On Approval of the Rules for Attachment of Natural Persons to Healthcare Entities Providing Primary Healthcare

Order of the Minister of Healthcare of the Republic of Kazakhstan No. KR DSM-194/2020 dated November 13, 2020. Registered with the Ministry of Justice of the Republic of Kazakhstan on November 16, 2020 under No. 21642.

      Unofficial translation

      In obedience to paragraph 4 of Article 123 of the Code of the Republic of Kazakhstan of July 7, 2020 “On Public Health and Health Care System” and paragraph 1 of Article 10 of the Law of the Republic of Kazakhstan of April 15, 2013 “On Public Services” I HEREBY ORDER:

      1. That the Rules for Attachment of Natural Persons to Healthcare Entities Providing Primary Healthcare shall be approved according to Annex 1 hereto.

      2. That certain orders and structural elements of certain orders of the Ministry of Healthcare of the Republic shall be deemed to have lost force according to Annex 2 hereto.

      3. That in accordance with the statutory procedure of the Republic of Kazakhstan, the Department of Organization of Medical Care of the Ministry of Healthcare of the Republic of Kazakhstan shall ensure:

      1) the state registration hereof with the Ministry of Justice of the Republic of Kazakhstan;

      2) the placement hereof on the web-site of the Ministry of Healthcare of the Republic of Kazakhstan;

      3) within ten working days after the state registration hereof with the Ministry of Justice of the Republic of Kazakhstan, submission to the Legal Department of the Ministry of Healthcare of the Republic of Kazakhstan the information on implementation of activities stipulated by sub-paragraphs 1) and 2).

      4. That the supervising Vice-Minister of Healthcare of the Republic of Kazakhstan shall be charged with control over execution hereof.

      5. This Order shall be put into effect ten calendar days after the date of its first official publication.

      Minister of Healthcare
of the Republic of Kazakhstan
A. Tsoy

  Annex to order
of the Minister of Healthcare
of the Republic of Kazakhstan
No. KR DSM-194/2020
dated November 13, 2020

Rules for Attachment of Natural Persons to Healthcare Entities Providing Primary Healthcare

Chapter 1. General provisions

      1. These Rules for Attachment of Natural Persons to Healthcare Entities Providing Primary Healthcare (further - Rules) have been developed according to paragraph 4 of article 123 of the Code of the Republic of Kazakhstan dated July 7, 2020 “On Public Health and Healthcare System” (hereinafter – the Code) and paragraph 1 of article 10 of the Law of the Republic of Kazakhstan dated April 15, 2013 “On Public Services” (hereinafter – the Law) and determine the procedures for attachment of natural persons to the healthcare entities providing primary healthcare (hereinafter – the PHC).

      2. The basic concepts shall be used in these Rules:

      1) administrative-territorial unit - village, settlement, rural district, district in the city, city, district, region;

      2) the social health insurance fund (hereinafter referred to as the fund) shall be a non-profit organization that accumulates contributions and payment, as well as purchases and payment for services of healthcare entities providing medical care in the volumes and on the terms provided for by the agreement for the purchase of medical services, and other functions determined by the Laws of the Republic of Kazakhstan;

      3) child (children) - a person under the age of eighteen (age of majority);

      4) legal representatives of the child - parents (parent), adoptive parents (adopters), guardian or trustee, adoptive parent (adoptive parents), foster carer and other persons replacing them who take care, education, upbringing, protection of the rights and interests of the child in accordance with the legislation of the Republic of Kazakhstan;

      5) the authorized body in the field of health (hereinafter referred to as the authorized body) - the central executive body conducting management and inter-sectoral coordination in the field of health protection of citizens of the Republic of Kazakhstan, medical and pharmaceutical science, medical and pharmaceutical education, sanitary and epidemiological well-being of the population, circulation of medicines and medical devices, quality of medical services (assistance);

      6) working migrant - a person who shall be a citizen of a member state of the Eurasian Economic Union, lawfully located and legally working in the territory of employment, of which he is not a citizen and in which he does not permanently reside;

