Formation of nsz tfoms. Normalized safety stock of tfoms. Tfoms of the sverdlovsk region

TERRITORIAL FUND OF COMPULSORY HEALTH INSURANCE OF SVERDLOVSK REGION

ORDER

ON THE USE OF THE FUNDS OF THE NHA IN ACCORDANCE WITH THE REGULATION OF THE GOVERNMENT OF THE RUSSIAN FEDERATION OF 04.21.2016 N 332

In order to implement the Decree of the Government of the Russian Federation of April 21, 2016 N 332 "On approval of the Rules for the use by medical organizations of funds from the standardized insurance stock of TFOMS for financial support of measures for organizing additional professional education of medical workers under advanced training programs, as well as for the purchase and repair of medical equipment" , Order of the Ministry of Health of the Russian Federation of 06.06.2016 N 354n "On approval of the standard form and procedure for concluding an agreement between the TFOMS and a medical organization on financial support for measures to organize additional professional education for medical workers under advanced training programs, as well as on the purchase and repair of medical equipment" , Order of the FFOMS of 01.12.2010 N 227 "On the Procedure for Using the Funds of the Standardized Safety Stock of TFOMS" I order:

1. To approve:

1.1. The form "Notification of a medical organization on the availability of funds from the NHS TFOMS for the financial support of the implementation of measures for the organization of additional professional education for medical workers under advanced training programs, as well as for the purchase and repair of medical equipment" (attached).

1.2. Interaction regulations oMS participants on the use by medical organizations of the funds of the NHA TFOMS for the financial support of measures for the organization of additional professional education for medical workers under advanced training programs, as well as for the purchase and repair of medical equipment (attached).

2. The heads of the structural divisions of TFOMI should be guided by the Regulations approved by clause 1.2 of this Order.

3. The Office of Information and Technical Support (Sartakov I.M.) to provide the technical ability to account for funds allocated for financial support of measures for organizing additional professional education of medical workers under advanced training programs, as well as for the purchase and repair of medical equipment, in the information analytical system TFOMS.

4. The directors of the intermunicipal branches of TFOMS shall bring this Order to the attention of the heads of medical organizations operating in compulsory health insurance.

6. Control over the implementation of this Order shall be entrusted to the first deputy director T.V. Demina.

Director
V. A. SHELYAKIN

Application. Notification of a medical organization about the availability of funds from the NHS TFOMS for financial support of the implementation of measures for the organization of additional professional education for medical workers under advanced training programs, and ..

The form
Head _____________
(MO)

Notification of a medical organization about the availability of funds from the NHS TFOMS for the financial support of the implementation of measures for the organization of additional professional education for medical workers under advanced training programs, as well as for the purchase and repair of medical equipment

In order to implement the Government Decree Russian Federation

from 21.04.2016 N 332 "On approval of the Rules for the use of medical

organizations of funds of the normalized insurance stock of TFOMS for

financial support for measures to organize additional

professional education of medical workers according to programs

advanced training, as well as the purchase and repair

medical equipment ", in accordance with the Action Plan,

approved by order of the Ministry of Health of the Sverdlovsk Region from

N ______ "On approval of the Action Plan for the organization

additional professional education of medical workers on

advanced training programs, as well as the acquisition and implementation

repair of medical equipment ", I notify you of the availability of funds

standardized insurance stock of TFOMS for financial security

implementation of activities planned for ______________________________,

(name of MO)

in the amount of ________ rubles, including:

Application. REGULATIONS OF INTERACTION OF MHI PARTICIPANTS ON THE USE OF NHA TFOMS FUNDS BY MEDICAL ORGANIZATIONS FOR FINANCIAL SUPPORT OF ACTIVITIES ON ORGANIZATION OF ADDITIONAL HEALTH EDUCATION ...

