entity | Region to which population services will be provided | Database inclusion date | Database exclusion date | The expiration date for exclusion from the database |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
Table continuation
Reason for exclusion | Last modified date | Type/Form of medical care (Provider) | Subtype/form of medical care (Provider) | Type/Form of medical care (Co-executor) | Subtype of type/form of medical care (Co-executor) | Contact information (phone number, email address) | Last name, first name, patronymic (if any) of the head | Healthcare entity status | |
Provider | Co-executor | ||||||||
11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 |
Note:
* business identification number; ** individual identification number; *** the address(es) of the production base(s) shall be indicated in accordance with the annex to the license for medical activities.
Form
Order on determining the bed capacity of healthcare entities
including bed capacity broken down by bed profiles in inpatient and/or
inpatient-replacing settings within the framework of the guaranteed volume of free
medical care and/or in the compulsory social healthcare insurance system for_______________________________________________________
(name of region) for________
Footnote. Annex 6 - in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).
____ dated _________"__" №__20___. | ________________________ | ||
(place of residence) |
Table 1. - Bed capacity by profiles for inpatient medical care
№ | BIN* (IIN**) | Name of health care facility | Bed profile *** |
Number of beds in a 24-hour inpatient facility, as specified in the sanitary and epidemiological report |
Number of beds closed for renovation |
1 | 2 | 3 | 4 | 5 | 6 |
1. |
Total for the region: | Х | |||
1.1. | Х | Х | |||
1.2. | Х | Х | |||
2. | Total: | Х | |||
2.1. | |||||
2.2. | |||||
Table 2. - Day-stay bed for providing inpatient replacement medical care
№ | BIN* (IIN**) | Name of health care facility | Day hospital bed, as specified in the sanitary and epidemiological report |
Number of beds closed for renovation | |
Day hospital at the hospital |
Day hospital at the polyclinic | ||||
1 | 2 | 3 | 4 | 5 | 6 |
1 |
Total for the region | ||||
1.1. | Х | Х | |||
1.2. | Х | Х | |||
2. | Total: | ||||
2.1. | |||||
2.2. | |||||
Note:
* business identification number;
individual identification number;
*** bed profiles:
№ | Name of bed profile |
1 | Therapeutic |
2 | Surgical |
3 | Pediatric |
4 | Obstetric and gynecologic |
5 | Specialized |
6 | The general |
7 | Therapeutic |
8 | Cardiology for adults |
9 | Cardiology for children |
10 | Gastroenterology for adults |
11 | Gastroenterology for children |
12 | Allergological for adults |
13 | Allergological for children |
14 | Endocrinology for adults |
15 | Endocrinological for children |
16 | Infectious for adults |
17 | Infectious for children |
18 | Hematologic for adults |
19 | Hematological for children |
20 | Nephrological for adults |
21 | Nephrological for children |
22 | Surgical for adults |
23 | Surgical for children |
24 | Neurosurgical for adults |
25 | Neurosurgical for children |
26 | Thoracic surgery for adults |
27 | Thoracic surgery for children |
28 | Trauma for adults |
29 | Trauma for children |
30 | Orthopaedic for adults |
31 | Orthopedic for children |
32 | Urological for adults |
33 | Urological for children |
34 | Oncology for adults |
35 | Oncological for children |
36 | For pregnant women and women in labor (except for pregnancy pathology) |
37 | Pregnancy pathologies |
38 | Gynecological for adults, including for abortion |
39 | Tuberculosis for adults |
40 | Tuberculosis for adult patients with extrapulmonary, including osteoarticular tuberculosis |
41 | Tuberculosis for children |
42 | Tuberculosis for sick children with extrapulmonary, including osteoarticular, tuberculosis |
43 | Neurological for adults |
44 | Neurological for children |
45 | Psychiatric (neuropsychiatric) for adults |
46 | Psychiatric (neuropsychiatric) for children |
47 | Narcological for adults |
48 | Ophthalmic for adults |
49 | Ophthalmic for children |
50 | Otolaryngological for adults |
51 | Otolaryngological for children |
52 | Dermatovenerologic for adults |
53 | Dermatovenerological for children |
54 | Radiological |
55 | Pediatric |
56 | Proctological |
57 | Rheumatologic for adults |
58 | Rheumatological for children |
59 | Purulent surgical for adults |
60 | Purulent surgical for children |
61 | Pulmonology for adults |
62 | Pulmonological for children |
63 | Cardiac surgery for adults |
