An individual rehabilitation program has a character for a disabled person. Memo to citizens when registering Ypres and Tsr. The procedure for filling out an IPR card
Order, approved. Order of the Ministry of Labor of Russia dated June 13, 2017 N 486n; Information of the FSS of the Russian Federation).
Regional legislation may establish additional guarantees for people with disabilities - residents of a certain region in terms of providing them with TSR (clauses 2.1.1, 2.3 of the Decree of the Government of Moscow dated 15.08.2016 N 503-PP).
Reference. Technical means of rehabilitation
TSRs for people with disabilities include devices that contain technical solutions and are used to compensate for 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; p.p. 7, 9, 14, 17 federal list).
The IPRA is advisory in nature for a disabled person, he has the right to independently decide on providing himself with a specific TMR. At the same time, if the TSR provided for by the IPRA cannot be provided to a disabled person, or if he acquired it at his own expense, he is paid compensation (parts 5, 6 of article 11 of Law N 181-FZ).
Obtaining a TSR by a disabled person
Let us consider the procedure for obtaining a TSR by a disabled person using the example of federal legislation. We recommend that you follow the following algorithm.
Step 1. Prepare the 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 of 04/07/2008 N 240; subparagraphs "a" - "c" of clause 22 of the Administrative Regulations, approved by Order of the Ministry of Labor of Russia of 09/23/2014 N 657n) :
- application for the provision of TSR;
- IPRA (indicating the need for a specific TSR).
clause 4 of the Rules; p. p. 25
Step 2. Submit the application and documents to the authorized body
The application and the necessary documents are submitted to the territorial body of the FSS 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 indicated authorities, including by appointment through the Unified Portal of Public Services, or through the MFC. Also, an application and duly certified copies of documents can be sent by mail or in electronic form through the Unified Portal of Public Services (clause 17 of the Rules; clauses 22,, 51.1,, Administrative Regulations; Information of the FSS of the Russian Federation).
When submitting documents directly to the territorial body of the FSS of the Russian Federation, at your request, on the second copy of the application, a mark on its acceptance and the date is affixed, as well as the full name, position and signature of the official who accepted the application and documents. In case of submission of documents through the MFC, you will receive a receipt-notification of the receipt of the application and documents indicating the date and registration number (clause 52
If you submit copies of documents that are not duly certified, as well as in the case of submission of documents in electronic form, you will be notified of the need to submit their originals (paragraph 55 of the Administrative Regulations).
Note. If the required documents are not sent with the application sent by mail (not all documents were sent), the application and documents will be returned to you within five days from the date of their receipt. In a similar situation, in case of filing an application in electronic form, you will receive an electronic notification indicating the date of submission of documents and their list ( 36 administrative regulations).
Step 3. Wait for the issuance of documents for the receipt or production of TCP
The authorized body will consider your application within 15 days from the date of its receipt and send you a written notice of registration for the provision of TSR, as well as the following documents (clause 5 of the Rules):
- referral to receive or manufacture TCP;
- a special coupon and (or) a personalized referral to receive free travel documents if you need travel (if necessary, also travel for a person accompanying you) to and from the location of organizations providing TMR.
ТСР is transferred to you free of charge for gratuitous use and is not subject to alienation in favor of third parties, including sale or donation (clause 6 of the Rules).
Receiving compensation in connection with the acquisition of TMR by a disabled person independently
If an IPRA-recommended TMR cannot be provided to you, or if you purchased the TSR yourself, you will be entitled to compensation in the amount of its cost, but not more than the cost of a similar TMR provided in the above manner.
If the actual cost of the purchased 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 of article 11 of Law N 181-FZ; clause 15(1) of the Rules; clause 3, Order, 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):
- claim for 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);
- IPRA (indicating the need for a specific TSR);
- documents confirming the expenses incurred by you, including payment for travel to and from the location of the organization providing TMR. In the latter case, you must also submit a written confirmation of the need to 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 - Administrative Regulations).
The application and the specified documents are submitted to the authorized body (as a rule, to the territorial body of the FSS of the Russian Federation at your place of residence), which must make an appropriate decision within 30 days from the date of their receipt. If the decision is positive, within a month from the date of its adoption, compensation is paid by postal transfer or transfer of funds to your bank account (clause 5, Order N 57n; clause 19 of the Administrative Regulations).