RULES OF ENGAGEMENT MEMBERS CHI FOR USE OF FUNDS NHS medical organization TFOMS to finance the measures on organization of additional vocational training of health workers in training programs, AND TO PURCHASE AND HOLDING OF REPAIR OF MEDICAL EQUIPMENT

1. BASIC PROVISIONS

1.1. List of abbreviations used in the Regulation:

1.2. This Regulation was developed in order to organize the interaction of CHI participants on the use by the Ministry of Health of the funds of the NHS TFOMS for the financial support of measures for the organization of additional professional education for medical workers under advanced training programs, as well as for the purchase and repair of medical equipment on the basis of:

Decree of the Government of the Russian Federation of April 21, 2016 N 332 "On approval of the Rules for the use by medical organizations of funds from the standardized insurance stock of the TFOMS for financial support of measures for organizing additional professional education for medical workers under advanced training programs, as well as for the purchase and repair of medical equipment";

Order of the Ministry of Health of the Russian Federation of 06.06.2016 N 354n "On approval of the standard form and procedure for concluding an agreement between the TFOMS and a medical organization on financial support for measures to organize additional professional education for medical workers under advanced training programs, as well as on the purchase and repair of medical equipment";

Order of FFOMS of 01.12.2010 N 227 "On the Procedure for Using the Funds of the Standardized Safety Stock of TFOMS".

2. MEDICAL ORGANIZATION

2.1. Based on the Notification of the availability of funds from the NHS, TFOMS for financial support of the implementation of measures for the organization of additional professional education for medical workers under professional development programs, as well as for the purchase and repair of medical equipment, submits to the TFOMS a package of documents with a covering letter:

Draft Agreement signed by the MO (standard forms of Agreements are posted on the TFOMS website in the section "Insurance and medical organizations"," On the use of NHA funds ") in two copies;

List of documents required for the conclusion of the Agreement (Appendix 1 to this Regulation);

Documents in accordance with the List of Documents.

2.2. Uses the funds received in accordance with the Agreement for the financial support of the Events in compliance with the conditions established by the Agreement.

2.3. When the supplier (executor) fully fulfills the obligations under the agreement (contract), he sends a letter to the director of TFOMS (copy - to the branch of TFOMS) a letter with notification of the implementation of the agreement (contract) (indicating the N and the date of the Agreement, N and the date of the agreement (contract) )) signed by the head and chief accountant, with the attachment of certified copies of the relevant acts of acceptance of the goods (works, services).

2.4. Maintains separate analytical accounting of funds for the financial support of the Events. In case of financial support of agreements (contracts) concluded for the implementation of the Measures from several sources, the specified agreements (contracts) establish the amount of financial support for each source with the subsequent implementation of separate analytical accounting of funds.

2.5. Submits to the TFOMS reports on the implementation of measures and the use of funds for the financial support of events in accordance with the Order of the TFOMI dated 07.07.2016 N 292.

2.6. Returns to the TFOMI budget the funds received in accordance with the Agreement, which were not used for their intended purpose.

2.7. After making settlements with the supplier (performer), he sends to the Office accounting and reporting by e-mail scanned copy of the payment order, certified by the chief accountant of the medical organization.

3. TFOMS OF SVERDLOVSK REGION

3.1. INTERMUNICIPAL BRANCH TFOMS

3.1.1. Provides the MO with methodological assistance in the formation of a package of documents required for signing the Agreement.

3.1.2. Cooperates with the Ministry of Defense to provide reports on the implementation of activities and the use of funds for financial support of activities in accordance with the Order of the TFOMI dated 07.07.2016 N 292.

3.2. LEGAL ADMINISTRATION

3.2.1. Ensures the signing of the Agreement in accordance with the Procedure for considering the draft Agreement by the TFOMS divisions, approved by the order of the TFOMI.

3.3. FINANCIAL AND ECONOMIC MANAGEMENT

3.3.1. Within 5 working days from the date of approval of the action plan, the MO notifies in writing about the availability of funds from the NHA in the TFOMS budget for financial support of the events.

