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TSR for disabled people. List of technical means of rehabilitation, terms of use

In order to implement the Agreement between the Ministry of Health and social development Russian Federation and the Moscow Government on the transfer to the Moscow Government of the implementation of part of the federal powers to provide disabled people with technical means of rehabilitation and provide state social assistance certain categories of citizens in terms of providing vouchers for sanatorium-resort treatment, as well as free travel on intercity transport to the place of treatment and back, approved by Order of the Government of the Russian Federation of December 31, 2008 N 2065-r, as well as improving the quality and efficiency of the activities of bodies state power for the rehabilitation of disabled people, the Moscow Government decides:

1. Approve:

1.1. Rules for providing disabled people with technical means of rehabilitation, including prosthetic and orthopedic products (except dentures) at the expense of subventions from federal budget provided in accordance with federal legislation, in accordance with this resolution.

1.2. List of technical means of rehabilitation received through the departments of social rehabilitation of disabled people of centers (comprehensive centers) social services Department of Social Protection of the Population of the City of Moscow, Moscow Center for Technical Rehabilitation Equipment of the Department of Social Protection of the Population of the City of Moscow (state institution) and manufactured by prosthetic and orthopedic enterprises that have contractual relations with the Department of Social Protection of the Population of the City of Moscow based on the results of a competition for placing a state order for the provision of prosthetic equipment -orthopedic care to the population, in accordance with this resolution.

1.3. A list of technical rehabilitation equipment for medical purposes issued by institutions of the Moscow Department of Health, in accordance with this resolution.

2. To establish that the authorized bodies of the Moscow Government for providing disabled people with technical means of rehabilitation, including prosthetic and orthopedic products (except dentures), within the framework of the federal list approved by Decree of the Government of the Russian Federation of December 30, 2005 N 2347-r, are:

Department of Social Protection of the Population of Moscow;

Moscow City Health Department.

3. The Department of Social Protection of the Population of the City of Moscow and the Department of Health Care of the City of Moscow shall carry out information exchange by entering information into the Citywide Special Register of Persons with Disabilities - recipients of measures social support in the field of rehabilitation.

4. Financing of expenses for the execution of parts of federal powers transferred to the authorized bodies of the Moscow Government shall be carried out at the expense of budgetary allocations from the federal budget transferred to the budget of the city of Moscow in the form of subventions for these purposes.

5. Control over the implementation of this resolution shall be entrusted to the First Deputy Mayor of Moscow in the Moscow Government Shvetsova L.I.

Mayor of Moscow

Yu.M. Luzhkov

Rules
providing disabled people with technical means of rehabilitation, including prosthetic and orthopedic products (except dentures), through subventions from the federal budget provided in accordance with federal legislation

These Rules determine the procedure for providing technical means of rehabilitation (hereinafter referred to as technical means) and prosthetic and orthopedic products (hereinafter referred to as products) included in the Federal List of Rehabilitation Measures, Technical Means of Rehabilitation and Services Provided to a Disabled Person, approved by order of the Government of the Russian Federation dated December 30, 2005 N 2347-r, persons recognized as disabled (with the exception of persons recognized as disabled due to accidents at work and occupational diseases), persons under the age of 18 who are classified as “disabled children” (hereinafter referred to as disabled people), by social protection and healthcare institutions of the city of Moscow.

I. Functions of the Department of Social Protection of the Population of the City of Moscow in terms of providing disabled people with technical means and products

1. Providing disabled people, upon personal statements (or statements of persons representing their interests), with technical means (products) is carried out in accordance with individual rehabilitation programs developed by federal state institutions of medical and social expertise.

2. Providing disabled people with technical means (products) is carried out by:

2.1. Providing the appropriate technical means (product).

2.2. Providing services for repair or replacement of previously provided technical equipment (product).

2.3. Payments of compensation for expenses for the activities specified in this section (if these expenses are made at the expense of the disabled person), including payment for banking services (postal services) for the transfer (transfer) of compensation funds.

2.4. Providing disabled people with guide dogs, including payment of annual monetary compensation for the costs of maintaining and veterinary care of guide dogs.

2.5. Providing sign language interpretation services to people with disabilities.

3. A technical device (product) provided to a disabled person in accordance with these Rules is transferred to him free of charge for gratuitous use on the basis of an acceptance certificate and is not subject to alienation in favor of third parties, including sale or donation.

4. An application for the provision of a technical aid is submitted by a disabled person (a person representing his interests) to the social rehabilitation departments of social service centers (complex centers) of the Department of Social Protection of the Population of the City of Moscow at the place of residence (stay) of the disabled person.

An application for the provision of high-tech and expensive technical means that require individual selection is submitted to the Moscow Center for Technical Rehabilitation Equipment of the Department of Social Protection of the Population of the City of Moscow (a state institution).

5. An application for the provision of a product is submitted by a disabled person to any prosthetic and orthopedic enterprise that has a contractual relationship with the Department of Social Protection of the Population of the City of Moscow based on the results of a competition for placing a state order for the provision of prosthetic and orthopedic care to the population.

6. Technical means are provided on the day the disabled person (the person representing his interests) applies.

If a technical means is not available on the day of application, the social rehabilitation department of the center (comprehensive center) of social services, the Moscow Center for Technical Rehabilitation Means of the Department of Social Protection of the City of Moscow (state institution) considers the application specified in these Rules and notifies the disabled person in writing about registering it with the provision of technical means. The social rehabilitation department of the center (comprehensive center) of social services, within 5 days after receipt of the necessary technical means, issues it to the disabled person (the person representing his interests). Individual selection of technical equipment and training in its use is carried out.

