The documents. Legislative framework of the Russian Federation Recognition of a person as disabled

Active Edition from 06.02.2012

DECREE of the Government of the Russian Federation of February 20, 2006 N 95 (as amended on February 6, 2012) "ON THE PROCEDURE AND CONDITIONS FOR RECOGNIZING A PERSON AS A DISABLED PERSON"

In accordance with the Federal Law "On the 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. The Ministry of Health and Social Development of the Russian Federation, with the participation of all-Russian public associations of the disabled, develop and, in agreement with the Ministry of Education and Science of the Russian Federation and the Ministry of Finance of the Russian Federation, approve the classifications and criteria used in the implementation of medical and social examination of citizens by federal state institutions of medical and social expertise.

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

4. Recognize invalid the Decree of the Government of the Russian Federation of August 13, 1996 N 965 "On the procedure for recognizing citizens as disabled" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 1996, N 34, Art. 4127).

Prime Minister
Russian Federation
M. FRADKOV

APPROVED
Government Decree
Russian Federation
February 20, 2006 No. 95

(as amended by Decrees of the Government of the Russian Federation of 07.04.2008 N 247, of 30.12.2009 N 1121)

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

2. The 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, vocational and psychological data using classifications and criteria approved by the Ministry of Health and Social Development of the Russian Federation. Federation.

3. Medical and social expertise is carried out to establish the structure and degree of restriction of the citizen's life and his rehabilitation potential.

dated December 30, 2009 N 1121)

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

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

a) a health disorder with a persistent disorder of body functions due to 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 their behavior, study or engage in 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 a disabled person.

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

Clause 8. - Has become invalid.

(as amended by Decree of the Government of the Russian Federation of December 30, 2009 N 1121)

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

Paragraph 2 - Repealed.

(as amended by Decree of the Government of the Russian Federation of December 30, 2009 N 1121)

11. If a citizen is recognized as a disabled person, 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 a citizen (re-examination) is scheduled.

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

not later than 2 years after the initial recognition as a disabled person (establishment of the category "disabled child") of a citizen who has diseases, defects, irreversible morphological changes, dysfunctions of organs and body systems according to the list according to the appendix;

Not later than 4 years after the initial recognition of a citizen as a disabled person (establishment of the category "disabled child") in the event that it is impossible to eliminate or reduce the degree of limitation of the citizen's life activity caused by persistent irreversible morphological changes, defects and dysfunctions of the organs and systems of the body during the implementation of rehabilitation measures ( with the exception of those specified in the appendix to these Rules).

The establishment of a disability group without specifying the period of re-examination (the category "disabled child" until the citizen reaches the age of 18 years) can be carried out upon the 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 measures carried out by the citizen before he was sent for a medical and social examination. At the same time, it is necessary that in the referral for a medical and social examination issued to a citizen by an organization that provides him with medical and preventive care and sent him for a medical and social examination, or in medical documents if a citizen is sent for a medical and social examination in accordance with paragraph 17 of these Rules contained data on the absence of positive results of such rehabilitation measures.

For citizens who applied to the bureau on their own in accordance with paragraph 19 of these Rules, a disability group without specifying the re-examination period (category "disabled child" until the citizen reaches the age of 18) can be established upon initial recognition of a citizen as disabled (establishing the category "disabled child" ) in the absence of positive results of the rehabilitation measures assigned to him in accordance with the specified paragraph.

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

13.1. Citizens who are assigned the category of "disabled child" upon reaching the age of 18 are subject to re-examination in the manner prescribed by these Rules. At the same time, the calculation of the terms provided for in paragraphs two and three of paragraph 13 of these Rules is carried out from the day he establishes a disability group for the first time after reaching the age of 18 years.

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

14. If a citizen is recognized as a disabled person, the cause of disability shall be a general illness, a labor injury, an occupational disease, disability from childhood, disability from childhood due to injury (concussion, mutilation) associated with military operations during the Great Patriotic War, military injury, disease received during the period of 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, labor injury, military injury or other circumstances provided for by the legislation of the Russian Federation that are the cause of disability, a general illness is indicated as the cause of disability. In this case, the citizen is assisted in obtaining these documents. When the appropriate 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.

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

16. An organization providing medical and preventive care shall send a citizen for 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 due to 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 state of health of a citizen 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.

17. The body providing pensions, as well as the body of social protection of the population, has the right to send for a medical and social examination of a citizen who has signs of disability and needs social protection, if he has medical documents confirming violations of body functions 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 body of social protection of the population, 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 bodies of social protection of the population are responsible for the accuracy and completeness of the information indicated in the referral for a medical and social examination, in the manner established by the legislation of the Russian Federation.

19. If an organization providing medical and preventive care, a body providing pensions, or a body of social protection of the population refused to refer a citizen to 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 on your own.

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

20. 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. In the main bureau, a medical and social examination of a citizen is carried out if he appeals against the decision of the bureau, as well as in the direction of 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 that he appeals 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. 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 the organization providing medical and preventive care, or in the hospital where the citizen is on treatment, or in absentia by decision of the relevant bureau.

24. 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 with a referral for medical and social examination issued by the organization providing medical and preventive care (the body providing pensions, the body of social protection of the population), and medical documents confirming the violation 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, domestic, professional, psychological and other data of the citizen.

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

27. At the invitation of the head of the bureau (main bureau, Federal Bureau), representatives of state non-budgetary funds, the Federal Service for Labor and Employment, as well as specialists of the relevant profile (hereinafter referred to as consultants) may participate in the 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 a disabled person or to refuse to recognize him as a disabled person 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, provide explanations on it.

29. Based on the results of a medical and social examination of a 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 by a seal.

The conclusions of the consultants involved in the medical and social examination, the list of documents and the main information that served as the basis for the decision are entered in the act of the citizen's medical and social examination or attached to it.

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

The term of storage of the act of medical and social examination of a citizen is 10 years.

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

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

(as amended by Decree of the Government of the Russian Federation of December 30, 2009 N 1121)

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

32. After receiving the data provided for by the additional examination program, the specialists of 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. In case of refusal of a citizen (his legal representative) from an additional examination and provision of 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 the available data, about which an appropriate entry is made in the act of the citizen's medical and social examination.

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

35. An extract from the act of the medical and social examination 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.

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

Information about all cases of recognition of persons liable for military service or citizens of draft age as invalids 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 the establishment of disability, indicating the group of disability, as well as an individual rehabilitation program.

(as amended by Decree of the Government of the Russian Federation of December 30, 2009 N 1121)

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

A citizen who is not recognized as a disabled person, 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.

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 "child with a disability" is established for the child.

Re-examination of a citizen whose disability has been established without specifying the re-examination period may be carried out on his personal application (application of his legal representative), or on 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 the decisions taken by the respective bureau, the main bureau.

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

41. A re-examination of a disabled person before the established deadline is carried out on his personal application (application of his legal representative), or on 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 of Control over decisions taken respectively bureau, main bureau.

42. A citizen (his legal representative) may appeal the decision of the bureau 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, within 3 days from the date of receipt of the application, sends it with all available documents to the main bureau.

43. The main bureau, no later than 1 month from the date of receipt of the citizen's application, conducts his medical and social examination and, based on the results, makes an appropriate decision.

44. In the event that a citizen appeals against the decision of the main bureau, the chief expert in medical and social expertise for the relevant subject of the Russian Federation, with the consent of the citizen, may entrust the conduct of his medical and social expertise to another team 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 a 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 his medical and social examination and, based on the results, makes an appropriate decision.

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

1. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus with treatment failure; severe general condition after palliative treatment, incurability of the disease with severe symptoms of intoxication, cachexia and tumor decay).

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 and pronounced disorders of motor, speech, and visual functions (pronounced 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 pronounced disorders of motor, speech, visual functions (pronounced 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) impaired bulbar functions.

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

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

10. Complete deaf-blindness.

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

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

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

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

15. Cirrhosis of the liver with hepatosplenomegaly and portal hypertension of the III degree.

16. Fatal fecal fistulas, stoma.

17. Pronounced contracture or ankylosis of large joints of the upper and lower extremities in a functionally disadvantageous position (when arthroplasty is impossible).

18. End-stage chronic renal failure.

19. Fatal urinary fistulas, stoma.

20. Congenital anomalies in the development of the musculoskeletal system with severe persistent disorders of the function of support and movement when it is impossible to correct.

21. Consequences of a traumatic injury to the brain (spinal) cord with persistent and pronounced disorders of motor, speech, visual functions (pronounced 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, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of the four fingers, excluding the first, absence of three fingers, including the first.

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

The DECISION of the Government of the Russian Federation dated February 20, 2006 N 95 (as amended on February 6, 2012) "ON THE PROCEDURE AND CONDITIONS FOR RECOGNIZING A PERSON AS A DISABLED" is presented on the Zakonbase website in the most recent edition. It is easy to comply with all legal requirements if you familiarize yourself with the relevant sections, chapters and articles of this document for 2014. To search for the necessary legislative acts on a topic of interest, you should use the convenient navigation or advanced search.

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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 program of rehabilitation or habilitation of a citizen are formed in the case of a medical and social examination of a citizen.

A citizen (his legal or authorized representative) has the right to familiarize himself with the act of the medical and social examination of a citizen and the protocol for conducting a medical and social examination of a citizen.

At the request of a citizen (his legal or authorized representative) submitted to the bureau on paper, on the day of filing the said application, copies of the certificate of medical and social examination 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.

Documents generated in the course and based on the results of the medical and social examination, in the form of electronic documents, are signed by the strengthened head of the bureau (main bureau, Federal Bureau) or by the strengthened qualified electronic signature of the official authorized by him.

At the request of a citizen (his legal or authorized representative), submitted to the bureau in electronic form, he, no later than the next working day from the date of submission of the said application, depending on the option of obtaining documents chosen by him:

copies of the act of the medical and social examination of the citizen and the protocol of the medical and social examination of the citizen on paper are issued certified by the head of the bureau (main bureau, Federal Bureau) or an official authorized by him in the prescribed manner;

are 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 authorized official, a copy of the medical act - social examination of a citizen and a protocol for conducting a medical and social examination of a citizen.