3.3.2. Forms a financial order in accordance with the schedule for transferring funds from the Agreement.

3.3.3. Provides complete and timely reflection of cash flows by means of the IAS-4 A55 "Cash ID" function.

3.3.4. Collects and approves reports on the implementation of activities and the use of funds for financial support of activities in accordance with the Order of the TFOMI dated 07.07.2016 N 292.

3.4. DEPARTMENT OF ACCOUNTING AND REPORTING

3.4.1. Based on financial orders prepared by the Financial and Economic Department, transfers to the MO cash for financial support of events in accordance with the Agreement.

3.4.2. Keeps records of payments in accordance with the schedules of funds transfer, separate analytical accounting of funds for financial support of the Events.

3.5. CONTROL AND AUDIT DEPARTMENT

3.5.1. Carries out control over the implementation of the MoE Activities and the use of funds received for the specified purposes within scheduled inspections MO.

Appendix 1. LIST OF DOCUMENTS REQUIRED FOR CONCLUSION OF AGREEMENT OF TFOMS WITH A MEDICAL ORGANIZATION ON FINANCIAL SUPPORT OF ACTIVITIES FOR THE ORGANIZATION OF ADDITIONAL PROFESSIONAL EDUCATION OF THE MEDICAL

Attachment 1
to the Regulation

List of documents necessary to conclude an agreement with the medical organizations TFOMS of financial security arrangements for additional vocational training of health professionals in training programs, AND TO PURCHASE AND HOLDING OF REPAIR OF MEDICAL EQUIPMENT

Head of the MO / Full name

Resolution of the Government of the Russian Federation of May 22, 2015 N 493
"On the approval of the Rules for the direction in 2015 of the funds of the standardized insurance stock of the Federal Fund of Compulsory Medical Insurance for additional financial support for the provision of specialized medical care by federal state institutions"

In accordance with clause 1 of part 1 of article 6 of the Federal Law "On the Budget of the Federal Mandatory Medical Insurance Fund for 2015 and for the planning period of 2016 and 2017", the Government of the Russian Federation decides:

1. To approve the attached Rules for the allocation in 2015 of the funds of the normalized reserve stock of the Federal Fund of Compulsory Medical Insurance for additional financial support for the provision of specialized medical care by federal state institutions.

2. To recommend the executive authorities of the constituent entities of the Russian Federation to create working groups to develop proposals for additional financial support for the provision of specialized medical care by federal state institutions, including those located in the territories of other constituent entities of the Russian Federation, for subsequent submission to the commission for the development of territorial compulsory health insurance programs , created in accordance with the established procedure, including representatives of federal state institutions in the specified working groups.

rules
allocation of funds from the standardized reserve stock of the Federal Compulsory Medical Insurance Fund in 2015 for additional financial support for the provision of specialized medical care by federal state institutions
(approved by the decree of the Government of the Russian Federation of May 22, 2015 N 493)

1. These Rules establish the procedure and conditions for the direction in 2015 of the funds of the standardized reserve stock of the Federal Compulsory Medical Insurance Fund for additional financial support for the provision of specialized medical care by federal state institutions subordinate to the Ministry of Health of the Russian Federation, the Federal Medical and Biological Agency and the Federal Agency of Scientific Organizations ( further, respectively, the normalized safety stock, federal government agencies, federal executive bodies).

2. Additional financial support for the provision of specialized medical care by federal state institutions is carried out at the expense of the normalized insurance stock allocated to increase the subventions approved by the Federal Law "On the budget of the Federal Mandatory Health Insurance Fund for 2015 and for the planning period 2016 and 2017" the budget of the Federal Compulsory Medical Insurance Fund (hereinafter referred to as the Fund) to the budgets of territorial compulsory medical insurance funds for financial support of expenditure obligations of the constituent entities of the Russian Federation arising from the exercise of powers transferred in the field of compulsory health insurance (hereinafter, respectively, territorial funds, subventions).

