1. Will the penalty apply to the total contract amount or to a specific case?
A penalty is applied for each violation at the rate of 0.05% of the total amount of the current service procurement contract. At the same time, the total penalty amount should not exceed 1% of the total contract value. For example, if the total contract amount is 50 million tenge, the penalty should not exceed 500 thousand tenge.
2. How to verify the validity of the medical services provided by co-executors?
Services provided by co-executors are submitted for payment to the Fund on behalf of the providers. In accordance with the Rules for Monitoring (Order of the Ministry of Health of the Republic of Kazakhstan No. 321), current monitoring is conducted to assess the validity of the medical services in compliance with healthcare standards, regulations, and clinical protocols.
3. If the co-executor violated the protocol, will penalty sanctions be applied to the supplier?
Monitoring is carried out in relation to the main healthcare service provider, as it is the one that has concluded the co-execution agreement. Providers who are obliged to fulfill part of the services under the procurement contract enter into co-execution agreements with other co-executors, regardless of the location of their production bases or offices (branches).
4. According to Order No. 305 'On Approval of the Nomenclature of Specialties and Specializations in Healthcare, and the Nomenclature and Qualification Characteristics of Healthcare Workers' Positions,' a dentist has the right to perform simple tooth extractions in children and adults. However, in Appendix 1 of Order No. 31 'On Approval of the Standard for the Organization of Dental Care in the Republic of Kazakhstan,' tooth extraction (surgical dental care) by a dentist is not provided. How should this situation be addressed? Will it be considered a defect if a dental doctor (dentist) performs a tooth extraction?
The medical care provided by a dentist belongs to the primary level. At this level, dentists can provide the following services: Oral hygiene training. Professional oral hygiene. Treatment of uncomplicated dental caries. Referral to secondary or tertiary care if indicated. In emergency cases — referral for hospitalization to provide specialized care in a hospital setting.
Source: Appendix 1 to the standard for the organization of dental care in the Republic of Kazakhstan, Order of the Ministry of Health of the Republic of Kazakhstan No. 31 dated February 24, 2023.
Source: Appendix 1 to the standard for the organization of dental care in the Republic of Kazakhstan, Order of the Ministry of Health of the Republic of Kazakhstan No. 31 dated February 24, 2023.
5. Will the service 'Drug allergy testing by the PNN (neutrophil damage index) method,' which is currently provided on a paid basis, be included in the list of services provided under the GOBMP and MSHI frameworks?
Within the framework of GOBMP and MSHI, the following tests can be performed for allergic diseases:
These tests are included in clinical protocols for allergy diagnosis.
Regarding the inclusion of specific tests in the list of GOBMP and MSHI services, we recommend contacting the Ministry of Health of the Republic of Kazakhstan.
- Determination of specific IgE to other allergens using ELISA;
- Skin tests with allergens;
- Skin tests with drugs;
- Provocative testing with allergens (conjunctival, endonasal, endobronchial, application, etc.);
- Allergometric titration (conjunctival, endonasal, endobronchial, application methods, etc.);
- Determination of total IgE in blood serum using an analyzer.
These tests are included in clinical protocols for allergy diagnosis.
Regarding the inclusion of specific tests in the list of GOBMP and MSHI services, we recommend contacting the Ministry of Health of the Republic of Kazakhstan.