Resolution of February 20. Legislative framework of the Russian Federation. IV. Diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, in which disability is established during an absentee examination

In accordance with Federal law"ABOUT social protection disabled people in the Russian Federation" Government of the Russian Federation decides:

1. Approve the attached Rules for recognizing a person as disabled.

2. Ministry of Health and social development of the Russian Federation, with the participation of all-Russian public associations of disabled people, to develop and, in agreement with the Ministry of Education and Science of the Russian Federation and the Ministry of Finance of the Russian Federation, to approve classifications and criteria used in the implementation of medical and social examination of citizens by federal state institutions of medical and social examination.

3. The Ministry of Health and Social Development of the Russian Federation must provide clarifications on issues related to the application of the Rules approved by this resolution.

4. Recognize the decree of the Government of the Russian Federation of August 13, 1996 No. 965 “On the procedure for recognizing citizens as disabled” (Collected Legislation of the Russian Federation, 1996, No. 34, Art. 4127) as invalid.

Chairman of the Government
Russian Federation
M. Fradkov

Rules for recognizing a person as disabled

I. General provisions

1. These Rules determine, in accordance with the Federal Law “On Social Protection of Disabled Persons in the Russian Federation,” the procedure and conditions for recognizing a person as disabled. Recognition of a person (hereinafter - a citizen) as a disabled person is carried out by federal state institutions of medical and social examination: the Federal Bureau of Medical and Social Expertise (hereinafter - the Federal Bureau), the main bureaus of medical and social examination (hereinafter - the main bureaus), as well as the bureau of medical and social examination in cities and districts (hereinafter referred to as bureaus), which are branches of the main bureaus.

2. Recognition of a citizen as disabled is carried out during a medical and social examination based on comprehensive assessment the state of a citizen’s body based on an analysis of his clinical, functional, social, everyday, professional, labor and psychological data using classifications and criteria approved by the Ministry of Health and Social Development of the Russian Federation.

3. A medical and social examination is carried out to establish the structure and degree of limitation of a citizen’s life activity (including the degree of limitation of the ability to work) and his rehabilitation potential.

4. Specialists of the bureau (main bureau, Federal Bureau) are obliged to familiarize the citizen (his legal representative) with the procedure and conditions for recognizing a citizen as disabled, and also provide explanations to citizens on issues related to the determination of disability.

II. Conditions for recognizing a citizen as disabled

5. The conditions for recognizing a citizen as disabled are:

a) health impairment with a persistent disorder of body functions caused by diseases, consequences of injuries or defects;

b) limitation of life activity (complete or partial loss by a citizen of the ability or ability to carry out self-service, move independently, navigate, communicate, control one’s behavior, study or engage labor activity);

c) the need for social protection measures, including rehabilitation.

6. The presence of one of the conditions specified in paragraph 5 of these Rules is not a sufficient basis for recognizing a citizen as disabled.

7. Depending on the degree of disability caused by a persistent disorder of body functions resulting from diseases, consequences of injuries or defects, a citizen recognized as disabled is assigned I, II or III groups and disability, and for a citizen under the age of 18 - the category “disabled child”.

8. When a disability group is established for a citizen, it is simultaneously determined in accordance with the classifications and criteria provided for in paragraph 2 of these Rules, the degree of limitation of his ability to work (III, II or I degree of limitation) or the disability group is established without restriction of ability to work.

9. Disability of group I is established for 2 years, groups II and III - for 1 year.

The degree of limitation of the ability to work (no limitation of the ability to work) is established for the same period as the disability group.

11. If a citizen is recognized as disabled, the date of establishment of disability is the day the bureau receives the citizen’s application for a medical and social examination.

12. Disability is established before the 1st day of the month following the month for which the next medical and social examination of the citizen (re-examination) is scheduled.

13. Without specifying the period for re-examination, disability is established if it is discovered during the implementation of rehabilitation measures the impossibility of eliminating or reducing the degree of limitation of a citizen’s life activity caused by persistent irreversible morphological changes, defects and dysfunctions of organs and body systems.

14. If a citizen is recognized as disabled, the cause of disability is indicated general disease, labor injury, occupational disease, disability since childhood, disability since childhood due to injury (concussion, mutilation) associated with combat operations during the Great Patriotic War, military injury, illness received during military service, disability associated with the disaster at the Chernobyl nuclear power plant, the consequences of radiation exposure and direct participation in the activities of special risk units, as well as other reasons established by the legislation of the Russian Federation.

In the absence of documents confirming the fact of an occupational disease, work injury, military injury or other circumstances provided for by the legislation of the Russian Federation that are the cause of disability, a general disease is indicated as the cause of disability. In this case, the citizen is provided with assistance in obtaining these documents. When the relevant documents are submitted to the bureau, the cause of disability changes from the date of submission of these documents without additional examination of the disabled person.

III. The procedure for referring a citizen for a medical and social examination

15. A citizen is sent for a medical and social examination by an organization providing medical and preventive care, regardless of its organizational and legal form, by the body carrying out pension provision or a social protection body.

16. An organization providing medical and preventive care refers a citizen to a medical and social examination after carrying out the necessary diagnostic, therapeutic and rehabilitation measures if there is data confirming a persistent impairment of body functions caused by diseases, consequences of injuries or defects.

At the same time, in a referral for a medical and social examination, the form of which is approved by the Ministry of Health and Social Development of the Russian Federation, data on the citizen’s health status are indicated, reflecting the degree of dysfunction of organs and systems, the state of the body’s compensatory capabilities, as well as the results of rehabilitation measures taken.

17. The body providing pensions, as well as the body of social protection of the population, has the right to refer for a medical and social examination a citizen who has signs of disability and is in need of social protection, if he has medical documents, confirming dysfunctions of the body due to diseases, consequences of injuries or defects.

The form of the corresponding referral for medical and social examination, issued by the body providing pensions or the social protection body, is approved by the Ministry of Health and Social Development of the Russian Federation.

18. Organizations providing medical and preventive care, bodies providing pensions, as well as social protection bodies are responsible for the accuracy and completeness of the information specified in the referral for a medical and social examination, in the order established by law Russian Federation.

19. If an organization providing medical and preventive care, a body providing pensions, or a social protection body refuses to send a citizen for a medical and social examination, he is issued a certificate on the basis of which the citizen (his legal representative) has the right to apply at the office yourself.

The bureau's specialists conduct an examination of the citizen and, based on its results, draw up a program for additional examination of the citizen and implementation of rehabilitation measures, after which they consider the question of whether he has any disabilities.

IV. The procedure for conducting a medical and social examination of a citizen

20. A medical and social examination of a citizen is carried out in the bureau at the place of residence (at the place of stay, at the location of the pension file of a disabled person who has left for permanent residence outside the Russian Federation).

21. At the main bureau, a medical and social examination of a citizen is carried out if he appeals the bureau’s decision, as well as upon referral from the bureau in cases requiring special types of examination.

22. In the Federal Bureau, a medical and social examination of a citizen is carried out in the event of an appeal against the decision of the main bureau, as well as in the direction of the main bureau in cases requiring particularly complex special types of examination.

23. A medical and social examination can be carried out at home if a citizen cannot come to the bureau (main bureau, Federal Bureau) for health reasons, which is confirmed by the conclusion of an organization providing medical and preventive care, or in a hospital where the citizen is hospitalized treatment, or in absentia by decision of the relevant bureau.

24. A medical and social examination is carried out at the request of a citizen (his legal representative).

The application is submitted to the bureau in writing, accompanied by a referral for a medical and social examination issued by an organization providing medical and preventive care (the body providing pensions, the social protection body), and medical documents confirming the impairment of health.

25. Medical and social examination is carried out by specialists of the bureau (main bureau, Federal Bureau) by examining the citizen, studying the documents submitted by him, analyzing the social, professional, labor, psychological and other data of the citizen.

26. When conducting a medical and social examination of a citizen, a protocol is kept.

27. Representatives of state extra-budgetary funds, the Federal Service for Labor and Employment, as well as specialists of the relevant profile (hereinafter referred to as consultants) can participate in conducting a medical and social examination of a citizen at the invitation of the head of the bureau (main bureau, Federal Bureau).

28. The decision to recognize a citizen as disabled or to refuse to recognize him as disabled is made by a simple majority of votes of the specialists who conducted the medical and social examination, based on a discussion of the results of his medical and social examination.

The decision is announced to the citizen who underwent the medical and social examination (his legal representative), in the presence of all the specialists who conducted the medical and social examination, who, if necessary, give explanations on it.

29. Based on the results of the medical and social examination of the citizen, an act is drawn up, which is signed by the head of the relevant bureau (main bureau, Federal Bureau) and the specialists who made the decision, and then certified with a seal.

The conclusions of consultants involved in conducting a medical and social examination, a list of documents and basic information that served as the basis for making a decision are entered into the act of a medical and social examination of a citizen or attached to it.

The procedure for drawing up and the form of the act of medical and social examination of a citizen are approved by the Ministry of Health and Social Development of the Russian Federation.

The storage period for a citizen’s medical and social examination report is 10 years.

30. When conducting a medical and social examination of a citizen in the main bureau, the act of the medical and social examination of the citizen with the attachment of all available documents is sent to the main bureau within 3 days from the date of the medical and social examination in the bureau.

When conducting a medical and social examination of a citizen at the Federal Bureau, the act of the medical and social examination of the citizen, with all available documents attached, is sent to the Federal Bureau within 3 days from the date of the medical and social examination at the main bureau.

31. In cases requiring special types of examination of a citizen in order to establish the structure and degree of disability (including the degree of limitation of the ability to work), rehabilitation potential, as well as obtain other additional information, an additional examination program can be drawn up, which is approved by the head of the relevant bureau (main bureau, Federal Bureau). This program is brought to the attention of the citizen undergoing a medical and social examination in a form accessible to him.

The additional examination program may include carrying out the necessary additional examination in a medical or rehabilitation organization, obtaining an opinion from the main bureau or the Federal Bureau, request necessary information, conducting a survey of the conditions and nature professional activity, social and living situation of the citizen and other events.