      7) repatriate- ethnic Kazakh and (or) members of his family of Kazakh nationality who were not previously a citizen of the Republic of Kazakhstan, who arrived at their historical homeland and received the corresponding status in the manner prescribed by the Law of the Republic of Kazakhstan "On population migration";

      8) a newly commissioned health facility providing primary health care (hereinafter referred to as a newly commissioned health facility) - a primary health care facility included in the regional prospective plan for the development of health infrastructure and first put into operation by building a new or first opened by changing the existing facility;

      9) insurance organization - a legal entity engaged in the conclusion and execution of insurance contracts on the basis of the relevant license of the authorized body;

      10) insured - a person in respect of whom voluntary health insurance shall be carried out;

      11) a digital health actor - individuals and legal entities, government bodies engaged in activities or entering into public relations in the field of digital health;

      12) digital document service - an object of the information and communication infrastructure of "electronic government," assigned to the operator and intended for the creation, storage and use of electronic documents in order to implement state functions and public services arising from them, as well as when interacting with individuals and legal entities, receiving and providing services in electronic form.

      Footnote. Paragraph 2 - in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 07.12.2021 № ҚР ДСМ-125 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      3. The attachment of natural persons to PHC organisations shall be the basis for the provision of PHC and be carried out on the principles of:

      1) the family service principle;

      2) territorial accessibility of primary healthcare;

      3) free choice of medical organization within the territorial accessibility of primary healthcare;

      4) patient satisfaction with the quality of medical care;

      5) equality and fair competition irrespective of form of ownership and departmental affiliation.

      3-1. Attachment to primary health care organizations of citizens of the Republic of Kazakhstan, repatriates, refugees, foreigners and (or) stateless persons permanently residing in the territory of the Republic of Kazakhstan shall be carried out to realize the right to receive medical care within the framework of the guaranteed amount of free medical care (hereinafter referred to as the GAFMC) and in the system of compulsory social health insurance (hereinafter referred to as the CSHI).

      Attachment of foreigners and (or) stateless persons temporarily staying in the Republic of Kazakhstan, asylum seekers to primary health care organizations is carried out to provide:

      primary health care under voluntary health insurance (hereinafter referred to as VHI);

      medical care within the framework of the GAFMC according to the list and in the amount, approved by order of the Minister of Healthcare of the Republic of Kazakhstan dated October 9, 2020 No. ҚR DSM-121/2020 "On approval of the list of diseases, posing a danger to others and the volume of medical care in which foreigners and stateless persons, temporary residing in the Republic of Kazakhstan, asylum seekers shall have the right to receive a guaranteed amount of free medical care " (registered in the Register of State Registration of Regulatory Legal Acts under No. 21407);

      medical care in the CSHI system in accordance with paragraph 3 of Article 2 of the Law of the Republic of Kazakhstan "On compulsory social medical insurance."

      Footnote. The Rules as added by paragraph 3-1 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 28.07.2021 № ҚР ДСМ - 66 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      4. Attachment of individuals shall be carried out to realize the right to receive medical care within the framework of the GAFMC and in the CSHI system by individual identification number (hereinafter referred to as the IIN) to one primary health care organization.

      Provision of primary health care under the GAFMC for citizens of the Republic of Kazakhstan, repatriate, refugees, foreigners and (or) stateless persons permanently residing in the territory of the Republic of Kazakhstan, under the VHI agreement, migrant workers and members of their families who shall be citizens of the member states of the Eurasian Economic Union (hereinafter referred to as the EAEU) is carried out by the primary health care organization, which has an agreement for the purchase of medical services with the fund for the provision of medical care under the GAFMC and (or) in the CSHI system (hereinafter referred to as the medical services purchase agreement) and (or) having medical information systems integrated with the information systems of the Ministry of Healthcare of the Republic of Kazakhstan in order to obtain and/or transfer information for the provision of medical services in the CSHI system.