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

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

An 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 an examination of the conditions and nature of professional activity, the social and living situation of a citizen, and others. Events.

32. After receiving the data provided for by the additional examination program, the specialists of 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. In case of refusal of a citizen (his legal or authorized representative) from an additional examination and provision of 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 the available data, which is noted in the protocol of the medical and social examination citizen in the federal state institution of medical and social expertise.

34. For a citizen recognized as a disabled person, the specialists of the bureau (main bureau, Federal Bureau) who conducted the medical and social examination develop an individual program of rehabilitation or habilitation.

If it is necessary to make corrections to the individual program of rehabilitation or habilitation 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, misprint , grammatical or arithmetic error or similar error) to a disabled person (a disabled child), at his application or at the request of a legal or authorized representative of a disabled person (a 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 disabled person (disabled child).

At the same time, the change of other information specified in the previously issued individual rehabilitation or habilitation program is not carried out.

If it is necessary to include in the individual program of rehabilitation or habilitation of 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 maternity (family) capital are allocated (hereinafter - goods and services ), a disabled child, at his request or at the request of a legal or authorized representative of a disabled child, instead of the previously issued one, a new individual rehabilitation or habilitation program for a disabled child is drawn up without issuing a new referral for a medical and social examination.

Drawing up a new individual program for the rehabilitation or habilitation of a disabled child with the inclusion of recommendations on goods and services is carried out on the basis of the decision of the bureau (main bureau, Federal Bureau) on the need for the disabled child to purchase goods and services, adopted on the basis of the examination of the disabled child.

In the event that recommendations on goods and services related to medical devices 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 (head 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 the need for the disabled child to purchase goods and services related to medical devices, which is made on the basis of the certificate.

Submission of a certificate is not required if the application for the inclusion of goods and services related to medical devices in an individual program for the rehabilitation or habilitation of a disabled child was received within 1 year from the date of issuance of the indicated 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 on the basis of information available in the bureau (main bureau, Federal Bureau) on previous examinations of a disabled child at the disposal of the bureau (main bureau, Federal Bureau).

35. An extract from the act of the medical and social examination 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 otherwise in compliance with the requirements of the legislation of the Russian Federation in the field of personal data protection.

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

Information about all cases of recognition as invalids of citizens who are registered with the military or not registered with the military, but are obliged to be registered with the military, 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 the establishment of disability, indicating the group of disability, as well as an individual program of rehabilitation or habilitation.

The procedure for compiling 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 a disabled person, 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.

Information about changes:

Section IV was supplemented by clause 37.1 from May 21, 2019 - Decree of the Government of Russia dated May 16, 2019 N 607

37.1. Information about the results of the medical and social examination carried out is formed in the federal state information system "Unified Automated Vertically Integrated Information and Analytical System for Conducting Medical and Social Expertise" in accordance with the form approved by the Ministry of Labor and Social Protection of the Russian Federation, and 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.

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 "child with a disability" is established for the child.

Re-examination of a citizen whose disability has been established without specifying the re-examination period may be carried out on his personal application (application of his legal or authorized representative), or on the direction 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 may be carried out in advance, but no more than 2 months before the expiration of the established period of disability.

41. A re-examination of a disabled person before the established deadline is carried out at his personal request (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 of control over decisions taken by the bureau respectively, the main the Bureau.

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

42. A citizen (his legal or authorized representative) may 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 in electronic form using federal state information system "Unified portal of state and municipal services (functions)".

43. The main bureau, no later than 1 month from the date of receipt of the citizen's application, conducts his medical and social examination and, based on the results, makes an appropriate decision.

44. In the event that a citizen appeals against the decision of the main bureau, the chief expert in medical and social expertise for the relevant subject of the Russian Federation, with the consent of the citizen, may entrust the conduct of his medical and social expertise to another team 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 a citizen (his legal or authorized 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 his medical and social examination and, based on the results, makes an appropriate decision.

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

APPENDIX
to the Rules for Recognizing a Person as Disabled

Scroll
diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, as well as indications and conditions in order to establish a disability group and the category of "disabled child"

With changes and additions from:

I. Diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, in which a disability group without specifying the period of re-examination (the category "disabled child" until the citizen reaches the age of 18) is established for citizens no later than 2 years after the initial recognition as disabled ( establishing the category of "disabled child")

1. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus with treatment failure; severe general condition 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), 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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions.

6. Severe forms of inflammatory bowel disease (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, pronounced 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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions, impaired functions of the cardiovascular system ( accompanied by circulatory failure IIB - III degree and coronary insufficiency III - IV functional class), with chronic renal failure (chronic kidney disease stage 2 - 3).

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

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

10. Fatal fecal, urinary fistulas, stoma.

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

12. Congenital anomalies in the development of the musculoskeletal system with severe 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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) 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, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of the four fingers, excluding the first, absence of three fingers of the hand, including the first.

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

II. Indications and conditions for establishing the category of "disabled child" for a period of 5 years and until reaching 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) when re-examining disabled children with congenital operated hydrocephalus with persistent, pronounced and significantly pronounced disorders of mental, neuromuscular, skeletal and movement-related (statodynamic) functions, sensory functions;

c) when re-examining disabled children with grade III-IV scoliosis, rapidly progressing, mobile, requiring long-term complex types of rehabilitation;

d) when re-examining disabled children with adrenogenital syndrome (salt-losing form) with a high risk of life-threatening conditions;

e) when re-examining 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 of the maxillofacial region with persistent, pronounced and significantly pronounced disorders of the digestive system, disorders of language and speech functions during multi-stage complex types of rehabilitation, including during the initial examination of children with congenital complete cleft lip, hard and soft palate

Information about changes:

The Appendix was supplemented by Section II.1 from July 6, 2019 - Decree of the Government of Russia of June 27, 2019 N 823

II.1. Indications and conditions for establishing the category of "disabled child" before the citizen reaches the age of 18

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

18. Chronic kidney disease stage 5 in the presence of contraindications to kidney transplantation.

19. Cirrhosis of the liver with hepatosplenomegaly and portal hypertension of the III degree.

20. Congenital incomplete (imperfect) osteogenesis.

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

22. Hereditary metabolic disorders that have a progressive severe course, leading to pronounced and significantly pronounced disorders of the body's functions (Tay-Sachs disease, Krabbe disease, and others).

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

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

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

28. Congenital epidermolysis bullosa, severe form.

29. Congenital malformations of various organs and systems of the child's body, in which only palliative correction of the defect is possible.

30. Congenital anomalies in the development of the spine and spinal cord, leading to persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions and (or) dysfunction of the pelvic organs, with the impossibility or ineffectiveness of surgical treatment.

31. Congenital anomalies (malformations), deformities, chromosomal and genetic diseases (syndromes) with a progressive course or unfavorable prognosis, leading to persistent, pronounced and significantly pronounced disorders of body functions, including impaired 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 forms), including the childhood form of schizophrenia, leading to severe and severe mental disorders.

33. Epilepsy is idiopathic, symptomatic, leading to severe and significantly pronounced disorders of mental functions and (or) resistant seizures to therapy.

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

35. Cerebral palsy with persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions. There are no age and social skills.

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

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

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

39. Complete blindness in both eyes with the ineffectiveness of the treatment; decrease in visual acuity in both eyes and in the better seeing eye up to 0.04 with correction or 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 III-IV degree, deafness.

42. Congenital multiple arthrogryposis.

43. Paired amputation of the hip joint.

44. Ankylosing spondylitis with persistent, pronounced, significantly pronounced disorders of the body's 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 organs with significantly pronounced dysfunctions of the respiratory system, characterized by a severe course with chronic respiratory failure of III degree; chronic pulmonary heart failure IIB, stage III.

46. ​​Diseases of the circulatory system with significant impairment of the functions of the cardiovascular system: functional class IV angina pectoris is a severe, significantly pronounced degree of coronary circulation impairment (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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions, impaired functions of the cardiovascular system ( accompanied by 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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions.

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

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

51. Diabetes mellitus with a significant multiple dysfunction of organs and systems of the body (with chronic arterial insufficiency of stage IV in both lower extremities with the development of gangrene, if high amputation of both extremities is required and the impossibility of restoring blood flow and performing prosthetics).

52. Fatal 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 with treatment failure; severe general condition after palliative treatment; incurability of the disease).

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 (statodynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.

56. Epidermolysis congenital bullosa, generalized moderate, severe forms (simple epidermolysis bullosa, borderline epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler's syndrome).

57. Severe forms of psoriasis with persistent, pronounced, significantly impaired body functions, not controlled by immunosuppressive drugs.

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

RESOLUTION

dated February 20, 2006 No. 95

Moscow city

On the procedure and conditions for recognizing a person as disabled

In accordance with the Federal Law "On the 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. (No longer valid - Decree of the Government of the Russian Federation of 10.08.2016 No. 772)

3. To provide explanations to the Ministry of Labor and Social Protection of the Russian Federation on issues related to the application of the Rules approved by this resolution. (As amended by Decree of the Government of the Russian Federation of 04.09.2012 No. 882)

4. Recognize invalid the Decree of the Government of the Russian Federation of August 13, 1996 No. 965 "On the Procedure for Recognizing Citizens as Disabled" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 1996, No. 34, Art. 4127).

