Outklerosis involving an oval window obliterating surgery Reconstruction of the anatomical structures and sound-conductive apparatus of the middle ear using microsurgical equipment, outcome and allogeneic grafts, including metal, with the exposure of the facial nerve, reinnervation and the use of the facial nerve monitoring system 105185 Reconstructive operations for congenital anomalies of development and acquired atresia due to chronic purulent average otitis With the use of microsurgical equipment, radiation technology, autotrogen and allogeneic transplants, including metal reconstructive audio-release operations after a radical operation on an average ear with a chronic purulent average, otitis the ear-relaxing operations using partially implantable bone conductivity device H74.1, H74.2, H74. 3, H90 adhesive middle ear disease.
Vladimir Jolobov is responsible for readers, First Deputy Chairman of the Health Committee, I need an operation to replace the hip joint. I was told that it was possible to do this by quota. I spent a lot of time on the design of the quota, but I was told that to wait for the operation in the Research Institute of Traumatology Names is harmful - more than two years. But I need an operation urgently! I barely go! I do not have money for payment of operation.
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Attention
You can follow the promotion of your turn. You have a queue number. It is given with the direct decoration of the quota in the Medical Information and Analytical Center (st. Cabinet, 30, telephone 576-22-22). The promotion of the queue can be found on the website of the Ministry of Health of the Russian Federation for the provision of high-tech medical care.
This body: 1) is engaged in the study of the presented information for the possibility of providing the necessary treatment to the patient; 2) decides whether the patient needs this treatment or not; 3) defines specific deadlines; 4) He has ten days for all this. Coupon, in case of use, is stored in the clinic. It is the basis for budget financing of treatment. It turns out that a total of a decision on the inclusion of a person in a quota program takes at least 23 days.
Also consider the time to send documents. The hospital gives recommendations regarding the further treatment of man. The service in quota State pays only such medical services that cannot be obtained at the local hospital. Namely: VMM, ECO, surgical intervention and treatment.
For each type of care requires special equipment and the corresponding training of specialists. Ordinary diseases Do not quit.
If you refuse it, you will not get the quota;
1) diagnosis; 2) treatment; 3) diagnostic measures; four) general status patient;
The attending physician is responsible for the "candidate" for the quota. It does not have the right to recommend the Commission of the person who can do without WMP. What will the First Commission decide? If the patient needs specialized services, the hospital commission decides the issue of documentation for the next authority - the regional level health department.
The date of hospitalization in the order of the present queue to the patient according to his contact telephone reports a representative of the medical institution in which the patient will be treated. 7. The presence of a coupon for the provision of WMP is a basis for consideration by the Commission of a Medical Organization, which provides a VMM, the question of the hospitalization of the patient in accordance with the waiting list and the presence of quotas. 8. The Commission of the Medical Organization, which has a VMM, makes a decision on the presence (no) of medical testimony to hospitalize the patient, taking into account the rendered medical organization VSM types included in the list of VSM types, in a period not exceeding seven working days from the date of the execution of the coupon for the provision of VMM (except in cases of emergency, incl.
ambulance specialized medical care). nine.
With any decision, a person receives a written notice of a positive result or refusal to help. The WMP status notification comes to the postal address or email, depending on the type of notification selected by the patient. Check the status of the TALON WMD by number if the authorized, the territorial commission for any reason, refused to give a person in the provision of VMM, he may re-apply to the relevant Commission of the Ministry of Health of the Russian Federation.
The appeal in the Ministry of Health is possible only in 3 cases:
If there are at least one of the above factors, the corresponding body of the Ministry of Health, in the order of the queue will consider the application for VMM.
The status "blocked" is what it means and what to do if when checking the status of the coupon on the patient's portal, information about its lock appeared, this does not indicate a refusal to conduct a VMM. For clarification, it is necessary to contact the talon issuance body, or directly to the medical institution, where the patient is in line for hospitalization. The coupling number changes annually, so you need to clarify the new number and track status according to new data.
The status "Documents is under consideration" there are consideration standards, mostly the answer can be obtained in 30 days after receiving the coupon. Throughout this time, specialists are associated with clinics and medical institutions, and coordinate the possibility of hospitalization of the patient, within the framework of the quota allocated by the state.