32. After receiving the data provided for by the additional examination program, specialists from the relevant bureau (main bureau, Federal Bureau) make a decision to recognize the citizen as disabled or to refuse to recognize him as disabled.

33. If a citizen (his legal representative) refuses an additional examination and provides the required documents, the decision to recognize the citizen as disabled or to refuse to recognize him as disabled is made on the basis of available data, about which a corresponding entry is made in the act of medical and social examination of the citizen.

34. For a citizen recognized as disabled, the specialists of the bureau (main bureau, Federal Bureau), who conducted a medical and social examination, develop individual program rehabilitation, which is approved by the head of the relevant bureau.

The procedure for drawing up and the form of the extract are approved by the Ministry of Health and Social Development of the Russian Federation.

Information on all cases of recognition of persons liable for military service or citizens of military age as disabled is submitted by the bureau (main bureau, Federal Bureau) to the relevant military commissariats.

36. A citizen recognized as disabled is issued a certificate confirming the fact of disability, indicating the disability group and the degree of limitation of the ability to work, or indicating the group of disability without limiting the ability to work, as well as an individual rehabilitation program.

The procedure for drawing up and the form of the certificate and individual rehabilitation program are approved by the Ministry of Health and Social Development of the Russian Federation.

A citizen who is not recognized as disabled, at his request, is issued a certificate of the results of a medical and social examination.

37. For a citizen who has a document on temporary disability and is recognized as disabled, the disability group and the date of its establishment are indicated in the specified document.

V. The procedure for re-examination of a disabled person

38. Re-examination of a disabled person is carried out in the manner prescribed by sections I - IV of these Rules.

39. Re-examination of disabled people of group I is carried out once every 2 years, disabled people of groups II and III - once a year, and disabled children - once during the period for which the category “disabled child” is established for the child.

Re-examination of a citizen whose disability has been established without specifying the period for re-examination can be carried out upon his personal application (application of his legal representative), or in the direction of an organization providing medical and preventive care, in connection with a change in health status, or when carried out by the main bureau, the Federal Bureau control over decisions made by the respective bureau, the main bureau.

40. Re-examination of a disabled person can be carried out in advance, but no more than 2 months before the expiration of the established period of disability.

41. Re-examination of a disabled person earlier than the established period is carried out upon his personal application (application of his legal representative), or in the direction of an organization providing medical and preventive care in connection with a change in health status, or when the main bureau, the Federal Bureau, exercises control over decisions made respectively bureau, main bureau.

VI. The procedure for appealing decisions of the bureau, main bureau, Federal Bureau

42. A citizen (his legal representative) can appeal the decision of the bureau to the main bureau in month period on the basis of a written application submitted to the bureau that conducted the medical and social examination, or to the main bureau.

The bureau that conducted the medical and social examination of the citizen sends it with all available documents to the main bureau within 3 days from the date of receipt of the application.

43. The Main Bureau, no later than 1 month from the date of receipt of the citizen’s application, conducts a medical and social examination and, based on the results obtained, makes an appropriate decision.

44. If a citizen appeals the decision of the main bureau, the chief expert on medical and social examination for the relevant constituent entity of the Russian Federation, with the consent of the citizen, may entrust the conduct of his medical and social examination to another group of specialists from the main bureau.

45. The decision of the main bureau can be appealed within a month to the Federal Bureau on the basis of an application submitted by the citizen (his legal representative) to the main bureau that conducted the medical and social examination, or to the Federal Bureau.

The Federal Bureau, no later than 1 month from the date of receipt of the citizen’s application, conducts a medical and social examination and, based on the results obtained, makes an appropriate decision.

46. Decisions of the bureau, the main bureau, the Federal Bureau can be appealed to the court by a citizen (his legal representative) in the manner established by the legislation of the Russian Federation.

Public organizations of disabled people

Decree of the Government of the Russian Federation of February 20, 2006 N 95 “On the procedure and conditions for recognizing a person as disabled”

20.02.2006

In accordance with the Federal Law "On Social Protection of Disabled Persons in the Russian Federation", the Government of the Russian Federation decides:
1. Approve the attached Rules for recognizing a person as disabled.
Information about changes:
By Decree of the Government of the Russian Federation of September 4, 2012 N 882, paragraph 2 of this resolution was amended

2. The Ministry of Labor and Social Protection of the Russian Federation, with the participation of all-Russian public associations of disabled people, develop and, in agreement with the Ministry of Health of the Russian Federation, the Ministry of Education and Science of the Russian Federation and the Ministry of Finance of the Russian Federation, approve classifications and criteria used in the implementation of medical and social examination of citizens by federal state institutions of medical and social examination.
Information about changes:
By Decree of the Government of the Russian Federation of September 4, 2012 N 882, paragraph 3 of this resolution was amended
See the text of the paragraph in the previous edition
3. The Ministry of Labor and Social Protection of the Russian Federation must provide explanations on issues related to the application of the Rules approved by this resolution.
4. Recognize the decree of the Government of the Russian Federation of August 13, 1996 No. 965 “On the procedure for recognizing citizens as disabled” (Collected Legislation of the Russian Federation, 1996, No. 34, Art. 4127) as invalid.

Chairman of the Government
Russian Federation X M. Fradkov

2. Recognition of a citizen as a disabled person is carried out during a medical and social examination based on a comprehensive assessment of the state of the citizen’s body based on an analysis of his clinical, functional, social, professional, labor and psychological data using classifications and criteria approved by the Ministry of Labor and Social Protection of the Russian Federation Federation. dated 04.09.2012 N 882)

3. A medical and social examination is carried out to establish the structure and degree of limitation of a citizen’s life activity and his rehabilitation potential. (as amended by Decree of the Government of the Russian Federation dated December 30, 2009 N 1121)

4. Specialists of the bureau (main bureau, Federal Bureau) are obliged to familiarize the citizen (his legal or authorized representative) with the procedure and conditions for recognizing a citizen as disabled, and also provide explanations to citizens on issues related to the determination of disability. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

II. Conditions for recognizing a citizen as disabled

5. The conditions for recognizing a citizen as disabled are:

a) health impairment with a persistent disorder of body functions caused by diseases, consequences of injuries or defects;

c) the need for social protection measures, including rehabilitation and habilitation. (as amended by Decree of the Government of the Russian Federation dated 06.08.2015 N 805)

6. The presence of one of the conditions specified in paragraph 5 of these Rules is not a sufficient basis for recognizing a citizen as disabled.

7. Depending on the severity of persistent disorders of body functions resulting from diseases, consequences of injuries or defects, a citizen recognized as disabled is assigned disability group I, II or III, and a citizen under the age of 18 is assigned the category “disabled child.” . (as amended by Decree of the Government of the Russian Federation dated 06.08.2015 N 805)

8. The clause is no longer valid. (as amended by Decree of the Government of the Russian Federation dated December 30, 2009 N 1121)

9. Disability of group I is established for 2 years, groups II and III - for 1 year.

Paragraph 2 - No longer valid. (as amended by Decree of the Government of the Russian Federation dated December 30, 2009 N 1121)

The disability group without specifying the period for re-examination is established on the basis of the list according to the appendix, as well as on the grounds specified in paragraph 13 of these Rules. (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

10. The category “disabled child” is established for a period of 1 year, 2 years, 5 years, until the citizen reaches the age of 14 or 18 years. (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

The category "disabled child" for a period of 5 years, until the age of 14 or 18 years is established for citizens who have diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body provided for in sections I, II and II.1 of the appendix to these Rules. dated 03/29/2018 N 339, dated 06/27/2019 N 823)

11. If a citizen is recognized as disabled, the date of establishment of disability is considered to be the date the bureau received a referral for a medical and social examination (the citizen’s application for a medical and social examination). (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

12. Disability is established before the 1st day of the month following the month for which the next medical and social examination of the citizen (re-examination) is scheduled.

13. Citizens are assigned a disability group without specifying a period for re-examination, and citizens under 18 years of age are assigned the category “disabled child” until the citizen reaches the age of 18:

no later than 2 years after the initial recognition as disabled (establishment of the category “disabled child”) of a citizen who has diseases, defects, irreversible morphological changes, dysfunctions of organs and body systems, provided for in Section I of the appendix to these Rules; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

no later than 4 years after the initial recognition of a citizen as disabled (establishment of the category “disabled child”) if it is revealed that it is impossible to eliminate or reduce during the implementation of rehabilitation or habilitation measures the degree of limitation of the citizen’s life activity caused by persistent irreversible morphological changes, defects and dysfunctions of organs and systems body (except for those specified in the appendix to these Rules). (as amended by Decree of the Government of the Russian Federation dated 06.08.2015 N 805)

Paragraph four. - Lost power. (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

Establishing a disability group without specifying the period for re-examination (category “disabled child” before the citizen reaches the age of 18) can be carried out upon initial recognition of a citizen as disabled (establishing the category “disabled child”) on the grounds specified in paragraphs two and three of this paragraph, Without positive results rehabilitation or habilitation measures carried out to a citizen before his referral for a medical and social examination. In this case, it is necessary that in the referral for a medical and social examination issued to a citizen by the medical organization providing him medical care and sent him for a medical and social examination, or in the medical documents in the case of sending a citizen for a medical and social examination in accordance with paragraph 17 of these Rules, there was data on the absence of positive results of such rehabilitation or habilitation measures. (as amended by Decree of the Government of the Russian Federation dated 06.08.2015 N 805)

For citizens with diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, provided for in Section III of the Appendix to these Rules, upon initial recognition of a citizen as disabled, a disability group is established without specifying the period for re-examination, and for citizens under 18 years of age - the category " disabled child" until the citizen reaches the age of 18. (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