7. If a technical device (product) provided for by an individual rehabilitation program cannot be provided to a disabled person in kind or if he independently purchased the specified technical device (product) at his own expense, the disabled person is paid compensation in the amount of the cost of the technical device (product) , which must be provided to a disabled person in accordance with an individual rehabilitation program.

The list of documents to be submitted includes:

An application submitted by a disabled person (a person representing his interests) for reimbursement of expenses for the purchase of a technical device (product);

Individual rehabilitation program;

Documents confirming expenses incurred;

Certificate for a technical device (product), license for the right to engage in activities for the manufacture of prosthetic and orthopedic products (in case of purchasing a prosthetic and orthopedic product).

The department of social rehabilitation of the center (comprehensive center) of social services creates a register for the payment of compensation for a technical device (product) acquired by a disabled person independently, which is sent to the State Institution Center for Automated Calculation of Social Payments and Preparation of Analytical Information on Social Protection of the Population of the City of Moscow for payment to the disabled person of the specified compensation.

The refusal of a disabled person to be provided with a technical device (product) does not give the right to receive compensation in the amount of the cost of such a technical device (product).

8. Repair of a technical device (product) is carried out free of charge on the basis of an application submitted by a disabled person (a person representing his interests) to the Moscow Center for Technical Rehabilitation Equipment of the Department of Social Protection of the Population of the City of Moscow (state institution) (prosthetic and orthopedic enterprise) and the conclusion of a medical-technical examination of the Moscow Center for Technical Rehabilitation Equipment of the Department of Social Protection of the Population of the City of Moscow (state institution) (medical and technical commission of a prosthetic and orthopedic enterprise that provides prosthetic and orthopedic care on the basis of government contracts concluded with the Department of Social Protection of the Population of the City of Moscow based on the results of competitions) . The procedure for carrying out a medical and technical examination and the form of the conclusion of a medical and technical examination are determined by the Ministry of Health and Social Development of the Russian Federation.

If a disabled person has repaired a technical device (product) at his own expense, he is paid compensation. The decision to pay compensation for repairs of a technical device (product) made by a disabled person independently is made by the Department of Social Protection of the Population of the City of Moscow on the basis of an application submitted by a disabled person (a person representing his interests) for reimbursement of expenses for the repair of a technical device (product), the conclusion of a medical and technical examination, as well as documents confirming these expenses.

9. The terms of use of technical means of rehabilitation (products) before their replacement are established by the Ministry of Health and Social Development of the Russian Federation.

10. Replacement of a technical means of rehabilitation (product) is carried out at the request of a disabled person (person representing his interests):

Upon expiration of the established period of use in the presence of an individual rehabilitation program;

If it is impossible to carry out repairs or the need for early replacement, which is confirmed by the conclusion of a medical and technical examination of the Moscow Center for Technical Rehabilitation Equipment of the Department of Social Protection of the Population of the City of Moscow (state institution) or the medical and technical commission of a prosthetic and orthopedic enterprise.

11. Technical equipment (products) issued to disabled people are not subject to return.

12. Providing disabled people with guide dogs, including payment of annual monetary compensation for the costs of maintaining and veterinary care of guide dogs, is carried out in accordance with the Rules for providing disabled people with guide dogs, including payment of annual monetary compensation for the costs of maintaining and veterinary care of guide dogs, approved by Decree of the Government of the Russian Federation of November 30, 2005 N 708.

An application for provision of a guide dog to a disabled person is submitted by the disabled person (the person representing his interests) to the social rehabilitation department of the social service centers (complex centers) at the place of residence of the disabled person. The department of social rehabilitation of social service centers (comprehensive centers) within 5 days from the date of acceptance of the application notifies the disabled person in writing about his registration for the provision of a guide dog.

The Department of Social Protection of the Population of the City of Moscow, on the basis of documents provided by social service centers (comprehensive centers), sends a referral for receiving a guide dog to an organization that trains guide dogs, selected by the department in the prescribed manner.

The authorized body that accepts documents for the payment of annual monetary compensation for the costs of maintaining and veterinary care of guide dogs is the social rehabilitation department of the social service center (comprehensive center) at the place of residence of the disabled person.

The decision to pay compensation is made by the social rehabilitation department of the social service center (comprehensive center).

13. Provision of sign language translation services to disabled people is carried out in accordance with the Rules for the provision of sign language translation services to disabled people at the expense of the federal budget, approved by Decree of the Government of the Russian Federation of September 25, 2007 N 608.

An application for the provision of sign language interpretation services is submitted by a disabled person to an enterprise that provides sign language interpretation services, which has a contractual relationship with the Department of Social Protection of the Population of the City of Moscow.

II. Functions of the Moscow Department of Health in terms of providing disabled people with technical means of rehabilitation for medical purposes

1. Providing disabled people with technical means of rehabilitation for medical purposes is carried out by providing (installing) the appropriate technical means in accordance with individual rehabilitation programs developed by federal state institutions of medical and social expertise.

2. A technical device provided to a disabled person in accordance with these Rules is transferred to him free of charge for gratuitous use and is not subject to alienation in favor of third parties, including sale or gift.

3. An application for the provision of a technical device is submitted by a disabled person (a person representing his interests) to treatment and preventive institutions according to the profile of the disease, determined by the Moscow Department of Health.