      When an individual is attached to the primary health care organization, detachment from the previous primary health care organization shall be carried out automatically.

      Footnote. Paragraph 4 - in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 28.07.2021 № ҚР ДСМ - 66 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      5. Children living in orphanages, boarding schools, specialized organizations for children, as well as persons living in medical and social organizations, shall be attached to primary health care organizations in the territorial service area of which these organizations are located, on the basis of the decision of local public healthcare authorities of the regions, cities of republican significance and the capital (hereinafter referred to as the Healthcare department) containing a list of primary health care organizations with service zones assigned to them for the territory of the region, cities of republican significance and the capital (hereinafter referred to as the distribution order).

      The attachment of persons held in institutions of the penitentiary system shall be carried out on the basis of a decision of the health departments of the regions, cities of republican significance and the capital, containing a list of primary health care organizations with service zones assigned to them in the region, cities of republican significance and the capital with a copy of identity documents or an electronic document from the service of digital documents (for identification). In the absence of an identity document or an electronic document from the digital document service (for identification), a copy of the registration certificate (IIN) shall be attached.

      Footnote. Paragraph 5 - in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 07.12.2021 № ҚР ДСМ-125 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      6. An individual who has not exercised the right to freely choose a primary health care facility shall be remained registered with the primary healthcare facility in which he or she has been previously served.

      In the event that the previous PHC organisation refuses to conclude a contract for the procurement of health services with the Fund for the following year, an attachment shall be made on the basis of territorial accessibility at the actual place of residence to the PHC organisations on the basis of an allocation order, submitted to the Fund no later than 20 November each year.

      Based on the results of the attachment campaign approved in view of the allocation order, the regional commission for the selection and allocation of the scope of services established at the branch of the fund (hereinafter - the regional commission) in the manner prescribed by the Rules for the Procurement of Services from healthcare entities to provide medical care within the guaranteed scope of free medical care and (or) in the system of compulsory social health insurance, approved under sub-paragraph 62) of article 7 of the Code (hereinafter - the Rules for Purchasing Services) shall determine the list of PHC entities who are (are not) admitted to the procedure of selecting providers of medical care within the guaranteed volume of free medical care and (or) in the system of compulsory social health insurance and distributing the volume of these services (hereinafter - selection procedure) and shall take decision in the form of a protocol on the results of the attachment campaign.

      The PHC entities admitted to the selection procedure shall participate in the procedure in accordance with the Rules for Procurement of Services.

      7. Attachment of natural persons referred to in paragraphs 4, 5 and 6 hereof shall be provided by the digital healthcare entity within one working day from the day of receipt from the fund of the protocol on the results of placement (not placement) of the scope of services for the provision of health care under the GSFMC and (or) in the CSHIS system (hereinafter - the protocol of the results of placement).

Chapter 2. Procedures for assigning natural persons to healthcare entities providing primary healthcare

      8. Attachment of individuals to health care organizations providing primary health care within the framework of the GAFMC shall be carried out at the place of permanent or temporary residence, taking into account the right of free choice of the primary health care organization within one administrative-territorial unit (village, settlement, rural district, district in the city, city, district, region), with the exception of persons living in the border territories who, by the right of free choice of the medical organization, shall be attached to the primary health care organization located in the territory of the nearby administrative-territorial unit.

      The free selection of the primary health care specialist shall be carried out within the primary health care organization at the place of attachment, taking into account the number of attached population in the area (part of the territory of the population service by the primary health care subject assigned to the primary health care specialist).

      The attachment of individuals within the framework of the VHI shall be carried out at the place of permanent or temporary residence to the health care organization providing primary health care provided for by the VHI agreement.

      Footnote. Paragraph 8 - in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 28.07.2021 № ҚР ДСМ - 66 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      9. For attachment to the primary health care organization at the place of permanent or temporary residence for the provision of medical care within the framework of the GAFMC, the state service "Attachment to the medical organization providing primary health care" (hereinafter referred to as the state service) shall be implemented.