Note. From 01/01/2017, information about the IPR and about the recommended TMRs are entered in the Federal Register of Disabled Persons. The register also includes information on cash payments made to a disabled person (in particular, compensation for self-acquired TSR) ( Art. 5.1 of Law N 181-FZ; item 11 List, approved. Order of the Ministry of Labor of Russia dated October 12, 2016 N 570n).
Please answer the following question. Is the individual program for the rehabilitation or habilitation of a disabled person (IPRA), issued by federal state institutions of medical and social expertise, a document on the basis of which an employer can, among other things, decide to dismiss an employee (clause 8, part 1 77 of the Labor Code of the Russian Federation) if it follows from the information in the IPR section "occupational rehabilitation or habilitation measures" that the employee's workplace does not meet the requirements established by this section. Please give detailed information about what the IPRA is for the employer, what he should do according to the information contained in the IPRA. Thank you!
Answer
Answer to the question:
The main regulatory act that establishes the rules for recognizing a person as a disabled person and the procedure for conducting a medical and social examination is the Federal Law of November 24, 1995 No. 181-ФЗ “On the Social Protection of Disabled Persons in the Russian Federation”.
To confirm disability, the employee must provide the following documents:
Certificate of medical and social examination, which indicates the group of disability and the degree of limitation of the ability to work;
Individual rehabilitation program.
The disability group and the degree of restriction to work are determined based on the results of a medical and social examination.
An individual rehabilitation program is developed for each disabled person.
It must be remembered that the IPR is obligatory for execution by organizations, regardless of organizational and legal forms and forms of ownership.
Thus, on the basis of the information specified in the medical and social examination certificate and the rehabilitation program, the employer is obliged to create appropriate working conditions for the disabled person and provide benefits determined by law.
The purpose of completing the section on vocational rehabilitation is:
- adaptation to the previous workplace;
- adaptation at the same workplace with changed working conditions;
- obtaining a new profession (specialty);
- selection of a suitable workplace;
- creation of a special workplace.
See the recommendations indicated in the individual rehabilitation program. According to Article 73 of the Labor Code of the Russian Federation: an employee who needs to be transferred to another job in accordance with a medical certificate issued in the manner prescribed by federal laws and other regulatory legal acts of the Russian Federation, with his written consent, the employer is obliged to transfer to another job available to the employer, not contraindicated to the employee for health reasons.
If it is impossible to establish the requirements for the equipment of a workplace for a disabled person from the rehabilitation program, then you can send a request to MSEK with a request for appropriate clarifications.
If, in accordance with a medical report, an employee needs a temporary transfer to another job for a period of more than four months or a permanent transfer, then if he refuses to transfer or if the employer does not have the appropriate job, the employment contract is terminated in accordance with paragraph 8 of part 1 of Article 77 of the Labor Code RF.
Details in the materials of the System Personnel:
Compensation and benefits
An individual program for the rehabilitation of a disabled person: should an employer take it into account?
Anna SLAVINSKAYA, teacher of HR records management, NOU "Training Center" Expert "" (Volgograd), member of the "National Union of Personnel Officers"
Key Issues
- What is an individual rehabilitation program?
- Is it necessary to implement an individual rehabilitation program?
- What liability threatens for non-fulfillment of an individual rehabilitation program?
What is an individual rehabilitation program
In the process of rehabilitation of a disabled person, it is important to take into account not only the disease and the degree of loss of a particular function, but also the life aspirations of a person, his abilities and character. For this, an individual program for the rehabilitation of a disabled person (hereinafter - IPR) is needed.
Individual rehabilitation program
This is a list of rehabilitation measures aimed at restoring the abilities of a disabled person for everyday, social, professional activities, taking into account his needs, range of interests and level of claims.
- Measures of medical rehabilitation. This section indicates the surgical measures necessary for the disabled person, the procedures for rehabilitation therapy, sanatorium treatment, and prosthetics services.
- Activities for vocational rehabilitation. It explains whether a person with a disability needs vocational guidance and training services, job placement assistance, and job placement. In addition, in this section, doctors give recommendations on contraindications and available conditions and types of work. It is this section that must be carefully studied by an employer who employs a person with disabilities.