4. Treatment and preventive institutions determined by the Moscow City Health Department, on the basis of the conclusion of the clinical expert (medical) commission of the institution, within the period established by the Moscow City Health Department, notify the disabled person about registration for the provision of technical equipment.

5. If the technical means provided for by the individual rehabilitation program cannot be provided to the disabled person in kind or if he independently purchased the specified technical means at his own expense, the disabled person is paid compensation in the amount of the cost of the technical means that should be provided to the disabled person in accordance with individual rehabilitation program.

A disabled person’s refusal to be provided with a technical device does not give the right to receive compensation in the amount of the cost of such a technical device.

The decision to pay compensation is made by the Moscow Department of Health based on the application of the disabled person and documents confirming the expenses incurred for the purchase of the product, with the issuance of a written conclusion on the right to receive compensation.

Documents for payment of compensation are accepted by the social rehabilitation department of the social service center (comprehensive center) at the place of residence of the disabled person.

Preparation of documents for payment of compensation is carried out in the manner prescribed by these Rules.

6. Replacement of technical equipment is carried out by treatment and preventive institutions determined by the Moscow Department of Health on the basis of an application submitted by a disabled person (a person representing his interests):

Upon expiration of the established period of use and on the basis of the conclusion of a clinical expert (medical) commission;

If it is impossible to carry out repairs or the need for early replacement, which is confirmed by the conclusion of a medical and technical commission determined by the Moscow Department of Health.

7. Technical equipment provided to a disabled person cannot be returned.

8. The period of use of technical equipment before their replacement is established by the Ministry of Health and Social Development of the Russian Federation.

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technical means of rehabilitation received through the departments of social rehabilitation of disabled people of the centers (comprehensive centers) of social services of the Department of Social Protection of the Population of the City of Moscow, the Moscow Center of Technical Means of Rehabilitation of the Department of Social Protection of the Population of the City of Moscow (state institution) and manufactured by prosthetic and orthopedic enterprises that have contractual relations with The Department of Social Protection of the Population of the City of Moscow, following the results of a competition for placing a state order for the provision of prosthetic and orthopedic care to the population

Support and tactile canes, crutches, supports, handrails.

Wheelchairs with manual drive (indoor, walking, active type), with electric drive, small-sized.

Anti-decubitus mattresses and pillows.

Devices for dressing, undressing and grasping objects.

Special devices for reading “talking books”, for optical correction of low vision.

Medical thermometers and tonometers with speech output.

Light and vibration sound alarms.

Televisions with teletext for receiving programs with closed captions.

Telephone devices with text output.

Armchairs with sanitary equipment.

Absorbent underwear, diapers.

Prostheses, orthoses.

Orthopedic shoes.

Special clothing.

Guide dogs.

Sign language translation services.

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technical means of rehabilitation for medical purposes, issued by institutions of the Moscow Department of Health

Hearing aids, including custom-made earmolds.

Endoprostheses, including endoprostheses of joints, ligaments, heart valves, cochlear implants.

Prostheses for eye, ear, nose, combined facial, palate, genital organs.

Special means for violation of excretory functions (urinary pouches, including catheters, urocondoms).

Decree of the Moscow Government of August 25, 2009 N 841-PP "On the procedure for providing disabled people with technical means of rehabilitation, including prosthetic and orthopedic products (except dentures) at the expense of subventions from the federal budget"

After the disability group has been established, some patients require technical means of rehabilitation (TSR). These, in particular, include: breast prosthesis, canes, anti-bedsore mattresses and pillows, absorbent underwear, diapers, etc.

The breast prosthesis consists of a set: the eco-breast prosthesis itself and two bodices.

The basis for issuing a prosthesis free of charge is the individual rehabilitation program for a disabled person (hereinafter referred to as IPR), developed by the federal government agency medical and social examination, where a record is made of the need for a set of breast prosthesis or other TSD.

To receive a prosthesis under the IPR, a disabled person must register with the regional branch of the social insurance fund (FSS) or the regional branch of social protection of the population at the place of residence (USZN). Next is the authorized body. The authorized body providing TSR is indicated in the IPR.

At this authority, the disabled person will be asked to fill out an application form, submit a passport, IPR, and an ITU certificate. Copies of these documents will need to be submitted for registration
to the authorized body, which within 15 days from the date of filing the application makes a decision on registering a disabled person to ensure TSR.

After this the following is sent by mail:

1) notification on registration for ensuring TSR and

2) direction to receive the specified funds, and if it is necessary to travel to the location of the organization to which the referral was issued, a special coupon is simultaneously issued or sent for the right to receive travel documents free of charge.

The disabled person must be notified by the authorized body that it is their turn to receive TSR. You need to find out from them where you can come to pick up your rehabilitation equipment.

For all technical means of rehabilitation, a similar procedure for free receipt has been established. For example, a disabled person may need absorbent underwear and diapers (diapers), which are classified as TSR and are provided free of charge.

How can a cancer patient receive TSR (for example, a breast prosthesis, diapers, sheets) if he has a disability group for another disease that was previously established.

If a woman with breast cancer after a mastectomy (breast removal surgery) has a disability due to another disease (not cancer), then she will not be able to receive a prosthesis free of charge according to the IRP previously issued to her. However, she can receive a free breast prosthesis kit at new program IPR, for which she needs to contact the chairman of the VC with a request to issue a referral to the ITU specifically for the development of IPR in order to provide TSR (breast prosthesis), as indicated in the delivery slip, and not re-examination.