Annex period 2019 and 2020: Annex to the program of state guarantees of free provision of medical care for 2018 and for the planning period of 2019 and 2020, a list of types of high-tech medical care, including treatment methods and sources of financial support for high-tech medical care Section I . The list of high-tech medical care types included in the basic program of compulsory medical insurance, the financial support of which is carried out at the expense of the subvention from the budget of the federal fund of compulsory medical insurance budgets of territorial funds of compulsory medical insurance otorinolaryngology N of the VMP Group<1 Наименование вида ВМП <1 Коды по МКБ-10 <2 Модель пациента Вид лечения Метод лечения Норматив финансовых затрат на единицу объема медицинской помощи <3, рублей 23.
According to the current legislation, the joint replacement is free of charge can be made in such cases:
But not in all cases a surgical operation may be prescribed.
There are a number of medical contraindications, in the presence of which the intervention will not be conducted:
As soon as the patient's condition stabilizes, the risk will decrease, the operation can be carried out. For example, in the case of alignment of the blood sugar level, this contraindication is canceled.
How to get a quota for the replacement of the knee joint? To take advantage of such a chance, you need to go through certain stages:
1) orders of the Ministry of Health of the Russian Federation, which specify the quotation process;
2) decisions that guarantee free medical assistance to citizens of our country;
3) Federal Law No. 323. Its Article 34 describes the process of registration of quotas, as well as the conditions for the implementation of these state guarantees.
The issue of funding for medical care is in the department of the specified ministry. Only this state authority has the right to decide how many quotas will be in the current year, and in which health care institution can be used. Such rulings are published regularly.
Of course, the state does not provide cash to delivered by citizens from all their ailments. To get a quota, good reasons are needed.
The Ministry of Health issued a document containing a list of diseases that can be treated for state money. The list of diseases for quota treatment in 2018 contains up to 140 illness names.
1. The diseases of the heart, for the treatment of which is provided for operational intervention (including repeated).
3. Supporting the joint, if there is a need for this, then endoprosthetics.
4. Powarecrogic intervention.
5.Aeo (extracorporeal fertilization).
6. Treatment of hereditary diseases in severe form, including leukemia.
The Ministry of Health is determined by the number of quotas for each institution, which has a relevant license. This means that a certain clinic can take only a certain number of patients at the expense of the state budget.
Unfortunately, the number of quotas allocated by the state is limited. And the hospital daily addresses a large number of people in need of endoprosthetics. Make all operations free opportunities not.
Very rarely occur when the patient refuses the operation. In this case, the patients who are behind him in the queue appears a chance to receive treatment faster.
It is worth noting that not every patient has the opportunity for several years to wait for its turn. In order not to exacerbate the course of the ailment, people are resolved to conduct an operation at their own expense. After all, in time, rendered treatment is many times increases the chances of recovery.
Unfortunately, the path to the medical institution providing free medical care is not easy. The patient must wait until he comes with a positive response from three commissions. Such steps of obtaining quotas approved by the Ministry of Health of the Russian Federation.
There are workarounds. Talk about them a little later. Any contact with the quota should always begin with the attending doctor.
To ensure preferential treatment, first confirmed the diagnosis. To do this, you may need to take paid tests and to undergo surveys. This patient will have to pay for their own money.
Stages of initiation of quotas are as follows:
4) the general condition of the patient;
The attending physician is responsible for the "candidate" for the quota. It does not have the right to recommend the Commission of the person who can do without WMP.
1) discharge from the minutes of the meeting with an explanation of a positive decision;
2) photocopies of the passport (or birth certificate, if the patient is a child up to 14 years old);
3) statements in which the name must be indicated, registration address, passport data, citizenship, contact information;
4) copies of the CHAM policy (compulsory medical insurance);
5) Pension Insurance Polis;
6) data on the insurance account (in some cases);
7) information on surveys and analyzed surveys (originals);
extracts from the medical card, where a detailed diagnosis is painted (this prepares the doctor).
It is necessary to agree to the processing of personal data with a medical organization. To do this, you need to write an additional application.
The Commission of the regional level consists of five specialists. Its activity is headed by the head of a certain department. The authority must decide for ten days.
1) will determine the medical institution where treatment will be carried out;
3) informs the applicant.
It is customary to choose a clinic that is near the patient's residence. But not all hospitals have a license for conducting special operations. It turns out that a citizen can give a referral to another region or even to the capital institution.