      The primary health care organization shall provide individuals with a state service when accessing independently or through the web portal of "Electronic government" (hereinafter referred to as the PEG).

      The primary health care organization shall receive information on identity documents from the relevant state information systems through the PEG.

      The list of the main requirements for the provision of the state service, including the characteristics of the process, the form, content and result of the provision, as well as other information taking into account the specifics of the provision of the state service, shall be given in accordance with the Annex to these Rules.

      When directly applying for the provision of public service in writing to the first head of the organization, the following individuals submit an application:

      1) pensioners;

      2) persons with disabilities;

      3) legal representatives of a disabled child from childhood, as well as guardians or guardians, foster carers and other persons replacing them who, in accordance with the legislation of the Republic of Kazakhstan, care, education, upbringing, protection of the rights and interests of the child (legal representatives);

      4) convicts serving sentences under a court sentence in places of imprisonment, serving in colonies (at the place of serving), if there is a minute of the commission to consider the registration of the attachment (detachment) of the population to the PHC in the information system "Register of the attached population," created by order of the first head of the local public health administration of the regions, cities of republican significance and the capital;

      5) students, as well as students in madrasas, in the presence of an official appeal from the rector of a higher educational institution in the PHC and the minute of the commission between the educational institution and the primary health care;

      6) military personnel of military service;

      7) children born in foreign countries;

      8) the guardians of the homes of the baby, orphans, elderly and others;

      9) formalizing the attachment by power of attorney;

      10) formalizing the attachment under the VHI contract if there is an agreement.

      When directly contacting the primary health care organization, the PHC organization specialists shall draw up a request for attachment to the information system "Register of the attached population." The specialist of the digital health care subject shall consider the attachment request and shall decide on the approval of the application or on a motivated refusal.

      The state service shall be provided from the moment of submission of documents within 1 (one) working day. The request for the provision of public service shall be accepted 2 (two) hours before the end of the work of the primary health care organization (up to 18.00 on working days).

      The result of the provision of public service shall be a notification of attachment or a motivated refusal in the form of an electronic document in the "Personal account."

      The state service through the PEG shall be provided on the day of applying to the PEG.

      The primary health care organization shall ensure the entry of data on the provision of public services into the information system for monitoring the provision of public services in order to monitor the provision of public services in accordance with the procedure established by the authorized body in the field of informatization in accordance with subparagraph 11) of paragraph 2 of Article 5 of the Law.

      Footnote. Paragraph 9 - in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 28.07.2021 № ҚР ДСМ - 66 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      9-1. The attachment of foreigners and (or) stateless persons temporarily staying in the territory of the Republic of Kazakhstan, asylum seekers to the primary health care organization within the framework of the VHI shall be carried out on the basis of the VHI agreement, an application of an arbitrary form in Kazakh or Russian and an identity document (foreign passport) at any calendar time in accordance with the work schedule of the primary health care organization.

      A document certifying the attachment of foreigners within the framework of the VHI and (or) stateless persons temporarily staying in the territory of the Republic of Kazakhstan, asylum seekers to the PHC organization shall be a certificate of attachment to the medical organization in form No. 064/u, approved by order of the Acting Minister of Healthcare of the Republic of Kazakhstan dated October 30, 2020 No. ҚR DSM-175/2020 "On approval of forms of accounting documentation in the field of health care" (registered in the Register of State Registration of Regulatory Legal Acts under No. 21579). The attachment card shall be issued by the medical registrar of the medical organization.

      Attachment to the primary health care organization shall be carried out for the duration of the VHI agreement.

      The primary health care organizations shall attach in case of personal circulation of the insured or circulation of the insurance organization with which the VHI contract shall be concluded.

      Attachment of family members shall be carried out with their written consent by one of the family members on the basis of an application of an arbitrary form in Kazakh or Russian when providing a VHI agreement and an identity document, or an electronic document from the service of digital documents (for identification) of each family member.