Experts from the ITU Bureau will consider the question of whether she has signs of disability in oncopathology and if, in their opinion, there are such signs, then the need for a prosthesis will be entered into the IPR, and in this case she will receive it free of charge in the manner indicated above.

Diapers for a bedridden patient

Usually, a disabled person does not need diapers and sheets at the time of drawing up the IPR, but later he may need them. The fact that a patient with limited mobility or a bedridden patient needs diapers and absorbent sheets is decided by the attending physician of a medical institution, who should be called to the home to assess the patient’s condition. Then a message sheet is drawn up for the development of a new IPR specifically for obtaining the above-mentioned technical means of rehabilitation, which the doctor indicates in the message sheet. To avoid problems with receipt, the names of the TSR in the parcel sheet and in the IPR must be indicated in accordance with the classification contained in the Order e Ministry of Labor and Social Protection of the Russian Federation dated May 24, 2013 N 214n “On approval of the classification of technical means of rehabilitation (products) within the framework of the federal list of rehabilitation measures, technical means of rehabilitation and services provided to a disabled person. (see order of the Government of the Russian Federation dated December 30 2005 N 2347-r).

Adult diapers and absorbent sheets have a daily use period of no more than 8 hours (for polyuria syndrome, no more than 5 hours). According to the individual rehabilitation program (IRP), a disabled person is entitled to 3 items of TSR per day to choose from: either all diapers, or all sheets, or a combination of both.

Cash compensation paid to disabled people who purchased TMR at their own expense.

If a tender for the purchase of a specific TSR (for example, an eco-breast prosthesis or diapers) has not taken place in the region, and therefore the period for providing them to a disabled person is delayed, the disabled person can purchase the technical means of rehabilitation specified in the IPR at his own expense, and he is paid monetary compensation.

But its size is limited. The cost of the purchased product (service) is compensated, but not more than the price of a similar product (service) provided free of charge. Find out about the cost of government. procurement of a specific TSR and the amount of compensation can be obtained from the authorized body.

As a rule, compensation is equal to the cost of TSR, determined based on the results of the last public placement. order (competition, auction, request for quotations) carried out by the regional authorized body before the day the decision was made on payment of compensation for independently purchased goods and services. If it was not carried out or did not take place, information about the last similar order in another region (within the same federal district, and in their absence - within the country).

To receive compensation, a disabled person submits an application to the authorized body at the place of residence, attaching a copy of the passport, a copy of the IPR, a sales and cash receipt, a copy of the pension insurance certificate, a copy of the TSR certificate, and a copy of the passbook.

The decision to pay compensation for independently acquired technical means of rehabilitation must be made by authorized bodies within one month from the date of filing an application for reimbursement of expenses for the acquisition of technical means of rehabilitation by a disabled person. Compensation is transferred to the savings book. Unfortunately, deadlines are often not met.

When purchasing a prosthesis and bodices, you must ensure that the name of the prosthetic breast and bodices on the sales receipt matches their name indicated in the IPR, otherwise compensation will not be provided or the purchase document will have to be reissued.

The documents for the prosthesis must indicate its service life.

Please note that you can purchase a breast prosthesis at your own expense only if a disabled person has applied to the authorized body and has been registered in accordance with the specified Procedure. If a disabled person purchases TSR and then submits documents to the authorized body for registration, compensation will not be provided. In this connection, before purchasing TSR with subsequent compensation for its cost, you must first consult with the authorized body.

Is it possible to get TSR if the cancer patient does not have a disability group?

A breast prosthesis and some other TSR can be obtained from the regional budget only if the average per capita family income does not exceed the subsistence level established in the region per capita. In the regions, for this purpose, appropriate Laws and Regulations, which indicate which TSR can be obtained in this case.

For information of interest, you must contact the territorial office of the Department of Social Protection of the Population in your area of residence.

Regulatory sources:

1. Order of the Government of the Russian Federation of December 30, 2005 No. 2347-r “Federal list of rehabilitation measures, technical means of rehabilitation and services provided to disabled people.”

2. The rules for providing disabled people with technical means of rehabilitation and certain categories of citizens from among veterans with prostheses (except dentures), prosthetic and orthopedic products were approved by Decree of the Government of the Russian Federation of April 7, 2008 N 240).

3.Order of the Ministry of Labor and Social Protection of the Russian Federation dated May 24, 2013 N 214n “On approval of the classification of technical means of rehabilitation (products) within the framework of the federal list of rehabilitation measures, technical means of rehabilitation and services provided to a disabled person, approved by order of the Government of the Russian Federation dated 30 December 2005 N 2347-r".

4. Administrative regulations for the provision of state services by the FSS of the Russian Federation to provide disabled people with technical means of rehabilitation and (or) services and certain categories of citizens from among veterans with prosthetics (except dentures), prosthetic and orthopedic products, as well as for the payment of compensation for technical equipment independently acquired by disabled people means of rehabilitation (veterans prosthetics (except dentures), prosthetic and orthopedic products) and (or) paid services and annual monetary compensation for the expenses of disabled people for the maintenance and veterinary care of guide dogs (approved by order of the Ministry of Health and Social Development of the Russian Federation dated September 14, 2011 N 1041n).