The way this body works is logged. The paper reflects the following information:
1) all data on indications for further provision of quota;
2) diagnosis as well as its code;
3) the cause of the direction to the clinic;
4) whether there is a need to carry out an additional examination;
5) Causes of refusal to receive VMM.
1) Coupon to provide VMM;
3) Medical information on the patient's health status.
In the medical institution itself, where treatment is carried out, there is also a quota commission. After receiving documents, it takes her own meeting, where three people should take part.
1) is studying the presented information for the possibility of providing the necessary treatment to the patient;
2) decides whether the patient needs this treatment or not;
3) defines specific deadlines;
4) He has ten days for all this.
Coupon, in case of use, is stored in the clinic. It is the basis for budget financing of treatment.
It turns out that a total of a decision on the inclusion of a person in the quota program takes at least 23 days. Take the time to send documents.
The state pays only such medical services that cannot be obtained at the local hospital. Namely: VMM, ECO, surgical intervention and treatment.
For each type of care requires special equipment and the corresponding training of specialists. Ordinary diseases are not quoted.
Such support is provided to those patients whose diagnosis corresponds to the list of the Ministry of Health. They are sent to the clinic where the necessary manipulations are carried out. All treatment is provided to the patient for free.
By the way, some citizens can get free of charge on transport to the place of assistance.
For this type of state support, expensive drugs are purchased, to pay for which the patient himself cannot. The order of such state support is determined by Federal Law No. 323 (Article 34). The Government of the Russian Federation specifies the implementation of the provisions of this regulatory act into practice. For more information, find out about the procedure for obtaining a quota for rehabilitation and treatment.
For this operation, women are directly diagnosed with infertility. Extracorporeal fertilization is a long and high-cost procedure. Unfortunately, without this operation, many women cannot become mothers. However, the direction on Eco is issued only to those patients who have passed a difficult prior period of treatment and various surveys.
And this is not all kinds of help concerning the restoration of the health and conservation of the life of citizens of the Russian Federation. There are many diseases, almost every fall under one of the above-mentioned areas of medical technologies. Although there are exceptions.
Often a person cannot afford a long time to wait for medical care.
Specialists advise the following:
It must be said that the effect of this can be insignificant. Only experienced specialists participate in the Commissions. They themselves give themselves the report that delays in such matters are unacceptable. But it's still worth trying.
1) Collect the documentation (above mentioned this);
2) Bring it to the hospital and write a statement in place.
Unfortunately, clinics working in quotas cannot help without compliance with formalities. Such medical institutions will still need to be reported for used budget funds.
Treatment of certain diseases is so complicated and expensive that citizens are not able to pay him independently and organize. But every citizen of the Russian Federation has guarantees from the state recorded in the main law. They are ensured by the quotation of specialized services of doctors.
Just need to know how to get a quota for treatment in 2020. This is a difficult process governing by law.
Do you need on this issue? And our lawyers will contact you in the near future.
The state does not issue money to get rid of a citizen from any ailment. For quota, good reasons are needed.
The Ministry of Health publishes a document containing a list of diseases that are subject to treatment for the state account. The list is extensive, it contains up to 140 ailments.
Here is some of them:
The path to the medical insurance capable of cured, not easy. The patient will have to wait for a positive solution from the three commissions. This procedure for obtaining a quota established the Ministry of Health of the Russian Federation.
There is a workaround. We describe it a little later. To start any appeal for the quota follows from the attending physician.
To obtain a preferential treatment, you need to confirm the diagnosis. To do this, you may need paid tests and surveys. Their patient will have to make their own savings.
The initiation of initiation of the quota is as follows:
If the patient needs specialized services, the hospital commission decides on the direction of documents to the next authority - the Department of Health of the Regional Level. At this stage, a package of documents is formed, which includes:
The Regional Level Commission includes five specialists. Its activity is managing the head of the relevant department. Deciding this body is given to ten days.
In case of a positive decision, this commission:
The work of this body is logoied. The paper reflects such data:
To the medical institution, where the patient will be provided by VMP, are sent:
In a medical institution chosen for treatment, there is also a quota commission. After receiving documents, she holds his own meeting, in which at least three people should take part.
This organ:
Thus, the decision on the inclusion of a person in the quota program takes at least 23 days (still take into account the time to send documentation).