Prime Minister

Russian Federation M. Fradkov

RULES for recognizing a person as disabled

(As amended by Decrees of the Government of the Russian Federation No. 247 of 07.04.2008, No. 1121 of 30.12.2009, No. 89 of 06.02.2012, No. 318 of 16.04.2012, No. 882 of 04.09.2012, No. 805 of 06.08.2015, dated 08/10/2016 No. 772, 01.24.2018 No. 60, 03.29.2018 No. 339, 06.21.2018 No. 709, 03.22.2019 No. 304, 05.16.2019 No. 607, 06.04.2019 No. 715, dated 27.06. .2019 No. 823, dated November 14, 2019 No. 1454)

I. General provisions

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

2. The 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, vocational and psychological data using classifications and criteria approved by the Ministry of Labor and Social Protection of the Russian Federation. Federation. (As amended by Decree of the Government of the Russian Federation of 04.09.2012 No. 882)

3. Medical and social expertise is carried out to establish the structure and degree of restriction of the citizen's life and his rehabilitation potential. (As amended by Decree of the Government of the Russian Federation of December 30, 2009 No. 1121)

4. Specialists of the bureau (the main bureau, the Federal Bureau) are obliged to familiarize the citizen (his legal or authorized representative) with the procedure and conditions for recognizing a citizen as disabled, as well as to provide explanations to citizens on issues related to the establishment of disability. (As amended by Decree of the Government of the Russian Federation No. 772 dated August 10, 2016)

II. Conditions for recognizing a citizen as disabled

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

a) a health disorder with a persistent disorder of bodily functions due to diseases, consequences of injuries or defects;

b) restriction 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 their behavior, study or engage in labor activity);

c) the need for social protection measures, including rehabilitation and habilitation. (As amended by Decree of the Government of the Russian Federation of 08/06/2015 No. 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 a disabled person.

7. Depending on the severity of persistent disorders of body functions resulting from diseases, the consequences of injuries or defects, a citizen recognized as disabled is assigned I, II or III disability groups, and a citizen under the age of 18 years - the category "disabled child" . (As amended by Decree of the Government of the Russian Federation of 08/06/2015 No. 805)

8. (No longer valid - Decree of the Government of the Russian Federation of December 30, 2009 No. 1121)

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

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

The disability group without indicating the re-examination period is established on the basis of the list in accordance with the appendix, as well as on the grounds specified in paragraph 13 of these Rules. (Supplemented by Decree of the Government of the Russian Federation of March 29, 2018 No. 339)

The category "disabled child" for a period of 5 years, until reaching the age of 14 or 18 years, is established for citizens with diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, provided for in sections I, II and II1 of the annex to these Rules. (As amended by Decree of the Government of the Russian Federation dated June 27, 2019 No. 823)

(Item as amended by Decree of the Government of the Russian Federation No. 339 dated March 29, 2018)

11. If a citizen is recognized as a disabled person, the date of establishment of disability is the date of receipt by the bureau of a referral for a medical and social examination (a citizen's application for a medical and social examination). (As amended by Decree of the Government of the Russian Federation dated May 16, 2019 No. 607)

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

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

not later than 2 years after the initial recognition as a disabled person (establishment of the category "disabled child") of a citizen who has diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, provided for in Section I of the Appendix to these Rules; (As amended by Decree of the Government of the Russian Federation No. 339 dated March 29, 2018)

no later than 4 years after the initial recognition of a citizen as a disabled person (establishment of the category "disabled child") in the event that it is impossible to eliminate or reduce the degree of limitation of the citizen's life activity caused by persistent irreversible morphological changes, defects and violations of the functions of organs and systems during the implementation of rehabilitation or habilitation measures organism (with the exception of those specified in the appendix to these Rules); (As amended by Decree of the Government of the Russian Federation of 08/06/2015 No. 805)

paragraph; (No longer valid - Decree of the Government of the Russian Federation of March 29, 2018 No. 339)

The establishment of a disability group without specifying the period of re-examination (the category "disabled child" until the citizen reaches the age of 18 years) can be carried out upon the 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 by a citizen before he was sent for a medical and social examination. At the same time, it is necessary that in the direction for a medical and social examination issued to a citizen by a medical organization that provides him with medical care and sent him for a medical and social examination, or in medical documents in the event that a citizen is sent for a medical and social examination in accordance with paragraph 17 of these The Rules contained data on the absence of positive results of such rehabilitation or habilitation measures. (As amended by Decree of the Government of the Russian Federation of 08/06/2015 No. 805)

Citizens with diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, provided for in Section III of the Annex to these Rules, upon the initial recognition of a citizen as a disabled person, a disability group is established without specifying the re-examination period, and for citizens under 18 years of age - the category " disabled child" until the citizen reaches the age of 18 years. (Supplemented by Decree of the Government of the Russian Federation of March 29, 2018 No. 339)

For citizens who applied to the bureau on their own in accordance with paragraph 19 of these Rules, a disability group without specifying the re-examination period (category "disabled child" until the citizen reaches the age of 18) can be established upon initial recognition of a citizen as disabled (establishing the category "disabled child" ) in the absence of positive results of the rehabilitation or habilitation measures assigned to him in accordance with the specified paragraph. (As amended by Decree of the Government of the Russian Federation of 08/06/2015 No. 805)

(Item as amended by Decree of the Government of the Russian Federation dated April 7, 2008 No. 247)

131. Citizens who have been assigned the category of "disabled child", upon reaching the age of 18, are subject to re-examination in the manner prescribed by these Rules. In this case, the calculation of the time limits provided for in paragraphs two and three of clause 13 of these Rules is carried out from the day he establishes the category "disabled child". (As amended by Decrees of the Government of the Russian Federation No. 247 dated April 7, 2008; No. 60 dated January 24, 2018)

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

a) general illness;

b) labor injury;

c) occupational disease;

d) disability since childhood;

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

f) military trauma;

g) the disease was acquired during military service;

h) a radiation-induced disease was acquired in the performance of military service (official duties) in connection with the catastrophe at the Chernobyl nuclear power plant;

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

j) a disease acquired in the performance of other duties of military service (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) a disease acquired in the performance of other duties of military service (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-induced disease was acquired in the performance of military service duties (official duties) in connection with direct participation in the actions of special-risk units;

o) a disease (wound, contusion, mutilation) received by a person serving the active military units of the Armed Forces of the USSR and the Armed Forces of the Russian Federation, who were on the territories of other states during the period of combat operations in these states;

o1) 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 in the course of counter-terrorist operations on the territory of the Republic of Dagestan; (Supplemented from January 1, 2020 - Decree of the Government of the Russian Federation of November 14, 2019 No. 1454)

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

(Paragraph as amended by Decree of the Government of the Russian Federation dated 10.08.2016 No. 772)

In the absence of documents confirming the fact of an occupational disease, labor injury, military injury or other circumstances provided for by the legislation of the Russian Federation that are the cause of disability, a general illness is indicated as the cause of disability. In this case, the citizen is assisted in obtaining these documents. When the appropriate 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.

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 No. 304)

III. The procedure for sending a citizen to 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 body of social protection of the population with the written consent of the citizen (his legal or authorized representative).

The form of consent of a citizen to be sent for 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.

(Item as amended by Decree of the Government of the Russian Federation dated May 16, 2019 No. 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 due to diseases, consequences of injuries or defects. (As amended by Decree of the Government of the Russian Federation of 08/06/2015 No. 805)

A citizen who is being treated in a hospital in connection with an operation to amputate (reamputate) a limb (limbs), having defects provided for in paragraphs 14 and (or) 15 of the annex to these Rules, in need of primary prosthetics, is sent for a medical and social examination on time , not exceeding 3 working days after the specified operation. (Supplemented by Decree of the Government of the Russian Federation of 06/04/2019 No. 715)

In the direction for medical and social examination by a medical organization, data on the state of health of a citizen are indicated, reflecting the degree of dysfunction of organs and systems, the state of the body's compensatory capabilities, information about the results of medical examinations necessary to obtain clinical and functional data depending on the disease in order to conduct medical - social expertise, and carried out rehabilitation or habilitation activities. (As amended by Decree of the Government of the Russian Federation dated May 16, 2019 No. 607)

The form and procedure for filling out a referral for a 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 Decrees of the Government of the Russian Federation No. 607 of May 16, 2019, No. 715 of June 4, 2019)

The list of medical examinations required to obtain clinical and functional data depending on the disease in order to conduct 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. (Supplemented by Decree of the Government of the Russian Federation of June 21, 2018 No. 709)

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

The form and procedure for filling out a referral for medical and social examination issued by the body providing pensions or the body of social protection of the population 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 of 04.06.2019 No. 715)

18. Medical organizations, bodies providing pensions, as well as bodies of social protection of the population are responsible for the accuracy and completeness of the information indicated 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 of 08/06/2015 No. 805)

19. In the event that a medical organization, a body providing pensions, or a body of social protection of the population refused to refer a citizen to 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 apply to the bureau on his own . (As amended by Decrees of the Government of the Russian Federation No. 805 of August 6, 2015; No. 772 of August 10, 2016)

Bureau specialists conduct an examination of a citizen and, based on its results, draw up a program for an additional examination of a citizen and carrying out rehabilitation or habilitation measures, after which they consider the issue of whether he has life restrictions. (As amended by Decree of the Government of the Russian Federation of 08/06/2015 No. 805)

191. 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 these state information systems - on paper carrier. (As amended by Decree of the Government of the Russian Federation dated May 16, 2019 No. 607)

192. Referral for medical and social examination, issued by a medical organization, and information on the results of medical examinations necessary to obtain clinical and functional data depending on the disease in order to conduct a medical and social examination, within 3 working days from the date of issuance of a referral to a medical - social expertise is transferred by a 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 193 of these Rules, and in the absence of access to such information systems - on paper.