5. The procedure for receiving compensation is specified in Order of the Ministry of Health and Social Development of the Russian Federation dated January 31, 2011 N 57n “On approval of the Procedure for paying compensation for a technical means of rehabilitation and (or) service rendered by a disabled person independently acquired, including the procedure for determining its amount and the procedure for informing citizens about the amount of said compensation" .

Disabled people have the right to free provision of technical means of rehabilitation (hereinafter referred to as TSR) according to the established list on the basis of individual rehabilitation or habilitation programs (IPRA) for a disabled person, developed by the ITU Bureau, within the limits of funds allocated from the federal budget.

Regional legislation may establish additional guarantees for people with disabilities in terms of providing them with TSR (clauses 2.1.1, 2.3 of Moscow Government Resolution No. 503-PP of August 15, 2016).

Reference. Technical means of rehabilitation

TSD for disabled people includes devices containing technical solutions and used to compensate or eliminate persistent restrictions life activities of a disabled person, in particular wheelchairs, orthopedic shoes, guide dogs and hearing aids ( Part 1 Art. 11.1 of Law N 181-FZ; pp. 7, 9, 14, 17 Federal list).

An individual rehabilitation or habilitation plan is not mandatory. A person with a disability can independently decide whether he needs a specific TSR or not.

If a disabled person purchased a means of rehabilitation at his own expense or the necessary means cannot be provided to him, the disabled person has the right to compensation under Parts 5, 6 of Art. 11 of Law No. 181-FZ).

Below is the procedure for a disabled person to receive a technical means of rehabilitation.

Prepare the application and necessary documents

To obtain TSR you will need (clause 4 of the Rules, approved by Decree of the Government of the Russian Federation dated 04/07/2008 N 240; clauses “a” - “c” clause 22 of the Administrative Regulations, approved by Order of the Ministry of Labor of Russia dated 09/23/2014 N 657n) :

application for provision of TSR;
IPRA (indicating the need for a specific TSR).

clause 4 of the Rules; paragraph 25

Submit an application and documents to the authorized body

The application and necessary documents are submitted to the territorial body of the Federal Social Insurance Fund of the Russian Federation at your place of residence or to another authorized body (usually a social security institution). You can submit your application and documents in several ways:

in person or through a representative (pre-registration can be made through State Services);
through the MFC;
through the State Services portal in electronic form;
by registered mail (clause 17 of the Rules; clauses 22, 51.1, Administrative Regulations; Information from the Federal Tax Service of the Russian Federation).

When submitting an application and documents not in person, they must be certified by a notary.

When submitting documents directly to the territorial body of the FSS of the Russian Federation, at your request, the second copy of the application is marked with its acceptance and date, as well as the full name, position and the signature of the official who accepted the application and documents.

If you submit documents through the MFC, you will receive a receipt notification of acceptance of the application and documents indicating the date and registration number (clause 52

If you submit copies of documents that are not certified in the prescribed manner, as well as in the case of submitting documents in electronic form, you will be notified of the need to submit their originals (clause 55 of the Administrative Regulations).

There is no charge for this service.

If the required documents are not sent with the application sent by mail (not all documents have been sent), the application and documents will be returned to you within five days from the date of receipt. In a similar situation, if you submit an application electronically, you will receive an electronic notification indicating the date of submission of documents and their list.

Wait for the documents to be issued to receive or produce TSR

The authorized body will consider your application within 15 days from the date of its receipt and send you a written notification of registration for TSR provision, as well as the following documents (clause 5 of the Rules):

referral for receipt or production of TMR;
a special coupon and (or) a personalized referral to receive free travel documents if you need travel (if necessary, also travel of the person accompanying you) to the location of organizations providing TMR and back.

TSR is transferred to you free of charge for gratuitous use and is not subject to alienation in favor of third parties, including sale or gift (clause 6 of the Rules).

Receiving compensation in connection with the acquisition by a disabled person of TSR independently

The amount of compensation in the event that the TSR was purchased independently or if provision of the required TSR is impossible is determined based on its cost.

If the purchased product is more expensive than the one that was due, then only the amount that you would have spent on purchasing the required product will be compensated.

If you purchased TSR at a cost lower than the compensation determined by law, then compensation is paid based on your costs in accordance with the documents provided (Part 6, Article 11 of Law No. 181-FZ; Clause 15(1) of the Rules; Clause p. 3, Procedure, approved by Order of the Ministry of Health and Social Development of Russia dated January 31, 2011 N 57n).

To receive compensation you will need (clause 5 of Order No. 57n; clause 22 of the Administrative Regulations):

application for payment of compensation;
a document proving your identity, and when applying through a representative - documents proving his identity and confirming his authority;
birth certificate (for children under 14 years of age);
IPRA (indicating the need for a specific TSR);
documents confirming the expenses you have incurred, including payment for travel to the location of the organization providing TSR and back. IN the latter case You must also provide written confirmation of the need for travel, issued by the specified organization.

You also have the right, on your own initiative, to submit your insurance certificate of compulsory pension insurance (a copy or the information contained in it) (clause 25 of the Administrative Regulations).

The application and the specified documents are submitted to the authorized body (as a rule, to the territorial body of the Federal Social Insurance Fund of the Russian Federation at your place of residence), which must make an appropriate decision within 30 days from the date of receipt. If the decision is positive, within one month from the date of its adoption compensation is paid by postal order or transfer Money to your bank account (clause 5, Order No. 57n; clause 19 of the Administrative Regulations).

