Where do you get diapers for the disabled? How to obtain technical means of rehabilitation? GBU tsso running branch Khoroshevsky

The majority of citizens who suffer illness or injury are unable to perform any actions without outside help or without the use of technical means of rehabilitation (TSR). Most often this is due to negative changes in the musculoskeletal system. The legislation of the Russian Federation provides. These measures include a number of different benefits, the most important of which include benefits for the purchase of medicines, medical care and the provision of individual means of rehabilitation for people with disabilities.

Legislative framework and special program for disabled people

Providing assistance to persons with disabilities is regulated by a number of government acts. Most of them were adopted in the 90s, so many articles of these laws have been repeatedly changed and supplemented.

Benefits provided to disabled people according to federal law and order of the Ministry of Labor

All benefits to which persons with disabilities are entitled are specified in the following documents. This is the Federal Law on Disabled Persons No. 181-FZ dated November 15, 1995, in the latest edition dated December 14, 2015 and the Decree of the Government of the Russian Federation on provision of disabled people TSR No. 240 dated April 7, 2008, in the latest edition dated December 7, 2015 2016 Issues about technical means of rehabilitation are discussed in more detail in Order of the Ministry of Labor No. 374 “n” dated July 18, 2016.

Classification - main and auxiliary means

It is very important for disabled people to receive technical means of rehabilitation. Classification - such means can be primary or auxiliary. Without basic aids, the patient cannot perform essential basic activities, such as movement and bowel movements. Assistive devices can be used in the process of rehabilitation and preparation of a disabled person for integration into social structures.

If for some reason the social protection department cannot provide a disabled person with the technical equipment he needs, he can purchase it on his own. Its cost will be paid only if the application for the provision of rehabilitation means has been officially registered with the relevant service. If the necessary equipment was purchased before submitting the application, its cost will not be paid.

List of technical means

Technical means of rehabilitation include the following devices:

• canes, crutches and other support products;
• manual and electric wheelchairs;
• various types of prostheses;
• special shoes;
• devices for grasping and holding objects;
• armchairs and chairs equipped with sanitary equipment.

One of the innovative developments – prostheses with bionic control – is being considered as a means of rehabilitation for people with disabilities. Such devices are still undergoing laboratory tests, but in the near future we can expect them to appear in medical centers.

Group of personal hygiene products

Personal hygiene products are included in a separate group of products. These include:

• urine and feces receivers;
• absorbent underwear with absorption function;
• special bedding;
• diapers.

For disabled people with visual, hearing and speech impairments, electronic technical means for self-service are provided:

• optical correctors for persons with severe visual impairments;
• e-books with voice text synthesizer;
• “talking” instruments for measuring pressure and temperature;
• speech synthesizers;
• vibration and light signaling devices for the deaf;
• individual hearing aids;
• TVs equipped with the Teletext function;
• telephones with information display.

In addition, for the rehabilitation of disabled people, they can be provided with guide dogs with additional equipment. To do this, a citizen who needs such a dog must write an application to the social service. After a certain time, he will be given a dog from the kennel. The dog’s food and treatment is provided from the funds of the social body.

If a dog is given or purchased, the state does not compensate for the costs of its maintenance.

Previously, technical means included special cars or motorized wheelchairs for disabled people, but since 2005 this benefit has been suspended.

Providing repair work

In accordance with Law No. 30-FZ dated March 7, 2017, changes and additions were introduced to Government Resolution No. 240. All work on the repair of rehabilitation technical equipment is carried out without a queue and free of charge. If a technical device cannot be repaired for any reason, it must be replaced free of charge. Early replacement of a product may require technical expertise, which is also provided free of charge.

Almost every region has municipal laws on supporting persons with disabilities. They may provide additional benefits to people with disabilities.

List of medications - how to get them

For persons with disabilities, medications are prescribed, including potent ones, which are provided with appropriate discounts or free of charge. This benefit is regulated by the list of medicines. This list was determined by Decree of the Government of the Russian Federation No. 2782 “r” dated December 30, 2014 and was increased by 25 names of medicines in 2017. This list includes the following groups of drugs:

• opioid analgesics;
• non-narcotic painkillers;
• gout remedies;
• anti-inflammatory drugs;
• antiallergenic and anticonvulsant drugs;
• agents for the treatment of Parkinson's disease;
• anti-anxiety medications and antidepressants;
• drugs affecting the central nervous system;
• antibiotics and synthetic antibacterial agents;
• antiviral and antifungal drugs.