- Measures of social rehabilitation. The paragraph lists the measures necessary for a disabled person for everyday, pedagogical, psychological, sociocultural rehabilitation.
- Technical means of rehabilitation. The section is filled out for those disabled people who need special devices: hearing aids, chairs, wheelchairs, etc.
- Conclusion on the implementation of the IPR. It is also carried out by ITU employees after all the events indicated in the map.
The IPR should be developed automatically within 30 days after the disability is established. In reality, this does not always happen. In this case, in order to obtain an IPR card, you need to apply to the ITU agency that conducted the certification. Then ITU specialists will develop an IPR.
Is it necessary to implement an IPR?
How can an employer find out that his disabled employee has refused to implement the IPR drawn up for him? Upon receipt of the IPR card, the disabled person must put his signature in the line "I agree with the content of the IPR." If this line contains an entry about the refusal of all or part of the proposed rehabilitation measures, all authorities and organizations that are obliged to carry out the planned measures are exempted from responsibility for their implementation. In addition, a disabled person is deprived of the right to receive compensation in the amount of the cost of rehabilitation measures provided free of charge.
If a disabled employee did not present an IPR card at all, or if it contains the mark “disagree”, the employer has the right not to take into account the restrictions specified in this section. Responsibility for non-compliance with the recommendations of the IPR in this case does not arise.
If the IPR card is issued and the employee agrees with its content, the implementation of these measures becomes mandatory for all authorities, government agencies and private organizations. This means that, according to the IPR, a disabled person has the right to use the services of medical centers, social rehabilitation institutions, employment centers, etc.
Example
In the IPR of a disabled person of group III, it is indicated: “Work by profession is available with a decrease in the volume of production activity.” This means that such an employee needs to establish a part-time regime, reducing the length of the working day. But how to determine how much to reduce the load? This is not mentioned in the law or in the IPR. For example, a reduced working time - no more than 35 hours a week is provided only for disabled people of groups I and II (). Therefore, with a disabled person of group III, the duration of work can be negotiated individually. It can be either seven and a half hours a day or four hours.
warns
Dmitry KAZANTSEV,
Senior Legal Counsel JSC "Center for Economic Development" - В2В-Center (Moscow)
Sometimes, for fear of being denied employment, persons with disabilities hide their status until an employment contract is drawn up. And after signing the documents, they insist on providing them with preferential working conditions. In such a situation, the employer is obliged to comply with the requirements of labor legislation and supplement the employment contract with the employee with increased guarantees.
What is the liability for failure to comply with the IPR
Refusal to perform IPR is also considered a violation of labor laws. This can be followed by punishment():
- for officials - a warning or a fine from 1000 before 5000 rubles;
- for individual entrepreneurs - a fine from 1000 before 5000 rubles;
- for organizations - a fine from 30 000 before 50 000 rubles.
A repeated violation under this article threatens ():
- officials - a fine from 10 000 before 20 000 rubles or disqualification for a period of one to three years;
- individual entrepreneurs - a fine from 10 000 before 20 000 rubles;
- organizations - a fine from 50 000 before 70 000 rubles.
Answers to your questions
Can a disabled employee not have an IPR card?
When applying for a job, an employee with a disability stated that he did not have an IPR card. Could this be? Does he need to get an IPR?
Evgenia FEDOSEEVA, Human Resources Specialist (Moscow)
Yes maybe. In practice, an IRP is not always developed automatically after an employee receives a disability. This may require an application to the ITU agency. There are cases when ITU specialists themselves offer to sign a refusal to draw up an IRP, arguing that it is ineffective and there are still no funds to implement it.
However, there is no mechanism, except for the IPR, that would take into account individual needs and the targeted focus of rehabilitation activities. Almost all of them are solved only if there is an IPR:
- acceptance of documents in institutions of higher and secondary vocational education;
- registration at the employment center;
- obtaining technical devices;
- creation of special conditions for a disabled person at work, in an educational institution and even in the house where he lives.
Thus, if a disabled employee wants to receive rehabilitation services and technical equipment at the expense of the state, he needs to apply for an IPR.