Information about IPRA and recommended TSRs is entered into the Federal Register of Disabled Persons. The register also includes information about payments made to a disabled person. cash payments(in particular, on compensation for independently acquired TSR) (Article 5.1 of Law No. 181-FZ; clause 11 List, approved. Order of the Ministry of Labor of Russia dated October 12, 2016 N 570n).

Citizens who have officially registered a disability group, the cause of which is an underlying disease or injury, need TSR for the disabled ( technical means X). This is usually associated with damage to the musculoskeletal system. Russian legislation provides for measures that are aimed at improving the quality of life of people with limited mobility. They regulate the procedure for receiving various rehabilitation measures and medications.

The legislative framework

Providing people with disabilities with technical equipment is regulated by state laws. Issues related to the use of rehabilitation equipment, prostheses, and prosthetic and orthopedic devices are controlled by Order 215 N, which describes in detail their terms of use before replacement. More detailed description technical means given by order. Ministry of Labor under No. 374 N, adopted on July 18. 2016.

Who is eligible to receive TSR

The following segments of the population have the right to receive rehabilitation funds from the state:

Citizens who have been officially assigned a disability group. The exception is patients who have been injured or have a chronic disease that has led to systematic loss of health at work. In this case, the company handles the reimbursement.
Disabled children. This category includes persons under 18 years of age.

Obtaining technical equipment is possible only if specialists add the necessary devices to the program list

How to get technical equipment

To obtain TCP, there are some steps you need to take. All rehabilitation funds are issued after they are included in the individual rehabilitation program by the MSEC (medical and social expert commission). After passing the medical commission, the patient receives a document confirming the fact of assignment of disability indicating the group, a certificate of IPRA (individual rehabilitation program).

In order for a disabled person to receive a means of rehabilitation that meets his requirements, it is necessary to take care of this aspect even before MSEC. Before the commission, the attending physician refers the patient to specialists for medical examination. For example, if a patient with cerebral palsy requires mobility aids, then the notes of an orthopedist, neurologist, or surgeon, describing the wheelchair in detail, are important.

These records are then submitted to the commission. It is important to ensure that the characteristics of the stroller are described in detail in the direction. An incorrectly selected technique increases the risk of developing a secondary complication. If the TSR does not coincide with the capabilities of the disabled person, then the document can be appealed within 30 days. The basis for this is the recommendations of the attending physician.

MSEC

After the patient has collected all the expert opinions, he contacts MSEC. If any recommendations were not included in the referral, then you need to make copies of them and provide them to the commission. During the procedure, doctors draw up an individual rehabilitation program. The document regarding TSR for children is divided into three subsections, for adults - into two.

The first subsection includes rehabilitation funds financed from federal resources. The second contains conditions for providing what is necessary at the expense of regional funds or purchased independently. The third subsection describes the possibility of paying with “maternity capital”. It is better to familiarize yourself in advance with the list of rehabilitation means that are provided through federal and regional funding.

Where to go to get TSR

Next, the disabled person or a person representing his interests contacts the local department of social insurance, social assistance to the population and writes an application to receive TSR. If the necessary remedy is available, then one of them is selected for him. Otherwise, the authorized body conducts tenders to purchase technical equipment that meets the requirements.

If the equipment is not suitable for a person with limited mobility, then he writes a statement describing the fact of non-compliance. It may be necessary to consult your healthcare provider for an accurate description of TSD. Delivery may be delayed necessary equipment. In this case, the possibility of writing a statement to the prosecutor's office is not excluded.

The most comfortable chair is one with an electric motor.

If you bought TSR yourself

If a person with a disability purchased a technical device on his own, then in the future he can count on compensation from the state. The amount of compensation is limited. The amount that the state allocated last time for the purchase of this product will be returned. The documentation submitted for compensation indicates the exact model of the purchased equipment. You can find out the cost of a specific technical device by contacting the authorized body.

You can apply for compensation after providing the following package of documents:

applications to your local health insurance fund office;
copies of passport or birth certificate;
copies of the IPR;
copies of the cash register and sales receipt;
copies of pension certificate;
copies of the TCP certificate;
copies of bank account.

A decision is made on payment within a month. Funds are transferred to a savings book or bank card. When providing documents, it is important to follow the product name and model specified in the IPR. If compliance is not met, no compensation will be provided.

Repair of equipment

In accordance with the legislation of the Russian Federation, repairs of technical rehabilitation equipment are carried out at public expense without any queues. If, as a result of a breakdown, the device cannot be repaired, then it must be replaced. If it is necessary to replace equipment ahead of schedule, an examination will be carried out at federal expense.

On a note! If a disabled person requires the services of a sign language interpreter, they are provided free of charge.

List of used TSRs

For people with disabilities, TSR is important, which can be auxiliary or primary. Without the second group, a person with limited mobility will not be able to move. The first group is aimed at the rehabilitation process and preparing the citizen for socialization. The federal list includes the following types of technical equipment:

strollers equipped with electric and manual drive;
prostheses;
canes;
special orthopedic shoes;
crutches;
devices that assist in grasping objects;
sanitary chairs.

Currently, an innovative Technical equipment– prosthesis with bionic control.

Other types of rehabilitation

In addition to technical aids, people with disabilities can count on the following rehabilitation measures. Their goal is not only the partial restoration of lost functions and improvement of health, but also the social rehabilitation of the patient. Such events include:

means of medical rehabilitation ( medications, surgical interventions);
Spa treatment;
prosthetics;
vocational guidance.