Drugs affecting the cardiovascular system and gastrointestinal tract are divided into two large groups. One of the diseases for which you can receive a disability group is a sharp decrease in the level of insulin in the blood, therefore, for many disabled people, diabetes treatment is important and provided free of charge.

The list of medications that a disabled person can receive free of charge, but only by decision of a medical commission, includes a large group of medications. Some of them are narcotic or expensive foreign-made drugs and can be obtained in pharmacies with a special prescription.

The procedure for obtaining TSR for self-service - how issuing occurs

Issuance procedure - in order to receive free technical means of rehabilitation, a disabled person must prepare certain documents:

• application for provision of rehabilitation means;
• identification document;
• IPRA.

Order, approved. By Order of the Ministry of Labor of Russia dated June 13, 2017 N 486n; Information from the Federal Tax Service of the Russian Federation).

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

Reference. Technical means of rehabilitation

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

IPRA is of a recommendatory nature for a disabled person; he has the right to independently decide on the issue of providing himself with specific TSR. At the same time, if the TSR provided for by the IPRA cannot be provided to a disabled person or if he purchased it at his own expense, he is paid compensation (Parts 5, 6, Article 11 of Law No. 181-FZ).

Receipt of TSR by a disabled person

Let's consider the procedure for a disabled person to receive TSR using the example of federal legislation. We recommend following the following algorithm.

Step 1. Prepare your application and required documents

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

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

clause 4 of the Rules; paragraph 25

Step 2. Submit an application and documents to the authorized body

The application and necessary documents are submitted to the territorial body of the Federal Social Insurance Fund of the Russian Federation at your place of residence or to another authorized body (usually a social security institution). They can be submitted directly to the specified authorities, including by appointment through the Unified Portal of Public Services, or through the MFC. Also, the application and duly certified copies of documents can be sent by mail or in electronic form through the Unified Portal of State Services (clause 17 of the Rules; clauses 22, , 51.1, , Administrative Regulations; Information from the Federal Tax Service of the Russian Federation).

When submitting documents directly to the territorial body of the FSS of the Russian Federation, at your request, the second copy of the application is marked with its acceptance and date, as well as the full name, position and the signature of the official who accepted the application and documents. If you submit documents through the MFC, you will receive a receipt notification of acceptance of the application and documents indicating the date and registration number (clause 52

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

Note. If the required documents are not sent with the application sent by mail (not all documents have been sent), the application and documents will be returned to you within five days from the date of receipt. In a similar situation, if you submit an application electronically, you will receive an electronic notification indicating the date of submission of documents and their list ( paragraph 36 Administrative Regulations).

Step 3. Wait for the documents to be issued to receive or produce TSR

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

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

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

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

If the TSR recommended by IPRA cannot be provided to you, or if you purchased the TSR yourself, you are entitled to compensation in the amount of its cost, but not more than the cost of a similar TSR provided in the manner indicated above.

If the actual cost of the acquired TSR is less than the amount of compensation determined in the prescribed manner, compensation is paid based on your costs in accordance with the documents provided (Part 6, Article 11 of Law No. 181-FZ; Clause 15(1) of the Rules; Clause Clause 3, Procedure, approved by Order of the Ministry of Health and Social Development of Russia dated January 31, 2011 N 57n).

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

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

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

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

Note. From 01/01/2017, information about IPRA and recommended TSRs is entered into the Federal Register of Disabled Persons. The register also includes information about monetary payments made to a disabled person (in particular, about compensation for independently acquired TMR) ( Art. 5.1 of Law N 181-FZ; clause 11 List, approved. Order of the Ministry of Labor of Russia dated October 12, 2016 N 570n).

Useful information on the issue

Official website of the Social Insurance Fund - www.fss.ru

Portal of public services of the Russian Federation -

To receive free urological diapers, the patient must be recognized as disabled. In this case, he needs to draw up an individual rehabilitation program, then IPR. To receive free diapers or diapers, you must make the necessary entry in the IPR, section of technical means of rehabilitation.

