Technical means of rehabilitation: description and varieties.

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

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

Reference. Technical means of rehabilitation

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

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

Receipt of TSR by a disabled person

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

Step 1: Prepare your application and Required documents

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

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

clause 4 of the Rules; paragraph 25

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Useful information on the issue

Official website of the Foundation social insurance — www.fss.ru

Portal public services Russian Federation -

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

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

Types of collateral

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

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

Period of use

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

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

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

List of funds

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

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

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

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

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

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

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

Where to contact?

TSR is issued to disabled people after completing the procedure. You must submit an application to the Social Insurance Fund of the Russian Federation at your place of residence. Sometimes you need to provide a document to executive agency who deals with these issues.

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

Required documents

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

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

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

Application processing

The period for consideration of the application cannot be more than 15 days from the date of its submission. If accepted positive decision, then the following arrives by mail:

• notification confirming registration;
• direction for the creation of a technical product;
• coupon for free receipt travel card

The forms of all documents are accepted by the Ministry of Health and social development countries. They serve as confirmation of issue necessary funds rehabilitation.

Payment of compensation

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

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

How is the payment amount determined?

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

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

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

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

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

Documents for payments

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

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

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

What if compensation is not paid?

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

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

Expertise

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

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

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

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

Performing repairs and replacements

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

• statement;
• examination document.

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

Directions

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

Benefits are provided for such types of transport as:

• railway;
• water;
• automobile;
• air.

Travel compensation

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

• travel cards;
• confirmation of the need for travel.

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

Payment for accommodation

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

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

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

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

In accordance with Article 10 of the Federal Law of November 24, 1995 No. 181-FZ “On social protection disabled people in the Russian Federation" the state guarantees disabled people rehabilitation activities, obtaining technical equipment and services at the expense of the federal budget.

Rules for providing disabled people with technical means of rehabilitation and individual categories citizens from among veterans with prostheses (except dentures), prosthetic and orthopedic products are approved by Government Decree No. 240 dated 04/07/2008.

Guaranteed rehabilitation measures are determined by the federal list of technical means of rehabilitation and services provided to disabled people, approved by Decree of the Government of the Russian Federation No. 2347-r dated December 30, 2005.

It is planned to provide disabled people with the following technical means of rehabilitation:

2. Wheelchairs with manual drive, with electric drive, small-sized.

3. Prostheses, including endoprostheses and orthoses.

4. Orthopedic shoes.

5. Anti-decubitus mattresses and pillows.

6. Devices for dressing, undressing and grasping objects.

7. Special clothing.

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

9. Guide dogs with a set of equipment.

10. Medical thermometers and tonometers with speech output.

11. Light and vibration sound alarms.

12. Hearing Aids, including custom-made ear tips.

13. Televisions with teletext for receiving programs with closed captions.

14. Telephone devices with text output.

16. Special means for violations of excretory functions (urine and colostomy bags).

17. Absorbent underwear, diapers.

18. Chairs with sanitary equipment.

In accordance with the list, we provide the following types services:

Repair of technical rehabilitation equipment, including prosthetic and orthopedic products.

Sign language translation services.

An application for the provision of a technical device (product) is submitted by a disabled person (veteran) or a person representing his interests, in territorial body of the social insurance fund at the place of residence with presentation of a passport or identification document of the person representing the interests of the disabled person (veteran) and a document confirming his authority to represent the interests of the disabled person, and.

The authorized body considers the application within 15 days from the date of its receipt and notifies the disabled person (veteran) in writing about registration for the provision of a technical means (product). Simultaneously with the notification, the authorized body issues a referral to the disabled person (veteran) to receive or manufacture a technical device (product).

In case of violation of the deadline established for issuing a referral to receive or manufacture a technical means of rehabilitation, or in case of refusal to provide technical means of rehabilitation, a disabled person or his representative has the right to apply for protection of violated rights to the prosecutor's office.

Now let's look at what Technical means rehabilitation (hereinafter referred to as TSR) we are entitled to. TSR is what a disabled person needs for his/her continued existence, to facilitate his/her life activities, and to assist in rehabilitation and adaptation measures. According to clause 10 Federal Law 181 "On social protection of disabled people in the Russian Federation"(see Attachment):

" GThe state guarantees disabled people the implementation of rehabilitation measures, the receipt of technical means and services provided for by the federal list of rehabilitation measures, technical means of rehabilitation and services provided to a disabled person at the expense of the federal budget.. "..."The volume of rehabilitation measures provided for by the individual rehabilitation program for a disabled person cannot be less than that established by the federal basic program for the rehabilitation of disabled people.”