      Attachment of persons under eighteen years of age shall be carried out in the presence of an identity document or an electronic document from the digital document service (for identification) of the attached person and his legal representative.

      Footnote. The Rules as added by Paragraph 9-1 in accordance with the order of the Minister of Healthcare of the Republic of Kazakhstan dated 28.07.2021 № ҚР ДСМ - 66 (shall enter into force upon expiry of ten calendar days after the day of its first official publication); in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 07.12.2021 № ҚР ДСМ-125 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      10. Grounds for attachment shall be:

      1) the change of place of permanent or temporary residence with departure from one administrative-territorial unit for more than one month or within the territory of one administrative-territorial unit;

      2) the free choice by a person of primary health care within one administrative-territorial unit (village, settlement, rural district, district in a city, city, district, region);

      3) holding by the Fund of the attachment campaign from September 15 till November 15 (hereinafter referred to as attachment campaign) within the same administrative-territorial unit (village, settlement, rural district, district in a city, city, district, region)

      4) VHI agreement concluded between the insured and the insurance organization, under which the primary health care organization shall provide medical services to the insured;

      5) the disagreement with attachment to the PHC organisation determined by the regional commission within one administrative-territorial unit (village, settlement, rural district, district in a city, city, district, region);

      6) the refusal of the PHC organisation to provide PHC, including in cases of reorganisation, liquidation, resulting in termination or modification of the service procurement contract by the foundation;

      7) the failure to allocate volume of health services to PHC organisations applying for provision of health services;

      8) the appearance of newly commissioned health care facilities;

      9) the alienation of PHC organisation which is a state enterprise through privatisation.

      Footnote. Paragraph 10 as amended by the order of the Minister of Healthcare of the Republic of Kazakhstan dated 28.07.2021 № ҚР ДСМ - 66 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      11. Attachment of citizens of the Republic of Kazakhstan, repatriates, refugees, foreigners and (or) stateless persons permanently residing in the territory of the Republic of Kazakhstan to primary health care organizations on the grounds provided for by subparagraphs 1), 2), 3), 5) of paragraph 10 of these Rules shall be carried out by submitting an electronic application through the PEG for attachment.

      The attachment of foreigners and (or) stateless persons temporarily staying in the Republic of Kazakhstan, persons seeking asylum to primary health care organizations on the basis provided for in subparagraph 4) of paragraph 10 of these Rules shall be carried out by submitting an application or appeal by the insurance organization with which the VHI agreement shall be concluded for the insured, in any form in Kazakh or Russian for attachment.

      Footnote. Paragraph 11 - in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 28.07.2021 № ҚР ДСМ - 66 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      12. Individuals, attached to PHC organizations during the period of attachment campaign, shall receive PHC in this organization starting from January 1 of the following year, provided the contract of purchase of medical services with the Fund is concluded.

      13. Individuals who are attached pursuant to sub-paragraph 4) of paragraph 10 hereof shall receive primary health care in the primary health care organization that provides health care services under the VHI contract.

      14. PHC organisations shall notify in writing the persons attached to the place of residence of the termination of PHC provision:

      1) at least thirty calendar days before the date of termination or amendment of the contract for procurement of medical services with the fund;

      2) within two calendar days from the day when the reorganisation or liquidation of the PHC organisation became known;

      3) within two calendar days from the day when it became known that the Fund did not allocate the volume of health services as a result of the selection procedure.

      If a telephone number (e-mail address) is available in the “Register of Attached Population” Information System, the PHC organizations shall notify the population by sending a message on termination of PHC provision, as well as by other unprohibited means of information.

      15. The attachment of natural persons to PHC organisations on the grounds stipulated in sub-paragraphs 6), 7), 8), 9) of paragraph 10 hereof shall be carried out by the digital healthcare entity within one working day from the day of receipt from the Fund of the protocol of placement results, adopted on the basis of an order for assignment.

      The assignment order shall be sent by the health authorities to the PHC by November 20 each year and be posted on the Internet resources of the health authorities.