64 | Vascular surgery |
65 | Burn (cambustiological) for adults |
66 | Toxicological for adults |
67 | Maxillofacial surgery for adults |
68 | For restorative treatment and medical rehabilitation: common for adults |
69 | For rehabilitation treatment and medical rehabilitation: common for children |
70 | Neurovascular |
71 | Mammology |
72 | Burn (cambustiological) for children |
73 | Rehabilitation and medical rehabilitation for adults |
74 | Rehabilitation and medical rehabilitation for children |
75 | For rehabilitation treatment and medical rehabilitation: cardiological for adults |
76 | For rehabilitation treatment and medical rehabilitation: cardiac for children |
77 | For rehabilitation treatment and medical rehabilitation: cardiac surgery for adults |
78 | For rehabilitation treatment and medical rehabilitation: cardiac surgery for children |
79 | For rehabilitation treatment and medical rehabilitation: neurological for adults |
80 | For rehabilitation treatment and medical rehabilitation: neurological for children |
81 | For rehabilitation treatment and medical rehabilitation: neurosurgical for adults |
82 | For rehabilitation treatment and medical rehabilitation: neurosurgical for children |
83 | For rehabilitation treatment and medical rehabilitation: trauma for adults |
84 | For rehabilitation treatment and medical rehabilitation: traumatological for children |
85 | For rehabilitation treatment and medical rehabilitation: orthopaedic for adults |
86 | For rehabilitation treatment and medical rehabilitation: orthopaedic for children |
87 | Cardiac surgery for children |
88 | Gynecological for children, including for abortion |
89 | Tuberculosis for adults: for compulsory treatment of tuberculosis patients |
90 | Tuberculosis for adults: for patients with drug-resistant tuberculosis |
91 | Psychotherapeutic for children |
92 | Narcological for children |
93 | Toxicological for children |
94 | Maxillofacial surgery (dental) for children |
95 | Transplantology for adults |
96 | Transplantology for children |
97 | Leprological |
98 | Resuscitation for adults |
99 | Resuscitation for children |
100 | Nursing care |
101 | Palliative care |
102 | Surgical for newborns |
103 | Maxillofacial surgery (dental) for adults |
104 | For courtship with nutrition |
105 | For courtship without nutrition |
106 | Tuberculosis surgical |
107 | Psychotherapeutic for adults |
108 | Drug treatment for compulsory treatment |
109 | Pathology of newborns and nursing prematurity |
110 | Stroke |
111 | CVI Infectious |
112 | Palliative care |
113 | For rehabilitation treatment and medical rehabilitation: pulmonology for adults |
114 | For rehabilitation treatment and medical rehabilitation: pulmonological for children |
________________________________________________________________________,
(position, surname, first name, patronymic (if any)
Head of the Health Department or a person authorized by him, signature)
Place for sealing (if any)
Date of filling in ______________
AGREED:
_________________________________________________________________________,
(position, surname, first name, patronymic (if any) of the head of the structural
subdivisions of the competent authority in the field of health
or authorized person, signature) *
Place for sealing (if any)
Date of filling in ______________
AGREED:
_________________________________________________________________________,
(position, surname, first name, patronymic (if any) of the manager
territorial branch of a non-profit joint-stock company
"Social Healthcare Insurance Fund" or a person authorized by it, signature)
Place for sealing (if any)
Date of filling in ______________
Note:
* according to the list of organizations under the jurisdiction of the Ministry of Healthcare of the Republic of Kazakhstan in accordance with the Rules of the Ministry of Healthcare of the Republic of Kazakhstan, approved by Decree of the Government of the Republic of Kazakhstan dated February 17, 2017 No. 71 "On some issues of the Ministries of Healthcare and the National Economy of the Republic of Kazakhstan."
| Annex 6-1 to the Rules for accounting of healthcare entities, providing medical and under guaranteed volume of free medical assistance and/or system mandatory social healthcare insurance |
Form
Conclusion based on the results of a visit to a healthcare entity claiming to provide medical care within
the scope of guaranteed free medical care and (or) within the compulsory social health insurance system
Footnote. The Rules as added by the Annex 6-1 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).