Here's a link to an existing onefederal list of TSR(see attachments) , approved by Moscow MMinistry of Health. Everything, thatstated in this list, we have the right to receive no less than this amount, subject to agreement with the attending physician (for example, in case of a spinal injury, it is difficult to prove the need for a guide dog). Thus, we are entitled to 4 strollers (home, walking, active and electric), canes, crutches, supports (walkers), handrails, prostheses, orthoses, orthopedic shoes, anti-bedsore mattresses and pillows (even in the absence of bedsores), devices for dressing, gripping items, special means for violation of excretory functions (diapers, catheters, urine and colostomy bags, diapers), chairs with sanitary equipment, Dynamic Parapodium!!!

Depending on the level of damage spinal cord and your condition as a whole, we need different TSRs, so the ITU employees determine what to give us, since, in theory, as the lost functions are restored, they change necessary funds rehabilitation. For example, first you are given a home stroller and a walking stroller, then you become more active and receive an active stroller, then walkers, canes, etc. But the rehabilitation process includes various TSR on different stages rehabilitation and ONLY THE PATIENT HIMSELF knows what he may need, because it is he who is being rehabilitated, and the ITU staff can only recommend TSR to you. Therefore, it is better to buy TSR yourself, with subsequent compensation (after it is included in the IPR). In connection with these needs, the Government of Moscow and the Moscow region created TSR classifier(see attachments), which was created with the purpose of:

“determining the amount of compensation for technical means of rehabilitation (products) purchased by disabled people (veterans) at their own expense, and (or) services paid for at their own expense for their repair, as well as specifying certain types of technical means of rehabilitation in the federal list of rehabilitation measures, technical means rehabilitation and services."

So EVERYTHING that is listed in the Federal List (Classifier) ​​can be included in the IPR and purchased at your own expense. Read about the features of purchasing TSR at your own expense and the features of compensation for these funds in the attachment Order on the specifics of compensation for TSR. It is not necessary to enter everything at once to the maximum, write what you need now and can do at any time, for this you call your attending physician, inform him about the need for this or that TSR, he prepares a messenger sheet for making changes to the IPR with recommendations for the need for TSR (it is better to visit highly specialized doctors and get their recommendations on the need for TSR; for example, to receive orthopedic shoes, orthoses and walkers, an orthopedic traumatologist is needed. Additional recommendations will be another argument for the ITU), then it is created new commission at the ITU OFFICE where, based on these recommendations, a new IPR is drawn up for you and a new TSR is entered, :

Or contact your social security center with a request social security) your region, they have no right to refuse such information . If they do not have any TSR you need on their list, then they must make a request and hold a tender for this TSR and then either provide it to you or provide the cost for reimbursement!

Important point: Any TSR has its own service life, depending on this period you receive it according to the IPR. Attached below is "Order on the terms of use of TSR", it spells out all the terms for both strollers and diapers with catheters, for example. Based on this document, you can track how long the stroller is provided, how long after you can change it, how many diapers per day you should receive and when you change the walker. You may also need this information before.

If you have any questions about this tatier or any others, you can use ours!

The concept of rehabilitation of disabled people reveals the federal law dated November 24, 1995 N 181-FZ “On social protection of disabled people in the Russian Federation”.

In this case, it is necessary to distinguish between rehabilitation and habilitation.

According to Article 9, rehabilitation of disabled people is a process of complete or partial recovery abilities of disabled people for everyday, social, professional and other activities. Habilitation is the process of developing the abilities that a person with a disability lacks for everyday, social, professional and other activities.

The law guarantees free implementation of necessary rehabilitation measures, receipt of technical means (TCR for disabled people) and services, or payment of compensation.

The list of such events and services has been established By Order of the Government of the Russian Federation dated December 30, 2005 N 2347-r .

For example, this could be restorative therapy, reconstructive surgery, Spa treatment, prosthetics, professional education. In this case, therapy includes drug provision for the treatment of a disease that has caused disability.

As for technical means of rehabilitation (TSR), the state is obliged to provide free of charge canes, crutches, manual or electric wheelchairs for various purposes, as well as prostheses, special clothes and other necessary things and devices.

Also, people with disabilities have the right to services, including repair of technical rehabilitation equipment, maintenance and servicing of guide dogs, sign language interpretation and sign language interpretation.

Lawyer Oleg Iskakov provides legal assistance citizens and organizations in the fields of civil, criminal, family and labor law