How to obtain technical means of rehabilitation? Means for rehabilitation of disabled people

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 -

In any country, people with disabilities are a special group of citizens who need benefits and benefits. They also need rehabilitation, or TSR. They are required to ensure a comfortable life for people with disabilities. They are provided by the state. You just need to know how and where you can get them.

For normal recovery, disabled people require many resources. They are selected based on the type of deviation. If there is a hearing impairment, then special devices are required. In other cases, other means are necessary. They must be provided by the state.

Types of collateral

TSR for people with disabilities is available, as well as the necessary activities and services. The issuance of funds implies:

provision of technical means;
performing product repair and replacement services;
providing transportation for the child to the organization’s territory;
payment for the child's accommodation;
travel

Period of use

There are deadlines for using TSR for people with disabilities. This is approved by law:

canes - at least 2 years;
handrails - from 7 years;
wheelchairs - over 4 years;
dentures, depending on the type, - more than 1 year;
orthopedic shoes - from 3 months.

For all other devices, certain deadlines are also provided. During this period, the products will be safe for rehabilitation. If the period of use has passed, it is necessary to change the product.

List of funds

According to the law, technical means include devices that make it possible to compensate for or eliminate a person’s life limitations. The list of TSR for disabled people consists of means for:

self-service;
care;
orientation;
training;
movement.

People with disabilities need prosthetic products. They also need special clothing, shoes, and hearing aids. Disabled people need exercise equipment, sports equipment, and inventory.

The law specifies a list of TSR for people with disabilities. The federal list also contains specific technical means:

supports and handrails;
wheelchairs;
prostheses;
orthopedic shoes;
anti-decubitus mattresses;
dressing aids;
special clothing;
reading devices;
guide dogs;
thermometers;
sound alarms;
Hearing Aids.

Depending on the type of deviation, other remedies are prescribed to the person. The federal list of TSR for disabled people is approved by the state. The funds are provided free of charge and are therefore prohibited from being sold, gifted or transferred to others.

There are regions of the country where supports are understood only as structures for movement. Because of this, difficulties arise in the rehabilitation of a disabled person. If the rights to provide TSR for people with disabilities are violated, then interested parties must defend their interests. Indeed, depending on the limitation, special means are required.

Where to contact?

TSR is issued to disabled people after completing the procedure. You must submit an application to the Social Insurance Fund of the Russian Federation at your place of residence. Sometimes it is necessary to submit a document to the executive body that deals with these issues.

It is important to consider that foreigners and stateless persons who have a residence permit can also apply to the FSS of the Russian Federation. They are required to be given funds for rehabilitation if a disability has been recognized.

Required documents

Receipt of TSR by disabled people is possible after submitting an application, as well as several additional documents:

birth certificate or passport;
representative's passport;
rehabilitation program;
pension certificate.

Only when the entire list of documents is available will the application be accepted. They are provided in originals.

Application processing

The period for consideration of the application cannot be more than 15 days from the date of its submission. If a positive decision is made, the following is received by mail:

notification confirming registration;
direction for the creation of a technical product;
coupon for a free travel pass.

The forms of all documents are accepted by the country's Ministry of Health and Social Development. They serve as confirmation that the necessary rehabilitation equipment has been issued.

Payment of compensation

Not only TSR for disabled people can be provided, but also compensation for the purchase of a necessary product. Parents have the right to independently choose the necessary technical equipment for their child. For this purpose, a wheelchair, prosthetic and orthopedic products, and printed publications with the desired font can be purchased. Parents have the right to pay for repairs themselves.

If the product was purchased or repaired at personal expense, compensation will be provided. It is paid only when the technical aid is actually required under the rehabilitation program. When disabled people are against providing the necessary product, they must be paid funds in the amount of the cost of the product.

How is the payment amount determined?

The amount of compensation is not taken arbitrarily, but is calculated according to certain rules:

the size is equal to the price of the product;
should not be higher than the cost of the product.

Payment of funds is documented. Those who need it are entitled to compensation.

To approve the amount of compensation for TSR for disabled people, a special classification is used. As an example, you can take the purchase of a hearing aid that has additional functions. The payout amount is based on the price of the device. It takes into account additional features. The amount of payments is determined by:

price of technical equipment;
documents evidencing expenses for the purchase of the product.

Documents for payments

To receive compensation for the purchase of the desired product, you need to collect important documents. These include:

statement;
confirmation of expenses;
child's birth certificate;
representative's passport;
individual rehabilitation program;

The compensation period is 1 month from the date of the decision. It is accepted by the FSS of the Russian Federation within 30 days.

What if compensation is not paid?

The right to receive technical means and monetary compensation is regulated by the state. If these rights are violated, then responsibility is provided for this. If the money for the purchase of the product has not been paid, then it is necessary to file a complaint. It is submitted to the Department of Social Protection. Moreover, this can be done in paper and electronic form. If option 1 is selected, then it is necessary to obtain a confirmation of delivery.

The state guarantees not only the provision of TSR for disabled people, but also repairs. Moreover, this service is performed free of charge. Only to carry out repairs is it necessary that the disabled person’s opinion about the need to carry out the work agrees with the opinion of the experts.

Expertise

An inspection is required to verify the need for repairs. During this procedure, it will be determined whether parts or product elements need to be replaced. For the examination to be carried out, it is necessary:

submit an application to the Federal Social Insurance Fund of the Russian Federation;
provide technical equipment that requires repair or replacement.

If the remedy cannot be provided, then a decision is made to perform the examination at home. The impossibility of delivering the product is due to the difficulty of transportation and the health status of the disabled person.

The examination is carried out within 15 days from the date of receipt of the application. TSR users are informed about the time and place of the event. They can take part. As a result, an application is drawn up, one copy of which is provided to the disabled person. The reasons for the failure of the product are stated there. If restoration cannot be performed, then the need to replace the product is indicated.

Performing repairs and replacements

If the need for repairs is determined, then the FSS must provide:

statement;
examination document.

The replacement of the product is carried out by decision of the Social Insurance Fund based on the application. This procedure is only possible when the service life has expired or repairs cannot be performed.

Directions

Disabled people are given the right to free travel, since it is compensated by the Social Insurance Fund. To do this, a person with disabilities or his representative is given a ticket and directions for all types of transport. This document is provided for no more than 4 trips to the location of the organization to which the referral is provided. 4 free return trips are also provided.

Benefits are provided for such types of transport as:

railway;
water;
automobile;
air.

Travel compensation

When traveling for personal funds, compensation is paid. It is provided only if these types of transport were used. To receive compensation, you need the following documents:

travel cards;
confirmation of the need for travel.

Compensation is paid for no more than 4 round trip trips.

Payment for accommodation

If the technical device is just being manufactured, then compensation for the accommodation of the child and the responsible person is provided. Expenses are paid for the entire trip. The amount of compensation is equal to the amount of funds that are provided in case of business trips.

Reimbursement of expenses is carried out for the actual number of days of stay. In this case, certain conditions must be met:

living in an area remote from the organization;
The product was made in 1 trip.

Provision for rehabilitation of disabled people is guaranteed by the state. Ensuring their normal recovery occurs through compensation for various expenses.

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 for provision of 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.

Privileges

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.

It is very important for disabled people to receive technical means of rehabilitation. 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.

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.

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 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.

Medications

For persons with disabilities, medications are provided, 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.

How to get

To receive free technical means of rehabilitation, a disabled person must prepare certain documents:

application for provision of rehabilitation means;

identification document;

IPRA.