__________________ | ______________ "___"_______ |
(location) |
1. Commission for the selection of healthcare providers and allocation of service volumes
(hereinafter referred to as the commission) composed of:
______________________________________________________________________
(Surname, name, patronymic (if any) and position of members of the commission,
visited health care subject)
as part of the consideration of an application for updating information or for inclusion in the database
data on the types or conditions of medical care for which
application by a healthcare entity (hereinafter referred to as the application for updating)
______________________________________________________________________
(specify types/forms or conditions of rendering) of services (lot) according to the request
for planned volumes)
visited the production base (s)
_______________________________________________________________________
(specify the name of the health care subject)
at:
_______________________________________________________________________
(specify address of production base (s))
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Based on the results of the verification, the Commission hereby RESOLVED:
№ r/n | BIN/IIN |
Name of healthcare entity |
The following voted in favour of this decision | Resolution | |||||
For, votes |
Against, votes |
Confirms (does not confirm) the availability of production facilities, medical personnel and medical equipment in accordance with the data specified in the application for the planned volumes. | |||||||
1 | 2 | 3 | 4 | 5 | 6 | ||||
Surname, first name, patronymic (if applicable) of the commission member | Place of work | Position of commission member | Signature | Date of signature | |||||
1 | 2 | 3 | 4 | 5 | |||||
Note:
*The commission shall verify the availability of production facilities, medical personnel and medical equipment in accordance with the data specified in the application for the planned volumes.
Form
Notification of the exclusion of a healthcare entity from the database of
healthcare entities applying for medical care provision within the framework
of the guaranteed volume of free medical care and (or) in the compulsory social health
insurance system or the type(s), form(s) of medical care, condition(s) for its provision for
which the healthcare entity is included in the database of healthcare entities applying for
medical care provision within the guaranteed volume of free medical care and (or)
in the compulsory social health insurance system № ____
_________________________________________________________________
(indicate the name of the branch of the "Social Health Insurance Fund" non-profit joint-stock company)
hereby notifies
_______________________________________________________________________
(indicate the name of the healthcare entity)
about the exclusion from the database of healthcare entities applying for the provision of medical care
within the guaranteed volume of free medical care and (or) in the system of compulsory social health
insurance (specify as required):
1) as a supplier and co-executor for all types and forms of medical assistance or the conditions
for its provision within the guaranteed volume of free medical care and (or) in the system of compulsory
social health insurance for which the healthcare entity is included in the database of healthcare entities,
claiming to provide medical care within the framework of guaranteed volume of free medical
care and (or) in the compulsory social health insurance system in connection with __________________
___________________________________________________________________________________
based on the paragraph (specify the reason for exclusion)
_________________________________________________________________________
(indicate item number)
of the Order of the Minister of Healthcare of the Republic of Kazakhstan dated November 6, 2020,
№ KR DSM-186/2020 "On approval of Rules for maintaining records of healthcare entities, providing
medical care within the framework of guaranteed volume of free medical care and (or) in the compulsory
social health insurance" (registered in the State Register of Normative Legal Acts under № 21619);
2) as a supplier within the guaranteed volume of free medical care assistance and (or) in the compulsory
social health insurance system for the following type(s), following form(s) of medical care, the condition(s) of its provision:
№ | Type, form of medical care or conditions for its provision | The subtype of type, form of medical care or conditions for its provision |
1 | 2 | 3 |
1 |
as a co-executor within the guaranteed volume of free medical care and (or) in the system of compulsory social medical care insurance according to the following type(s), form(s) of medical care, condition(s) of its provision:
№ | Type, form of medical care or conditions for its provision | The subtype of type, form of medical care or conditions for its provision |
1 | 2 | 3 |
1 |
in connection with _____________________________________________________________
(indicate the reason for exclusion)
based on paragraph _____________________________________________________________
(indicate paragraph number)
of the Order of the Minister of Healthcare of the Republic of Kazakhstan dated November 6, 2020,
№ KR DSM-186/2020 "On approval of Rules for maintaining records of healthcare entities, providing
medical care within the framework of guaranteed volume of free medical care and (or) in the compulsory
social health insurance" (registered in the State Register of Normative Legal Acts under № 21619).
Head (person authorized by him) of the branch
________________________________________________________________________
(name of the branch of the non-profit joint stock company "Social Health Insurance Fund")
_______________________________________________________________________
(signature, surname, first name, patronymic (if any) Place of stamp (if any) Date of completion
Form
Application for exclusion from the database of healthcare entities applying
for medical care provision within the framework of the guaranteed volume
of free medical care and (or) in the compulsory social health insurance system
№ ____
1. To ____________________________________________________________________
(name of the branch of the "Social Health Insurance Fund" non-profit joint-stock company)
from _____________________________________________________________________
(name of the healthcare entity)
__________________________________________________________________________
(BIN* of the healthcare entity (IIN** for an individual))
__________________________________________________________________________
(a form of ownership of the healthcare entity)
__________________________________________________________________________
(name of the region, city of republican significance or capital)
__________________________________________________________________________
(legal address of the healthcare entity)
__________________________________________________________________________
(last name, first name, patronymic (if any) of the head of the healthcare entity)
__________________________________________________________________________.
(contact numbers, email address of the healthcare entity)
2. The healthcare entity refuses to provide medical services within the framework of the guaranteed volume of free medical care and (or) in the compulsory social health insurance system.