The referral for medical and social examination, issued by the body providing pensions, or the body of social protection of the population, within 3 working days from the date of its execution is transferred by the body providing pensions, or the body of social protection of the population to the bureau in the form of an electronic document signed with a strengthened with 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 implementing the pension system

GOVERNMENT OF THE RUSSIAN FEDERATION

RESOLUTION

On the procedure and conditions for recognizing a person as disabled

Document as amended by:
(Russian newspaper - week, N 84, 04/17/2008);
(Rossiyskaya Gazeta, No. 3, January 13, 2010) (entered into force on January 1, 2010);
(Rossiyskaya Gazeta, No. 32, February 15, 2012);
(Rossiyskaya Gazeta, N 89, 04/23/2012);
(Collected Legislation of the Russian Federation, N 37, 09/10/2012);
(Official Internet portal of legal information www.pravo.gov.ru, 08/11/2015, N 0001201508110019) (for the procedure for entry into force, see paragraph 2 of Decree of the Government of the Russian Federation of August 6, 2015 N 805);
(Official Internet portal of legal information www.pravo.gov.ru, 19.08.2016, N 0001201608190013);
(Official Internet portal of legal information www.pravo.gov.ru, 01/29/2018, N 0001201801290001);
(Official Internet portal of legal information www.pravo.gov.ru, 04/06/2018, N 0001201804060053);
(Official Internet portal of legal information www.pravo.gov.ru, 06/25/2018, N 0001201806250014);
(Official Internet portal of legal information www.pravo.gov.ru, 03/25/2019, N 0001201903250001);
(Official Internet portal of legal information www.pravo.gov.ru, 05/21/2019, N 0001201905210016) (for the procedure for entry into force, see);
(Official Internet portal of legal information www.pravo.gov.ru, 06/07/2019, N 0001201906070045);
(Official Internet portal of legal information www.pravo.gov.ru, 06/28/2019, N 0001201906280018);
(Official Internet portal of legal information www.pravo.gov.ru, November 15, 2019, N 0001201911150017) (entered into force on January 1, 2020).
____________________________________________________________________

In accordance with the Government of the Russian Federation

decides:

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

2. The clause became invalid from August 27, 2016 - ..

3. To provide explanations to the Ministry of Labor and Social Protection of the Russian Federation on issues related to the application of the Rules approved by this resolution.
Decree of the Government of the Russian Federation of September 4, 2012 N 882.

4. Recognize invalid the Decree of the Government of the Russian Federation of August 13, 1996 N 965 "On the procedure for recognizing citizens as disabled" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 1996, N 34, Art. 4127).

Prime Minister
Russian Federation
M. Fradkov

Rules for recognizing a person as disabled

APPROVED
Government Decree
Russian Federation
dated February 20, 2006 N 95

I. General provisions

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

2. The 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, vocational and psychological data using classifications and criteria approved by the Ministry of Labor and Social Protection of the Russian Federation. Federation.
(Paragraph as amended, entered into force on September 18, 2012 by Decree of the Government of the Russian Federation of September 4, 2012 N 882.

3. A medical and social examination is carried out to establish the structure and degree of restriction of the citizen's life and his rehabilitation potential (paragraph as amended, put into effect on January 1, 2010 by Decree of the Government of the Russian Federation of December 30, 2009 N 1121.

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

II. Conditions for recognizing a citizen as disabled

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

a) a health disorder with a persistent disorder of body functions due to diseases, consequences of injuries or defects;

b) restriction 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 their behavior, study or engage in labor activity);

c) the need for social protection measures, including rehabilitation and habilitation.
(Subparagraph as amended, entered into force on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 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 a disabled person.

7. Depending on the severity of persistent disorders of body functions resulting from diseases, the consequences of injuries or defects, a citizen recognized as disabled is assigned I, II or III disability groups, and a citizen under the age of 18 years - the category "disabled child" .
(Paragraph as amended, entered into force on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

8. The paragraph became invalid from January 1, 2010 - ..

9. Disability of the I group is established for 2 years, II and III groups - 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 disability group without indicating the re-examination period is established on the basis of the list in accordance with the appendix, as well as on the grounds specified in paragraph 13 of these Rules.
Decree of the Government of the Russian Federation of 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.

The category "disabled child" for a period of 5 years, until reaching the age of 14 or 18 years, is established for citizens with diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, provided for in sections I, II and II_1 of the annex to these Rules.
(Paragraph as amended, put into effect on July 6, 2019 by Decree of the Government of the Russian Federation of June 27, 2019 N 823.
(Paragraph as amended, entered into force on April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339.

11. If a citizen is recognized as a disabled person, the date of establishment of disability is the date of receipt by the bureau of a referral for a medical and social examination (a citizen's application for a medical and social examination).
Decree of the Government of the Russian Federation of 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 a citizen (re-examination) is scheduled.

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

not later than 2 years after the initial recognition as a disabled person (establishment of the category "disabled child") of a citizen who has diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, provided for in Section I of the Appendix to these Rules;
(Paragraph as amended, put into effect on April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339.

no later than 4 years after the initial recognition of a citizen as a disabled person (establishment of the category "disabled child") in the event that it is impossible to eliminate or reduce the degree of limitation of the citizen's life activity caused by persistent irreversible morphological changes, defects and violations of the functions of organs and systems during the implementation of rehabilitation or habilitation measures organism (with the exception of those specified in the appendix to these Rules);
Decree of the Government of the Russian Federation of August 6, 2015 N 805.

The paragraph is additionally included from February 23, 2012 by the Decree of the Government of the Russian Federation of February 6, 2012 N 89; expired on April 14, 2018 - Decree of the Government of the Russian Federation of March 29, 2018 N 339 ..

The establishment of a disability group without specifying the period of re-examination (the category "disabled child" until the citizen reaches the age of 18 years) can be carried out upon the 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 by a citizen before he was sent for a medical and social examination. At the same time, it is necessary that in the direction for a medical and social examination issued to a citizen by a medical organization that provides him with medical care and sent him for a medical and social examination, or in medical documents in the event that a citizen is sent for a medical and social examination in accordance with paragraph 17 of these The Rules contained data on the absence of positive results of such rehabilitation or habilitation measures.
Decree of the Government of the Russian Federation of August 6, 2015 N 805 Decree of the Government of the Russian Federation of August 6, 2015 N 805.

Citizens with diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, provided for in Section III of the Annex to these Rules, upon the initial recognition of a citizen as a disabled person, a disability group is established without specifying the re-examination period, and for citizens under 18 years of age - the category " disabled child" until the citizen reaches the age of 18 years.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

For citizens who applied to the bureau on their own in accordance with paragraph 19 of these Rules, a disability group without specifying the re-examination period (category "disabled child" until the citizen reaches the age of 18) can be established upon initial recognition of a citizen as disabled (establishing the category "disabled child" ) in the absence of positive results of the rehabilitation or habilitation measures assigned to him in accordance with the specified paragraph.
(Paragraph as amended, put into effect on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.
(Paragraph as amended, entered into force on April 25, 2008 by Decree of the Government of the Russian Federation of April 7, 2008 N 247

13_1. Citizens who are assigned the category of "disabled child" upon reaching the age of 18 are subject to re-examination in the manner prescribed by these Rules. In this case, the calculation of the time limits provided for in paragraphs two and three of clause 13 of these Rules is carried out from the day he establishes the category "disabled child".
(The paragraph was additionally included from April 25, 2008 by Decree of the Government of the Russian Federation of April 7, 2008 N 247; as amended, put into effect on February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60.

14. If a citizen is recognized as a disabled person, the following causes of disability are established:
Decree of the Government of the Russian Federation of August 10, 2016 N 772.

a) general illness;
Decree of the Government of the Russian Federation of August 10, 2016 N 772)

b) labor injury;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

c) occupational disease;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

d) disability since childhood;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

e) childhood disability due to injury (concussion, mutilation) associated with military operations during the Great Patriotic War of 1941-1945;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

f) military trauma;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

g) the disease was acquired during military service;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

h) a radiation-induced disease was acquired in the performance of military service (official duties) in connection with the catastrophe at the Chernobyl nuclear power plant;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

i) the disease is associated with the disaster at the Chernobyl nuclear power plant;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

j) a disease acquired in the performance of other duties of military service (official duties) is associated with the disaster at the Chernobyl nuclear power plant;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

k) the disease is associated with an accident at the Mayak production association;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

l) a disease acquired in the performance of other duties of military service (official duties) is associated with an accident at the Mayak production association;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

m) the disease is associated with the consequences of radiation exposure;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

o) a radiation-induced disease was acquired in the performance of military service duties (official duties) in connection with direct participation in the actions of special-risk units;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

o) a disease (wound, contusion, mutilation) received by a person serving the active military units of the Armed Forces of the USSR and the Armed Forces of the Russian Federation, who were on the territories of other states during the period of combat operations in these states;
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

n_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 in the course of counter-terrorist operations on the territory of the Republic of Dagestan;
(The subparagraph was additionally included from January 1, 2020 by Decree of the Government of the Russian Federation of November 14, 2019 N 1454)

p) other reasons established by the legislation of the Russian Federation.
(The subparagraph has been additionally included since August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

In the absence of documents confirming the fact of an occupational disease, labor injury, military injury or other circumstances provided for by the legislation of the Russian Federation that are the cause of disability, a general illness is indicated as the cause of disability. In this case, the citizen is assisted in obtaining these documents. When the appropriate 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.

The procedure for establishing the causes of disability is approved by the Ministry of Labor and Social Protection of the Russian Federation.
(The paragraph was additionally included from April 2, 2019 by Decree of the Government of the Russian Federation of March 22, 2019 N 304)

III. The procedure for sending a citizen to 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 body of social protection of the population with the written consent of the citizen (his legal or authorized representative).

The form of consent of a citizen to be sent for 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.
(Paragraph as amended, entered into force on May 21, 2019 by Decree of the Government of the Russian Federation of 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 due to diseases, consequences of injuries or defects.
(Paragraph as amended, entered into force on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805; as amended by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

A citizen who is being treated in a hospital in connection with an operation to amputate (reamputate) a limb (limbs), having defects provided for in paragraphs 14 and (or) 15 of the annex to these Rules, in need of primary prosthetics, is sent for a medical and social examination on time , not exceeding 3 working days after the specified operation.
Decree of the Government of the Russian Federation of June 4, 2019 N 715)

In the direction for medical and social examination by a medical organization, data on the state of health of a citizen are indicated, reflecting the degree of dysfunction of organs and systems, the state of the body's compensatory capabilities, information about the results of medical examinations necessary to obtain clinical and functional data depending on the disease in order to conduct medical - social expertise, and carried out rehabilitation or habilitation activities.
Decree of the Government of the Russian Federation of May 16, 2019 N 607.

The form and procedure for filling out a referral for a 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.
(The paragraph is additionally included from May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607; as amended by Decree of the Government of the Russian Federation of June 4, 2019 N 715.

