Rules and clinical protocols 
Frequently Asked Questions Frequently Asked Questions
1. A foreign citizen (labor migrant from Russia) signed a voluntary medical insurance (VMI) contract with an insurance company. The insurance policy specifies a minimum list of medical services. The insurance company pays for these minimal services when the patient seeks care. But if the patient wants to consult a specialist, who should pay for this service?
All medical services are provided by the attachment organization, the reception of the district service and all services specified in the minimum list are paid for by the insurance company.
The services that are included in the CSHI, if there is an insurance status, the patient will receive at the expense of the CSHI, if there is evidence. GOBMP is not provided for such patients
A source:https://zan.gov.kz/client/#!/doc/182652/kaz
2. Who is responsible for transporting disabled persons from the district clinic for planned hospitalization and examination to regional and national medical institutions?
The responsibility for transporting disabled people for planned hospitalization and examination lies with local representative and executive bodies of regions, cities of republican significance and the capital
Source: The Code of the Republic of Kazakhstan "On the health of the people and the healthcare system".
Source: The Code of the Republic of Kazakhstan "On the health of the people and the healthcare system".
3. How to admit a child for a preventive examination? They are not included in the screening list, but they need a 075/u certificate. By law, this certificate is issued free of charge to children. The child is 12 years old and needs examinations for the pool.
Children are entitled to receive medical certificates free of charge, including Form 075/y. These certificates are issued on the basis of available data at the polyclinic at the place of attachment.
A source: https://zan.gov.kz/client/#!/doc/144582/kaz
4. Under which order are preventive medical examinations of the pediatric population conducted?
The rules, scope and frequency of professional examinations of children were approved by Order of the Ministry of Health of the Republic of Kazakhstan dated December 15, 2020 No. KR DSM-264/2020
On the approval of the rules, scope and frequency of preventive medical examinations of target groups of the population, including children of preschool and school age, as well as students of organizations of technical and vocational, post-secondary and higher education.”
5. Is it possible to attach a child to a clinic if the parents are citizens of the Russian Federation with a temporary residence permit (RVP) (the child was born in Kazakhstan)?
Migrant workers with RVPs can attach a child to a polyclinic by submitting an application personally to the polyclinic specified in the IUD contract.
Order of the Ministry of Health of the Republic of Kazakhstan dated November 13, 2020 No. KR DSM-194/2020 ”On approval of the rules for attaching individuals to healthcare organizations providing primary health care”
Order of the Ministry of Health of the Republic of Kazakhstan dated November 13, 2020 No. KR DSM-194/2020 ”On approval of the rules for attaching individuals to healthcare organizations providing primary health care”
6. With what diagnosis should Mantoux be sent for testing?
The Mantoux test is a screening test for tuberculosis, prescribed to children and adults during preventive examinations or suspected contact with an infection.
For correct coding, it is recommended to use the following diagnoses: "Routine examination of the child's health status" (Z00.1), "Contact with a tuberculosis patient" (Z20.2), or "Observation in case of suspicion of other infectious diseases" (Z03.8).
For correct coding, it is recommended to use the following diagnoses: "Routine examination of the child's health status" (Z00.1), "Contact with a tuberculosis patient" (Z20.2), or "Observation in case of suspicion of other infectious diseases" (Z03.8).
7. Can foreigners apply for attachment to a medical organization in Kazakhstan and receive assistance?
Прикрепиться к поликлинике могут граждане РК, иностранцы и лица без гражданства, постоянно проживающие на территории РК (имеющие вид на жительство). Эта категория граждан имеет право на участие в системе ОСМС.
Трудовые мигранты и члены их семей, временно пребывающие на территории РК, – это граждане стран-участниц ЕАЭС (Россия, Белоруссия, Киргизия, Армения). Для этого им нужно иметь договор добровольного медицинского страхования (полис) или же вмененного медицинского страхования (ВМС) на покрытие первичной медико-санитарной помощи (ПМСП) и стационарной помощи.
Источник: Статья 83 Кодекса Республики Казахстан «О здоровье народа и системе здравоохранения».
8. How often can a patient undergoing outpatient treatment be referred to a traumatologist?
A patient undergoing outpatient treatment may be referred to a traumatologist as many times as necessary to ensure effective treatment and follow-up. The specific frequency of visits is determined by the attending physician (general practitioner or pediatrician), depending on the clinical picture and recommendations of the traumatologist.
For example, in case of complex fractures or the need for long-term rehabilitation, visits to a traumatologist may be more frequent. In the case of standard treatment, the frequency may be reduced as the patient recovers. https://zan.gov.kz/client/#!/doc/158123/kaz
For example, in case of complex fractures or the need for long-term rehabilitation, visits to a traumatologist may be more frequent. In the case of standard treatment, the frequency may be reduced as the patient recovers. https://zan.gov.kz/client/#!/doc/158123/kaz
9. In which order is the list of examinations for ante- and postnatal monitoring approved?
The list of antenatal and postnatal follow-up examinations in Kazakhstan was approved by Order of the Ministry of Health of the Republic of Kazakhstan dated August 26, 2021 No. KR DSM-92
10. If a patient attached to a clinic in October, can they receive services in this organization immediately after reattachment or only from January 2025??