3. By this application, the healthcare entity confirms the absence of violations of the requirements imposed by the order of the Minister of Healthcare of the Republic of Kazakhstan dated November 6, 2020, № KR DSM-186/2020 "On approval of the rules for maintaining records of healthcare entities providing medical care within the framework of the guaranteed volume of free medical care and (or) in the compulsory social health insurance system" (registered in the State Register of Normative Legal Acts under № 21619) to healthcare entities for exclusion from the database, and the reliability of the information provided.
4. The following documents shall be attached to this application
(indicate only the attached documents):
1) __ sheets;
2) ....
Note:
* business identification number;
** individual identification number.
____________________________________________________________________,
(position, surname, first name, patronymic (if any) of the
head of the healthcare entity or person authorized by him, signature).
Date of completion ______________
Form
Notice of rejection of an application for exclusion from the database of
healthcare entities applying for medical care provision within the framework
of the guaranteed volume of free medical care and (or) in the compulsory
social health insurance system № ____
________________________________________________________________
(indicate the name of the branch of the "Social Health Insurance Fund" non-profit joint-stock company)
hereby notifies __________________________________________________________
(indicate the name of the healthcare entity) about the rejection of the application for exclusion from
the database of healthcare entities applying for the provision of medical care within the guaranteed
volume of free medical care and (or) in the compulsory social health insurance system in connection with
_________________________________________
(indicate the reason for rejection) based on paragraph
________________________
(indicate paragraph number)
of the order of the Minister of Healthcare of the Republic of Kazakhstan dated November 6, 2020
№ KR DSM-186/2020 "On approval of the rules for maintaining records of healthcare entities
providing medical care within the framework of the guaranteed volume of free medical care and (or)
in the compulsory social health insurance system" (registered in the State Register of Normative
Legal Acts under № 21619).
Head (person authorized by him) of the branch
________________________________________________________________
(name of the branch of the "Social Health Insurance Fund" non-profit joint-stock company) __________
___________________________________________________________________________________
(signature, surname, first name, patronymic (if any)
Place of stamp (if any)
Date of completion ___________
Form
List of healthcare entities excluded from the database of
healthcare entities applying for medical care provision within the framework of the guaranteed
volume of free medical care and (or) in the compulsory social health insurance system
№ | BIN* (IIN**) | Name of healthcare entity | Legal address | Address of the location of the production base*** | Form of ownership of the healthcare entity | Region to which population services will be provided | Database inclusion date | Database exclusion date | The expiration date for exclusion from the database |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
Table continuation
Reason for exclusion | Last modified date | Type/Form of medical care (Provider) | Subtype/form of medical care (Provider) | Type/Form of medical care (Co-executor) | Subtype of type/form of medical care (Co-executor) | Contact information (phone number, email address) | Last name, first name, patronymic (if any) of the head | Healthcare entity status | |
Provider | Co-executor | ||||||||
11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 |
Note:
* business identification number; ** individual identification number;
*** the address(es) of the production base(s) shall be indicated in accordance with the annex to the license for medical activities.
Form
List of co-executors applying for the provision of medical care within the framework
of the guaranteed volume of free medical care and (or) in the compulsory social health
insurance system under a co-execution agreement for ______
№ | BIN* (IIN**) | Name of healthcare entity | Legal address | Address of the location of the production base*** | Form of ownership of the healthcare entity | Region to which services will be provided | Date included in the database | Date removed from the database | The expiration date for exclusion from the database |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
Table continuation
Reason for exclusion | Last modified date | Type/Form of medical care (Provider) | Subtype/form of medical care (Provider) | Type/Form of medical care (Co-executor) | Subtype of type/form of medical care (Co-executor) | Contact information (phone number, email address) | Last name, first name, patronymic (if any) of the head | Healthcare entity status | |
Provider | Co-executor | ||||||||
11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 |
Note:
* business identification number; ** individual identification number;
*** the address(es) of the production base(s) shall be indicated in accordance with the annex to the license for medical activities.
Form
Information on the provision of medical services within the framework
of specialized medical care in an outpatient setting within the framework of the guaranteed
volume of free medical care and (or) in the compulsory social health insurance system
№ | BIN* (IIN**) of the supplier (co-contractor) | Name of the provider (co-provider) of medical services | Service code | Name of medical service | Start date of medical service provision | End date of medical service |
1 | 2 | 3 | 4 | 5 | 6 | 7 |
Note:
* business identification number; ** individual identification number.