The list of medical examinations required to obtain clinical and functional data depending on the disease in order to conduct 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.
(The paragraph was additionally included from July 3, 2018 by Decree of the Government of the Russian Federation of June 21, 2018 N 709)

17. The body providing pensions, as well as the body of social protection of the population, has the right to send for a medical and social examination of a citizen who has signs of disability and needs social protection, if he has medical documents confirming violations 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 body of social protection of the population is approved by the Ministry of Labor and Social Protection of the Russian Federation.
(Paragraph as amended, put into effect on June 15, 2019 by Decree of the Government of the Russian Federation of June 4, 2019 N 715.

18. Medical organizations, bodies providing pensions, as well as bodies of social protection of the population are responsible for the accuracy and completeness of the information indicated in the referral for a medical and social examination, in the manner established by the legislation of the Russian Federation.
Decree of the Government of the Russian Federation of August 6, 2015 N 805.

19. In the event that a medical organization, a body providing pensions, or a body of social protection of the population refused to refer a citizen to 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 apply to the bureau on his own .
(Paragraph as amended, put into effect on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

Bureau specialists conduct an examination of a citizen and, based on its results, draw up a program for an additional examination of a citizen and carrying out rehabilitation or habilitation measures, after which they consider the issue of whether he has life restrictions.
(Paragraph as amended, put into effect on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

19_1. Medical organizations form a referral for medical and social expertise 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 these state information systems - on paper.
(The paragraph was additionally included from May 1, 2012 by Decree of the Government of the Russian Federation of April 16, 2012 N 318; as amended, put into effect on May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

19_2. Referral for medical and social examination, issued by a medical organization, and information on 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 issuance of a referral to a medical and social 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.

The referral for medical and social examination, issued by the body providing pensions, or the body of social protection of the population, within 3 working days from the date of its execution is transferred by the body providing pensions, or the body of social protection of the population to the bureau in the form of an electronic document signed with a strengthened 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 body of social protection of the population 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.

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 in order to conduct a medical and social examination in the bureau, as well as the formation and transfer to a medical organization 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 observance of medical secrecy.
Decree of the Government of the Russian Federation of May 16, 2019 N 607)

19_3. The referral for medical and social examination in the form of an electronic document, formed 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 of healthcare, federal state information system "Unified Automated Vertically Integrated Information and Analytical System for Medical and Social Expertise" in accordance with the procedure for information interaction for the purpose of conducting medical and social expertise between medical organizations and bureaus, approved by the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health Russian Federation.
(The paragraph was additionally included from May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

19_4. If the conduct of 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, the direction medical and social examination is not required.

In these cases, a citizen (his legal or authorized representative) submits to the bureau an application for a medical and social examination on paper or in electronic form using the federal state information system "Unified Portal of State and Municipal Services (Functions)".
Decree of the Government of the Russian Federation of May 16, 2019 N 607)
(The paragraph was additionally included from May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

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

20. 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. In the main bureau, a medical and social examination of a citizen is carried out if he appeals against the decision of the bureau, as well as in the direction of 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 that he appeals 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. 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 the medical commission of the medical organization, or at the location of the citizen in the medical organization providing medical assistance in stationary conditions, in a social service organization providing social services in a stationary form, in a correctional institution, or in absentia by decision of the relevant bureau.
(Paragraph as amended, put into effect on May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

A medical and social examination of a citizen who is being treated in a hospital in connection with an operation to amputate (reamputate) a limb (limbs) with defects provided for in paragraphs 14 and (or) 15 of the annex to these Rules, in need of primary prosthetics, is carried out on time, not exceeding 3 working days from the date of receipt by the bureau of the relevant referral for medical and social examination.
(The paragraph was additionally included from June 15, 2019 by Decree of the Government of the Russian Federation of June 4, 2019 N 715)

Citizens with diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, provided for in Section IV of the Appendix to these Rules, disability is established during an external examination.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

Also, a medical and social examination can be carried out in absentia in the absence of positive results of rehabilitation or habilitation measures carried out in relation to the disabled person.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

In the decision of the Bureau (Chief Bureau, Federal Bureau) on the external examination of a citizen, the following conditions are taken into account:
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

residence of a citizen in a remote and (or) hard-to-reach area, or in an area with complex transport infrastructure, or in the absence of regular transport links;
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

severe general condition of a citizen, preventing his transportation.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)
(Paragraph as amended, put into effect on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

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 body of social protection of the population, 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.

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

Based on the results of consideration of the documents received, the bureau (main bureau, Federal Bureau) decides on the place of the medical and social examination or on its conduction in absentia, and also determines the date of 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 for a medical and social examination is sent to the citizen using the specified information system.

Medical and social examination is carried out with the written consent of the citizen (his legal or authorized representative).
____________________________________________________________________
Paragraph four of clause 24 of these Rules in part concerning 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)", entered into force on October 1, 2019- see paragraph 2 of the Decree of the Government of the Russian Federation of May 16, 2019 N 607.
____________________________________________________________________

The form of consent of a citizen to conduct a medical and social examination is approved by the Ministry of Labor and Social Protection of the Russian Federation.

Medical and social expertise is carried out in accordance with the stated goals.
(Paragraph as amended, entered into force on May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

24_1. The objectives of the medical and social examination may be:

a) establishment of a disability group;

c) establishing the causes of disability;

d) setting the time of onset of disability;

e) setting the period of disability;

f) determination of the degree of loss of professional ability to work in percent;

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

h) determining the need for health reasons in constant outside care (assistance, supervision) of a father, mother, wife, brother, sister, grandfather, grandmother or adoptive parent of a citizen called up for military service (a military serviceman doing military service under a contract);

i) determining the cause of death of a disabled person, as well as a person injured as a result of an accident at work, an occupational disease, the disaster at the Chernobyl nuclear power plant and other radiation or man-made disasters, or as a result of injury, concussion, injury or illness 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 program for the rehabilitation or habilitation of a disabled person (child with a disability);

k) development of a rehabilitation program for a person injured as a result of an accident at work and an occupational disease;

l) issuance of a duplicate certificate confirming the fact of the establishment of disability, the degree of loss of professional ability to work in percent;

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

n) other purposes established by the legislation of the Russian Federation.
(Clause 24_1 is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

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, domestic, professional, psychological and other data of the citizen.

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

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

27_1. A citizen (his legal or authorized representative) has the right to invite any specialist with his consent to participate in the medical and social examination with the right of an advisory vote.
Decree of the Government of the Russian Federation of August 10, 2016 N 772)

28. The decision to recognize a citizen as a disabled person or to refuse to recognize him as a disabled person 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 or authorized representative), in the presence of all the specialists who conducted the medical and social examination, who, if necessary, provide explanations on it.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

29. Based on the results of a medical and social examination of a 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 by a seal.

The conclusions of the consultants involved in the medical and social examination, the list of documents and the main information that served as the basis for the decision are entered in the act of the citizen's medical and social examination or attached to it.

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

The paragraph became invalid on August 27, 2016 - Decree of the Government of the Russian Federation of 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 program of rehabilitation or habilitation of a citizen are formed in the case of a medical and social examination of a citizen.

A citizen (his legal or authorized representative) has the right to familiarize himself with the act of the medical and social examination of a citizen and the protocol for conducting a medical and social examination of a citizen.

At the request of a citizen (his legal or authorized representative) submitted to the bureau on paper, on the day of filing the said application, copies of the certificate of medical and social examination 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.
(Paragraph as amended, put into effect on May 21, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

Documents generated during and based on the results of the 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 an enhanced qualified electronic signature of an official authorized by him.

At the request of a citizen (his legal or authorized representative), submitted to the bureau in electronic form, he, no later than the next working day from the date of submission of the said application, depending on the option of obtaining documents chosen by him:
(The paragraph is additionally included from October 1, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

copies of the act of the medical and social examination of the citizen and the protocol of the medical and social examination of the citizen on paper are issued certified by the head of the bureau (main bureau, Federal Bureau) or an official authorized by him in the prescribed manner;
(The paragraph is additionally included from October 1, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

are 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 authorized official, a copy of the medical act - social examination of a citizen and a protocol for conducting a medical and social examination of a citizen.
(The paragraph is additionally included from October 1, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607)

(The paragraph was additionally included from August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772)

30. When conducting a medical and social examination of a citizen in the main bureau, the case of the medical and social examination of a 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.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

When conducting a medical and social examination of a citizen in the Federal Bureau, the case of the medical and social examination of a citizen with the attachment of all available documents is sent to the Federal Bureau within 3 days from the date of the medical and social examination in the main bureau.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

31. In cases requiring special types of examination of a citizen in order to establish the structure and degree of disability, rehabilitation potential, as well as to obtain other additional information, an additional examination program may be drawn up, which is approved by the head of the relevant bureau (main bureau, Federal Bureau). The specified program is brought to the attention of a citizen undergoing a medical and social examination in a form accessible to him (paragraph as amended, put into effect on January 1, 2010 by Decree of the Government of the Russian Federation of December 30, 2009 N 1121.

An 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 an examination of the conditions and nature of professional activity, the social and living situation of a citizen, and others. Events.
(Paragraph as amended, put into effect on January 1, 2016 by Decree of the Government of the Russian Federation of August 6, 2015 N 805.
____________________________________________________________________
The second paragraph of clause 31, regarding medical organizations, entered into force on August 11, 2015 - Decree of the Government of the Russian Federation of August 6, 2015 N 805.
____________________________________________________________________

32. After receiving the data provided for by the additional examination program, the specialists of 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. In case of refusal of a citizen (his legal or authorized representative) from an additional examination and provision of 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 the available data, which is noted in the protocol of the medical and social examination citizen in the federal state institution of medical and social expertise.
(Paragraph as amended, entered into force on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

34. For a citizen recognized as a disabled person, the specialists of the bureau (main bureau, Federal Bureau) who conducted the medical and social examination develop an individual program of rehabilitation or habilitation.

If it is necessary to make corrections to the individual program of rehabilitation or habilitation 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, misprint , grammatical or arithmetic error or similar error) to a disabled person (a disabled child), at his application or at the request of a legal or authorized representative of a disabled person (a 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 disabled person (disabled child).
(Paragraph as amended, put into effect on February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60.