Should an employee present an IPR when applying for a job?
Does a disabled person have to present an IPR card when applying for a job?
Katerina ZUEVA, recruitment manager (Ufa)
No, not required. In the list of documents that must be presented when applying for a job (), disability documents, including the IPR card, are not indicated. This means that the employer can require from the employee medical documents characterizing the state of health only if two conditions are present simultaneously:
- Future work has certain specifics, due to which certain requirements are imposed on the health of employees.
- The need to submit medical documents is provided for by regulatory enactments.
That is, when, when applying for a job, it is necessary to undergo a preliminary medical examination, disability cannot be hidden. In other cases, the employee himself decides whether to provide the employer with information about his disability or not.
Is it possible to accept a disabled person of group III for the position of an auxiliary worker?
Is the employer entitled to accept a disabled person of group III for the vacancy of an auxiliary worker?
Ivan PROSKURIN, Director (Moscow)
III group of disability implies the ability of an employee to work under normal conditions with a decrease in qualifications, severity, tension and (or) a decrease in the volume of work. If the work of an auxiliary worker can be organized in this way, the employer has the right to hire a disabled worker. In addition, it is necessary to study the individual rehabilitation program of the candidate (if any). It also should not be contraindications to this work.
Ask your question!
If you have a question, ask it now. You will receive an answer in the next issue.
The most necessary regulations
Document | Will help you |
Code of Administrative Offenses of the Russian Federation | Understand how an employer will be punished for refusing to create the necessary working conditions for a disabled person |
Code of Administrative Offenses of the Russian Federation | Understand what punishment threatens for non-compliance with labor laws in relation to people with disabilities |
Find out what rights people with disabilities have | |
Labor Code of the Russian Federation | Find out that disabled workers are entitled to reduced working hours |
Labor Code of the Russian Federation | Specify what documents the employee is required to present when applying for a job |
Get to know the IPR map | |
Understand that an IEP should be developed after a disability has been established |
Remember the main thing
1 The rehabilitation program for a disabled person is developed by an institution of medical and social expertise. It prescribes all rehabilitation measures that a disabled person is entitled to receive.
2 IPR should be developed automatically after the disability is established. But often you need to submit an application for its registration.
3 The rehabilitation program is advisory in nature. Therefore, a disabled employee may refuse to implement it.
Art. 11 of the Federal Law of November 24, 1995 No. 181-FZ “On the Social Protection of Disabled Persons in Russia”. Job description of a personnel officer - 2020: current requirements and functionality
There is not a single mention of the job description in the Labor Code. But personnel officers need this optional document. In the magazine "Personnel Business" you will find an up-to-date job description for a personnel officer, taking into account the requirements of the professional standard.
Check your PVR for relevance. Due to changes in 2019, the provisions of your document may violate the law. If the GIT finds outdated wording, it will fine. What rules to remove from the PVTR, and what to add - read in the magazine "Personnel Business".
In the magazine "Personnel Business" you will find an up-to-date plan on how to create a safe vacation schedule for 2020. The article contains all the innovations in laws and practice that must now be taken into account. For you - ready-made solutions to situations that four out of five companies face when preparing a schedule.
Get ready, the Ministry of Labor is changing the Labor Code again. There are six amendments in total. Find out how the amendments will affect your work and what to do now so that the changes are not taken by surprise, you will learn from the article.
Russian legislation provides special assistance to certain categories of citizens. People with physical disabilities especially need it. Therefore, it is necessary to know what is supposed to be for a disabled person of the 1st group, a bed patient from social protection.
To whom and how is disability group 1 assigned?
The law provides support for disabled people in the field of work, education, social adaptation, as well as free medical care. The rules are regulated by an impressive number of laws, regulations and acts. There are additional benefits that are due to a bedridden patient. They are established by the authorities of the subjects of the federation.
Disability of the 1st group is assigned in the following cases
- lack of self-service;
- a condition requiring the help of outsiders;
- poor orientation in space and time, ;
- inability to move independently.
Disabled people of the 1st group are people with impaired functioning of the musculoskeletal system, more often they are bedridden patients. A person cannot cook food, take care of himself, move indoors without the help of strangers.
