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When and to whom is a quota issued for free eye cataract surgery - all stages of obtaining a quota. How to get a quota for a free operation - tips on obtaining quotas for different groups of the population How long does it take to receive a quota for an operation

27.09.2015, 08:15

Hello! Please help me with advice -
My mother, 70 years old, went to the doctor 4 months ago with pain and lumps in her chest, and says that almost immediately she was put on the waiting list for surgery to remove the tumor. Only a few days ago, after all the tests, she was confirmed that it was breast cancer, C50E, and was told that the operation needed to be done within a month. At the same time, the turn for the operation has not arrived and no one knows when it will be (??). And of course they offered some kind of paid scheme for an expedited operation at some unimaginable price (I’m not sure if this is even legal...).

What documents are on hand (apparently, the necessary kit for the operation): Clinical blood test, ecg, biochemistry, rw hiv hepatitis b c, general blood test, x-ray of the lungs, mammography, ultrasound of the mammary glands, abdominal cavity, pelvis, physician’s report and gynecologist and referral from an oncologist. All that remains is to do a biopsy. I don’t understand why they didn’t target her earlier. And I also understand why they didn’t say what stage of cancer, maybe it can’t be determined without a biopsy?

Where was examined: Hospital No. 57 in Moscow, Mikhail Bannikov

Questions:
- Tell me, please, is it abnormal to have such queues in Moscow for urgent surgery? Mom didn’t understand, but maybe she’s waiting for her turn for the quota? But at the same time, I read that in order to register in the queue for quotas, the patient himself must contact the health department, but she did not do this. Or could the hospital send the documents themselves? Or are there no quotas needed for breast removal surgery?
- Do I understand correctly that it makes sense to contact another institution (62nd, Herzen, Blokhin)? They will ask you to carry out all the examinations again, and will they not accept documents from Hospital No. 57? Could it turn out that the operation will be scheduled there faster?
- Probably, we urgently need to undergo a paid emergency operation? In one of the above hospitals? Please tell me what is the normal price for such an operation? Somewhere they write that the money for it can then be returned through the Ministry of Health, but this is probably a fantasy.
- Is it normal that the doctors didn’t say what stage of the cancer, maybe it can’t be determined without a biopsy?

Thank you very much in advance for your advice and understanding!

28.09.2015, 00:50

Julia123, hello.
Waiting for the patient to receive special medical care for cancer within 4 months. not only abnormal, but also illegal!

By Decree of the Government of the Russian Federation of November 28, 2014 N1273 approved. The program of state guarantees of free medical care to citizens for 2015 and for the planning period of 2016 and 2017, in which the waiting period for routine medical care in a hospital is set at 30 days.

Decree of the Moscow Government dated December 23, 2014 N 811-PP approved. Territorial program of state guarantees of free medical care to citizens in the city of Moscow for 2015 and the planning period of 2016 and 2017.
Clause 2.8 of the Appendix provides that medical care in a hospital setting on a planned basis (planned hospitalization) is provided no later than 14 working days from the date the attending physician issues a referral for hospitalization of the patient.

The waiting time for high-tech medical care (under a quota) may be different, but from your message it follows that there is no talk of providing high-tech medical care; registration of a quota was not proposed.

Who diagnosed your mother and what? Who prescribed surgical treatment? Did she receive a referral to a medical institution to provide her with specialized medical care in a hospital setting? Did you go to the hospital after that? There are doubts about whether the patient would be put on a waiting list for surgery immediately after going to a medical facility with complaints and before a diagnosis is made.

If in the medical institution where the patient is sent to provide specialized inpatient care, such assistance cannot be provided within the established time frame, then the patient must be sent to an institution where such assistance can be provided.

I'll make a few more additions later.

Best regards, Love.

29.09.2015, 16:27

PS: Oncological diagnosis requires morphological confirmation (histology, IHC). The final stage of the disease is determined by the results of histological examination of the surgical material, taking into account the prevalence of the oncological process.

Imposing paid services for the provision of medical care, which should be provided free of charge (included in the list of state guarantees), under the pretext that the wait for free help can be at least 4 months, is a money scam. And who told your mother about this waiting period?

At the Herzen Institute, surgical treatment is carried out on a paid basis and according to a quota. From the experience of my relative (non-resident): 3 years ago I came in with the results of examinations and a diagnosis of breast cancer, the examination was carried out again in the conditions of the institute, they trust only their specialists. The examination cost about 100 thousand rubles. The operation was based on a quota; there were no problems with registration. After the operation, the patient was told the desired amount of “gratitude” (similar to “tradition”), the patient is in the hospital, the postoperative period, waiting for histology results, relatives are looking for opportunities.