If the patient is attached due to the “attachment campaign”, then he will begin to be served in the new clinic only from January 1 next year. If it is attached for another reason, it will start to be serviced from the moment of attachment
Order of the Ministry of Health of the Republic of Kazakhstan dated November 13, 2020 No. KR DSM-194/2020 ”On approval of the rules for attaching individuals to healthcare organizations providing primary health care”
Order of the Ministry of Health of the Republic of Kazakhstan dated November 13, 2020 No. KR DSM-194/2020 ”On approval of the rules for attaching individuals to healthcare organizations providing primary health care”
11. Is the Z13.9 code suitable for school screening? The order contains the code Z13. Will Z13.9 be considered an error?
When providing medical services in school medicine, you can use the following codes of the International Classification of Diseases of the 10th revision (ICD-10): Z00.0, Z00.1, Z00.2, Z00.3, Z23, Z24, Z25, Z26 and Z27.
These codes belong to the section "Factors affecting health status and contacts with health services" and are used to designate various types of preventive examinations, examinations and consultations for school-age children.
Source: In accordance with the Rules for the provision of specialized medical care in outpatient settings, established in the Order of the Minister of Health of the Republic of Kazakhstan dated April 27, 2022 No. KR DSM-37
12. Can a Russian citizen with an IIN (but without a residence permit) receive a free traumatological surgery through the OSMS portal if they make contributions to OSMS?
Да, в случае если является трудовым мигрантом, или членом семьи трудового мигранта. Для этого необходимо регулярно вносить взносы на ОСМС. После подтверждения статуса застрахованного, она получает доступ к медицинским услугам, включая специализированную и стационарную помощь. При наличии медицинских показаний операция будет проведена бесплатно в рамках ОСМС.
Источник: Статья 83 Кодекса Республики Казахстан «О здоровье народа и системе здравоохранения».
13. Can a pregnant woman who is not a labor migrant from the EAEU be monitored based on a DMS without being attached to a clinic?
Нет, так как для наблюдения беременной женщине необходимо встать на учет по беременности. Для внесения женщины в информационную подсистему "Регистр беременных и женщин фертильного возраста" электронного портала "Регистр прикрепленного населения" женщина должна быть прикреплена к поликлинике по месту жительства.
Иностранные граждане из стран ЕАЭС могут быть прикреплены к поликлиникам при наличии ВМС (ДМС), но прикрепление действует только на период действия договора. Временные трудовые мигранты обязаны иметь вмененное медицинское страхование (ВМС) для получения первичной медико-санитарной помощи (ПМСП).
Источник: Приказ МЗ РК от 13 ноября 2020 года № ҚР ДСМ-194/2020. “Об утверждении правил прикрепления физических лиц к организациям здравоохранения, оказывающим первичную медико-санитарную помощь”, Приказ МЗ РК от 26 августа 2021 года № ҚР ДСМ-92 “Об утверждении стандарта организации оказания акушерско-гинекологической помощи в Республике Казахстан”.
14. Can a pregnant woman without a residence permit, but with an IIN, be attached to a clinic in Kazakhstan?
Yes, a pregnant woman who does not have a residence permit (residence permit), but has an IIN, can attach herself to a polyclinic in Kazakhstan if she has a voluntary (VMI) or imputed health insurance (IUD) agreement. This applies to citizens of migrant workers and their family members from the EAEU member states (Russia, Belarus, Kyrgyzstan, Armenia).
Foreigners and members of their families temporarily staying in the territory of Kazakhstan enjoy the rights and responsibilities in the CSHI system on an equal basis with Kazakhstani citizens. This means that if they have an IIN and an insurance policy, they can attach themselves to a polyclinic and receive medical care included in the MSHI.
Source: Article 83 of the Code of the Republic of Kazakhstan "On the health of the people and the health care system".
Foreigners and members of their families temporarily staying in the territory of Kazakhstan enjoy the rights and responsibilities in the CSHI system on an equal basis with Kazakhstani citizens. This means that if they have an IIN and an insurance policy, they can attach themselves to a polyclinic and receive medical care included in the MSHI.
Source: Article 83 of the Code of the Republic of Kazakhstan "On the health of the people and the health care system".
15. How can I determine whether a foreigner has a residence permit and whether a foreigner (for example, a Turkish citizen) can receive emergency assistance in Kazakhstan?
If a foreigner has a residence permit (residence permit), he has the right to emergency assistance and other medical services on an equal basis with citizens of Kazakhstan.
How to determine whether a foreigner has a residence permit:
Individual Identification Number (IIN): If a foreigner has an IIN, this indicates his legal status in Kazakhstan, but does not necessarily confirm the presence of a residence permit.