At the same time, the change of other information specified in the previously issued individual rehabilitation or habilitation program is not carried out.
(The paragraph is additionally included from April 14, 2018 by Decree of the Government of the Russian Federation of March 29, 2018 N 339)

If it is necessary to include in the individual program of rehabilitation or habilitation of 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 maternity (family) capital are allocated (hereinafter - goods and services ), a disabled child, at his request or at the request of a legal or authorized representative of a disabled child, instead of the previously issued one, a new individual rehabilitation or habilitation program for a disabled child is drawn up without issuing a new referral for a medical and social examination.
Decree of the Government of the Russian Federation of January 24, 2018 N 60)

Drawing up a new individual program for the rehabilitation or habilitation of a disabled child with the inclusion of recommendations on goods and services is carried out on the basis of the decision of the bureau (main bureau, Federal Bureau) on the need for the disabled child to purchase goods and services, adopted on the basis of the examination of the disabled child.
(The paragraph was additionally included from February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60)

In the event that recommendations on goods and services related to medical devices 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 (head 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 the need for the disabled child to purchase goods and services related to medical devices, which is made on the basis of the certificate.
(The paragraph was additionally included from February 6, 2018 by Decree of the Government of the Russian Federation of 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 program for the rehabilitation or habilitation of a disabled child was received within 1 year from the date of issuance of the indicated 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 on the basis of information available in the bureau (main bureau, Federal Bureau) on previous examinations of a disabled child at the disposal of the bureau (main bureau, Federal Bureau).
(The paragraph was additionally included from February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60)

(Paragraph as amended, entered into force on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

35. An extract from the act of the medical and social examination 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 otherwise in compliance with the requirements of the legislation of the Russian Federation in the field of personal data protection.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

The procedure for compiling and the form of the extract are approved by the Ministry of Labor and Social Protection of the Russian Federation.
(Paragraph as amended, put into effect on September 18, 2012 by Decree of the Government of the Russian Federation of September 4, 2012 N 882.

Information about all cases of recognition as invalids of citizens who are registered with the military or not registered with the military, but are obliged to be registered with the military, is submitted by the bureau (main bureau, Federal Bureau) to the relevant military commissariats.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

36. A citizen recognized as disabled is issued a certificate confirming the fact of the establishment of disability, indicating the group of disability, as well as an individual program of rehabilitation or habilitation.
(Paragraph as amended, entered into force on January 1, 2010 by Decree of the Government of the Russian Federation of December 30, 2009 N 1121; as amended by Decree of the Government of the Russian Federation of August 6, 2015 N 805.

The procedure for compiling and the form of the certificate are approved by the Ministry of Labor and Social Protection of the Russian Federation.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

A citizen who is not recognized as a disabled person, 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 about the results of the medical and social examination carried out is formed in the federal state information system "Unified Automated Vertically Integrated Information and Analytical System for Medical and Social Expertise" in accordance with the form approved by the Ministry of Labor and Social Protection of the Russian Federation, and 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.
(The paragraph was additionally included from May 21, 2019 by Decree of the Government of the Russian Federation of 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.

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 "child with a disability" is established for the child.

Re-examination of a citizen whose disability has been established without specifying the re-examination period may be carried out on his personal application (application of his legal or authorized representative), or on the direction 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.
(Paragraph as amended, entered into force on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805; as amended by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

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

41. A re-examination of a disabled person before the established deadline is carried out at his personal request (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 of control over decisions taken by the bureau respectively, the main the Bureau.
(Item as amended, entered into force on August 11, 2015 by Decree of the Government of the Russian Federation of August 6, 2015 N 805; as amended by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

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

42. A citizen (his legal or authorized representative) may 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 in electronic form using federal state information system "Unified portal of state and municipal services (functions)".
(Paragraph as amended, entered into force on October 1, 2019 by Decree of the Government of the Russian Federation of May 16, 2019 N 607.

43. The main bureau, no later than 1 month from the date of receipt of the citizen's application, conducts his medical and social examination and, based on the results, makes an appropriate decision.

44. In the event that a citizen appeals against the decision of the main bureau, the chief expert in medical and social expertise for the relevant subject of the Russian Federation, with the consent of the citizen, may entrust the conduct of his medical and social expertise to another team 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 a citizen (his legal or authorized representative) to the main bureau that conducted the medical and social examination, or to the Federal Bureau.
(Paragraph as amended, put into effect on August 27, 2016 by Decree of the Government of the Russian Federation of August 10, 2016 N 772.

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

46. ​​Decisions of the bureau, the main bureau, the Federal Bureau may be appealed to the court by a citizen (his legal or authorized representative) in the manner prescribed by the legislation of the Russian Federation.
(Paragraph as amended, entered into force on February 6, 2018 by Decree of the Government of the Russian Federation of January 24, 2018 N 60.

Appendix to the Rules. List of diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, as well as indications and conditions in order to establish a disability group and the category of "disabled child"

Application
to the Rules for Recognizing a Person as Disabled
(additionally included from April 25, 2008
Government Decree
Russian Federation
dated April 7, 2008 N 247;
in the editorial
put into effect
from April 14, 2018
Government Decree
Russian Federation
dated March 29, 2018 N 339. -
See previous edition)

List of diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, as well as indications and conditions in order to establish a disability group and the category of "disabled child"

I. Diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, in which a disability group without specifying the period of re-examination (the category "disabled child" until the citizen reaches the age of 18) is established for citizens no later than 2 years after the initial recognition as disabled ( establishing the category of "disabled child")

1. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus with treatment failure; severe general condition 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), 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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions.

6. Severe forms of inflammatory bowel disease (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, pronounced 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 pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions, impaired functions 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 stage 2-3).

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

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

10. Fatal fecal, urinary fistulas, stoma.

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

12. Congenital anomalies in the development of the musculoskeletal system with severe 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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) 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, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of the four fingers, excluding the first, absence of three fingers of the hand, including the first.

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

II. Indications and conditions for establishing the category of "disabled child" for a period of 5 years and until reaching 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) when re-examining disabled children with congenital operated hydrocephalus with persistent, pronounced and significantly pronounced disorders of mental, neuromuscular, skeletal and movement-related (statodynamic) functions, sensory functions;

c) when re-examining disabled children with grade III-IV scoliosis, rapidly progressive, mobile, requiring long-term complex types of rehabilitation;

d) when re-examining disabled children with adrenogenital syndrome (salt-losing form) with a high risk of life-threatening conditions;

e) when re-examining 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 of the maxillofacial region with persistent, pronounced and significantly pronounced disorders of the digestive system, disorders of language and speech functions during 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) the subparagraph is excluded from July 6, 2019 - Decree of the Government of the Russian Federation of June 27, 2019 N 823;

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

c) when re-examining 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

17_1. The category "disabled child" until the age of 18 is established during the examination of children with insulin-dependent diabetes mellitus.
(The section is additionally included from July 6, 2019 by Decree of the Government of the Russian Federation of June 27, 2019 N 823)

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

18. Chronic kidney disease stage 5 in the presence of contraindications to kidney transplantation.

19. Cirrhosis of the liver with hepatosplenomegaly and portal hypertension of the III degree.

20. Congenital incomplete (imperfect) osteogenesis.

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

22. Hereditary metabolic disorders that have a progressive severe course, leading to pronounced and significantly pronounced disorders of the body's functions (Tay-Sachs disease, Krabbe disease, and others).

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

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

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

28. Congenital epidermolysis bullosa, severe form.

29. Congenital malformations of various organs and systems of the child's body, in which only palliative correction of the defect is possible.

30. Congenital anomalies in the development of the spine and spinal cord, leading to persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions and (or) dysfunction of the pelvic organs, with the impossibility or ineffectiveness of surgical treatment.

31. Congenital anomalies (malformations), deformities, chromosomal and genetic diseases (syndromes) with a progressive course or unfavorable prognosis, leading to persistent, pronounced and significantly pronounced disorders of body functions, including impaired 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 forms), including the childhood form of schizophrenia, leading to severe and severe mental disorders.

33. Epilepsy is idiopathic, symptomatic, leading to severe and significantly pronounced disorders of mental functions and (or) resistant seizures to therapy.

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

35. Cerebral palsy with persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions. There are no age and social skills.

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

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

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

39. Complete blindness in both eyes with the ineffectiveness of the treatment; decrease in visual acuity in both eyes and in the better seeing eye up to 0.04 with correction or 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 III-IV degree, deafness.

42. Congenital multiple arthrogryposis.

43. Paired amputation of the hip joint.

44. Ankylosing spondylitis with persistent, pronounced, significantly pronounced disorders of the body's 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 organs with significantly pronounced dysfunctions of the respiratory system, characterized by a severe course with chronic respiratory failure of III degree; chronic pulmonary heart failure IIB, stage III.

46. ​​Diseases of the circulatory system with significant impairment of the functions of the cardiovascular system: functional class IV angina pectoris is a severe, significantly pronounced degree of coronary circulation impairment (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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions, impaired functions of the cardiovascular system ( accompanied by 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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions.

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

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

51. Diabetes mellitus with a significant multiple dysfunction of organs and systems of the body (with chronic arterial insufficiency of stage IV in both lower extremities with the development of gangrene, if high amputation of both extremities is required and the impossibility of restoring blood flow and performing prosthetics).

52. Fatal 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 with treatment failure; severe general condition after palliative treatment; incurability of the disease).

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 (statodynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.

56. Epidermolysis congenital bullous, generalized moderate, severe forms (simple epidermolysis bullosa, borderline epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler's syndrome).

57. Severe forms of psoriasis with persistent, pronounced, significantly impaired body functions, not controlled by immunosuppressive drugs.

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

Revision of the document, taking into account
changes and additions prepared
JSC "Kodeks"

GOVERNMENT OF THE RUSSIAN FEDERATION

ON THE PROCEDURE AND CONDITIONS FOR RECOGNIZING A PERSON AS A DISABLED PERSON

In accordance with the Federal Law "On the 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.