      The assignment order for newly commissioned health facilities providing primary health care based on walking distance shall be issued by the health department and sent to the Fund within 7 working days from the date of the registered written notification of the manager of the newly commissioned facility.

      Once the population has been assigned to PHC organisations on the basis of a protocol of the regional commission, the PHC organisations shall notify the persons attached thereto in writing at their place of residence. If a telephone number (e-mail address) is available in the Register of Attached Population, the PHC organization shall notify the population by means of a message, as well as by other unprohibited means of information.

      In case of disagreement with the PHC organisation determined by the regional commission, the person shall submit an application for attachment on the grounds stipulated by sub-paragraph 5) of paragraph 10 hereof.

      16. The attachment to individuals engaged in private medical practice providing primary health care under the GSFMC and/or the CSHIS shall be carried out in compliance with these Rules.

      17. Removal from the records of the primary health care organisation shall be carried out when:

      1) establishing the fact of the death of the attached person on the basis of the death certificate;

      2) amendment by the attached person of the place of permanent residence outside the country on the basis of information from the state database "Individuals" of the Ministry of Justice of the Republic of Kazakhstan;

      3) termination of the VHI contract.

      Footnote. Paragraph 17 as amended by the order of the Minister of Healthcare of the Republic of Kazakhstan dated 28.07.2021 № ҚР ДСМ - 66 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

Chapter 3. Procedure for appealing decisions, actions (inactions) of the service provider and (or) its officials on the provision of public services

      Footnote. Chapter 3 – in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 07.12.2021 № ҚР ДСМ-125 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

      18. A complaint about the decisions, actions (inaction) of the service provider and (or) their employees on the provision of public services shall be submitted to the head of the service provider.

      In accordance with Paragraph 2 of Article 25 of the Law "On public services," the service recipient's complaint received by the service provider directly providing the state service shall be subject to consideration within five working days from the date of its registration.

      19. The complaint of the service recipient received by the authorized body for the assessment and control of the quality of the provision of public services shall be subject to consideration within fifteen working days from the date of its registration.

      When contacting through the portal, information on the procedure for appeal can be obtained by calling a unified contact center on the provision of public services.

      20. Pre-trial consideration of the complaint regarding the provision of public services shall be carried out by a higher administrative body, an authorized body for assessing and monitoring the quality of the provision of public services (hereinafter referred to as the body considering the complaint).

      The complaint shall be submitted to the service provider, whose decision, action (inaction) shall be appealed.

      The service provider, whose decision, action (inaction) shall be appealed, not later than three working days from the date of receipt of the complaint shall send it and the administrative case to the body considering the complaint.

      At the same time, the service provider, whose decision, action (inaction) shall be appealed, shall have the right not to send a complaint to the body considering the complaint, if it takes a decision or other administrative action within three working days that fully meets the requirements specified in the complaint.

      Unless otherwise provided by Law, the application to the court is allowed after the appeal in pre-trial order.

  Annex to Rules
of attachment of individuals
to healthcare organizations,
providing primary health care

Public service "Attachment to a medical organization, providing primary healthcare "

      Footnote. Annex – in the wording of the order of the Minister of Healthcare of the Republic of Kazakhstan dated 07.12.2021 № ҚР ДСМ-125 (shall enter into force upon expiry of ten calendar days after the day of its first official publication).

1

Name of the service provider

Health care organizations providing primary health care
 

2

Methods of public service provision

1) directly through the organization of primary health care (hereinafter referred to as the PHC);
2) web portal of the Electronic government (hereinafter referred to as the PEG).

3

Term of provision of public service

1) from the moment the patient submits the documents of the PHC organization, as well as when applying through the PEG - 1 (one) working day;
2) maximum allowable waiting time for submission of documents - 30 (thirty) minutes;
3) the maximum allowable patient service time shall be 30 (thirty) minutes.

4

Form of provision of public service

electronic (partially automated)/paper.