It is possible to talk about the judicial prospect of recovering the costs of treatment, which is included in the list of guaranteed free treatment for citizens, only if indisputable evidence is presented to the court that the patient applied for such help, the guaranteed care was not provided free of charge, including within the stipulated time frame, and the patient was forced to apply for medical care on a paid basis. There are also some nuances with the processing of such payment.

What to do: do a biopsy and get histology results from the biopsy, at the same time figure out whether the mother received a referral to a medical institution for specialized inpatient medical care (surgical treatment), whether she applied to this medical institution and is included in the waiting list. If not, this must be done. If at the same time she is informed about long periods of waiting for medical care, she should contact the head doctor of the medical institution or his deputy for medical work for an appointment and submit a written request to ensure the provision of medical care within the prescribed time frame (have a copy with a note of acceptance on hand). The content of the appeal must be to the point. If necessary, let me know and I’ll sketch out a sample. This will probably be enough. If not, then contact the Moscow Department of Health (there is an opportunity to contact them on the website) both with questions about the legality of “offers” for paid services, and with a request to ensure the provision of medical care on time.

Today, it is possible to get rid of cataracts forever and eliminate its consequences through surgery for free. For these purposes, the state issues a fixed number of quotas annually.

In theory, the procedure for obtaining coupons for free treatment does not seem too complicated. In practice, such a process is complicated by huge queues and imperfect legislation in this aspect.

What eye diseases are eligible for a quota - who will receive free cataract surgery?

A quota for high-tech treatment of ophthalmic diseases can be granted in the following cases:

Diagnosis of combined eye defects against the background of errors in the structure of the cornea, lens, vitreous body: inflammatory phenomena of the retina and/or choroid; cysts and neoplasms; hemorrhages.
Deformation of the retina due to its rupture, detachment.
Glaucoma (congenital or secondary), which provoked various kinds of complications: vegetative-vascular dystonia, inflammatory processes.
Defects that resulted from endovitreal surgical treatment.
Serious injury to the eye or eyelid due to mechanical/chemical impact.
Malignant and non-malignant formations of the orbit, regardless of whether exacerbations are present or not.
Congenital anomalies of the components of the organ of vision (lens, cornea, muscle tissue, anterior or posterior segment of the eye, etc.), as well as deficiencies in the structure of the lacrimal apparatus, abnormalities of the eyelids.
Errors in the structure of the anterior chamber of the eye caused by. In this case, the doctor performs laser treatment with further installation of an intraocular lens.
Secondary cataract, which led to pathologies of the retina, lens, and choroid. Lasers are used to treat this disease. At the same time, measures are taken to eliminate complications.

Clinics in Russia where cataracts are treated free of charge according to quotas

On the territory of the Russian Federation there are several state medical institutions that provide surgical treatment of eye cataracts according to quotas:

Moscow Eye Clinic . Here you can carry out a full examination and treatment (including outpatient treatment) of complex defects and anomalies of the visual organs. If you need laser vision correction, this clinic is also suitable.
Konovalov Ophthalmology Center . The institution is equipped with modern medical equipment, which can be used to conduct high-quality eye diagnostics and eliminate cataracts. This center is famous for its highly qualified specialists.

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Full name

the patient, his date of birth, registration address;

Attached to the direction:

a copy of the compulsory medical insurance policy;

Step 3.

Urology:

Gynecology:

Abdominal surgery:

Colorectal surgery:

Thoracic surgery:

Head and neck:

Obtaining a quota for high-tech medical care

Before the release of the Federal Law " On the basics of protecting the health of citizens in the Russian Federation» the procedure for referring patients to high-tech medical care (issuing quotas for high-tech medical care) was approved every year by the Ministry of Health and Social Development. In 2012, a new order was introduced that will remain in effect indefinitely.

Last year, in order to receive a quota for VMP, a citizen had to apply directly to the regional health authority (department, committee, ministry), having in hand an extract from the medical documentation, including recommendations for obtaining VMP, and a number of other documents (copies of passport, insurance policy Compulsory medical insurance and pension certificate). The structure of the health authority provided for the corresponding commission of the constituent entity of the Russian Federation for the selection of patients for the provision of medical care, which made a decision within 10 working days from the date of application.

Now, in accordance with the procedure approved by Order of the Ministry of Health and Social Development of December 28, 2011 No. 1689n, the procedure has partially changed.