For citizens who apply to the bureau independently in accordance with paragraph 19 of these Rules, a disability group without specifying the period for re-examination (category “disabled child” until the citizen reaches the age of 18) can be established upon initial recognition of the citizen as disabled (establishing the category “disabled child” ) in the absence of positive results from the rehabilitation or habilitation measures prescribed to him in accordance with the specified paragraph. (as amended by Resolutions of the Government of the Russian Federation dated 04/07/2008 N 247, dated 08/06/2015 N 805)

13.1. Citizens who are classified as a “disabled child” are subject to re-examination upon reaching the age of 18 in the manner prescribed by these Rules. In this case, the calculation of the terms provided for in paragraphs two and three of paragraph 13 of these Rules is carried out from the day the category “disabled child” is established. (as amended by Resolutions of the Government of the Russian Federation dated 04/07/2008 N 247, dated 01/24/2018 N 60)

14. If a citizen is recognized as disabled, the following reasons disability: (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

a) general illness; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

b) work injury; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

c) occupational disease; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

d) disability since childhood; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

e) disability since childhood due to injury (concussion, mutilation) associated with combat operations during the Great Patriotic War of 1941 - 1945; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

f) war trauma; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

g) the disease was acquired during military service; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

h) a radiation-related disease was acquired while performing military service duties (official duties) in connection with the disaster at the Chernobyl nuclear power plant; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

i) the disease is associated with the disaster at the Chernobyl nuclear power plant; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

j) a disease acquired during the performance of other military service duties (official duties) is associated with the disaster at the Chernobyl nuclear power plant; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

k) the disease is associated with an accident at the Mayak production association; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

l) an illness acquired during the performance of other military service duties (official duties) is associated with an accident at the Mayak production association; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

m) the disease is associated with the consequences of radiation exposure; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

o) a radiation-related disease was acquired during the performance of military service duties (official duties) in connection with direct participation in the actions of special risk units; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

o) illness (wound, concussion, injury) received by a person serving active military units of the Armed Forces of the USSR and the Armed Forces of the Russian Federation, located on the territories of other states during the period of hostilities in these states; (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

p(1)) disability due to injury (concussion, mutilation) received in connection with participation in hostilities as part of self-defense units of the Republic of Dagestan in the period from August to September 1999 during counter-terrorism operations on the territory of the Republic of Dagestan; (as amended by Decree of the Government of the Russian Federation dated November 14, 2019 N 1454)

p) other reasons established by the legislation of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

The procedure for establishing the causes of disability is approved by the Ministry of Labor and Social Protection of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated March 22, 2019 N 304)

III. The procedure for referring a citizen for a medical and social examination

15. A citizen is sent for a medical and social examination by a medical organization, regardless of its organizational and legal form, by the body providing pensions, or by the social protection body with the written consent of the citizen (his legal or authorized representative). (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

The citizen’s consent form for referral to a medical and social examination is approved by the Ministry of Health of the Russian Federation in agreement with the Ministry of Labor and Social Protection of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

The form of referral for medical and social examination by a medical organization is approved by the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

16. A medical organization sends a citizen for a medical and social examination after carrying out the necessary diagnostic, therapeutic and rehabilitation or habilitation measures if there is data confirming a persistent impairment of body functions caused by diseases, consequences of injuries or defects. (as amended by Decree of the Government of the Russian Federation dated 06.08.2015 N 805)

A citizen who is undergoing treatment in a hospital in connection with an operation for amputation (reamputation) of a limb (limbs), who has defects provided for in paragraphs 14 and (or) 15 of the appendix to these Rules, and who requires primary prosthetics, is sent for a medical and social examination on time , not exceeding 3 working days after the specified operation. (as amended by Decree of the Government of the Russian Federation dated June 4, 2019 N 715)

In a referral for a medical and social examination, the medical organization indicates data on the citizen’s health status, reflecting the degree of dysfunction of organs and systems, the state of the body’s compensatory capabilities, information about the results medical examinations necessary to obtain clinical and functional data depending on the disease for the purpose of conducting a medical and social examination, and the rehabilitation or habilitation measures carried out. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

The form and procedure for filling out a referral for medical and social examination by a medical organization is approved by the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation. (as amended by Resolutions of the Government of the Russian Federation dated May 16, 2019 N 607, dated June 4, 2019 N 715)

The list of medical examinations necessary to obtain clinical and functional data depending on the disease for the purpose of conducting a medical and social examination is approved by the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated June 21, 2018 N 709)

17. The body providing pensions, as well as the body for social protection of the population, has the right to refer for a medical and social examination a citizen who has signs of disability and needs social protection, if he has medical documents confirming impairment of body functions due to diseases, consequences of injuries or defects.

The form and procedure for filling out a referral for a medical and social examination issued by the body providing pensions or the social protection body are approved by the Ministry of Labor and Social Protection of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated June 4, 2019 N 715)

18. Medical organizations, bodies providing pensions, as well as social protection bodies are responsible for the accuracy and completeness of the information specified in the referral for a medical and social examination, in the manner established by the legislation of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated 06.08.2015 N 805)

19. If a medical organization, a body providing pensions, or a social protection body refuses to send a citizen for a medical and social examination, he is issued a certificate, on the basis of which the citizen (his legal or authorized representative) has the right to contact the bureau independently . (as amended by Resolutions of the Government of the Russian Federation dated 08/06/2015 N 805, dated 08/10/2016 N 772)

The bureau's specialists conduct an examination of the citizen and, based on its results, draw up a program for additional examination of the citizen and implementation of rehabilitation or habilitation measures, after which they consider the question of whether he has any disabilities. (as amended by Decree of the Government of the Russian Federation dated 06.08.2015 N 805)

19(1). Medical organizations form a referral for medical and social examination in the form of an electronic document in the medical information systems of medical organizations or state information systems in the field of healthcare of the constituent entities of the Russian Federation, and in the absence of medical organization information system or access to the specified state information systems - on paper. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

19(2). A referral for a medical and social examination, issued by a medical organization, and information about the results of medical examinations necessary to obtain clinical and functional data depending on the disease for the purpose of conducting a medical and social examination, within 3 working days from the date of registration of the referral for a medical and social examination the examination is transferred by the medical organization to the bureau in the form of an electronic document signed with an enhanced qualified electronic signature, using the information systems provided for in paragraph 19 of these Rules, and in the absence of access to such information systems - on paper. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

A referral for a medical and social examination, issued by the body providing pensions or the social protection body, is transferred within 3 working days from the date of its registration by the body providing pensions or the social protection body to the bureau in the form of an electronic document signed by an enhanced a qualified electronic signature, using state information systems in accordance with the procedure for information interaction for the purpose of conducting a medical and social examination between the body providing pensions or the social protection body and the bureau approved by the Ministry of Labor and Social Protection of the Russian Federation, and in the absence of access to such information systems - on paper. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

Formation and transfer of a referral for a medical and social examination to the bureau, transfer of information about the results of medical examinations necessary to obtain clinical and functional data depending on the disease for the purpose of conducting a medical and social examination to the bureau, as well as the formation and transfer of information about the results of the medical and social examination in the form of an electronic document or on paper are carried out taking into account the requirements of the legislation of the Russian Federation in the field of personal data and compliance with medical confidentiality. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

19(3). A referral for medical and social examination in the form of an electronic document, generated in accordance with paragraph 19(1) of these Rules, is transmitted to the bureau using medical information systems of medical organizations, state information systems in the field of healthcare of the constituent entities of the Russian Federation, a unified state information system in the field healthcare, federal state information system "Unified automated vertically integrated information and analytical system for conducting medical and social examination" in accordance with the procedure for information interaction for the purpose of conducting medical and social examination between medical organizations and bureaus, approved by the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

Clause 19(3) regarding the submission by a citizen of an application for a medical and social examination in electronic form using the federal state information system "Unified portal of state and municipal services (functions)" came into force on October 1, 2019 (clause 2

19(4). If a medical and social examination is necessary for the purposes provided for in subparagraphs “i”, “m”, “n” and “o” of paragraph 24.1 of these Rules, as well as in the cases provided for in paragraphs two and four of paragraph 34 of these Rules, a referral a medical and social examination is not required. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

In these cases, the citizen (his legal or authorized representative) submits to the bureau an application for a medical and social examination on paper or electronically using the federal state information system "Unified portal of state and municipal services (functions)". (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

IV. The procedure for conducting a medical and social examination of a citizen

23. A medical and social examination can be carried out at home if a citizen cannot appear at the bureau (main bureau, Federal Bureau) for health reasons, which is confirmed by the conclusion of the medical commission of a medical organization, or at the citizen’s location in a medical organization providing medical care. help in inpatient conditions, In the organisation social services providing social services in stationary form, in a correctional institution, or in absentia by decision of the relevant bureau. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

A medical and social examination of a citizen undergoing treatment in a hospital in connection with an operation for amputation (reamputation) of a limb (limbs), having defects provided for in paragraphs 14 and (or) 15 of the appendix to these Rules, in need of primary prosthetics, is carried out on time, not exceeding 3 working days from the date of receipt of the relevant referral for medical and social examination by the bureau. (as amended by Decree of the Government of the Russian Federation dated June 4, 2019 N 715)

For citizens with diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, provided for in Section IV of the Appendix to these Rules, disability is established during an absentee examination. (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

Also, a medical and social examination can be carried out in absentia if there are no positive results of rehabilitation or habilitation measures carried out in relation to a disabled person. (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

When a bureau (main bureau, Federal Bureau) decides to examine a citizen in absentia, the following are taken into account: following conditions: (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

residence of a citizen in a remote and (or) inaccessible area, or in an area with complex transport infrastructure, or in the absence of regular transport links; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

severe general condition of the citizen, preventing his transportation. (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

24. A medical and social examination is carried out upon a referral for a medical and social examination received from a medical organization, a body providing pensions, or a social protection body, as well as upon an application for a medical and social examination submitted by a citizen (his legal or authorized representative) in the bureau, in the cases provided for in paragraphs 19 and 19.4 of these Rules. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

The bureau organizes the registration of received referrals for medical and social examination and applications from citizens for a medical and social examination. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

Based on the results of reviewing the received documents, the bureau (main bureau, Federal Bureau) makes a decision on the location of the medical and social examination or on its implementation in absentia, and also determines the date for the medical and social examination and sends an invitation to the citizen to conduct a medical and social examination. If a citizen submits an application for a medical and social examination in electronic form using the federal state information system "Unified portal of state and municipal services (functions)", an invitation to conduct a medical and social examination is sent to the citizen using the specified information system. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

Paragraph three of paragraph 24 regarding the submission by a citizen of an application for a medical and social examination in electronic form using the federal state information system "Unified portal of state and municipal services (functions)" came into force on October 1, 2019 (clause 2 of the Decree of the Government of the Russian Federation dated May 16, 2019 N 607).