A separate group is distributing personal hygiene products, which include:

colostomy bags;
urinals;
absorbent underwear;
diapers;
devices to facilitate turning over of the patient.

Modern telephones for the deaf are equipped not only with a light signal, but also with a monitor

Patients with extremely severe excretory dysfunction can receive diapers. A contraindication for their use is the presence of an allergic reaction. Visually impaired people have the right to receive aids that make it easier to perceive the world. This list includes optical correctors for, e-books equipped with a voice synthesizer, “talking” blood pressure monitors, thermometers, speech synthesizers, guide dogs equipped with additional equipment.

To get a dog, a person must apply to a special service. After a certain period of time he will receive it. Treatment and food for the dog are provided at state expense. If a guide dog is purchased at your own expense, then they are also reimbursed by the state. Gifted dog public services do not contain. Persons who have received can count on being equipped with the following equipment:

Hearing Aids;
TVs with text function;
telephones with information display.

Medicines

The list of rehabilitation products includes medications. A special role is given to potent ones, provided free of charge or with a 50% discount. The list of medications consists of the following drugs:

opioid analgesics;
non-narcotic painkillers;
gout medications;
anti-allergenic;
anticonvulsants;
anti-inflammatory;
remedies for Parkinson's disease;
antidepressants;
calming;
antibiotics;
antibacterial;
antifungal;
antiviral.

There are drugs that are given to disabled people free of charge or at a 50% discount.

Technical means depending on diseases

Disabled people with problems with the musculoskeletal system acquire the right to receive tactile canes, support canes, handrails, crutches and accessories for them. These devices are issued in following cases: for elephantiasis, deformation of the lower extremities, spine, pelvis, vascular diseases of the lower extremities, paresis, arterial insufficiency.

TSR is also indicated for amputations of limbs, trophic ulcers, cerebellar disorders, fistula of the lower extremities, and blindness. According to state regulations, devices are issued taking into account 5 components for 2 years. Crutches are issued to a disabled child for six months, to an adult – for 2 years. Patients with limited mobility of 1st and 2nd degree can receive walkers, frames, playpens and accessories for them.

Medical indications for their provision are injuries to the spine, pelvis, lower extremities, leg paresis, tetraperesis, triparesis, hemiparesis, and cerebellar dysfunction. This classification is issued for 2 years. Children are provided with support as they grow. Handrails are provided for 7 years. The wheelchair is issued for 4 years. Patients with the following problems can receive it:

amputation stumps;
deforming arthrosis;
rheumatoid arthritis;
bone defects;
thrombophlebitis of the lower extremities;
paralysis of limbs;
leg paresis;
pronounced cerebellar disorders;
heart failure of the 3rd degree;
respiratory diseases of the 3rd degree;
severe kidney disorders;
diseases of the central nervous system (CNS).

Sanitary chairs are issued for 4 years. The following categories can receive them: disabled people of groups 2 and 3 who have lost the ability to self-care, patients with impaired static-dynamic functions, with mental disorders, with circulatory disorders, with liver disease, with renal failure. Anti-decubitus mattresses are given to people with severely impaired static-dynamic function. The standard is 1 mattress for 2 years.

Orthopedic shoes are issued per year, 2 pairs for disabled children and 1 pair for disabled adults.

The necessary rehabilitation means in 2019 can be obtained through the government services portal on the Internet. To do this, you need to submit documents through your personal account. The person will receive an appointment receipt via email. If the registration is carried out by a representative of a person with limited mobility, then he must provide a passport and a document confirming his authority.

Among the technical means of rehabilitation, there are various devices that make the daily life of a sick person easier. These are crutches, prostheses, wheelchairs, hearing aids and much more.

Rehabilitation means include mechanisms, products, electronic devices and other devices that make the daily life of the patient, as well as loved ones caring for him, easier. The main purpose of these products is rehabilitation after surgery or providing the most comfortable living conditions for people with poor health.

What are technical means of rehabilitation

For disabled people, as well as people with poor health, a number of technical means of rehabilitation (TSR) have been developed to ensure a normal lifestyle and meet basic needs - the ability to fulfill physiological needs, self-care skills, move normally, etc.

The list of technical means of rehabilitation has been compiled in accordance with Federal Law No. 181. Moreover, each patient can count on receiving these funds free of charge in the established amount from social protection authorities, in accordance with the procedure established by the individual rehabilitation program - IRP.

Based on this program, a specific amount is allocated, within which a full set of technical equipment can be obtained from the budget. This list includes devices and devices for the recovery of a patient, for example, from complications of diseases of the musculoskeletal system, and means for bedridden patients. In this case, the patient can purchase additional funds at his own expense, for example, in accordance with the doctor’s recommendations.

This federal law provides for the provision of disabled people with technical means of rehabilitation of the following types:

assistive devices for self-care, meeting basic needs (for example, a toilet chair)
care products;
auxiliary mechanisms for training, the ability to fully perform work activities;
means to help navigate in space, including specially trained guide dogs;
prosthetic products, including eye prostheses, hearing aids, etc.;
sports equipment;
mechanisms for movement.

All these devices can only be issued by social security authorities on the basis of relevant medical reports, orders and other regulations.

The right to use arises for a temporary period, for example, a year before the next medical examination, or indefinitely, for example, for disabled children who received the group from childhood.