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

4. Recognize as invalid Decree of the Government of the Russian Federation of August 13, 1996 N 965 "On the procedure for recognizing citizens as disabled" (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 1996, N 34, art. 4127).

Prime Minister
Russian Federation
M. FRADKOV

Approved
Government Decree
Russian Federation
February 20, 2006 No. 95

REGULATIONS
RECOGNITION OF A PERSON AS A DISABLED

I. General provisions

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

2. The 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, vocational and psychological data using classifications and criteria approved by the Ministry of Labor and Social Protection of the Russian Federation. Federation.

3. Medical and social expertise is carried out to establish the structure and degree of restriction of the citizen's life and his rehabilitation potential.

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

II. Conditions for recognizing a citizen as disabled

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

a) a health disorder with a persistent disorder of body functions due to diseases, consequences of injuries or defects;

b) restriction 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 their behavior, study or engage in labor activity);

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 a disabled person.

7. Depending on the severity of persistent disorders of body functions resulting from diseases, the consequences of injuries or defects, a citizen recognized as disabled is assigned I, II or III disability groups, and a citizen under the age of 18 years - the category "disabled child" .

8. Has become invalid since January 1, 2010. - .

9. Disability of the I group is established for 2 years, II and III groups - 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 disability group without indicating the re-examination period is established on the basis of the list in accordance with the appendix, as well as on the grounds specified in paragraph 13 of these Rules.

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

11. If a citizen is recognized as a disabled person, the date of establishment of disability is the date of receipt by the bureau of a referral for a medical and social examination (a 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 a citizen (re-examination) is scheduled.

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

not later than 2 years after the initial recognition as a disabled person (establishment of the category "disabled child") of a citizen who has diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, provided for in Section I of the Appendix to these Rules;

no later than 4 years after the initial recognition of a citizen as a disabled person (establishment of the category "disabled child") in the event that it is impossible to eliminate or reduce the degree of limitation of the citizen's life activity caused by persistent irreversible morphological changes, defects and violations of the functions of organs and systems during the implementation of rehabilitation or habilitation measures organism (with the exception of those specified in the appendix to these Rules);

The establishment of a disability group without specifying the period of re-examination (the category "disabled child" until the citizen reaches the age of 18 years) can be carried out upon the 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 by a citizen before he was sent for a medical and social examination. At the same time, it is necessary that in the direction for a medical and social examination issued to a citizen by a medical organization that provides him with medical care and sent him for a medical and social examination, or in medical documents in the event that a citizen is sent for a medical and social examination in accordance with paragraph 17 of these The Rules contained data on the absence of positive results of such rehabilitation or habilitation measures.

Citizens with diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, provided for in Section III of the Annex to these Rules, upon the initial recognition of a citizen as a disabled person, a disability group is established without specifying the re-examination period, and for citizens under 18 years of age - the category " disabled child" until the citizen reaches the age of 18 years.

For citizens who applied to the bureau on their own in accordance with paragraph 19 of these Rules, a disability group without specifying the re-examination period (category "disabled child" until the citizen reaches the age of 18) can be established upon initial recognition of a citizen as disabled (establishing the category "disabled child" ) in the absence of positive results of the rehabilitation or habilitation measures assigned to him in accordance with the specified paragraph.

13.1. Citizens who are assigned the category of "disabled child" upon reaching the age of 18 are subject to re-examination in the manner prescribed by these Rules. In this case, the calculation of the time limits provided for in paragraphs two and three of clause 13 of these Rules is carried out from the day he establishes the category "disabled child".

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

a) general illness;

b) labor injury;

c) occupational disease;

d) disability since childhood;

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

f) military trauma;

g) the disease was acquired during military service;

h) a radiation-induced disease was acquired in the performance of military service (official duties) in connection with the catastrophe at the Chernobyl nuclear power plant;

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

j) a disease acquired in the performance of other duties of military service (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) a disease acquired in the performance of other duties of military service (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-induced disease was acquired in the performance of military service duties (official duties) in connection with direct participation in the actions of special-risk units;

o) a disease (wound, contusion, mutilation) received by a person serving the active military units of the Armed Forces of the USSR and the Armed Forces of the Russian Federation, who were on the territories of other states during the period of combat operations in these states;

n (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 in the course of counter-terrorist operations on the territory of the Republic of Dagestan;

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

In the absence of documents confirming the fact of an occupational disease, labor injury, military injury or other circumstances provided for by the legislation of the Russian Federation that are the cause of disability, a general illness is indicated as the cause of disability. In this case, the citizen is assisted in obtaining these documents. When the appropriate 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.

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 sending a citizen
for 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 body of social protection of the population with the written consent of the citizen (his legal or authorized representative).

The form of consent of a citizen to be sent for 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.

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 due to diseases, consequences of injuries or defects.

A citizen who is being treated in a hospital in connection with an operation to amputate (reamputate) a limb (limbs), having defects provided for in paragraphs 14 and (or) 15 of the annex to these Rules, in need of primary prosthetics, is sent for a medical and social examination on time , not exceeding 3 working days after the specified operation.

In the direction for medical and social examination by a medical organization, data on the state of health of a citizen are indicated, reflecting the degree of dysfunction of organs and systems, the state of the body's compensatory capabilities, information about the results of medical examinations necessary to obtain clinical and functional data depending on the disease in order to conduct medical - social expertise, and carried out rehabilitation or habilitation activities.

The form and procedure for filling out a referral for a 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.

The list of medical examinations required to obtain clinical and functional data depending on the disease in order to conduct 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.

17. The body providing pensions, as well as the body of social protection of the population, has the right to send for a medical and social examination of a citizen who has signs of disability and needs social protection, if he has medical documents confirming violations 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 body of social protection of the population is approved by the Ministry of Labor and Social Protection of the Russian Federation.

18. Medical organizations, bodies providing pensions, as well as bodies of social protection of the population are responsible for the accuracy and completeness of the information indicated in the referral for a medical and social examination, in the manner established by the legislation of the Russian Federation.

19. In the event that a medical organization, a body providing pensions, or a body of social protection of the population refused to refer a citizen to 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 apply to the bureau on his own .

Bureau specialists conduct an examination of a citizen and, based on its results, draw up a program for an additional examination of a citizen and carrying out rehabilitation or habilitation measures, after which they consider the issue of whether he has life restrictions.

19(1). Medical organizations form a referral for medical and social expertise 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 these state information systems - on paper.

19(2). Referral for medical and social examination, issued by a medical organization, and information on 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 issuance of a referral to a medical and social examination is transferred by a 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.

The referral for medical and social examination, issued by the body providing pensions, or the body of social protection of the population, within 3 working days from the date of its execution is transferred by the body providing pensions, or the body of social protection of the population to the bureau in the form of an electronic document signed with a strengthened 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 body of social protection of the population 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.

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 in order to conduct a medical and social examination in the bureau, as well as the formation and transfer to a medical organization 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 observance of medical secrecy.

19(3). A referral for a medical and social examination in the form of an electronic document, formed 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 of health care, the federal state information system "Unified Automated Vertically Integrated Information and Analytical System for Medical and Social Expertise" in accordance with the procedure for information interaction for the purpose of conducting medical and social expertise 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.

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 cases provided for in paragraphs two and four of paragraph 34 of these Rules, referral for medical and social examination is not required.

In these cases, a citizen (his legal or authorized representative) submits to the bureau an application for a medical and social examination on paper or in electronic form using the federal state information system "Unified Portal of State and Municipal Services (Functions)".

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

20. 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. In the main bureau, a medical and social examination of a citizen is carried out if he appeals against the decision of the bureau, as well as in the direction of 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 that he appeals 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. 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 the medical commission of the medical organization, or at the location of the citizen in the medical organization providing medical assistance in stationary conditions, in a social service organization providing social services in a stationary form, in a correctional institution, or in absentia by decision of the relevant bureau.

A medical and social examination of a citizen who is being treated in a hospital in connection with an operation to amputate (reamputate) a limb (limbs) with defects provided for in paragraphs 14 and (or) 15 of the annex to these Rules, in need of primary prosthetics, is carried out on time, not exceeding 3 working days from the date of receipt by the bureau of the relevant referral for medical and social examination.

Citizens with diseases, defects, irreversible morphological changes, violations of the functions of organs and systems of the body, provided for in Section IV of the Appendix to these Rules, disability is established during an external examination.

Also, a medical and social examination can be carried out in absentia in the absence of positive results of rehabilitation or habilitation measures carried out in relation to the disabled person.

In the decision of the Bureau (Chief Bureau, Federal Bureau) on the external examination of a citizen, the following conditions are taken into account:

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

severe general condition of a citizen, preventing his transportation.

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 body of social protection of the population, 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.

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

Based on the results of consideration of the documents received, the bureau (main bureau, Federal Bureau) decides on the place of the medical and social examination or on its conduction in absentia, and also determines the date of 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 for a medical and social examination is sent to the citizen using the specified information system.

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

The form of consent of a citizen to conduct a medical and social examination is approved by the Ministry of Labor and Social Protection of the Russian Federation.

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

24(1). The objectives of the medical and social examination may be:

a) establishment of a disability group;

c) establishing the causes of disability;

d) setting the time of onset of disability;

e) setting the period of disability;

f) determination of the degree of loss of professional ability to work in percent;

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

h) determining the need for health reasons in constant outside care (assistance, supervision) of a father, mother, wife, brother, sister, grandfather, grandmother or adoptive parent of a citizen called up for military service (a military serviceman doing military service under a contract);

i) determining the cause of death of a disabled person, as well as a person injured as a result of an accident at work, an occupational disease, the disaster at the Chernobyl nuclear power plant and other radiation or man-made disasters, or as a result of injury, concussion, injury or illness 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 program for the rehabilitation or habilitation of a disabled person (child with a disability);

k) development of a rehabilitation program for a person injured as a result of an accident at work and an occupational disease;

l) issuance of a duplicate certificate confirming the fact of the establishment of disability, the degree of loss of professional ability to work in percent;

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

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

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, domestic, professional, psychological and other data of the citizen.