Medical and social examination is carried out with the written consent of the citizen (his legal or authorized representative). (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

The citizen’s consent form for conducting a medical and social examination is approved by the Ministry of Labor and Social Protection of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

Medical and social examination is carried out in accordance with the stated goals. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

24.1. The goals of conducting a medical and social examination may be: (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

a) establishing a disability group; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

b) establishing the category “disabled child”; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

c) establishing the causes of disability; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

d) establishing the time of onset of disability; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

e) establishing the period of disability; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

f) determination of the degree of loss of professional ability as a percentage; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

g) determination of permanent disability of an employee of the internal affairs body of the Russian Federation; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

h) determining the need for health reasons for constant outside care (assistance, supervision) of the father, mother, wife, sibling, grandfather, grandmother or adoptive parent of a citizen called up for military service (a military serviceman undergoing military service under a contract); (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

i) determination of the cause of death of a disabled person, as well as a person injured as a result of an industrial accident, occupational disease, disaster at the Chernobyl nuclear power plant and other radiation or man-made disasters, or as a result of injury, concussion, injury or disease received during military service, in cases where the legislation of the Russian Federation provides for the provision of measures to the family of the deceased social support; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

j) development of an individual rehabilitation or habilitation program for a disabled person (disabled child); (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

k) development of a rehabilitation program for a person injured as a result of an industrial accident or occupational disease; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

l) issuance of a duplicate certificate confirming the fact of establishment of disability, the degree of loss of professional ability as a percentage; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

m) issuance of a new certificate confirming the fact of disability, in the event of a change in the last name, first name, patronymic, or date of birth of a citizen; (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

o) other purposes established by the legislation of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

26. When conducting a medical and social examination of a citizen, a protocol is kept.

27.1. A citizen (his legal or authorized representative) has the right to invite any specialist, with his consent, to participate in a medical and social examination with the right of an advisory vote. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

The decision is announced to the citizen who underwent the medical and social examination (his legal or authorized representative) in the presence of all specialists who conducted the medical and social examination, who, if necessary, give explanations on it. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

The procedure for drawing up and the form of the act of medical and social examination of a citizen are approved by the Ministry of Labor and Social Protection of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated September 4, 2012 N 882)

Paragraph four - Lost force. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

29.1. An act of medical and social examination of a citizen, a protocol for conducting a medical and social examination of a citizen, an individual rehabilitation or habilitation program for a citizen are formed into the file of a medical and social examination of a citizen. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

A citizen (his legal or authorized representative) has the right to familiarize himself with the act of the medical and social examination of the citizen and the protocol of the medical and social examination of the citizen. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

Upon application of a citizen (his legal or authorized representative), submitted to the bureau on paper, on the day of submitting the said application, he is issued documents certified by the head of the bureau (main bureau, Federal Bureau) or his authorized representative. official in accordance with the established procedure, copies of the act of medical and social examination of the citizen and the protocol of the medical and social examination of the citizen. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

Documents generated during and based on the results of a medical and social examination, in the form of electronic documents, are signed with an enhanced qualified electronic signature of the head of the bureau (main bureau, Federal Bureau) or with an enhanced qualified electronic signature of an official authorized by him. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

Upon the application of a citizen (his legal or authorized representative), submitted to the bureau in electronic form, no later than the next working day from the date of filing the said application, depending on the option he has chosen for receiving documents: (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

copies of the act of medical and social examination of the citizen and the protocol of the medical and social examination of the citizen are issued on paper, certified by the head of the bureau (main bureau, Federal Bureau) or an official authorized by him in the prescribed manner; (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

sent using the federal state information system "Unified portal of state and municipal services (functions)" in the form of electronic documents certified by an enhanced qualified electronic signature of the head of the bureau (main bureau, Federal Bureau) or an enhanced qualified electronic signature of an official authorized by him, a copy of the medical certificate -social examination of a citizen and protocol for conducting a medical and social examination of a citizen. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

30. When conducting a medical and social examination of a citizen in the main bureau, the case of the medical and social examination of the citizen with the attachment of all available documents is sent to the main bureau within 3 days from the date of the medical and social examination in the bureau. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

When conducting a medical and social examination of a citizen at the Federal Bureau, the case of the medical and social examination of the citizen, with all available documents attached, is sent to the Federal Bureau within 3 days from the date of the medical and social examination at the main bureau. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

31. In cases that require special types of examination of a citizen in order to establish the structure and degree of disability, rehabilitation potential, as well as obtain other additional information, an additional examination program can be drawn up, which is approved by the head of the relevant bureau (main bureau, Federal Bureau). This program is brought to the attention of the citizen undergoing a medical and social examination in a form accessible to him. (as amended by Decree of the Government of the Russian Federation dated December 30, 2009 N 1121)

The additional examination program may include conducting the necessary additional examination in a medical organization, an organization engaged in rehabilitation, habilitation of disabled people, obtaining an opinion from the main bureau or the Federal Bureau, requesting the necessary information, conducting a survey of the conditions and nature of professional activity, the social and living situation of the citizen, and others. Events. (as amended by Decree of the Government of the Russian Federation dated 06.08.2015 N 805)

33. In case of refusal of a citizen (his legal or authorized representative) from additional examination and provision necessary documents the decision to recognize a citizen as disabled or to refuse to recognize him as disabled is made on the basis of available data, about which a corresponding note is made in the protocol of the medical and social examination of the citizen in the federal government agency medical and social examination. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

34. For a citizen recognized as disabled, specialists from the bureau (main bureau, Federal Bureau), who conducted a medical and social examination, develop an individual rehabilitation or habilitation program. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

If it is necessary to make corrections to an individual rehabilitation or habilitation program in connection with a change in the personal, anthropometric data of a disabled person (disabled child), the need to clarify the characteristics of previously recommended types of rehabilitation and (or) habilitation measures, as well as in order to eliminate technical errors(a typo, a typo, a grammatical or arithmetic error or a similar error) for a disabled person (disabled child), at his or her application or at the request of a legal or authorized representative of the disabled person (disabled child), a new individual rehabilitation or habilitation program is drawn up instead of the previously issued one without issuing a new referral for medical and social examination of a disabled person (disabled child). (as amended by Resolutions of the Government of the Russian Federation dated 08/06/2015 N 805, dated 08/10/2016 N 772, dated 01/24/2018 N 60)

In this case, changes to other information specified in the previously issued individual rehabilitation or habilitation program are not carried out. (as amended by Decree of the Government of the Russian Federation dated March 29, 2018 N 339)

If it is necessary to include recommendations on goods and services intended for a disabled child in an individual rehabilitation or habilitation program social adaptation and integration into society of disabled children, for the purchase of which funds (part of the funds) of maternal (family) capital (hereinafter referred to as goods and services) are allocated, a disabled child, upon his application or at the application of a legal or authorized representative of a disabled child, is drawn up in return for the previously issued a new individual rehabilitation or habilitation program for a disabled child without issuing a new referral for medical and social examination. (as amended by Decree of the Government of the Russian Federation dated January 24, 2018 N 60)

The preparation of a new individual rehabilitation or habilitation program for a disabled child, including recommendations on goods and services, is carried out on the basis of a decision of the bureau (main bureau, Federal Bureau) on the need of a disabled child for the purchase of goods and services, adopted based on the results of a survey disabled child. (as amended by Decree of the Government of the Russian Federation dated January 24, 2018 N 60)

If the individual rehabilitation or habilitation program for a disabled child includes recommendations on goods and services related to medical products, a disabled child (his legal or authorized representative) submits to the bureau (main bureau, Federal Bureau) a certificate issued by a medical organization containing information about the main diagnosis, complications and concomitant diagnosis (diagnoses) of the child (hereinafter referred to as the certificate), and a decision on need a disabled child in the purchase of goods and services related to medical products, which is accepted on the basis of a certificate. (as amended by Decree of the Government of the Russian Federation dated January 24, 2018 N 60)

Submission of a certificate is not required if the application for the inclusion of goods and services related to medical devices in an individual rehabilitation or habilitation program for a disabled child was received within 1 year from the date of issue of the said program by the bureau (main bureau, Federal Bureau). In this case, the decision on the need to purchase goods and services related to medical devices is made based on the information available in the bureau (main bureau, Federal Bureau) of previous examinations of a disabled child, which is at the disposal of the bureau (main bureau, Federal Bureau). (as amended by Decree of the Government of the Russian Federation dated January 24, 2018 N 60)

35. An extract from the medical and social examination report of a citizen recognized as disabled is sent to the relevant bureau (main bureau, Federal Bureau) to the body providing his pension within 3 days from the date of the decision to recognize the citizen as disabled in the form of an electronic document with using a unified system of interdepartmental electronic interaction or in any other way in compliance with the requirements of the legislation of the Russian Federation in the field of personal data protection. (as amended by Resolutions of the Government of the Russian Federation dated April 16, 2012 N 318, dated August 10, 2016 N 772)

The procedure for drawing up and the form of the extract are approved by the Ministry of Labor and Social Protection of the Russian Federation. (as amended by Decree of the Government of the Russian Federation dated September 4, 2012 N 882)

Information on all cases of recognition as disabled of citizens who are registered with the military or who are not registered with the military, but are required to be registered with the military, is submitted by the bureau (main bureau, Federal Bureau) to the relevant military commissariats. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772)

36. A citizen recognized as disabled is issued a certificate confirming the fact of disability, indicating the disability group, as well as an individual rehabilitation or habilitation program. (as amended by Resolutions of the Government of the Russian Federation dated December 30, 2009 N 1121, dated August 6, 2015 N 805)

The procedure for drawing up and the form of the certificate are approved by the Ministry of Labor and Social Protection of the Russian Federation. (as amended by Resolutions of the Government of the Russian Federation dated 09/04/2012 N 882, dated 08/06/2015 N 805, dated 08/10/2016 N 772)

A citizen who is not recognized as disabled, at his request, is issued a certificate of the results of a medical and social examination.