5

The result of the provision of public service (or its representative by power of attorney)

1) notification of attachment in the form of an electronic document signed by an electronic digital signature (hereinafter referred to as the EDS) of the PHC organization;
2) motivated refusal

6

The amount of payment charged to the service recipient during the provision of the public service, and the methods of its collection in cases provided for by the legislation of the Republic of Kazakhstan

public service shall be provided free of charge.

7

working schedule

1) PHC organization - from Monday to Saturday (Monday - Friday from 8.00 to 20.00 without break, on Saturday from 9.00 to 14.00, except for weekends (Sunday) and holidays according to the Labor Code of the Republic of Kazakhstan. At the same time, the request for the provision of public service shall be accepted 2 hours before the end of the work of the PHC organization (up to 18.00 on working days, until 12.00 on Saturday);
2) PEG - around the clock, with the exception of technical breaks related to the repair work (when the patient applies after the end of working hours, on weekends and holidays in accordance with the Labor Code of the Republic of Kazakhstan, acceptance of applications and issuance of the results of the provision of public service shall be carried out the next working day).

8

List of documents required for the public service provision

1. Documents required for the provision of public service when applying to a certain contingent in the PHC organization:
1) an identity document or an electronic document from the digital document service (for identification);
2) pensioners - pension certificate;
3) disabled persons - pension certificate or extract from the certificate of examination of medical and social expertise;
4) legal representatives of a disabled child from childhood, as well as guardians or guardians, foster carers and other persons replacing them who, in accordance with the legislation of the Republic of Kazakhstan, care, education, upbringing, protection of the rights and interests of the child (legal representatives) - a court decision or other document confirming guardianship and guardianship;
5) convicts serving sentences under a court sentence in places of imprisonment, serving in colonies (at the place of serving) - the minute of the commission to consider the registration of the attachment (detachment) of the population to the PHC in the IS "RAP," created by the order of the first head of state institutions "Health management" regions;
6) military servicemen - an extract from the order of the commander of a military unit (head of an institution) on the enrollment of military servicemen in the lists of personnel;
7) students (children under 18 years old), as well as students in madrasas (children under 18 years old) - official appeal of the rector of a higher educational institution in the PHC and the protocol of the commission between the educational institution and the PHC;
8) children born in foreign countries - a document confirming birth in a foreign state;
9) the guardians of the homes of the baby, orphans, elderly and others - the decision of the local executive bodies of the state health department of the regions, cities of republican significance and the capital;
10) formalizing the attachment by power of attorney, including under a voluntary health insurance contract in the presence of a contract.
2. PEG: request in electronic form.

9

Grounds for refusal to provide public services established by the legislation of the Republic of Kazakhstan

1) establishing the inaccuracy of the documents submitted by the patient for receiving the state service, and (or) the data (information) contained in them;
2) establishing the actual (permanent or temporary) residence of the patient outside the administrative-territorial unit (village, village, city, district in the city of regional significance, cities of republican significance, capital), where the health care entity providing PHC shall be located, with the exception of persons residing in border territories who, by right of free choice, medical organization are attached to a nearby polyclinic located on another administrative-territorial unit;
3) excess of the number of attached populations per general practitioner of 1,700 people of the mixed population, district therapist of 2,200 people, district pediatrician - 500 children from 0 to 6 years old, 900 children from 0 to 14 years old with the free choice of PHC organization;
4) the absence of a document confirming legal representation in the event of attachment of children and the above persons.

10

Other requirements taking into account the peculiarities of the provision of public service

The service recipient shall have the possibility of receiving the state service in electronic form by means of the service recipient registered on the portal subscriber number by transmitting a one-time password or by sending a short text message as a response to the portal notification.
The service recipient shall have the opportunity to receive a state service in electronic form through the portal, provided that the EDS is available.
For persons with disabilities, the presence of a ramp, a call button, a tactile path for the blind and visually impaired, a waiting room, racks with sample documents.
The service recipient has the opportunity to receive information on the procedure and status of the provision of state service in the reference services of the service provider, as well as the Unified Contact Center "1414," 8-800-080-7777.