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

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

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

28. The decision to recognize a citizen as a disabled person or to refuse to recognize him as a disabled person 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 or authorized representative), in the presence of all the specialists who conducted the medical and social examination, who, if necessary, provide explanations on it.

29. Based on the results of a medical and social examination of a 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 by a seal.

The conclusions of the consultants involved in the medical and social examination, the list of documents and the main information that served as the basis for the decision are entered in the act of the citizen's medical and social examination or attached to it.

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

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 program of rehabilitation or habilitation of a citizen are formed in the case of a medical and social examination of a citizen.

A citizen (his legal or authorized representative) has the right to familiarize himself with the act of the medical and social examination of a citizen and the protocol for conducting a medical and social examination of a citizen.

At the request of a citizen (his legal or authorized representative) submitted to the bureau on paper, on the day of filing the said application, copies of the certificate of medical and social examination 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.

Documents generated during and based on the results of the 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 an enhanced qualified electronic signature of an official authorized by him.

At the request of a citizen (his legal or authorized representative), submitted to the bureau in electronic form, he, no later than the next working day from the date of submission of the said application, depending on the option of obtaining documents chosen by him:

copies of the act of the medical and social examination of the citizen and the protocol of the medical and social examination of the citizen on paper are issued certified by the head of the bureau (main bureau, Federal Bureau) or an official authorized by him in the prescribed manner;

are 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 authorized official, a copy of the medical act - social examination of a citizen and a protocol for conducting a medical and social examination of a citizen.

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

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

An 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 an examination of the conditions and nature of professional activity, the social and living situation of a citizen, and others. Events.

32. After receiving the data provided for by the additional examination program, the specialists of 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. In case of refusal of a citizen (his legal or authorized representative) from an additional examination and provision of 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 the available data, which is noted in the protocol of the medical and social examination citizen in the federal state institution of medical and social expertise.

34. For a citizen recognized as a disabled person, the specialists of the bureau (main bureau, Federal Bureau) who conducted the medical and social examination develop an individual program of rehabilitation or habilitation.

If it is necessary to make corrections to the individual program of rehabilitation or habilitation 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, misprint , grammatical or arithmetic error or similar error) to a disabled person (a disabled child), at his application or at the request of a legal or authorized representative of a disabled person (a 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 disabled person (disabled child).

At the same time, the change of other information specified in the previously issued individual rehabilitation or habilitation program is not carried out.

If it is necessary to include in the individual program of rehabilitation or habilitation of 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 maternity (family) capital are allocated (hereinafter - goods and services ), a disabled child, at his request or at the request of a legal or authorized representative of a disabled child, instead of the previously issued one, a new individual rehabilitation or habilitation program for a disabled child is drawn up without issuing a new referral for a medical and social examination.

Drawing up a new individual program for the rehabilitation or habilitation of a disabled child with the inclusion of recommendations on goods and services is carried out on the basis of the decision of the bureau (main bureau, Federal Bureau) on the need for the disabled child to purchase goods and services, adopted on the basis of the examination of the disabled child.

In the event that recommendations on goods and services related to medical devices 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 (head 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 the need for the disabled child to purchase goods and services related to medical devices, which is made on the basis of the certificate.

Submission of a certificate is not required if the application for the inclusion of goods and services related to medical devices in an individual program for the rehabilitation or habilitation of a disabled child was received within 1 year from the date of issuance of the indicated 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 on the basis of information available in the bureau (main bureau, Federal Bureau) on previous examinations of a disabled child at the disposal of the bureau (main bureau, Federal Bureau).

35. An extract from the act of the medical and social examination 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 otherwise in compliance with the requirements of the legislation of the Russian Federation in the field of personal data protection.

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

Information about all cases of recognition as invalids of citizens who are registered with the military or not registered with the military, but are obliged to be registered with the military, 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 the establishment of disability, indicating the group of disability, as well as an individual program of rehabilitation or habilitation.

The procedure for compiling 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 a disabled person, 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 about the results of the medical and social examination carried out is formed in the federal state information system "Unified Automated Vertically Integrated Information and Analytical System for Medical and Social Expertise" in accordance with the form approved by the Ministry of Labor and Social Protection of the Russian Federation, and 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.

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 "child with a disability" is established for the child.

Re-examination of a citizen whose disability has been established without specifying the re-examination period may be carried out on his personal application (application of his legal or authorized representative), or on the direction 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 may be carried out in advance, but no more than 2 months before the expiration of the established period of disability.

41. A re-examination of a disabled person before the established deadline is carried out at his personal request (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 of control over decisions taken by the bureau respectively, the main the Bureau.

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 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 in electronic form using federal state information system "Unified portal of state and municipal services (functions)".

43. The main bureau, no later than 1 month from the date of receipt of the citizen's application, conducts his medical and social examination and, based on the results, makes an appropriate decision.

44. In the event that a citizen appeals against the decision of the main bureau, the chief expert in medical and social expertise for the relevant subject of the Russian Federation, with the consent of the citizen, may entrust the conduct of his medical and social expertise to another team 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 a citizen (his legal or authorized 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 his medical and social examination and, based on the results, makes an appropriate decision.

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

Application
to the Rules for Recognizing a Person as Disabled

SCROLL
DISEASES, DEFECTS, IRREVERSIBLE MORPHOLOGICAL
CHANGES, DISTURBANCES OF FUNCTIONS OF ORGANS AND SYSTEMS OF THE BODY,
AS WELL AS INDICATIONS AND CONDITIONS FOR THE PURPOSE OF ESTABLISHING A GROUP
DISABILITIES AND CATEGORIES "CHILD-DISABLED"

I. Diseases, defects, irreversible morphological
changes, violations of the functions of organs and systems of the body,
in which a disability group without specifying a term
re-examination (category "disabled child"
until a citizen reaches the age of 18) is established
citizens no later than 2 years after initial recognition
disabled person (establishment of the category "disabled child")

1. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus with treatment failure; severe general condition 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), 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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions.

6. Severe forms of inflammatory bowel disease (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, pronounced 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 pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions, impaired functions 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 stage 2 - 3).

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

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

10. Fatal fecal, urinary fistulas, stoma.

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

12. Congenital anomalies in the development of the musculoskeletal system with severe 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 pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) 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, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of the four fingers, excluding the first, absence of three fingers of the hand, including the first.

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

II. Indications and conditions for establishing
category "disabled child" for a period of 5 years
and up to the age of 14

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

b) when re-examining disabled children with congenital operated hydrocephalus with persistent, pronounced and significantly pronounced disorders of mental, neuromuscular, skeletal and movement-related (statodynamic) functions, sensory functions;

c) when re-examining disabled children with grade III-IV scoliosis, rapidly progressing, mobile, requiring long-term complex types of rehabilitation;

d) when re-examining disabled children with adrenogenital syndrome (salt-losing form) with a high risk of life-threatening conditions;

e) when re-examining 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 of the maxillofacial region with persistent, pronounced and significantly pronounced disorders of the digestive system, disorders of language and speech functions during 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.

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

c) when re-examining 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 a category
"disabled child" until the citizen reaches the age of 18

III. Diseases, defects, irreversible
morphological changes, dysfunctions of organs
and body systems in which the disability group
(category "disabled child") is established without a deadline
re-examination (before reaching the age of 18)
at the initial examination

18. Chronic kidney disease stage 5 in the presence of contraindications to kidney transplantation.

19. Cirrhosis of the liver with hepatosplenomegaly and portal hypertension of the III degree.

20. Congenital incomplete (imperfect) osteogenesis.

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

22. Hereditary metabolic disorders that have a progressive severe course, leading to pronounced and significantly pronounced disorders of the body's functions (Tay-Sachs disease, Krabbe disease, and others).

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

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

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

28. Congenital epidermolysis bullosa, severe form.

29. Congenital malformations of various organs and systems of the child's body, in which only palliative correction of the defect is possible.

30. Congenital anomalies in the development of the spine and spinal cord, leading to persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions and (or) dysfunction of the pelvic organs, with the impossibility or ineffectiveness of surgical treatment.

31. Congenital anomalies (malformations), deformities, chromosomal and genetic diseases (syndromes) with a progressive course or unfavorable prognosis, leading to persistent, pronounced and significantly pronounced disorders of body functions, including impaired 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 forms), including the childhood form of schizophrenia, leading to severe and severe mental disorders.

33. Epilepsy is idiopathic, symptomatic, leading to severe and significantly pronounced disorders of mental functions and (or) resistant seizures to therapy.

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

35. Cerebral palsy with persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions. There are no age and social skills.

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

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

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

39. Complete blindness in both eyes with the ineffectiveness of the treatment; decrease in visual acuity in both eyes and in the better seeing eye up to 0.04 with correction or 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 III-IV degree, deafness.

42. Congenital multiple arthrogryposis.

43. Paired amputation of the hip joint.

44. Ankylosing spondylitis with persistent, pronounced, significantly pronounced disorders of the body's functions.

IV. Diseases, defects, irreversible
morphological changes, dysfunctions
organs and systems of the body, in which disability
established at the time of inspection

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

46. ​​Diseases of the circulatory system with significant impairment of the functions of the cardiovascular system: functional class IV angina pectoris is a severe, significantly pronounced degree of coronary circulation impairment (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 pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions, disorders 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 stage 2 - 3).

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

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

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

51. Diabetes mellitus with a significant multiple dysfunction of organs and systems of the body (with chronic arterial insufficiency of stage IV in both lower extremities with the development of gangrene, if high amputation of both extremities is required and the impossibility of restoring blood flow and performing prosthetics).

52. Fatal 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 with treatment failure; severe general condition after palliative treatment; incurability of the disease).

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 (statodynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.

56. Epidermolysis congenital bullosa, generalized moderate, severe forms (simple epidermolysis bullosa, borderline epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler's syndrome).

57. Severe forms of psoriasis with persistent, pronounced, significantly impaired body functions, not controlled by immunosuppressive drugs.

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