37. For a citizen who has a document on temporary disability and is recognized as disabled, the disability group and the date of its establishment are indicated in the specified document.

37(1). Information on the results of the medical and social examination is generated in the federal state information system "Unified automated vertically integrated information and analytical system for conducting medical and social examination" in accordance with the form approved by the Ministry of Labor and Social Protection of the Russian Federation, and is sent by the bureau to the medical organization in the form of an electronic document signed with an enhanced qualified electronic signature, using the specified system, a unified state information system in the field of healthcare, state information systems in the field of healthcare of the constituent entities of the Russian Federation, medical information systems of medical organizations in accordance with the procedure for information interaction specified in paragraph 19 of these Rules, and in the absence of access to such information systems - on paper. (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

V. The procedure for re-examination of a disabled person

38. Re-examination of a disabled person is carried out in the manner prescribed by sections I-IV of these Rules.

Re-examination of a citizen whose disability has been established without specifying the period for re-examination can be carried out upon his personal application (application of his legal or authorized representative)), or at the direction of a medical organization in connection with a change in health status, or when the main bureau, the Federal Bureau, monitors decisions , adopted respectively by the bureau, the main bureau. (as amended by Resolutions of the Government of the Russian Federation dated 08/06/2015 N 805, dated 08/10/2016 N 772)

40. Re-examination of a disabled person can be carried out in advance, but no more than 2 months before the expiration of the established period of disability.

41. Re-examination of a disabled person earlier than the established period is carried out upon his personal application (application of his legal or authorized representative), or at the direction of a medical organization in connection with a change in health status, or when the main bureau, the Federal Bureau, exercises control over the decisions taken by the bureau, the main the Bureau. (as amended by Resolutions of the Government of the Russian Federation dated 08/06/2015 N 805, dated 08/10/2016 N 772)

VI. The procedure for appealing decisions of the bureau, main bureau, Federal Bureau

42. A citizen (his legal or authorized representative) can appeal the decision of the bureau to the main bureau within a month on the basis of an application submitted to the bureau that conducted the medical and social examination, or to the main bureau in writing on paper or electronically using federal state information system "Unified portal of state and municipal services (functions)". (as amended by Decree of the Government of the Russian Federation dated May 16, 2019 N 607)

45. The decision of the main bureau can be appealed within a month to the Federal Bureau on the basis of an application submitted by the citizen (his legal or authorized representative) to the main bureau that conducted the medical and social examination, or to the Federal Bureau. (as amended by Decree of the Government of the Russian Federation dated August 10, 2016 N 772

(as amended by Resolutions of the Government of the Russian Federation dated March 29, 2018 N 339, dated June 27, 2019 N 823)

1. Malignant neoplasms(with metastases and relapses after radical treatment; metastases without an identified primary focus when treatment is ineffective; heavy general state after palliative treatment; incurability of the disease).

2. Inoperable benign neoplasms of the brain and spinal cord with persistent pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, mental, sensory (vision), linguistic and speech functions, severe liquorodynamic disorders.

3. Absence of the larynx after its surgical removal.

4. Congenital and acquired dementia ( mental retardation severe, profound mental retardation, severe dementia).

5. Diseases nervous system with a chronic progressive course, including neurodegenerative diseases of the brain (parkinsonism plus) with persistent severe impairments of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions.

6. Severe forms inflammatory diseases intestines (Crohn's disease, ulcerative colitis) with chronic continuous and chronic recurrent course in the absence of effect from adequate conservative treatment with persistent and significantly severe dysfunctions of the digestive, endocrine systems and metabolism.

7. Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent severe disturbances of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions, dysfunctions of the cardiovascular vascular system(accompanied by circulatory failure IIB - III degree and coronary insufficiency of III - IV functional class), with chronic renal failure ( chronic illness stage 2-3 kidneys).

8. Ischemic disease hearts with coronary insufficiency III - IV functional class angina and persistent circulatory disorders IIB - III degree.

9. Respiratory diseases with a progressive course, accompanied by persistent respiratory failure II - III degrees, in combination with circulatory failure IIB - III degrees.

10. Unremovable fecal and urinary fistulas, stomas.

11. Severe contracture or ankylosis large joints upper and lower extremities in a functionally disadvantageous position (if endoprosthetics is impossible).

12. Congenital anomalies development musculoskeletal system with pronounced persistent disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions (support and movement when correction is impossible).

13. Consequences traumatic injury brain (spinal) cord with persistent severe disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions and severe dysfunction pelvic organs.

14. Defects upper limb: amputation area shoulder joint, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of four fingers of the hand, excluding the first, absence of three fingers of the hand, including the first.

15. Defects and deformations lower limb: amputation area hip joint, disarticulation of the thigh, thigh stump, lower leg, absence of the foot.

II. Indications and conditions for establishing the category “disabled child” for a period of 5 years and until the age of 14 years

a) during the initial examination of children in case of detection of a malignant neoplasm, including any form of acute or chronic leukemia;

b) during the re-examination of disabled children with congenital operated hydrocephalus with persistent pronounced and significant impairments of mental, neuromuscular, skeletal and movement-related (static-dynamic) functions, sensory functions;

c) during re-examination of disabled children with scoliosis of III - IV degree, rapidly progressive, mobile, requiring long-term complex types of rehabilitation;

d) during re-examination of disabled children with adrenogenital syndrome (salt-wasting form) with a high risk of life-threatening conditions;

e) during re-examination of disabled children with nephrotic syndrome with steroid dependence and steroid resistance, with 2 or more exacerbations per year, with a progressive course, with chronic renal failure (chronic kidney disease of any stage);

f) with congenital, hereditary malformations maxillofacial area with persistent and significant dysfunction digestive system, disorders of language and speech functions during the period of multi-stage complex types of rehabilitation, including during the initial examination of children with congenital complete cleft lip, hard and soft palate;

g) during the initial examination of children with early childhood autism and other autism spectrum disorders.

a) subparagraph is deleted. (as amended by Decree of the Government of the Russian Federation dated June 27, 2019 N 823)

b) during the initial examination of a child who has classic shape moderate phenylketonuria, in age period, in which independent systematic monitoring of the course of the disease, independent implementation of diet therapy is impossible;

c) during re-examination of disabled children with chronic thrombocytopenic purpura with a continuously relapsing course, with severe hemorrhagic crises, resistance to therapy.

II.1. Indications and conditions for establishing the category of “disabled child” before the citizen reaches the age of 18 (as amended by Decree of the Government of the Russian Federation dated June 27, 2019 N 823)

III. Diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, in which the disability group (category “disabled child”) is established without a re-examination period (until the age of 18 years) during the initial examination

18. Stage 5 chronic kidney disease in the presence of contraindications to kidney transplantation.

19. Liver cirrhosis with hepatosplenomegaly and portal hypertension of III degree.

20. Congenital incomplete (imperfect) osteogenesis.

21. Hereditary metabolic disorders, not compensated by pathogenetic treatment, having a progressive severe course, leading to pronounced and significantly impaired body functions (cystic fibrosis, severe forms of acidemia or aciduria, glutaric aciduria, galactosemia, leucinosis, Fabry disease, Gaucher disease, Niemann disease - Pica, mucopolysaccharidosis, cofactor form of phenylketonuria in children (phenylketonuria types II and III) and others).

22. Hereditary metabolic disorders with a progressive, severe course, leading to pronounced and significantly impaired body functions (Tay-Sachs disease, Krabbe disease and others).

23. Juvenile arthritis with pronounced and significantly pronounced disorders of skeletal and movement-related (statodynamic) functions, the blood system and the immune system.

24. Systemic lupus erythematosus, severe course with a high degree of activity, rapid progression, tendency to generalization and involvement in the process internal organs with persistent, significant impairment of body functions, without the effect of treatment using modern methods.

25. Systemic sclerosis: diffuse form, severe course with a high degree of activity, rapid progression, tendency to generalization and involvement of internal organs in the process with persistent, significant impairment of body functions, without effect from treatment using modern methods.

26. Dermatopolymyositis: severe course with a high degree of activity, rapid progression, a tendency to generalization and involvement of internal organs in the process with persistent, significant impairment of body functions, without the effect of treatment using modern methods.

27. Individual violations, involving the immune mechanism with severe course, recurrent infectious complications, severe syndromes of immune dysregulation, requiring constant (lifelong) replacement and (or) immunomodulatory therapy.

28. Congenital epidermolysis bullosa, severe form.

29. Congenital defects of various organs and systems of the child’s body, for which only palliative correction of the defect is possible.

30. Congenital anomalies of the development of the spine and spinal cord, leading to persistent and significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions and (or) dysfunction of the pelvic organs, when surgical treatment is impossible or ineffective.

31. Congenital anomalies (defects), deformations, chromosomal and genetic diseases(syndromes) with a progressive course or unfavorable prognosis, leading to persistent, pronounced and significantly impaired body functions, including impairment mental functions to the level of moderate, severe and profound mental retardation. Complete trisomy 21 (Down syndrome) in children, as well as other autosomal numerical and unbalanced structural chromosomal abnormalities.

32. Schizophrenia ( various shapes), including the childhood form of schizophrenia, leading to severe and significantly impaired mental functions.

33. Epilepsy is idiopathic, symptomatic, leading to severe and significantly impaired mental functions and (or) resistant attacks to therapy.