Quotas for high-tech medical care

Let's take a closer look at the procedure for obtaining a quota.

The decision to grant a quota is made by the Commission of the health authority of the constituent entity of the Russian Federation for the selection of patients for the provision of VMT.

However, now the selection of patients and their referral to this commission is carried out by the medical commissions of those medical organizations in which patients undergo treatment and observation, on the recommendation of the attending physician based on an extract from the patient’s medical records.

An extract from the patient’s medical records, drawn up by the attending physician, must contain a diagnosis of the disease (condition), a diagnosis code according to the ICD, information about the patient’s health status, diagnosis and treatment, and recommendations on the need to provide VMP. It is accompanied by the results of laboratory, instrumental and other types of studies on the profile of the patient’s disease, confirming the established diagnosis.

The medical commission, within three working days from the date of receipt of the extract, reviews it and makes a decision on sending or refusing to send the patient’s documents to the Commission of the constituent entity of the Russian Federation to resolve the issue of the need to provide him with VMP. The decision of the Medical Commission is documented in a protocol.

The criterion for making a decision by the medical commission is the presence of medical indications for the provision of VMP in accordance with the list of types of VMP.

If the medical commission makes a decision to send the patient’s documents to the Commission of a constituent entity of the Russian Federation, within three working days it generates and sends a set of documents to the health authorities. In this case, the patient has the right to receive a protocol of the decision of the medical commission and an extract from the medical documentation in hand in order to independently take the documents to the health authorities.

If the medical commission decides to refuse, then the patient is given a protocol of the decision indicating the reasons for the refusal and an extract from the medical documentation.

The set of documents sent to the Commission of a constituent entity of the Russian Federation must contain:

An extract from the protocol of the decision of the Medical Commission.
A written statement from the patient (his legal representative, proxy), containing the following information about the patient:

information about place of residence,

Consent to the processing of personal data of a citizen (patient).

Copies of the following documents:

passport of a citizen of the Russian Federation,
patient's birth certificate (for children under 14 years of age),
compulsory medical insurance policy for the patient (if available),
certificate of compulsory pension insurance of the patient (if available),
an extract from the patient’s medical records signed by the head of the medical organization at the place of treatment and observation of the patient,
results of laboratory, instrumental and other types of studies confirming the established diagnosis.

In case of an appeal on behalf of the patient by the patient’s legal representative (authorized person):

The written application additionally indicates information about the legal representative (authorized representative):

last name, first name, patronymic (if available),
information about place of residence,
details of the document proving identity and citizenship,
postal address for sending written responses and notifications,
contact phone number (if available),
email address (if available).

In addition to the patient's written request, the following must be attached:

a copy of the passport of the patient’s legal representative (patient’s proxy),
a copy of a document confirming the powers of the patient’s legal representative, or a power of attorney certified in accordance with the procedure established by the legislation of the Russian Federation in the name of the patient’s authorized representative.

The commission of a constituent entity of the Russian Federation resolves the issue no later than 10 working days from the date of receipt of the documents. Based on the results of reviewing the documents, one of the following decisions is made:

On the presence of medical indications for referring the patient to a medical organization for the provision of VMP. In this case, the chairman of the commission ensures that the patient is issued a coupon for the provision of VMP (form N 025/u-VMP) within 3 working days, as well as agrees on the expected date of hospitalization with the medical organization to which the quota is requested. After this, the patient is referred for treatment.
About the absence of medical indications for referring the patient to a medical organization for the provision of VMP.
On the presence of medical indications for referring the patient to a medical organization for the purpose of additional examination. In this case, the health authority ensures that the patient is referred for the necessary examinations.
On the availability of medical indications for referring the patient to a medical organization for the provision of specialized medical care. In this case, the health authority also ensures that the patient is referred for treatment to the appropriate medical organization.

In addition to local health authorities, a quota can be obtained by submitting a written application to the Ministry of Health and Social Development of Russia, but this is allowed only in cases where:

the patient does not live on the territory of the Russian Federation;
the patient is not registered at his place of residence;
The health care authority of a constituent entity of the Russian Federation did not ensure that the patient was referred to medical organizations for the provision of VMP.

Hospitalization is carried out by decision of the commission of the medical organization providing medical treatment. This decision is made no later than 10 working days on the basis of a coupon for the provision of medical care with electronic attachment of documents from the above list.

By phone All-Russian free 24-hour hotline for cancer patients and their loved ones 8-800 100-0191 you can get legal advice on issues related to receiving medical care, including the procedure for obtaining quotas for VMP.