  Annex 2
to the order

List of repealed orders and structural elements of certain orders of the Ministry of Healthcare of the Republic of Kazakhstan

      1) Order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 281 of 28 April 2015 “On Approval of the Rules for Providing Primary Health Care and the Rules for attachment to Primary Health Care Entities” (registered with the Register of State Registration of Regulatory Legal Acts under No. 11268, published on June 22, 2015 in Adilet, the information and legal system);

      2) Order of the Minister of Healthcare of the Republic of Kazakhstan No. 424 of June 15, 2017 “On Additions to Order of the Minister of Healthcare and Social Development of the Republic of Kazakhstan No. 281 of April 28, 2015 "On Approval of the Rules for Providing Primary Health Care and the Rules for Attaching Citizens to Primary Health Care Organizations” (recorded in the Register of State Registration of Regulatory Legal Acts under No. 15315, published on July 17, 2017 in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan);

      3) Order of the Minister of Healthcare of the Republic of Kazakhstan No. 840 of November 20, 2017 “On Amendments and Additions to Order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 281 of April 28, 2015 “On Approval of the Rules for Providing Primary Health Care and the Rules for Attaching Citizens to Primary Health Care Organizations” (registered with the Registry of State Registration of Regulatory Legal Acts under No. 16054, published in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan on December 8, 2017);

      4) paragraph 1 of Order No. KR DSM-21 of the Minister of Health of the Republic of Kazakhstan of October 2, 2018 "On Amending Certain Orders of the Ministry of Health of the Republic of Kazakhstan" (registered with the Registry of State Registration of Regulatory Legal Acts under No. 17487, published in electronic form in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan on October 8, 2018);

      5) Order of the Minister of Health of the Republic of Kazakhstan No. KR DSM-4 of February 12, 2019 "On Amendments to Order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 281 of April 28, 2015 "On Approval of the Rules for Primary Health Care and Rules for Attaching Citizens to Primary Health Care Organizations" (registered with the Register of State Registration of Regulatory Legal Acts under No. 18301, published in electronic format in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan on February 18, 2019);

      6) paragraph 5 of the list of certain orders of the Ministry of Health of the Republic of Kazakhstan, in which amendments and additions are made, approved by Order No. KR DSM-62 of the Minister of Health of the Republic of Kazakhstan of May 4, 2019 "On Amendments and Additions to Certain Orders of the Ministry of Health and Social Development of the Republic of Kazakhstan" (registered with the Registry of State Registration of Regulatory Legal Acts under No. 18637, published in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan in electronic form on May 23, 2019);

      7) Order of the Minister of Health of the Republic of Kazakhstan No. KR DSM-122 of August 29, 2019 "On Amendments and Additions to Order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 281 of April 28, 2015 "On Approval of the Rules for Primary Health Care and Rules for Attaching to Primary Health Care Organizations" (registered with the Registry of State Registration of Regulatory Legal Acts under No. 19315, published in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan in electronic form on September 3, 2019);

      8) Order of the Minister of Health of the Republic of Kazakhstan No. KR DCM-42/2020 of April 30, 2020 "On Amendments to Order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 281 of April 28, 2015 "On Approval of the Rules for Primary Health Care and Rules for Attaching to Primary Health Care Organizations" (recorded in the Register of State Registration of Regulatory Legal Acts under No. 20550, published in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan in electronic format on May 4, 2020);

      9) paragraph 1 of the list of certain orders in the field of health care, in which amendments and additions are introduced, approved by Order of the Minister of Health of the Republic of Kazakhstan No. КR ДСМ-76/2020 dated July 3, 2020 "On Amendments and Additions to Certain Orders of the Ministry of Health of the Republic of Kazakhstan" (registered with the State Register of Regulatory Legal Acts under No. 20932, published in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan in electronic form on July 9, 2020).