34. Organic diseases brain of various origins, leading to persistent and significant impairments of mental, linguistic and speech functions.

35. Children's cerebral paralysis with persistent severe and significant impairments of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, linguistic and speech functions. Age and social skills are lacking.

36. Pathological conditions organism caused by blood clotting disorders (hypoprothrombinemia, hereditary deficiency of factor VII (stable), Stewart-Prower syndrome, von Willebrand disease, hereditary deficiency of factor IX, hereditary deficiency of factor VIII, hereditary deficiency of factor XI with persistent severe, significantly impaired blood functions and ( or) immune system).

37. HIV infection, stage of secondary diseases (stage 4B, 4B), terminal stage 5.

38. Hereditary progressive neuromuscular diseases (pseudohypertrophic Duchenne muscular dystrophy, spinal amyotrophy Werdnig-Hoffman) and other forms of hereditary rapidly progressing neuromuscular diseases.

39. Complete blindness in both eyes if treatment is ineffective; a decrease in visual acuity in both eyes and in the better-seeing eye up to 0.04 with correction or a concentric narrowing of the visual field in both eyes up to 10 degrees as a result of persistent and irreversible changes.

40. Complete deaf-blindness.

41. Bilateral sensorineural hearing loss of III - IV degree, deafness.

42. Congenital arthrogryposis multiplex.

43. Paired amputation of the hip joint area.

44. Ankylosing spondylitis with persistent, significant impairment of body functions.

IV. Diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, in which disability is established during an absentee examination

45. Diseases of the respiratory system with significantly pronounced dysfunctions respiratory system characterized by a severe course with chronic respiratory failure of the third degree; chronic pulmonary heart failure stage IIB, III.

46. Diseases of the circulatory system with significantly pronounced dysfunctions of cardio-vascular system: angina pectoris IV functional class - severe, significantly pronounced degree of impairment coronary circulation(occurs when combined with chronic heart failure up to stage III inclusive).

47. Diseases characterized by high blood pressure with severe complications from the central nervous system with persistent severe disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions, dysfunctions of the cardiovascular system (accompanied circulatory failure IIB - III degree and coronary insufficiency III - IV functional class), with chronic renal failure (chronic kidney disease stage 2-3).

48. Diseases of the nervous system with a chronic progressive course, including neurodegenerative diseases of the brain (parkinsonism plus), with persistent severe impairments of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions.

49. Extrapyramidal and others movement disorders with persistent, significant impairments of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, linguistic and speech functions.

50. Cerebrovascular diseases with persistent significant impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, sensory (vision), language and speech functions.

51. Diabetes with significantly pronounced multiple dysfunctions of organs and systems of the body (with chronic arterial insufficiency Stage IV on both lower extremities with the development of gangrene with the need for high amputation of both extremities and the impossibility of restoring blood flow and performing prosthetics).

52. Unremovable fecal, urinary fistulas, stomas - with ileostomy, colostomy, artificial anus, artificial urinary tract.

53. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus when treatment is ineffective; severe general condition after palliative treatment; disease incurability).

54. Malignant neoplasms of lymphoid, hematopoietic and related tissues with severe symptoms of intoxication and severe general condition.

55. Inoperable benign neoplasms of the brain and spinal cord with persistent pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.

56. Congenital epidermolysis bullosa, generalized moderate-severe, severe forms (simple epidermolysis bullosa, borderline epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler syndrome).

57. Severe forms of psoriasis with persistent, significant impairment of body functions, not controlled by immunosuppressive drugs.

58. Congenital forms ichthyosis and ichthyosis-associated syndromes with severe, significant dysfunction of the skin and related systems.

GOVERNMENT OF THE RUSSIAN FEDERATION

RESOLUTION

ABOUT THE PROCEDURE AND CONDITIONS FOR RECOGNIZING A PERSON WITH A DISABILITY

In accordance with the Federal Law "On Social Protection of Disabled Persons in the Russian Federation", the Government of the Russian Federation decides:

1. Approve the attached Rules for recognizing a person as disabled.

2. Lost power. - Decree of the Government of the Russian Federation dated August 10, 2016 N 772.

3. The Ministry of Labor and Social Protection of the Russian Federation must provide clarifications on issues related to the application of the Rules approved by this Resolution.

4. Recognize as invalid the Decree of the Government of the Russian Federation of August 13, 1996 N 965 “On the procedure for recognizing citizens as disabled” (Collected Legislation of the Russian Federation, 1996, N 34, Art. 4127).

Chairman of the Government

Russian Federation

M.FRADKOV

Approved

Government Decree

Russian Federation

RECOGNITION OF A PERSON AS DISABLED

I. General provisions

3. A medical and social examination is carried out to establish the structure and degree of limitation of a citizen’s life activity and his rehabilitation potential.

II. Conditions for recognizing a citizen as disabled

5. The conditions for recognizing a citizen as disabled are:

a) health impairment with a persistent disorder of body functions caused by diseases, consequences of injuries or defects;

c) the need for social protection measures, including rehabilitation and habilitation.

6. The presence of one of the conditions specified in paragraph 5 of these Rules is not a sufficient basis for recognizing a citizen as disabled.

9. Disability of group I is established for 2 years, groups II and III - for 1 year.

The paragraph became invalid on January 1, 2010. - Decree of the Government of the Russian Federation of December 30, 2009 N 1121.

The category "disabled child" for a period of 5 years, until the age of 14 or 18 years is established for citizens with diseases, defects, irreversible morphological changes, dysfunctions of organs and body systems, provided for in sections I, II and II(1) of the appendix to these Rules.

11. If a citizen is recognized as disabled, the date of establishment of disability is considered to be the date the bureau receives a referral for a medical and social examination (the citizen’s application for a medical and social examination).

12. Disability is established before the 1st day of the month following the month for which the next medical and social examination of the citizen (re-examination) is scheduled.

the paragraph is no longer valid. - Decree of the Government of the Russian Federation dated March 29, 2018 N 339.

Establishing a disability group without specifying the period for re-examination (category “disabled child” before the citizen reaches the age of 18) can be carried out upon initial recognition of a citizen as disabled (establishing the category “disabled child”) on the grounds specified in paragraphs two and three of this paragraph, in the absence of positive results of rehabilitation or habilitation measures carried out to the citizen before his referral for a medical and social examination. In this case, it is necessary that in the referral for a medical and social examination issued to a citizen by a medical organization that provides him with medical care and referred him for a medical and social examination, or in medical documents in the case of a citizen being referred for a medical and social examination in accordance with paragraph 17 of these The Rules contained data on the absence of positive results from such rehabilitation or habilitation measures.

14. If a citizen is recognized as disabled, the following causes of disability are established:

a) general illness;

b) work injury;

c) occupational disease;

d) disability since childhood;

e) disability since childhood due to injury (concussion, mutilation) associated with combat operations during the Great Patriotic War of 1941 - 1945;

f) war trauma;

g) the disease was acquired during military service;

h) a radiation-related disease was acquired while performing military service duties (official duties) in connection with the disaster at the Chernobyl nuclear power plant;

i) the disease is associated with the disaster at the Chernobyl nuclear power plant;

j) a disease acquired during the performance of other military service duties (official duties) is associated with the disaster at the Chernobyl nuclear power plant;

k) the disease is associated with an accident at the Mayak production association;

l) an illness acquired during the performance of other military service duties (official duties) is associated with an accident at the Mayak production association;

m) the disease is associated with the consequences of radiation exposure;

o) a radiation-related disease was acquired during the performance of military service duties (official duties) in connection with direct participation in the actions of special risk units;

p) other reasons established by the legislation of the Russian Federation.

The procedure for establishing the causes of disability is approved by the Ministry of Labor and Social Protection of the Russian Federation.

III. The procedure for referring a citizen

for medical and social examination

In a referral for a medical and social examination, a medical organization indicates data on the citizen’s health status, reflecting the degree of dysfunction of organs and systems, the state of the body’s compensatory capabilities, information on the results of medical examinations necessary to obtain clinical and functional data depending on the disease for the purpose of conducting medical treatment. -social examination, and rehabilitation or habilitation measures carried out.

The bureau's specialists conduct an examination of the citizen and, based on its results, draw up a program for additional examination of the citizen and implementation of rehabilitation or habilitation measures, after which they consider the question of whether he has any disabilities.

19(1). Medical organizations form a referral for medical and social examination in the form of an electronic document in the medical information systems of medical organizations or state information systems in the field of healthcare of the constituent entities of the Russian Federation, and if the medical organization does not have an information system or access to the specified state information systems - on paper.

19(2). A referral for a medical and social examination, issued by a medical organization, and information about the results of medical examinations necessary to obtain clinical and functional data depending on the disease for the purpose of conducting a medical and social examination, within 3 working days from the date of registration of the referral for a medical and social examination the examination is transferred by the medical organization to the bureau in the form of an electronic document signed with an enhanced qualified electronic signature, using the information systems provided for in paragraph 19(3) of these Rules, and in the absence of access to such information systems - on paper.

19(4). If a medical and social examination is necessary for the purposes provided for in subparagraphs “i”, “m”, “n” and “o” of paragraph 24(1) of these Rules, as well as in the cases provided for in paragraphs two and four of paragraph 34 of these Rules According to the rules, a referral for a medical and social examination is not required.

IV. The procedure for conducting medical and social

citizen examination

23. A medical and social examination can be carried out at home if a citizen cannot appear at the bureau (main bureau, Federal Bureau) for health reasons, which is confirmed by the conclusion of the medical commission of a medical organization, or at the citizen’s location in a medical organization providing medical care. assistance in an inpatient setting, in a social service organization that provides social services in an inpatient setting, in a correctional institution, or in absentia by decision of the relevant bureau.

Also, a medical and social examination can be carried out in absentia if there are no positive results of rehabilitation or habilitation measures carried out in relation to a disabled person.