Disability is assigned by medical social expertise (ITU). The status of the beneficiary is confirmed once every 2 years. The group was placed for life with constant helplessness, on the basis of medical certificates and a medical history.
In these cases, it is required that someone is nearby and provides care. Often this person becomes the next of kin. for a disabled person of the 1st group, it is provided by social protection in the following cases:
- loss of relatives;
- the unwillingness of loved ones to care for a bedridden patient;
- the lack of supervision for reasons of business trips, placement in places of detention.
What is a person with a disability entitled to?
The tasks of social protection in providing assistance are aimed at maximizing rehabilitation, improving the lives of bedridden patients, and adapting to society.
What is supposed to be a bedridden disabled person:
- additional payments;
- a set of services from social security;
- transportation benefits;
- assistance in obtaining education;
- improvement of living conditions;
- tax refunds.
In addition to pensions, the state provides special benefits. Relatives and guardians should know what a disabled person of group 1 is supposed to be a bed patient in accordance with federal and regional regulations.
List of benefits:
- provision of medicines,
- providing an annual voucher to a dispensary;
- the use of vehicles within the city limits free of charge (except for taxis and private carriers);
- extraordinary admission for education after passing the exam;
- free dental prosthetics;
- obtaining funds for rehabilitation.
The list of services for the disabled is extensive. Unfortunately, in reality, a bedridden disabled person does not always have the opportunity to take full advantage of the benefits to improve the quality of life. There are not enough social security workers, huge queues in, the absence of medicines in pharmacy chains, a long wait for rehabilitation funds necessary for movement and orientation in space.
Cash payments and compensation
For citizens of retirement age, a payment of 10,481.34 rubles is established. (data as of March 2018). Persons have the right to use the insurance part of the labor pension or receive the fixed payment indicated above.
For disabled people of the 1st group, special unified cash payments (UDV) are provided, which include compensation for some services:
- Purchase of medicines and medical nutrition in the amount of 833.79 rubles;
- Rest in a dispensary - 129 rubles;
- Intercity travel to the place of treatment - 119 rubles.
The total amount of social services is 1082.54 rubles. A bedridden patient can refuse it and receive full monetary compensation in the amount of 3651.75 rubles. Payments must be made at the branch of the Pension Fund at the place of residence of the disabled person.
social services
The state provides social assistance and moral support to bedridden patients. What is due to a disabled person of the 1st group, a bed patient from social protection, establishes
The list of services for bedridden disabled people:
- Assistance in paying utility bills and legal support in case of disputes;
- Accompanying to receive medical care;
- Maintenance of pensioner's residence;
- Provision of a caregiver from social security;
- Assistance in organizing funerals;
- Placement of a pensioner in a full boarding house in;
- Delivery of food, medicines and essentials by social workers.
Housing and tax incentives
Patients with disabilities have the right to demand better living conditions. They have special mobility aids. For example, wheelchair users need special access devices and handrails in order to freely follow to the common house door. Entrance openings must be widened.
To do this, you need to apply to the social security. Guardians and trustees on behalf of a disabled person can apply for social security. A change of place of residence to a more suitable one is required if social security cannot provide equipment for the access road. The first group of disability gives the right to receive a land plot out of turn.
Other
In addition to the above, a disabled person of group 1 is provided with a number of other benefits:
Name of services and taxes | Privileges |
Payment of utility services | 50% |
Property tax | cancellation |
Payment of state duty when buying and selling real estate | Reducing the coefficient depending on the region |
Personal Income Tax | Reduction of the annual amount by 3000 rubles |
Notarial services | 50% of the total cost |
Property claims | Exemption from the state duty on a claim up to 1 million rubles. |
Note. Full exemption from transport tax is established by regional authorities. Some entities provide a 50% exemption provided that the vehicle engine power is less than 150 hp.
Means of rehabilitation
Relatives of beneficiaries sometimes do not know what means of rehabilitation are provided for a disabled person of the 1st group for a bed patient. As a result, they acquire technical equipment for movement on their own. On the basis of the state provides disabled people with special rehabilitation means at the expense of the Federal budget.