All actions begin at the clinic at your place of residence. You go there to your local doctor and ask for a referral to the Bureau of Medical and Social Expertise (BMSE), in which the doctor must indicate that you need diapers for adults. Basically, 3 pieces are prescribed per day, but for medical reasons, 5 pieces per day.

With this referral, you go to the BMSE, where they make a corresponding entry in your IPR. And then you act according to your choice: either you receive diapers (by writing a statement about providing you with diapers to the contractor specified in the IPR), or you buy diapers yourself, and then receive compensation.

You can find out more about how and where diapers are distributed in your area at the social service center.

Many people caring for bedridden patients often do not even suspect the existence of state legal acts providing for the provision of assistance to this category of citizens. Social and economic support of the state consists of providing disabled people with the means necessary for life, provided at the expense of the federal budget.

Medical products that are available to disabled people free of charge

The list of what is established in accordance with the federal law “On social protection of disabled people in the Russian Federation”. Free technical rehabilitation aids designed to facilitate self-care and care for bedridden patients include:

• devices for dressing, undressing and grasping objects;
• small-sized manual and electric wheelchairs;
• and pillows;
• urine and colostomy bags;
• diapers that absorb sheets.

Products are issued on the basis of medical indications, have a specified service life, a repair guarantee and are subject to replacement in case of breakdown or detection of a technical defect. Free diapers for bedridden patients are provided in the amount of 3 pieces per day (for polyuria syndrome - 5). If you wish, you can choose 3 sheets, or combine a combination of items, for example, take one diaper and two sheets.

If these funds are purchased independently, then monetary compensation is paid after filing an application and submitting sales receipts to the social security authorities. The amount of compensation may not correspond to actual costs, since its size depends on the results of the auction for the supply of this type of technical equipment.

Reference! The cost of an auction item is usually significantly lower than the price of an analogue presented in retail sale, so compensation rarely covers the amount spent on the purchase from personal funds.

Who gets free diapers for a bedridden patient?

At the state level, free provision of bedridden patients with diapers and other care and rehabilitation products is possible after the person who is bedridden is officially recognized as disabled. For this category of people, individual rehabilitation programs (IPR) are developed, the purpose of which is to restore impaired body functions and compensate for lost physical capabilities. In addition to various services and activities, the program specifies a list of technical means necessary for a disabled person, including free diapers or waterproof diapers.

The decision about which patients are entitled to free diapers is made by employees of the federal medical and social examination at their place of residence, based on a comprehensive assessment of the patient’s condition. The stages of obtaining free diapers and other preferential products for bedridden patients are indicated in the table.

After the medical and social examination commission determines who is entitled to free diapers for a bedridden patient, as well as the quantitative need for them, appropriate changes are made to the patient’s individual rehabilitation program.

Re-issuance occurs after the established period of use, or if there is a need for early replacement. If an incapacitated citizen for any reason refuses to be provided with a preferential technical means included in the IPR, the law does not provide for the payment of monetary compensation.

Diapers for bedridden patients who do not have disabled status

How to get diapers for bedridden patients if a person does not? Regional budgets may include funds allocated for the social protection of such citizens, subject to the adoption of an appropriate law or regulation in a particular region. Within the framework of these regulations adopted by local governments, it is possible to provide low-income citizens with the following types of assistance:

• subsidies for utility bills;
• one-time payments;
• food, clothing, footwear, fuel;
• medications, diapers, absorbent sheets.

Having found out from the department of social protection whether a corresponding program for the poor has been adopted at the regional level, you can ask for cash assistance or free diapers for bedridden patients. According to the law, the amount of average family earnings does not affect the conditions for providing preferential products to people with disabilities. In order to receive the same diapers or medicines, low-income families must submit a certificate confirming that they have an average per capita income below the established subsistence level.

To find out how to apply for free diapers for a bedridden patient in your region, and what social programs a specific category of citizens is included in, just contact the local social welfare authorities at your place of residence for advice. A similar practice works for other tools of similar functionality.

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