The procedure for using the funds of the normalized insurance reserve of the territorial fund of compulsory medical insurance - Rossiyskaya Gazeta. Normalized insurance stock tfoms Formation of the normalized insurance stock of the territorial fund slay

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

APPROVED by the Board of the Federal Compulsory Medical Insurance Fund (Minutes No. 8 dated 21.10.99)

1. Regulations on the use of temporarily free financial resources and the normalized insurance stock of the territorial CHI funds (hereinafter referred to as the Regulations) was developed in order to streamline the activities of the territorial CHI funds for the use of temporarily free financial resources and the normalized insurance stock for placement in bank deposits and investment in public securities(hereinafter referred to as SS), exclusion of cases of unreasonable diversion of funds from mandatory health insurance and strengthening control over their rational use.

2. The regulation was developed taking into account the recommendations Accounts Chamber Russian Federation based on the results of an audit of the activities of the Federal and territorial CHI funds, in accordance with the Civil Code of the Russian Federation, federal law“About banks and banking” of 02.12.90 N 395-1 (as amended by the Federal Laws of 03.02.96 N 17-FZ, of 31.07.98 N 151-FZ), the Law of the Russian Federation “On Health Insurance of Citizens in the Russian Federation” of 28.06.

91 N 1499-1 (as amended by the Law of the Russian Federation of 02.04.93 N 4741-1, the Law of the Russian Federation “On income tax of enterprises and organizations” of 27.12.91 N 2116-1, Decree of the President of the Russian Federation of 24.12.93 N 2288), Decree of the President of the Russian Federation of 06.02.98 N 136 “On measures on Stabilization of Financing of the System of Compulsory Medical Insurance”, Interim Procedure for Financial Interaction and Spending of Funds in the System of Compulsory Medical Insurance of Citizens, approved by the Federal Compulsory Medical Insurance Fund on 19.08.

3. The territorial CHI fund, as an independent state non-profit financial and credit institution, has the right to carry out financial and credit activities to ensure financial stability systems of compulsory medical insurance, including those related to the placement of temporarily free financial resources and the normalized insurance reserve in bank deposits, government securities.

4. Temporarily free financial resources of the territorial fund are special-purpose funds remaining at the disposal of the territorial MHI fund after the implementation of: - financing of compulsory medical insurance in full; - subsidizing branches with insufficient financial resources until the average per capita standard established in the territory; - forming a normalized insurance reserve in the prescribed manner; - performing managerial functions; - financing other activities not prohibited by regulatory legal acts of the Russian Federation on compulsory medical insurance.

5. Placement of temporarily free financial resources and normalized insurance stock in bank deposits, state securities is carried out by the territorial fund in order to protect them from inflation and to ensure stable financing of compulsory medical insurance.

6. The conditions for placement by the territorial MHI fund of temporarily free financial resources and the normalized insurance stock in bank deposits, government securities are: - no debt to finance the territorial program of compulsory medical insurance; - placement of funds on a short-term basis.

Order
use of funds of the normalized insurance reserve of the territorial fund of compulsory medical insurance

With changes and additions from:

1. The procedure for using the resources of the normalized insurance reserve of the territorial fund of compulsory medical insurance (hereinafter referred to as the Procedure) was developed in accordance with Federal Law No. 326-FZ of November 29, 2010 "On Compulsory Medical Insurance in the Russian Federation" (hereinafter referred to as the Law) and determines the rules for the use by the territorial fund of compulsory medical insurance (hereinafter referred to as the territorial fund) of the resources of the normalized insurance reserve of the territorial fund.

2. The normalized insurance reserve of the territorial fund (hereinafter referred to as the normalized insurance reserve) is formed as part of the expenses of the budget of the territorial fund to ensure the financial sustainability of compulsory medical insurance.

3. The size and purpose of using the normalized insurance reserve funds are established by the law on the budget of the territorial fund. The amount of normalized insurance stock (excluding funds for settlements for medical care provided to insured persons outside the territory of the subject of the Russian Federation in which the compulsory medical insurance policy was issued, and funds for financial support measures to organize additional professional education medical workers for advanced training programs, as well as for the purchase and repair of medical equipment (hereinafter referred to as events)) should not exceed the average monthly amount of the planned receipts of the territorial fund for the next year for the financial support of the territorial program of compulsory medical insurance. The purposes of using the funds of the normalized insurance stock are established in accordance with paragraph 4 of this Procedure. The funds of the normalized insurance stock are accounted for in the account for accounting for the funds of compulsory medical insurance. The amount of funds of the normalized insurance reserve is included in the total amount of funds for financial support of the territorial program of compulsory medical insurance, with the exception of the funds of the normalized insurance reserve allocated for the purposes established in subparagraph "b" of subparagraph 2 and subparagraph 3 of paragraph 4 of this Procedure.

4. Means of normalized safety stock are used for:

1) additional financial support for the implementation of territorial programs of compulsory medical insurance by providing the medical insurance organization with the funds that are missing to pay for medical care in accordance with part 6 of Article 38 of the Law;

2) payments for medical care provided to insured persons outside the territory of the subject of the Russian Federation in which the compulsory medical insurance policy was issued, in part:

a) reimbursement to other territorial funds for the cost of medical care provided to insured persons outside the territory of the subject of the Russian Federation in which the compulsory medical insurance policy was issued, in the amount provided for by the basic program of compulsory medical insurance;

b) payment of the cost of medical care provided by medical organizations of a constituent entity of the Russian Federation to persons insured on the territory of other constituent entities of the Russian Federation, with the subsequent restoration of funds to the normalized insurance reserve as the costs are reimbursed by other territorial funds;

5. Financial provision of measures is carried out within the limits of the normalized insurance reserve of the territorial fund, formed in accordance with part 6.3 of Article 26 of the Law.