Free accessories for a disabled person:
- Products that help with movement: handrails, crutches, support equipment, wheelchairs, orthoses;
- Technical devices for self-service;
- Medical devices for measuring pressure, temperature;
- Hearing and voice aids;
- TVs and telephones with text output;
- Absorbent linen, ;
- Special clothing and orthopedic accessories;
- Guide dogs with the necessary equipment.
Relatives of bedridden patients are interested in whether a disabled person of the 1st group is entitled. The state is obliged to provide the pensioner with special shoes, an orthopedic mattress and a pillow.
Note. The basis for the free issue of special devices from social security is an individual rehabilitation program. Therefore, when registering a disability, it is necessary to indicate a list of medicines, personal hygiene products and necessary devices.
Ways to get rehabilitation funds
After registration of the rehabilitation program, it should be registered with the Social Insurance Fund (FSS) and write an application for the provision of rehabilitation funds. The authorized body must hold tenders and purchase the necessary device.
You can buy rehabilitation equipment yourself. To do this, you must make a written request for the amount of compensation for a particular type of funds. It is determined on the basis of the last purchase. When purchasing the necessary device, be sure to keep the cash receipt and all accompanying documentation for it. Next, you should contact the FSS with a request for a refund of the amount spent, attaching papers confirming the purchase.
Registration of benefits for a disabled person of the 1st group
To receive state assistance and social benefits, you need to go to the social security department with a set of documents. The interests of bedridden patients may be represented by their relatives or proxies.
List of documents submitted to social security: After receiving documents in social security on the provision of benefits, papers must be sent to the relevant organizations and tax authorities. You must visit the bank in advance to open a current account or card.
Socialization of the disabled
To ensure access to cultural objects and social adaptation, the state has developed the Accessible Environment program. Its goal is to create a space where people with disabilities will feel without noticeable restrictions. As part of the program, it is necessary to equip special paths, lifting devices, handrails used for the passage of wheelchairs and wheelchairs. Crossroads should be equipped with signals for safe movement.
Intermediate results showed that part of the planned tasks of social protection is being fulfilled. Traffic lights with sound signals are installed, shops and centers are equipped with special lifts and ramps. However, in this case, some objects do not meet the standards. If you look through the eyes of a disabled person, then the “comfortable environment” causes a lot of difficulties, and sometimes it is not available at all. The laying of tiles, the dimensions of the races, the angle of elevation are not respected, there are no handrails, tactile stands are installed in places inaccessible to blind people.
For disabled people of the 1st group, various rehabilitation programs, social security assistance, benefits and payments have been developed. In order to take full advantage of the opportunities, it is necessary to follow changes in legislation and clarify individual rates for the respective region with social protection institutions.
Video
As Art. 11 of the Federal Law of the Russian Federation No. 181 of November 24, 1995, a rehabilitation or habilitation program is personally developed for each disabled person (abbreviated as IPR or, respectively, IPR). This is a whole range of measures that includes all the mandatory components of rehabilitation (technical equipment, services, rehabilitation measures).
IPR is issued to a citizen after establishing his disability during the passage of the ITU. The action of the developed program extends to the period for which the disability group is established. The IPR form (IPRA) is approved and presented in the appendix. 2 to the Order of the Ministry of Labor of the Russian Federation No. 486n dated June 13, 2017 (as amended in 2018).
IPR is assigned a registration number, which includes: serial number of IPR, bureau number, code of the subject of the Russian Federation, year of development of the IPR. The completed program must be signed by the head of the ITU bureau with a transcript and the seal of the bureau.
The details of the design of the IPR are described in more detail in the notes to the form. Everything that is written in it is provided to the disabled free of charge.
For correction, making changes to the IPR, a disabled person is usually sent to the ITU for the second time.
Example 1. Deciphering the IPR registration number
The rehabilitation program developed for the disabled was assigned the registration number 136.13.ES.77/2018.
It is deciphered as follows: “136” is the serial number of the IPR, “13” is the number of the expert staff (bureau), “77” is the code of Moscow (subject of the Russian Federation), “2018” is the year the IPR was compiled.
The procedure for the implementation of a personal rehabilitation program developed for a disabled person
Instructions, measures, services prescribed in the IPR are subject to unconditional execution. The executors in this case are all organizations that are involved in the rehabilitation of a disabled person. These include: medical institutions, employment service, relevant social services, educational institutions, social security authorities. A disabled person who has been issued an IPR has the right to independently apply to these organizations for advice and necessary assistance.