Documents: A foreigner with a residence permit is usually given the appropriate certificates. A residence permit can be issued for up to 10 years, depending on the validity period of the passport of a foreign citizen.
Source: Article 83 of the Code of the Republic of Kazakhstan "On the health of the people and the health care system".
How to determine whether a foreigner has a residence permit:
Individual Identification Number (IIN): If a foreigner has an IIN, this indicates his legal status in Kazakhstan, but does not necessarily confirm the presence of a residence permit.
Documents: A foreigner with a residence permit is usually given the appropriate certificates. A residence permit can be issued for up to 10 years, depending on the validity period of the passport of a foreign citizen.
Source: Article 83 of the Code of the Republic of Kazakhstan "On the health of the people and the health care system".
16. Parents, citizens of Russia, have an RVP. The 1414 service reported that a 14-year-old child does not require VMI or insurance. How reliable is this information, and how can a child, a Russian citizen, be attached to a polyclinic?
In order to attach a child under the age of 18 to a PHC organization, it is necessary that the parents (migrant workers) have a valid VMI and (or) IUD agreement.
Source: Article 83 of the Code of the Republic of Kazakhstan "On the Health of the people and the healthcare system"
Source: Article 83 of the Code of the Republic of Kazakhstan "On the Health of the people and the healthcare system"
17. Can a Turkish citizen with a pink ID get planned inpatient treatment for CSHI?
Yes, a Turkish citizen with a pink ID (residence permit) in Kazakhstan has the right to receive planned inpatient medical care under the CSHI if he is insured and pays contributions to the system.
Source: Article 83 of the Code of the Republic of Kazakhstan "On the Health of the people and the health care system"
Source: Article 83 of the Code of the Republic of Kazakhstan "On the Health of the people and the health care system"
18. В случае наличия договора ДМС (ВМС), в котором указаны только частные клиники , есть ли возможность прикрепиться к государственной поликлинике ?
No, since the attachment of individuals within the framework of VMI and (or) IUD is carried out at the place of permanent or temporary residence to a health care organization providing PHC provided for by the VMI and (or) IUD agreement.
Source: Order of the Minister of Health of the Republic of Kazakhstan dated November 13, 2020 No. KR DSM-194/2020 "On Approval of the Rules for attaching Individuals to healthcare organizations providing primary health care"
Source: Order of the Minister of Health of the Republic of Kazakhstan dated November 13, 2020 No. KR DSM-194/2020 "On Approval of the Rules for attaching Individuals to healthcare organizations providing primary health care"
19. What is an IUD?
Imputed medical insurance (IUD) is a type of medical insurance intended for foreigners temporarily staying in the Republic of Kazakhstan.
The Navy provides them with the opportunity to receive medical services in accordance with the conditions established by the legislation of Kazakhstan and international treaties ratified by the Republic of Kazakhstan. The Navy is regulated by the Law of the Republic of Kazakhstan "On Population Migration" and the Order of the Minister of Health dated June 7, 2023 No. 111 "On approval of a model contract for imputed medical insurance and a minimum list of medical care for imputed medical insurance". This order defines the standard terms of the contract and the list of medical care available within the framework of the Navy.
Source: Order of the Ministry of Health of the Republic of Kazakhstan dated July 31, 2023 No. 141.
The Navy provides them with the opportunity to receive medical services in accordance with the conditions established by the legislation of Kazakhstan and international treaties ratified by the Republic of Kazakhstan. The Navy is regulated by the Law of the Republic of Kazakhstan "On Population Migration" and the Order of the Minister of Health dated June 7, 2023 No. 111 "On approval of a model contract for imputed medical insurance and a minimum list of medical care for imputed medical insurance". This order defines the standard terms of the contract and the list of medical care available within the framework of the Navy.
Source: Order of the Ministry of Health of the Republic of Kazakhstan dated July 31, 2023 No. 141.
20. Foreigners married to citizens of the Republic of Kazakhstan can receive emergency medical care in full within the framework of the OSMS or GOBMP?
It depends on the status of a foreign citizen.
If a foreigner has a residence permit, then he can receive a GOBMP on an equal basis with citizens of the Republic of Kazakhstan.
If there is no residence permit, then GOBMP is obtained for diseases that pose a danger to others, according to the list and in the amount determined by the authorized body.
If a foreigner is a participant in the MSHI system and has the status of insurance, then emergency assistance is provided within the framework of the СSHI.
Source: Article 83 of the Code of the Republic of Kazakhstan "On the health of the people and the health care system".
If a foreigner has a residence permit, then he can receive a GOBMP on an equal basis with citizens of the Republic of Kazakhstan.
If there is no residence permit, then GOBMP is obtained for diseases that pose a danger to others, according to the list and in the amount determined by the authorized body.
If a foreigner is a participant in the MSHI system and has the status of insurance, then emergency assistance is provided within the framework of the СSHI.
Source: Article 83 of the Code of the Republic of Kazakhstan "On the health of the people and the health care system".
