Rules and clinical protocols 
Frequently Asked Questions Frequently Asked Questions
1. Is it possible to issue a sick leave to those who do not have the status of insurance in the MSHI system?
If, in order to establish or confirm the disability of the patient, the provision of medical services in the OSMS system is not required, then the sick leave must be issued within the framework of the GOBMP.
For example, an uninsured patient showed signs of acute respiratory viral infection, and he applied for an appointment in a filter room or to a local doctor. If a referral to a specialist or diagnostic tests, which are included in the MSHI package, are not required to establish a diagnosis, then the patient may be prescribed a sick leave by the district doctor.
However, if for further adjustment of treatment or additional research it is necessary to receive medical services included in the list of CSHI, then such a patient will need to obtain the status of insurance in the CSHI system.
Source: Order of the Minister of Health of the Republic of Kazakhstan dated November 18, 2020 No. KR DSM-198/2020.
For example, an uninsured patient showed signs of acute respiratory viral infection, and he applied for an appointment in a filter room or to a local doctor. If a referral to a specialist or diagnostic tests, which are included in the MSHI package, are not required to establish a diagnosis, then the patient may be prescribed a sick leave by the district doctor.
However, if for further adjustment of treatment or additional research it is necessary to receive medical services included in the list of CSHI, then such a patient will need to obtain the status of insurance in the CSHI system.
Source: Order of the Minister of Health of the Republic of Kazakhstan dated November 18, 2020 No. KR DSM-198/2020.
2. Where can I get a sick leave for pregnant women who have temporarily left their permanent place of residence?
A temporary disability certificate (or extended) in a women's clinic where a pregnant woman is temporarily observed or in a medical organization where the birth took place (basis: extract or exchange card fr om the medical organization wh ere the birth took place).
Source:
"On approval of the standard for the organization of surgical (abdominal, thoracic, coloproctological) care in the Republic of Kazakhstan"
Order of the Minister of Health of the Republic of Kazakhstan dated March 20, 2023 No. 41.
Source:
"On approval of the standard for the organization of surgical (abdominal, thoracic, coloproctological) care in the Republic of Kazakhstan"
Order of the Minister of Health of the Republic of Kazakhstan dated March 20, 2023 No. 41.
3. A mother caring for her 4-year-old child in the hospital needs a sick leave certificate. Who issues the sick leave in this case: the hospital or the clinic of attachment?
Больничный лист выдается медицинской организацией, в которой ребенок проходит лечение.
4. A patient at 30 weeks of pregnancy, attached to another clinic, visited and gave birth. Our clinic issued a sick leave at the time of discharge. Now the clinic is demanding to issue a sick leave for the 56-day postpartum period. How legitimate is this?
The clinic's requirement to issue a sick leave for the postpartum period of 56 days is legitimate. The medical organization where the birth took place must issue a sick leave for the entire postpartum period in accordance with the legislation of the Republic of Kazakhstan.
Sources: Order of the Ministry of Health of the Republic of Kazakhstan dated November 18, 2020 No. KR DSM-198/2020 “On approval of the rules for the examination of temporary disability, as well as the issuance of a sheet or certificate of temporary disability.”
Sources: Order of the Ministry of Health of the Republic of Kazakhstan dated November 18, 2020 No. KR DSM-198/2020 “On approval of the rules for the examination of temporary disability, as well as the issuance of a sheet or certificate of temporary disability.”