6. The territorial fund, within 5 working days from the date of approval of the action plan provided for in paragraph 8 of the Rules for the use by medical organizations of the funds of the normalized insurance stock of the territorial fund of compulsory medical insurance for financial support of measures to organize additional professional education of medical workers in advanced training programs, as well as to purchase and repair medical equipment, approved by Decree of the Government of the Russian Federation of April 21, 2016 N 332 (hereinafter referred to as the Rules for the Use of Funds), notifies the medical organization in writing of the presence in the budget of the territory of the rationed insurance reserve fund for financial support of the activities planned for this medical organization.

6.1. Normalized safety stock funds for financial support of events are provided by the territorial fund to medical organizations located in the subject of the Russian Federation, which provide for the implementation of events, subject to the conditions established by paragraphs 4-7 of the Rules for the use of funds, on the basis of an agreement concluded by the territorial fund with a medical organization on financial support for events.

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

FEDERAL FUND FOR MANDATORY HEALTH INSURANCE

ORDER

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

(as amended on January 22, 2018)

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

____________________________________________________________________
Document as amended by:
(Russian newspaper, N 35, February 17, 2012);
(Official Internet portal of legal information www.pravo.gov.ru, May 25, 2016, N 0001201605250036);
(Official Internet portal of legal information www.pravo.gov.ru, 02/08/2018, N 0001201802080051).
____________________________________________________________________

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

I order:

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

Chairman
A.Yurin

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

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

Application

1. The procedure for using the resources of the normalized insurance reserve of the territorial fund of compulsory medical insurance (hereinafter referred to as the Procedure) was developed in accordance with Federal Law No. 326-FZ of November 29, 2010 "On Compulsory Medical Insurance in the Russian Federation" (hereinafter referred to as the Law) and determines the rules for the use by the territorial fund of compulsory medical insurance (hereinafter referred to as the territorial fund) of the resources of the normalized insurance reserve of the territorial fund.

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

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

4. Means of normalized safety stock are used for:

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

2) payments for medical care provided to insured persons outside the territory of the subject of the Russian Federation in which the compulsory medical insurance policy was issued, in part:

a) reimbursement to other territorial funds for the cost of medical care provided to insured persons outside the territory of the subject of the Russian Federation in which the compulsory medical insurance policy was issued, in the amount provided for by the basic program of compulsory medical insurance;

b) payment of the cost of medical care provided by medical organizations of a constituent entity of the Russian Federation to persons insured on the territory of other constituent entities of the Russian Federation, with the subsequent restoration of funds to the normalized insurance reserve as the costs are reimbursed by other territorial funds;

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

5. Financial provision of measures is carried out within the limits of the normalized insurance reserve of the territorial fund, formed in accordance with part 6.3 of Article 26 of the Law.
(Paragraph as amended, entered into force on June 5, 2016 by order of the MHIF dated April 29, 2016 N 85.

6. The territorial fund, within 5 working days from the date of approval of the action plan provided for in clause 8 of the Rules for the use by medical organizations of the funds of the normalized insurance reserve of the territorial fund of compulsory medical insurance for financial support of measures to organize additional professional education of medical workers in advanced training programs, as well as to purchase and repair medical equipment, approved by Decree of the Government of the Russian Federation of April 21, 2016 N 332, (hereinafter referred to as the Rules for the use of funds), notifies the medical organization in writing of the availability in the budget e of the territorial fund of normalized insurance stock for financial support of activities planned for this medical organization.
(Paragraph as amended, entered into force on June 5, 2016 by order of the MHIF dated April 29, 2016 N 85.
________________
Official Internet portal of legal information http://www.pravo.gov.ru, 04/25/2016, N 0001201604250009.
(The footnote was additionally included from June 5, 2016 by order of the MHIF dated April 29, 2016 N 85)

6_1. The funds of the normalized insurance reserve for financial support of events are provided by the territorial fund to medical organizations located in the subject of the Russian Federation, which provide for the implementation of events, as well as to medical organizations subordinate to the executive bodies of state power of the subject of the Russian Federation, which provides for the implementation of events, located on the territory of another subject of the Russian Federation, subject to the conditions established by paragraphs 4-7 of the Rules for the use of funds, on the basis of an agreement concluded by the territorial fund with a medical organization on the financial support of events.
(The paragraph was additionally included from June 5, 2016 by order of the MHIF of April 29, 2016 N 85; as amended, put into effect on February 19, 2018 by order of the MHIF of January 22, 2018 N 9.

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

8. According to part 8 of article 34 of the Law, the procedure for making payments for medical care provided to insured persons outside the territory of the constituent entity of the Russian Federation in which the compulsory medical insurance policy was issued, at the expense of the normalized insurance stock, is determined by the rules of compulsory medical insurance.

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

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

R.Sh. Mavlikhanov,
accountant

Many health care institutions have encountered problems when trying to obtain additional funding from the normalized insurance reserve of the territorial fund of compulsory medical insurance (hereinafter - NHA, TFOMS and CHI, respectively). Answers to emerging questions can be found in the letter of the Federal Compulsory Medical Insurance Fund (hereinafter - FFOMS) dated July 22, 2016 No. 6619 / 26-2 / and (hereinafter - the FFOMS Letter).

Formation of an action plan

The FFOMS letter contains clarifications on the implementation of the rules for the use of NHA funds by medical organizations for financial support of activities:
- on the organization of additional professional education of medical workers under advanced training programs;
- purchase and repair of medical equipment.
These rules were approved by Decree of the Government of the Russian Federation of April 21, 2016 No. 332 (hereinafter - Rules No. 332).

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