3. The Fund makes a decision on the amount of the rationed insurance stock funds to be distributed, as well as on the direction of the rationed insurance stock funds to increase subventions on the basis of the funds provided by the federal executive authorities and territorial funds data on the volumes of specialized medical care in inpatient conditions provided by federal government agencies.

4. The distribution of the normalized safety stock is carried out according to the following method:

a) the amount of the normalized insurance stock allocated to increase the subventions provided to the budget of the territorial fund of the i-th constituent entity of the Russian Federation () is determined by the formula:

,

The volume of reduction in specialized medical care in inpatient conditions (the number of hospitalizations) provided by federal state institutions located on the territory of the i-th subject of the Russian Federation in 2015 compared to 2014;

The volume of specialized medical care in inpatient conditions (the number of hospitalizations) provided in 2014 by federal state institutions, according to invoices presented for payment by territorial funds at the place of medical care provision to the territorial fund of the i-th subject of the Russian Federation at the place of issuance of the compulsory medical insurance policy;

NSZ - the size of the normalized safety stock to be distributed;

b) the volume of reduction in specialized medical care in inpatient conditions provided by the k-th federal state institutions located on the territory of the i-th subject of the Russian Federation in 2015 compared to 2014 () is determined by the formula:

The volume of specialized medical care in inpatient conditions (number of hospitalizations) provided to insured persons of the i-th constituent entity of the Russian Federation at the expense of compulsory medical insurance funds under the basic compulsory medical insurance program in 2014 by k-th federal state institutions located in the i-th subject of the Russian Federation;

The volume of specialized medical care in inpatient conditions (the number of hospitalizations) provided by the k-th federal state institutions located on the territory of the i-th constituent entity of the Russian Federation in 2014 in accordance with state assignments for the provision of public services (performance of work), provided for by the departmental list of public services (works) (hereinafter - the state assignment);

The planned volumes of high-tech medical care not included in the basic program of compulsory medical insurance, established by the k-th federal state institutions located on the territory of the i-th subject of the Russian Federation, for 2014 (number of patients);

The volume of specialized medical care in inpatient conditions at the expense of compulsory health insurance funds within the framework of the basic compulsory health insurance program, established for 2015 by the decision of the development commission territorial program compulsory medical insurance created in the constituent entity of the Russian Federation in accordance with the established procedure (hereinafter referred to as the commission) for the k-th federal state institutions located on the territory of the i-th constituent entity of the Russian Federation (number of hospitalizations).

If< 0, то значение показателя принимается равным 0.

5. Federal executive bodies, within 5 working days from the date of entry into force of these Rules, on the basis of data received from subordinate federal state institutions, submit to the Fund information:

a) on the volume of specialized medical care in inpatient conditions provided in 2014 by subordinate federal state institutions in accordance with state assignments, indicating the subject of the Russian Federation on the territory of which the corresponding federal state institution is located;

b) on the volume of high-tech medical care provided in 2014 by subordinate federal state institutions in accordance with state assignments, indicating the subject of the Russian Federation on the territory of which the corresponding federal state institution is located;

c) on the volume of specialized medical care in inpatient conditions provided in 2014 by subordinate federal state institutions at the expense of compulsory medical insurance funds within the framework of the basic compulsory medical insurance program, including to insured persons to whom compulsory medical insurance policies were issued on the territory of other subjects of the Russian Federation Federation, indicating the subject of the Russian Federation, on the territory of which the corresponding federal state institution is located.

6. Territorial funds within 5 working days from the date of entry into force of these Rules submit to the Fund information:

a) on the volume of specialized medical care in inpatient conditions at the expense of compulsory medical insurance funds within the framework of the basic compulsory medical insurance program established for 2015 by decisions of the commissions for federal state institutions for each federal state institution;

b) on the volume of specialized medical care in inpatient conditions provided in 2014 to insured persons outside the territory of the constituent entity of the Russian Federation, in which the policy of compulsory medical insurance was issued, by federal state institutions according to invoices presented for payment by territorial funds at the place of provision of such medical care.