Anton Radus, legal consultant of the Clear Morning Project

Regulatory documents:

On approval of the procedure for sending citizens of the Russian Federation to provide high-tech medical care at the expense of budgetary allocations provided for in the federal budget to the Ministry of Health and Social Development of the Russian Federation, using a specialized information system
Order of the Ministry of Health and Social Development of the Russian Federation of December 28, 2011 No. 1689n

On approval of the list of types of high-tech medical care
Order of the Ministry of Health of the Russian Federation dated December 29, 2012 No. 1629n

How to get a VMP quota?

Discovering that you have a disease that requires high-tech surgical intervention is a common story. Such an intervention can be performed using minimally invasive surgery using the da Vinci robotic platform. The basis of the method is surgery using pinpoint punctures in tissues or through natural physiological openings, which avoids large postoperative marks.

It may seem to you that it is extremely difficult to obtain funding from the budget for high-tech assistance, however, there is this chance, and the number of operations performed under the quota is growing every year. According to official data, expenses for VMP grow by 20% annually, and the quantitative indicator of operations performed has increased 15 times over the past 10 years.

Speaking at SPIEF 2018, Minister of Health Veronika Skvortsova reported on the increased availability of high-tech medical care (HTMC): “We have significantly increased the volume of high-tech medical care, starting from 60 patients 10 years ago, and now it is more than 1 million according to last year’s results,” - said the Minister

An operation using the da Vinci robotic platform is expensive, but any patient in need has the right to receive a state quota for such an operation.

We bring to your attention answers to questions that applicants have.

Who is eligible for free high-tech surgery?

Any citizen of the Russian Federation in need can benefit from free medical care. This is stated in the Decree of the Government of the Russian Federation dated December 8, 2017 N 1492 “On the Program of State Guarantees for the provision of free medical care to citizens for 2018 and for the planning period of 2019 and 2020.” This document is adopted annually.

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Order of the Ministry of Health and Social Development No. 1248n dated December 31, 2010 regulates the procedure for providing High-Tech Medical Care (HMC) to citizens of the Russian Federation at public expense. According to this order, every ordinary citizen of the Russian Federation has the right to receive funding for an operation from the state if necessary.

Which institutions deal with the issue of quotas?

All issues of obtaining funding for High-Tech Medical Care (HTMC) from the federal budget are regulated by the Ministry of Health.

What diseases are covered by the quota program?

The list of diseases for which a patient can count on state support is approved annually by order of the Ministry of Health of the Russian Federation.

The types of assistance that can be provided using the da Vinci robot can be viewed here.

Which institutions have the right to provide High-Tech Medical Care (HTMC)?

A medical institution providing High-Tech Medical Care under state quotas must have an appropriate license. All clinics on our list that have the da Vinci robotic system in their arsenal have such a document.

Are there any age restrictions for the patient?

There is no age limit for minimally invasive surgery using the da Vinci robot.

What steps must be taken in the process of obtaining quota for gold standard surgery?

Step 1. Contact your doctor.

First of all, the patient should contact the attending physician to receive a referral for hospitalization, prepare the necessary documents and send them for review to a competent organization. The attending physician of the medical organization in which the patient is being diagnosed and treated determines the presence of medical indications for the provision of VMP and, if there are medical indications, issues a referral for hospitalization. The presence of medical indications is confirmed by the decision of the medical commission of the medical organization, which is documented in a protocol and entered into the patient’s medical documentation. If there are medical indications, the attending physician issues a referral for hospitalization.

Requirements for making a referral for hospitalization:

The referral must be completed on the letterhead of the referring medical organization legibly by hand or in printed form, certified by the personal signatures of the attending physician and the head of the medical organization, as well as the seals of the attending physician and medical organization, and contain the following information:

compulsory medical insurance policy number and name of the medical insurance organization;
insurance certificate of compulsory pension insurance;
diagnosis code of the underlying disease in accordance with the international classification of diseases;
profile and name of the type of VMP;
name of the medical organization to which the patient is sent;
Full name and the position of the attending physician, if available - his telephone number and email address.

Attached to the direction:

an extract from the medical documentation indicating the diagnosis of the disease, the disease code according to the international classification of diseases, information about the state of health, the results of special medical studies. The extract must be certified by the personal signatures of the attending physician and the head of the medical organization;
a copy of the patient’s identification document or a copy of the birth certificate (for children under 14 years of age);
a copy of the compulsory medical insurance policy;
a copy of the insurance certificate of compulsory pension insurance (if available);
consent to the processing of personal data.