For public funds, only such medical services are provided that cannot be obtained at the local hospital.
Theses are as follows:
This type of support is provided to people whose diagnosis corresponds to the List of the Ministry of Health. They are sent to the clinic capable of carrying out the necessary manipulation. All treatment is available for free.
Some citizens are paid and travel to the place of assistance.
This type of service implies use to get rid of high-tech diseases. This is an expensive procedure. All the necessary spending takes on the budget.
However, for the provision of HDM, the necessary good medical grounds.
This type of state support implies the acquisition of expensive drugs, which the patient itself is not able to pay. Its procedure is determined by Federal Law No. 323 (Article 34). It specifies the implementation of the provisions of the specified regulatory act of the RF government with its decrees.
Women who are diagnosed with infertility are directed to such an operation. Extracorporal fertilization is a highly cost and long-term procedure.
Many women are not able to feel the joy of maternity without such an operation. But they give the direction on Eco only to patients who have passed a difficult prior period of surveys and treatment.
Not all kinds of help in restoring the health and conservation of the life of a citizen of the Russian Federation are described. There are many ailments, almost all of them fall under one of the described areas of medical technologies. But there are exceptions.
Often there is no way to wait. Help is needed urgently.
Accelerate the decision-making process in three commissions is not easy.
In the first case, it is possible to provide "pressure" on people responsible for the selection of quotas:
The second option is to use directly into the clinic providing the necessary services. For this you need:
Documents from the local hospital, where the patient is put in the initial diagnosis, must be certified:
Unfortunately, without compliance with the clinic formalities, working in quotas, help will not be able to give. This medical institution still has to be reported for the use of budget funds.
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How to get a quota for online treatment
March 2, 2017, 12:15 Oct 5, 2019 23:07
For the treatment of FNKTS FMBA of Russia, within the framework of the WPM, it is necessary to make an appointment with our profile specialist. With you, you must have: a passport of a citizen of the Russian Federation, an OMS policy, medical conclusions and results of surveys previously obtained in other medical institutions (if available). To solve the need to assist you, the doctor in addition to inspection and acquaintance with medical records can send you to go through the necessary further. If our specialist as a result of consultation determines the availability of indications for the provision of WFNS in FNCs, your documents are transmitted to consider the medical commission for the selection of patients to treat VMP. With a positive decision of the Commission and receiving a coupon, after agreeing with the head of the department, you will be invited to hospitalize our clinic.
Frequently asked Questions
We work in accordance with the Decree of the Government of the Russian Federation of December 8, 2017 No. 1492 "On the program of state guarantees of free assistance to citizens of medical care for 2017 and for the planning period of 2019 and 2020." You can get acquainted with this resolution on the Internet and on the website of the Ministry of Health of the Russian Federation.
Any citizen of the Russian Federation, suitable under the selection criteria for the provision of VMM.
No, he can not.
No, it is not possible, since assistance on VPM includes only treatment and does not include the items listed in the question.
No, it is impossible, since VMM is a planned treatment.
Yes, mandatory.
Quota is your opportunity to make an expensive and modern operation for free. Quotas are allocated by the state annually on each medical institution, which is included in the list of federal institutions with the right to provide VMM. The number of quotas is strictly limited.
Coupon is your personal number, which is assigned by the Health Department at the place of permanent registration, if you have a decision on the selection of patients for treatment on VSM FGBU FNCC FMBA Russia.
Yes it is possible.
Coupon opens with the Department of Health within 10 business days.
If a patient without passing all these steps is directly referred to our clinic, then the medical commission of our institution may adopt a positive decision on the provision of medical care within the VMP. This can only be if our clinic has free places to approved at the beginning of the year plan to provide VMM on various profiles. In this case, the patient is sent to a consultation to a specialist in the disease profile to obtain a conclusion about the presence of testimony and designing a package of documents on the VMM.
After the paperwork by specialists, they are delivered either to the territorial health care providers through electronic communications in the specialized information system of the Ministry of Health of the Russian Federation (WMP at the expense of the federal budget), or to the department for organizing the medical care of our clinic (WMP at the expense of OMS). Within 10 days, the patient is issued "Coupon for the provision of VMM".
After making the coupon and in the presence of free volumes to provide VMM, patients are invited to hospitalization in order of priority.