7. The conditions for the direction of the normalized safety stock are:

a) availability in the budget of the Fund of normalized insurance stock in the amount to be distributed;

b) submission to the Fund by the authorized executive body of a constituent entity of the Russian Federation of information on the creation of a working group to develop proposals for additional financial support for the provision of specialized medical care by federal state institutions, including those located on the territories of other constituent entities of the Russian Federation, with the inclusion of representatives in the specified working groups relevant federal government agencies.

8. Transfer of the normalized insurance stock funds to the budgets of territorial funds is carried out by the Fund within 10 working days from the date of its decision on the direction of these funds.

9. The Fund, within 5 working days from the date of transfer of the normalized insurance stock, sends to the territorial funds information about the reduction in specialized medical care in stationary conditions calculated in accordance with subparagraph "b" of paragraph 4 of these Rules in 2015 compared to 2014, provided by federal government agencies.

10. Territorial funds, within 30 calendar days from the date of receipt of the normalized insurance stock in the budgets of territorial funds, submit to the Fund a copy of the commission's decision on the distribution of additional volumes of specialized medical care between federal state institutions, as well as planned indicators for additional volumes of specialized medical care and planned indicators the amount of funds for settlements for medical care provided to insured persons outside the territory of the constituent entity of the Russian Federation, in which the policy of compulsory medical insurance was issued, based on the volume of receipt of funds from the normalized insurance stock.

11. Territorial funds submit monthly reports to the Fund on the expenditure of the normalized insurance stock in the form and in the manner approved by the Fund.

12. The Ministry of Health of the Russian Federation, together with the Fund, monitors the provision of specialized medical care by federal state institutions in the forms approved by the Ministry of Health of the Russian Federation.

13. Control over the targeted use of the normalized safety stock is carried out in accordance with the legislation of the Russian Federation.

Federal fund compulsory medical insurance (hereinafter referred to as the Federal Fund) in connection with the incoming questions on the implementation of the Rules for the use of funds by medical organizations of the standardized insurance stock of the territorial compulsory medical insurance fund for financial support of measures for organizing additional professional education of medical workers under advanced training programs, as well as on the acquisition and repair of medical equipment (hereinafter referred to as measures), approved by the decree of the Government of the Russian Federation dated April 21, 2016 N 332, (hereinafter referred to as the Rules), reports.

1. On the formation of an action plan. Clause 8 of the Rules establishes the duty of the executive body of the constituent entity of the Russian Federation, authorized by the supreme executive body of state power of the constituent entity of the Russian Federation (hereinafter referred to as the authorized body), to approve and agree in the prescribed manner the action plan within a period not exceeding 30 calendar days from the date of entry into force Of the Rules (until 06/03/2016), and subsequently - on a quarterly basis, until the 1st day of the first month of the next quarter (for the III quarter of 2016 - until 07/01/2016).

In accordance with clause 3 of the Rules, funds for the financial support of events are provided by the territorial fund of compulsory medical insurance (hereinafter - the territorial fund) to medical organizations within the funds of the normalized insurance stock (hereinafter - the NHA) provided for in the budget of the territorial fund for the financial support of activities.

Clause 5 of the Procedure for the use of the funds of the normalized reserve stock of the territorial compulsory medical insurance fund, approved by order of the Federal Fund dated 01.12.2010 N 227, financial support of the activities is carried out within the funds of the NSZ of the territorial fund, formed in accordance with Part 6.3 of Article 26 of the Federal Law of 29.11.2010 N 326-FZ "On compulsory health insurance in the Russian Federation" (hereinafter - the federal law N 326-FZ).