The head of the referring medical organization or another employee of the medical organization authorized by the head transfers a referral for hospitalization:

— to the receiving medical organization, if VMP is included in the basic compulsory medical insurance program (clause 15.1 of the Procedure);

- to the executive body of the constituent entity of the Russian Federation in the field of healthcare (OHC), if VMP is not included in the basic compulsory medical insurance program.

Important: The patient or his legal representative has the right to submit a completed package of documents independently. This will speed up the collection and provision of the documentation necessary to obtain VMP.

Step 2. You must wait for the VMP coupon to be issued.

There are 2 options for issuing a ticket:

If the patient is referred to the provision of medical care included in the basic compulsory medical insurance program, then the issuance of a coupon with a set of documents attached, specified in step 1, is provided by the receiving medical organization.
If the patient is referred to the provision of primary care that is not included in the basic compulsory medical insurance program, the registration of a coupon and the conclusion of the commission of the executive body of the constituent entity of the Russian Federation in the field of healthcare for the selection of patients for the provision of primary care (the OHC commission) is provided by the OHC.

How to get a quota for surgery and treatment in 2018

The decision of the OHC commission is formalized in a protocol, which must contain a conclusion on the indications for referral to VMP or on the need for additional examination.

Note: An extract from the protocol of the decision of the OHC commission is sent to the referring medical organization, and is also handed over to the patient (his legal representative) upon written application or sent to the patient (his legal representative) via postal and (or) electronic communication.

Step 3.It is necessary to wait for the decision of the commission of the medical organization providing VMP.

The commission makes a decision on the presence (absence) of medical indications or the presence of medical contraindications for hospitalization of the patient within seven working days from the date of issuing a coupon for the provision of medical treatment.

The decision is formalized in a protocol containing a conclusion on the presence of medical indications and the planned date of hospitalization of the patient, on the absence of medical indications for hospitalization, on the need for additional examination, on the presence of medical indications for referring the patient to a medical organization for the provision of specialized medical care, on the presence of medical contraindications for hospitalization of the patient to a medical organization providing medical care.

Step 4. Upon completion of VMP, receive recommendations.

Based on the results of the provision of medical treatment, medical organizations provide recommendations for further observation and (or) treatment and medical rehabilitation with the preparation of appropriate entries in the patient’s medical records.

Note: In case of dissatisfaction with the quality of medical care, the patient has the right to contact local health authorities or territorial bodies of Roszdravnadzor.

What should applicants for the da Vinci robotic surgery quota take into account?

The number of quotas is disproportionately less than the number of patients in need of surgery. The classic direct path to obtaining quotas usually takes time.

Where can I find out if there are quotas for High-Tech Medical Care?

The Ministry of Health annually approves the number of quotas for VMP and other types of treatment. All quotas are distributed among medical institutions licensed to provide such care. Information about how many quotas remain can be found from two sources. One of them is the Department of Health, the other is the clinic where you want to get VMP.

In any clinic that provides treatment under state quotas, there is always a person responsible for quotas, or there may even be an entire quota department. This is where you should contact regarding quota availability.

How many high-tech operations using the da Vinci robot are performed per year, is there a chance to get help?

In 2017, a total of 2,421 operations were performed using a robotic system. Of these, only 5% was paid for by private individuals; the rest were financed through quotas.

If a medical center is equipped with the da Vinci system, does that mean that all types of surgeries can be obtained at the medical center?

The use of a robotic system makes it possible to perform complex interventions in urology, general surgery, gynecology, thoracic surgery, colorectal surgery and on the head and neck organs. Although the list of operations is quite wide, 70% of all interventions are performed in Urology, and robot-assisted prostatectomy is the gold standard in the world in the treatment of prostate cancer. It is important to understand that each clinic develops separate areas. There are multidisciplinary centers where surgical interventions using da Vinci are carried out in different areas, and there are centers specializing in one thing. For example, GBUZ MO "MONIIAG" specializes in gynecology, and all operations are performed only in this area.

Which medical institutions in Russia provide VMP using the da Vinci robot?

A list of medical institutions that perform surgical interventions using the da Vinci robot is presented on our website, in the “Clinics” section. There you can find out the address and telephone number of the reception of each medical center.