When a bureau (main bureau, Federal Bureau) decides to examine a citizen in absentia, the following conditions are taken into account:

residence of a citizen in a remote and (or) inaccessible area, or in an area with complex transport infrastructure, or in the absence of regular transport links;

severe general condition of the citizen, preventing his transportation.

The bureau organizes the registration of received referrals for medical and social examination and applications from citizens for a medical and social examination.

Medical and social examination is carried out with the written consent of the citizen (his legal or authorized representative).

The citizen’s consent form for conducting a medical and social examination is approved by the Ministry of Labor and Social Protection of the Russian Federation.

Medical and social examination is carried out in accordance with the stated goals.

24(1). The goals of conducting a medical and social examination may be:

a) establishing a disability group;

c) establishing the causes of disability;

d) establishing the time of onset of disability;

e) establishing the period of disability;

f) determination of the degree of loss of professional ability as a percentage;

g) determination of permanent disability of an employee of the internal affairs body of the Russian Federation;

i) determination of the cause of death of a disabled person, as well as a person injured as a result of an industrial accident, occupational disease, disaster at the Chernobyl nuclear power plant and other radiation or man-made disasters, or as a result of injury, concussion, injury or disease received during military service, in cases where the legislation of the Russian Federation provides for the provision of social support measures to the family of the deceased;

j) development of an individual rehabilitation or habilitation program for a disabled person (disabled child);

k) development of a rehabilitation program for a person injured as a result of an industrial accident or occupational disease;

l) issuance of a duplicate certificate confirming the fact of establishment of disability, the degree of loss of professional ability as a percentage;

m) issuance of a new certificate confirming the fact of disability, in the event of a change in the last name, first name, patronymic, or date of birth of a citizen;

o) other purposes established by the legislation of the Russian Federation.

26. When conducting a medical and social examination of a citizen, a protocol is kept.

27(1). A citizen (his legal or authorized representative) has the right to invite any specialist, with his consent, to participate in a medical and social examination with the right of an advisory vote.

The decision is announced to the citizen who underwent the medical and social examination (his legal or authorized representative), in the presence of all the specialists who conducted the medical and social examination, who, if necessary, give explanations on it.

The procedure for drawing up and the form of the act of medical and social examination of a citizen are approved by the Ministry of Labor and Social Protection of the Russian Federation.

The paragraph is no longer valid. - Decree of the Government of the Russian Federation dated August 10, 2016 N 772.

29(1). An act of medical and social examination of a citizen, a protocol for conducting a medical and social examination of a citizen, an individual rehabilitation or habilitation program for a citizen are formed into the file of a medical and social examination of a citizen.

Upon application of a citizen (his legal or authorized representative), submitted to the bureau on paper, on the day of filing the said application, he is given copies of the medical and social examination report of the citizen certified by the head of the bureau (main bureau, Federal Bureau) or an official authorized by him in the prescribed manner and a protocol for conducting a medical and social examination of a citizen.

33. If a citizen (his legal or authorized representative) refuses an additional examination and provides the necessary documents, the decision to recognize the citizen as disabled or to refuse to recognize him as disabled is made on the basis of available data, about which a corresponding note is made in the protocol of the medical and social examination citizen in the federal state institution of medical and social examination.

If it is necessary to make corrections to an individual rehabilitation or habilitation program in connection with a change in the personal, anthropometric data of a disabled person (disabled child), the need to clarify the characteristics of previously recommended types of rehabilitation and (or) habilitation measures, as well as in order to eliminate technical errors (misprint, typo , grammatical or arithmetic error or a similar error) for a disabled person (disabled child), at his or her application or at the request of a legal or authorized representative of the disabled person (disabled child), a new individual rehabilitation or habilitation program is drawn up in place of the previously issued one without issuing a new referral for medical and social examination disabled person (disabled child).

In this case, changes to other information specified in the previously issued individual rehabilitation or habilitation program are not carried out.

If it is necessary to include in an individual rehabilitation or habilitation program for a disabled child recommendations on goods and services intended for social adaptation and integration into society of disabled children, for the purchase of which funds (part of the funds) of maternal (family) capital are allocated (hereinafter referred to as goods and services ), for a disabled child, at his or her application or at the request of a legal or authorized representative of a disabled child, a new individual rehabilitation or habilitation program for a disabled child is drawn up instead of the previously issued one, without issuing a new referral for a medical and social examination.

The preparation of a new individual rehabilitation or habilitation program for a disabled child, including recommendations for goods and services, is carried out on the basis of a decision of the bureau (main bureau, Federal Bureau) on the need of a disabled child to purchase goods and services, adopted based on the results of an examination of a disabled child.

If recommendations on goods and services related to medical products are included in the individual rehabilitation or habilitation program for a disabled child, the disabled child (his legal or authorized representative) submits to the bureau (main bureau, Federal Bureau) a certificate issued by a medical organization containing information about the main diagnosis, complications and concomitant diagnosis(s) of the child (hereinafter referred to as the certificate), and a decision on the need of a disabled child to purchase goods and services related to medical devices, which is made on the basis of the certificate.

35. An extract from the medical and social examination report of a citizen recognized as disabled is sent by the relevant bureau (main bureau, Federal Bureau) to the body providing his pension within 3 days from the date of the decision to recognize the citizen as disabled in the form of an electronic document with using a unified system of interdepartmental electronic interaction or in any other way in compliance with the requirements of the legislation of the Russian Federation in the field of personal data protection.

The procedure for drawing up and the form of the extract are approved by the Ministry of Labor and Social Protection of the Russian Federation.

36. A citizen recognized as disabled is issued a certificate confirming the fact of disability, indicating the disability group, as well as an individual rehabilitation or habilitation program.

The procedure for drawing up and the form of the certificate are approved by the Ministry of Labor and Social Protection of the Russian Federation.

A citizen who is not recognized as disabled, at his request, is issued a certificate of the results of a medical and social examination.

37. For a citizen who has a document on temporary disability and is recognized as disabled, the disability group and the date of its establishment are indicated in the specified document.

37(1). Information on the results of the medical and social examination is generated in the federal state information system "Unified automated vertically integrated information and analytical system for conducting medical and social examination" in accordance with the form approved by the Ministry of Labor and Social Protection of the Russian Federation, and is sent by the bureau to the medical organization in the form of an electronic document signed with an enhanced qualified electronic signature, using the specified system, a unified state information system in the field of healthcare, state information systems in the field of healthcare of the constituent entities of the Russian Federation, medical information systems of medical organizations in accordance with the procedure for information interaction specified in paragraph 19(3) of these Rules, and in the absence of access to such information systems - on paper.

V. The procedure for re-examination of a disabled person

38. Re-examination of a disabled person is carried out in the manner prescribed by sections I - IV of these Rules.

Re-examination of a citizen whose disability has been established without specifying the period for re-examination can be carried out upon his personal application (application of his legal or authorized representative), or upon the referral of a medical organization in connection with a change in health status, or when carried out by the main bureau, the Federal Bureau of Control over Decisions, adopted respectively by the bureau, the main bureau.

40. Re-examination of a disabled person can be carried out in advance, but no more than 2 months before the expiration of the established period of disability.

VI. The procedure for appealing the decisions of the bureau,

main bureau, Federal Bureau

42. A citizen (his legal or authorized representative) may appeal the bureau’s decision to the main bureau within a month on the basis of a written application submitted to the bureau that conducted the medical and social examination, or to the main bureau.

The bureau that conducted the medical and social examination of the citizen sends it with all available documents to the main bureau within 3 days from the date of receipt of the application.

46. Decisions of the bureau, main bureau, Federal Bureau can be appealed to the court by a citizen (his legal or authorized representative) in the manner established by the legislation of the Russian Federation.

Application

to the Rules for recognizing a person as disabled

SCROLL

DISEASES, DEFECTS, IRREVERSIBLE MORPHOLOGICAL

CHANGES, DISORDERS FUNCTIONS OF ORGANS AND SYSTEMS OF THE BODY,

AS WELL AS INDICATIONS AND CONDITIONS FOR THE PURPOSES OF ESTABLISHING A GROUP

I. Diseases, defects, irreversible morphological

changes, dysfunctions of organs and systems of the body,

in which the disability group does not indicate a period

until a citizen reaches the age of 18) is established

citizens no later than 2 years after initial recognition

disabled (establishing the category “disabled child”)

1. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus when treatment is ineffective; severe general condition after palliative treatment; disease incurability).

2. Inoperable benign neoplasms of the brain and spinal cord with persistent pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.

3. Absence of the larynx after its surgical removal.

4. Congenital and acquired dementia (severe mental retardation, profound mental retardation, severe dementia).

5. Diseases of the nervous system with a chronic progressive course, including neurodegenerative diseases of the brain (parkinsonism plus) with persistent severe impairments of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions.

6. Severe forms of inflammatory bowel diseases (Crohn's disease, ulcerative colitis) with a chronic continuous and chronic relapsing course in the absence of the effect of adequate conservative treatment with persistent and significantly impaired functions of the digestive, endocrine systems and metabolism.

7. Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent severe disturbances of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions, dysfunctions of the cardiovascular system (accompanied by insufficiency blood circulation IIB - III degree and coronary insufficiency III - IV functional class), with chronic renal failure (chronic kidney disease stages 2 - 3).

8. Coronary heart disease with coronary insufficiency of III - IV functional class of angina and persistent circulatory disorders of IIB - III degree.

9. Diseases of the respiratory system with a progressive course, accompanied by persistent respiratory failure of II - III degrees, in combination with circulatory failure of IIB - III degrees.

10. Unremovable fecal and urinary fistulas, stomas.

11. Severe contracture or ankylosis of large joints of the upper and lower extremities in a functionally disadvantageous position (if endoprosthesis replacement is impossible).

12. Congenital anomalies of the development of the musculoskeletal system with pronounced persistent disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions (support and movement when correction is impossible).

13. Consequences of traumatic injury to the brain (spinal cord) with persistent severe impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions and severe dysfunction of the pelvic organs.

14. Defects of the upper limb: amputation of the shoulder joint area, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of four fingers of the hand, excluding the first, absence of three fingers of the hand, including the first.