Form
Information on the provision of medical services within the framework of specialized medical
care in inpatient and hospital-replacement conditions within the framework of the guaranteed
volume of free medical care and (or) in the compulsory social health insurance system
№ | BIN* (IIN**) of the supplier | Name of healthcare provider |
Code | Name of medical service | Start date of medical service provision | End date of medical service |
1 | 2 | 3 | 4 | 5 | 6 | 7 |
Note:
* business identification number; ** individual identification number.
| Appendix 14 to the Rules for keeping records of healthcare entities providing medical care within the guaranteed volume of free medical care and (or) within the compulsory social health insurance system |
Form
Information on the provision of high-tech medical services within the framework
of the guaranteed volume of free medical care and (or) in the compulsory social health insurance system
№ | BIN* (IIN**) of the supplier | Name of healthcare provider | ICD-9 code | Name of medical service | Start date of medical service provision | End date of medical service |
1 | 2 | 3 | 4 | 5 | 6 | 7 |
Note:
* business identification number; ** individual identification number.
Form
Information on concluded agreements for co-execution of contracts
for the purchase of medical services within the framework of the guaranteed volume
of free medical care and (or) in the compulsory social health insurance system
To ___________________________________________________________________
(name of the branch of the "Social Health Insurance Fund" non-profit joint-stock company)
dated
___________________________________________________________________,
(name of the healthcare entity (BIN* of the healthcare entity (IIN** for an individual))
№ | BIN* (IIN**) of the supplier | Name of healthcare provider | BIN* (IIN**) of the co-executor | Name of co-executor | Co-execution agreement number | Date of conclusion of the co-execution agreement | Contract period | Subtype of medical care | Number of services | Amount, tenge |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
______________________________________________________________,
(position, surname, first name, patronymic (if any) of the head of the healthcare entity or person authorized by him, signature).
Date of completion ______________
Note:* business identification number;** individual identification number
| Annex 16 to the Rules for accounting of healthcare entities, providing medical and under guaranteed volume of free medical assistance and/or system mandatory social healthcare insurance |
Form
Application for determining a health care entity eligible for selection
for the conclusion a long-term contract for the procurement of medical services within
the framework of the guaranteed volume of free medical care and/or
the compulsory social health insurance system
Footnote. The Rules as added by the Annex 16 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 22.11.2024 № 96 (shall enter into force upon expiry of the day of its first official publication).
In __________________________________________________________________
(fund/fund branch name)
____________________________________________________________________
(name of health care entity)
submit the application for determination as eligible for selection for the conclusion
of a long-term contract for the procurement of medical services within the framework of the guaranteed
volume of free medical care and/or the compulsory
social health insurance for the following types/conditions of provision
medical care:
_____________________________________________________________________
(specify type (s) of medical care/conditions of medical care
assistance/services claimed by the health care entity)
With this application, the health care entity shall consent to receive
information about it, confirming compliance with standards and requirements,
established regulatory legal acts in the field of health care.
___________________________________________________________/__________
(position, surname, first name, patronymic (if any) of the head of the subject
health care or a person authorized by him, signature)
Place for sealing (if any)
Date of filling in ______________
| Annex 17 to the Rules for accounting of healthcare entities, providing medical and under guaranteed volume of free medical assistance and/or system mandatory social healthcare insurance |
Form
Notice of rejection of an application to determine a healthcare entity suitable for selection for the conclusion
of a long-term contract for the procurement of medical services within the framework of the guaranteed volume of free medical care and/or in the compulsory social medical insurance system № ____
Footnote. The Rules as added by the Annex 17 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated November 22, 2024 № 96 (shall enter into force upon expiry of the date of its first official publication).
_______________________________________________________________________
(specify the fund/fund branch name)
notifies _____________________________________________________________
(specify the name of the health care subject)
on the rejection of the application for the definition of a health care subject by the relevant
for selection for the conclusion of a long-term contract for the purchase of medical services
within the guaranteed scope of free medical care and/or
in the system of compulsory social health insurance in connection with
________________________________________________________________________
(specify reason for deviation)
based on paragraph ______________________________________________________
(specify item number)
Rules for keeping records of health care entities providing medical
assistance within the guaranteed scope of free medical care and/or
in the compulsory social health insurance system approved by the
by order of the Minister of Healthcare of the Republic of Kazakhstan dated November 6, 2020
No. ІР DSM-186/2020 (registered in the State Registration Register
regulatory legal acts under No. 21619).
Head (person authorized by him) of the branch
________________________________________________________________________
(name of the branch of the non-profit joint-stock company
"Social Health Insurance Fund")
________________________________________________________________________
(signature, surname, first name, patronymic (if any)
Place of sealing (if any)
Date of completion