Thus, the amount of required funding for activities plan-set measures, is determined based on the actual amount of funds in the NHA of the territorial fund, formed as of the date of coordination and approval of the action plan, and the use of funds for these purposes is carried out by the territorial fund only after amendments to the law on the budget of the territorial fund, establishing in accordance with Part 6.4 of Article 26 of Federal Law N 326-FZ, the size of the NSZ and the purpose of its use, including for the financial support of events.

In accordance with subparagraph "b" of paragraph 4 of the Rules, the authorized body approves the criteria for the selection of medical organizations for inclusion in the action plan (hereinafter - the selection criteria).

The selection criteria established by the authorized body should ensure the possibility of distributing medical organizations on the basis of their compliance with the specified selection criteria for the subsequent formation of a list of measures, based on the NHA funds actually formed in the budget of the territorial fund. These measures will create equal conditions for the inclusion of medical organizations in the action plan, regardless of their departmental affiliation and organizational and legal form.

Please note that the action plan is approved on a quarterly cumulative basis. Thus, the amount of the necessary financial support for the action plan for the current financial year should be established within the actually formed funds of the NHA of the territorial fund.

2. On the issues of financial support of contracts concluded for the implementation of activities.

The basis for the conclusion of contracts is the existence of an action plan approved using the selection criteria.

Thus, the financial support of events at the expense of the NHA of the territorial fund under contracts concluded before the date of entry into force of the Rules and approval of the action plan is illegal.

Based on the norms established by Articles 34 and 42 of the Federal Law of 05.04.2013 N 44-FZ "On the contract system in the field of procurement of goods, works, services to meet state and municipal needs" (hereinafter - Law N 44-FZ), the contract is concluded on the conditions stipulated by the notice of the procurement, which must contain information, including the source of its financial support.

Medical organizations keep separate records for operations with compulsory medical insurance funds (part 6 of article 15 of Federal Law N 326-FZ), including with funds for financial support of events (paragraph 11 of the Rules).

Thus, we believe that financial support of agreements (contracts) concluded for the implementation of activities from several sources is possible if the specified agreements (contracts) establish the size of financial support for each source, followed by separate analytical accounting of funds received from the NHA of the territorial fund. compulsory medical insurance funds received to pay for medical care (subject to the norms of part 7 of Article 35 of Federal Law N 326-FZ) and other sources of financial support for agreements (contracts).

Considering the above, the following measures should be taken in the constituent entities of the Russian Federation:

1. Bring the budgets of territorial funds in line with Federal Law N 326-FZ in terms of financial support for events.

2. Establish selection criteria to ensure a level playing field for all medical organizations.

3. When approving the action plan, ensure:

Correspondence of the amount of its funding to the size of funds actually formed as part of the NHA of the territorial fund for financial support of events;

Compliance with the deadlines established by clause 8 of the Rules;

Formation of an action plan on a cumulative basis.

4. Ensure compliance with the requirements of Federal Law No. 44-FZ and the Rules when concluding contracts in order to implement measures.

Document overview

The explanations of the FFOMS of Russia on the implementation of the Rules for the use by medical organizations of the funds of the normalized safety stock (NSZ) of the TFOMS for financing measures for additional professional education of medical workers and the purchase (repair) of medical equipment are provided.

The amount of funding is determined based on the actual amount of funds as part of the NHA of the territorial fund, formed as of the date of coordination and approval of the action plan. Funds are used by the territorial fund only after amendments to the law on the budget of the territorial fund. Therefore, the regions must bring the funds' budgets in line with the law.

The authorized body approves the criteria for the selection of medical organizations for inclusion in the action plan. This will create a level playing field for them.

The plan is approved on a quarterly cumulative basis. Therefore, the amount of funds based on the results of the current financial year is set within the limits of the funds actually formed by the NHA fund.

It is impossible to finance events at the expense of the NHA funds under government contracts concluded before the date of entry into force of the rules and approval of the action plan.

Financing government contracts from several sources is possible if they establish the size of financial security for each source, followed by a separate analytical accounting funds received from the NHA fund, funds of the compulsory medical insurance received to pay for medical care and other sources.