15. Defects and deformations of the lower limb: amputation of the hip joint area, disarticulation of the thigh, femoral stump, lower leg, absence of the foot.

II. Indications and conditions for establishing

and until the age of 14 years

a) during the initial examination of children in case of detection of a malignant neoplasm, including any form of acute or chronic leukemia;

c) during re-examination of disabled children with scoliosis of III - IV degree, rapidly progressive, mobile, requiring long-term complex types of rehabilitation;

d) during re-examination of disabled children with adrenogenital syndrome (salt-wasting form) with a high risk of life-threatening conditions;

e) upon re-examination of disabled children with nephrotic syndrome with steroid dependence and steroid resistance, with 2 or more exacerbations per year, with a progressive course, with chronic renal failure (chronic kidney disease of any stage);

f) for congenital, hereditary malformations of the maxillofacial region with persistent and significantly pronounced dysfunctions of the digestive system, disorders of language and speech functions during the period of multi-stage complex types of rehabilitation, including during the initial examination of children with congenital complete cleft lip, hard and soft palate;

g) during the initial examination of children with early childhood autism and other autism spectrum disorders.

a) excluded. - Decree of the Government of the Russian Federation of June 27, 2019 N 823;

b) during the initial examination of a child with the classic form of moderate phenylketonuria, at an age during which independent systematic monitoring of the course of the disease is impossible, independent implementation of diet therapy;

c) during re-examination of disabled children with chronic thrombocytopenic purpura with a continuously relapsing course, with severe hemorrhagic crises, resistance to therapy.

II(1). Indications and conditions for establishing the category

"disabled child" until the citizen reaches the age of 18

III. Diseases, defects, irreversible

morphological changes, organ dysfunction

and body systems in which the disability group

re-examination (before reaching the age of 18)

during the initial examination

18. Stage 5 chronic kidney disease in the presence of contraindications to kidney transplantation.

19. Liver cirrhosis with hepatosplenomegaly and portal hypertension of III degree.

20. Congenital incomplete (imperfect) osteogenesis.

22. Hereditary metabolic disorders with a progressive, severe course, leading to pronounced and significantly impaired body functions (Tay-Sachs disease, Krabbe disease and others).

23. Juvenile arthritis with pronounced and significantly pronounced disorders of skeletal and movement-related (statodynamic) functions, the blood system and the immune system.

24. Systemic lupus erythematosus, a severe course with a high degree of activity, rapid progression, a tendency to generalization and involvement of internal organs in the process with persistent, significant impairment of body functions, without the effect of treatment using modern methods.

27. Individual disorders involving the immune mechanism with a severe course, recurrent infectious complications, severe syndromes of immune dysregulation, requiring constant (lifelong) replacement and (or) immunomodulatory therapy.

28. Congenital epidermolysis bullosa, severe form.

29. Congenital defects of various organs and systems of the child’s body, for which only palliative correction of the defect is possible.

31. Congenital anomalies (malformations), deformations, chromosomal and genetic diseases (syndromes) with a progressive course or unfavorable prognosis, leading to persistent, pronounced and significantly pronounced impairments of body functions, including mental dysfunction to the level of moderate, severe and profound mental retardation . Complete trisomy 21 (Down syndrome) in children, as well as other autosomal numerical and unbalanced structural chromosomal abnormalities.

32. Schizophrenia (various forms), including the childhood form of schizophrenia, leading to severe and significantly impaired mental functions.

33. Epilepsy is idiopathic, symptomatic, leading to severe and significantly impaired mental functions and (or) resistant attacks to therapy.

34. Organic diseases of the brain of various origins, leading to persistent, pronounced and significantly impaired mental, linguistic and speech functions.

35. Cerebral palsy with persistent severe and significant impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions. Age and social skills are lacking.

36. Pathological conditions of the body caused by blood clotting disorders (hypoprothrombinemia, hereditary deficiency of factor VII (stable), Stewart-Prower syndrome, von Willebrand disease, hereditary deficiency of factor IX, hereditary deficiency of factor VIII, hereditary deficiency of factor XI with persistent pronounced, significantly expressed disorders functions of the blood and (or) immune system).

37. HIV infection, stage of secondary diseases (stage 4B, 4B), terminal stage 5.

38. Hereditary progressive neuromuscular diseases (pseudohypertrophic Duchenne muscular dystrophy, Werdnig-Hoffmann spinal amyotrophy) and other forms of hereditary rapidly progressing neuromuscular diseases.

40. Complete deaf-blindness.

41. Bilateral sensorineural hearing loss of III - IV degree, deafness.

42. Congenital arthrogryposis multiplex.

43. Paired amputation of the hip joint area.

44. Ankylosing spondylitis with persistent, significant impairment of body functions.

IV. Diseases, defects, irreversible

morphological changes, dysfunctions

organs and systems of the body in which disability

established during absentee examination

45. Diseases of the respiratory system with significant impairment of the functions of the respiratory system, characterized by a severe course with chronic respiratory failure of the third degree; chronic pulmonary heart failure stage IIB, III.

46. Diseases of the circulatory system with significant impairment of the functions of the cardiovascular system: angina pectoris of functional class IV - severe, significantly pronounced degree of impairment of coronary circulation (occurring in combination with chronic heart failure up to stage III inclusive).

47. Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent severe disturbances of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions, dysfunctions of the cardiovascular system (accompanied by insufficiency blood circulation IIB - III degree and coronary insufficiency III - IV functional class), with chronic renal failure (chronic kidney disease stages 2 - 3).

49. Extrapyramidal and other movement disorders with persistent significant impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions.

51. Diabetes mellitus with significantly pronounced multiple dysfunctions of organs and systems of the body (with chronic arterial insufficiency stage IV in both lower extremities with the development of gangrene with the need for high amputation of both extremities and the impossibility of restoring blood flow and performing prosthetics).

52. Unremovable fecal, urinary fistulas, stomas - with ileostomy, colostomy, artificial anus, artificial urinary tract.

54. Malignant neoplasms of lymphoid, hematopoietic and related tissues with severe symptoms of intoxication and severe general condition.

56. Congenital epidermolysis bullosa, generalized moderate-severe, severe forms (simple epidermolysis bullosa, borderline epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler syndrome).

57. Severe forms of psoriasis with persistent, significant impairment of body functions, not controlled by immunosuppressive drugs.

58. Congenital forms of ichthyosis and ichthyosis-associated syndromes with pronounced, significantly impaired function of the skin and related systems.

"On social protection of disabled people in the Russian Federation" The Government of the Russian Federation decides:

1. Approve the attached Rules for recognizing a person as disabled.

Application
to the Rules for recognizing a person as disabled
(as amended by the resolution
Government of the Russian Federation
dated April 7, 2008 N 247)

(as amended by Decree of the Government of the Russian Federation dated 04/07/2008 N 247)

2. Malignant neoplasms of lymphoid, hematopoietic and related tissues with severe symptoms of intoxication and severe general condition.

3. Inoperable benign neoplasms of the brain and spinal cord with persistent severe impairments of motor, speech, visual functions(severe hemiparesis, paraparesis, triparesis, tetraparesis, hemiplegia, paraplegia, triplegia, tetraplegia) and severe liquorodynamic disorders.

4. Absence of the larynx after its surgical removal.

5. Congenital and acquired dementia (severe dementia, severe mental retardation, profound mental retardation).

6. Diseases of the nervous system with a chronic progressive course, with persistent severe impairment of motor, speech, visual functions (severe hemiparesis, paraparesis, triparesis, tetraparesis, hemiplegia, paraplegia, triplegia, tetraplegia, ataxia, total aphasia).

7. Hereditary progressive neuromuscular diseases (pseudohypertrophic Duchenne myodystrophy, Werdnig-Hoffmann spinal amyotrophy), progressive neuromuscular diseases with impaired bulbar functions, muscle atrophy, impaired motor functions and (or) violation of bulbar functions.

8. Severe forms of neurodegenerative brain diseases (parkinsonism plus).

9. Complete blindness in both eyes if treatment is ineffective; a decrease in visual acuity in both eyes and in the better-seeing eye up to 0.03 with correction or a concentric narrowing of the field of vision in both eyes up to 10 degrees as a result of persistent and irreversible changes.

10. Complete deaf-blindness.

11. Congenital deafness with the impossibility of hearing endoprosthetics (cochlear implantation).

12. Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent severe impairment of motor, speech, visual functions), heart muscles (accompanied by circulatory failure of IIB-III degree and coronary insufficiency of III-IV functional class), kidneys (chronic renal failure Stages IIB-III).

13. Coronary heart disease with coronary insufficiency of III-IV functional class of angina and persistent circulatory disorders of IIB-III degree.

14. Diseases of the respiratory system with a progressive course, accompanied by persistent respiratory failure of II-III degree, in combination with circulatory failure of IIB-III degree.

15. Liver cirrhosis with hepatosplenomegaly and portal hypertension of III degree.

16. Unremovable fecal fistulas, stomas.

17. Severe contracture or ankylosis of large joints of the upper and lower extremities in a functionally disadvantageous position (if endoprosthesis replacement is impossible).

18. Terminal stage chronic renal failure.

19. Unremovable urinary fistulas, stomas.

20. Congenital anomalies of the development of the musculoskeletal system with severe persistent impairment of the function of support and movement with the impossibility of correction.

21. Consequences of traumatic injury to the brain (spinal cord) with persistent severe impairment of motor, speech, visual functions (severe hemiparesis, paraparesis, triparesis, tetraparesis, hemiplegia, paraplegia, triplegia, tetraplegia, ataxia, total aphasia) and severe dysfunction of the pelvic organs.

22. Defects of the upper limb: amputation of the shoulder joint area, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of four fingers of the hand, excluding the first, absence of three fingers of the hand, including the first.

23. Defects and deformations of the lower limb: amputation of the hip joint area, disarticulation of the thigh, femoral stump, lower leg, absence of the foot.