List of operations that are performed using the da Vinci robot-assisted system in Russia:

Urology: Radical prostatectomy, adenomectomy, kidney resection; autotransplantation; allotransplantation, Nephrectomy, Adrenalectomy, Cystectomy, Bladder resection, LMS plastic surgery, Ureteroanastomosis; Ureterocystoanastomosis, Abdominal testicular resection, Pyelolithotomy, Varicocelectomy.

Gynecology: Hysterectomy, Extirpation of the uterus with appendages; Extirpation of the uterus with tubes, Extirpation with lymphadenectomy, Oophorectomy, Panhysterectomy, Myoimectomy, Curettage, Resection of endometriosis, Transposition of the ovaries, Sacrocolpopexy, Retropubic colpo-urethrosuspension (Burch operation), Salpingectomy.

Abdominal surgery: Hepatectomy, Liver resection, Pancreatectomy, Fundoplication, Cardiomyotomy, Adrenalectomy, PDR (Pancreaticoduodenectomy), Cholecystectomy, Selective arterial embolization or partial pancreaticoduodenectomy, Gastrectomy, Nissen fundoplication, Toupet fundoplication, Gastropolypectomy, Splenectomy, Aneurysm repair abdominal aorta.

Colorectal surgery: Resection of the rectum (anterior and low anterior), BAR (Abdominal-anal resection), Hemicolectomy (left-sided, right-sided), Sigmoidectomy, Colectomy.

Thoracic surgery: Segmentectomy, Lobectomy, Bilobectomy, Regional resection, Mediastinal resection.

Head and neck: Glossectomy, Thymectomy, Theriodectomy, Hemithyroidectomy, Resection of the thyroid isthmus.

How to get a VMP quota?

An operation using the da Vinci robotic platform is expensive, but any patient in need has the right to receive a state quota for such an operation.

We bring to your attention answers to questions that applicants have.

Who is eligible for free high-tech surgery?

Document

Which institutions deal with the issue of quotas?

All issues of obtaining funding for High-Tech Medical Care (HTMC) from the federal budget are regulated by the Ministry of Health.

What diseases are covered by the quota program?

The list of diseases for which a patient can count on state support is approved annually by order of the Ministry of Health of the Russian Federation.

The types of assistance that can be provided using the da Vinci robot can be viewed here.

Which institutions have the right to provide High-Tech Medical Care (HTMC)?

Are there any age restrictions for the patient?

There is no age limit for minimally invasive surgery using the da Vinci robot.

What steps must be taken in the process of obtaining quota for gold standard surgery?

Step 1. Contact your doctor.

Requirements for making a referral for hospitalization:

Full name the patient, his date of birth, registration address;
compulsory medical insurance policy number and name of the medical insurance organization;
insurance certificate of compulsory pension insurance;
diagnosis code of the underlying disease in accordance with the international classification of diseases;
profile and name of the type of VMP;
name of the medical organization to which the patient is sent;
Full name and the position of the attending physician, if available - his telephone number and email address.

Attached to the direction:

an extract from the medical documentation indicating the diagnosis of the disease, the disease code according to the international classification of diseases, information about the state of health, the results of special medical studies. The extract must be certified by the personal signatures of the attending physician and the head of the medical organization;
a copy of the patient’s identification document or a copy of the birth certificate (for children under 14 years of age);
a copy of the compulsory medical insurance policy;
a copy of the insurance certificate of compulsory pension insurance (if available);
consent to the processing of personal data.

The head of the referring medical organization or another employee of the medical organization authorized by the head transfers a referral for hospitalization:

— to the receiving medical organization, if VMP is included in the basic compulsory medical insurance program (clause 15.1 of the Procedure);

- to the executive body of the constituent entity of the Russian Federation in the field of healthcare (OHC), if VMP is not included in the basic compulsory medical insurance program.

Step 2.

Protection from extradition

You need to wait for the VMP coupon to be issued.

There are 2 options for issuing a ticket:

If the patient is referred to the provision of medical care included in the basic compulsory medical insurance program, then the issuance of a coupon with a set of documents attached, specified in step 1, is provided by the receiving medical organization.
If the patient is referred to the provision of primary care that is not included in the basic compulsory medical insurance program, the registration of a coupon and the conclusion of the commission of the executive body of the constituent entity of the Russian Federation in the field of healthcare for the selection of patients for the provision of primary care (the OHC commission) is provided by the OHC.

The OHC commission makes a decision on the presence or absence of indications for referring the patient to the receiving medical organization within 10 working days from the date of receipt of the full package of documents. The decision of the OHC commission is formalized in a protocol, which must contain a conclusion on the indications for referral to VMP or on the need for additional examination.