Classification of product types

A complete list of technical means for the rehabilitation of disabled people can be found in regulatory documents, for example, in the “Classification”, which is approved by Order of the Ministry of Health and Social Development No. 214n. The document contains a list of names (nomenclature) of various medical products and devices. Their classification is based on different indicators, but mainly different kinds grouped depending on the disability group and specific diseases - hearing impairment, visual impairment, etc.

Self-care facilities

First of all, technical means of rehabilitation (tcp) are allocated for human self-care. They allow you to normally satisfy natural physiological needs, and you can do this yourself or with minimal help from outsiders.

A brief list of these funds can be classified as follows:

Diapers, which are used as a rehabilitation aid for bedridden patients, for example, after a stroke or diseases associated with cardiology.

Note! Along with diapers for children, there are special products for adults.

Toilet chairs. Disabled wheelchair users who are not paralyzed, but at the same time experience significant problems when moving, use toilet chairs. They can be placed next to the bed.

Devices for grasping objects are rehabilitation tools that are suitable not only for the disabled, but also for people suffering from diseases of the musculoskeletal system. With the help of such simple devices you can reach a fallen object, as well as something that is located unattainably high.

Similarly, such patients need to use devices for putting on clothes or putting on slippers, boots, and other types of footwear independently. Especially for them, frames are provided for tightening, putting on socks/stockings, fastening buttons, holding hats, etc.

Devices and mechanisms for movement

These devices allow a person to move comfortably and safely. The patient can move independently; he can also be seated and, less often, put in a chair in order to move with the help of a stranger. The most common devices are:

, and . Indicated at the first stage of rehabilitation after fractures, dislocations and other leg injuries.
– for the movement of a patient with poor health: elderly people, people with impaired body coordination, neurological patients, completely or partially paralyzed. There are mechanical and electrical devices, the latter allow you to move completely autonomously, without the help of another person.
serve as a reliable support for moving around the room or outside. They can be equipped with wheels (so-called rollators) for more comfortable movement.

Note! Each technical means of rehabilitation of disabled people has its own indications for use, as well as instructions and methodological recommendations, presentations describing the features of use. The brochure should be read first, even if the instructions for use are intuitive.

Devices for hearing loss

The main mechanism in this case is hearing aid. This is an electronic, fully automated device that significantly amplifies the sound wave, thanks to which a patient with severe hearing impairment can recognize human speech and other sounds.

Devices and means for visual impairment

There are several means of technical rehabilitation for blind people - the current list for people with disabilities is as follows:

, which allow you to determine by touch the nature of the surface, nearby objects, and also attract the attention of other passers-by (due to red transverse stripes).

Guide dogs undergo special training, after which they accompany a blind owner for several years.

Prostheses

In general, a prosthesis is a means of rehabilitation for disabled people or people with health problems, which partially or completely replaces the function of a certain part of the body, a limb: an arm, a leg (for example, a hip joint in case of a femoral neck fracture). To date, a very large number of various prostheses have been developed, for example:

shoulder;
finger;
forearms;
hips;
feet
sky;
ear prosthesis;
nasal prosthesis and many others.

The main task of these products is to adequately replace the corresponding part of the body, unload the body, and the ability to maintain the ability to move (for example, a knee joint prosthesis).

Cost of various rehabilitation means

Technical rehabilitation equipment for disabled people and other patients with poor health can be purchased in pharmacies, specialized orthopedic stores, as well as on Internet sites. The price depends on several factors - manufacturer, warranty, material of manufacture, etc. As a rule, delivery is paid separately.

It is carried out throughout the country - both in large cities (Moscow, St. Petersburg, Krasnodar) and in small ones (Irkutsk, Novokuznetsk). Delivery is also possible to small towns, for example, in Krasnodar region, Omsk region and all other regions. Also, goods are delivered to other countries - for example, to Ukraine, China. Under certain conditions (for example, purchases over 5,000 rubles) delivery is free.

Table 1. Overview of rehabilitation means

*Model name*	*Description*	*price, rub.*
	Designed for the movement of a disabled child, as well as children with cerebral palsy; movement is possible both at home and outdoors (but only on a hard surface)	13 900
	Convenient and inexpensive model on wheels, made of durable metal alloy. It is possible to adjust the height, as well as sit on the soft seat	4 400
	Made from durable aluminum alloy, adjustable in height	2 300
	Thanks to its two-level design, this inexpensive model makes it not only easy to move around, but also easy to get out of bed	2 300
	Equipped with underarm supports and 2 brakes; support patient weight up to 100 kg	7 500
	The functional chair with sanitary container is made of durable plastic; warranty period 1 year	3 300
	A convenient folding chair model with a sanitary container takes up little space, so it can be placed even in a small room next to the patient’s bed	2 300
	Manufacturer Germany, the model is new, as it has hardly been used	12 500
	Durable body, stroller suitable for walking around the house and outside, manufacturer Germany	9 000
	Reliable crutch, equipped with an anti-slip system	690 per piece
	Small crutches, designed for patients with average height (150–160 cm), USA manufacturer, service life 7 years	1 300

Note! When selecting a specific mechanism or device, you need to make sure that it is in good technical condition (especially if we are talking about used goods). It is best to choose products no earlier than 2013 (preferably no earlier than 2015-2016).

You can get acquainted with the latest technical means of rehabilitation in the video:

Each remedy, to one degree or another, makes the patient’s life more comfortable. For correct use it is necessary to carefully select the most suitable model, if necessary, consult a doctor before purchasing.