The IPR itself is advisory in nature. A disabled person can completely or partially refuse to fulfill it, and immediately, on the day the IPR is issued in his hands. Refusal is made in writing. Then the implementing organizations are relieved of responsibility for its implementation.
Also, he may not visit the executing organizations mentioned above (employment service, hospital, etc.). This is his right. Such ignorance can be perceived as a rejection of the program. For your information, under any circumstances, a disabled person is not entitled to compensation for refusing IPR.
All executing organizations bear full responsibility for the proper implementation of the IWP. None of them has the right to change the rehabilitation program, reduce the amount of measures prescribed to the disabled person, or replace them with something else. As established, for 2 months. before the expiration of the period for which disability is established, they prepare and submit the necessary reports on the rehabilitation measures taken.
What does disability rehabilitation include?
Federal Law of the Russian Federation No. 181 dated 11/24/1995 pays significant attention to the issues of rehabilitation, restoration of disabled people. As noted by Art. 9 of the Federal Law of the Russian Federation No. 181, the rehabilitation of a disabled person is a mandatory systemic process aimed at restoring his abilities for various types of activities (domestic, labor, social, etc.).
The main objective of this process is the elimination or, at least, the maximum possible compensation of the existing restrictions on the life of a disabled person. Social adaptation is an indispensable component of rehabilitation. In this regard, the state to the disabled at the expense of the federal budget:
- provides the necessary funds;
- provides related services;
- carry out the prescribed remedial actions.
The entire range of the indicated measures is included in the federal list approved by Government Decree No. 2347-r on December 30, 2005 (as amended in 2017).
Federal list of those. funds, rehabilitation measures, services provided to a disabled person at the expense of the state
At the moment, the list is applied, introduced by Order No. 2347-r in the latest edition of 11/18/2017. Accordingly, the following data from the list are relevant for 2020.
Events | Those. funds | Services |
recreational therapy; restorative reconstructive surgery; prosthetics as one of the stages of social and labor rehabilitation of a disabled person; orthotics (to restore the musculoskeletal functions of damaged limbs or joints); sanatorium-resort treatment provided as part of the NSO; organization of career guidance |
Wheelchairs of the required type; crutches, supports, and other devices for independent movement of a disabled person; prosthetic and orthopedic products; overalls; guide dog with a set of equipment; special devices for visually impaired, blind people (optics for correction, thermometers for body temperature control specifically for the visually impaired, "talking" blood pressure monitors, etc.); means for the prevention of bedsores (mattresses, pillows); absorbent underwear (diapers, diapers, diapers, sheets, liners, etc.); televisions with a device that allows you to watch television programs with closed captions; phones with the function of sending SMS, etc. |
Repair of all used and failed those. funds (including orthopedic devices, prostheses, etc.); sign language translation (translation of sounding speech into sign language for deaf people); typhlosurdotranslation (method of communication with deaf-blind people on the fingers, i.e. based on tactile interaction); |
Those. funds from budgetary funds are provided to disabled people in accordance with the procedure established by Government Decree No. 877 of December 31, 2005.
The procedure for granting for use to a disabled person those. funds (medical products)
Providing the necessary technical means, prostheses (except for dental ones), including prosthetic and orthopedic products, are carried out in full accordance with the provisions of Decree of the Government of the Russian Federation No. 877 of December 31, 2005.
For this purpose, a regulation of the procedure has been developed and introduced, according to which services are provided to ensure technical support. means (Order of the Ministry of Labor of the Russian Federation No. 657n dated September 23, 2014).
The general procedure for providing funds
(which includes) |
Short description |
Explanations for applicants |
Writing an application for the provision of technical equipment |
A form of the established form is filled out, which can be taken from the authorized body (Where will the disabled person apply?) |
Model form: |
Preparation of documents |
Attached to the application: the applicant's civil passport, IPR | These documents are required to be submitted |
Appeal to the territorial body of the FSS of the Russian Federation at the place of residence of the applicant |
When applying, the application is registered in two subsystems: EIIS “Social Insurance” and “Provision of Prostheses”. A decision based on the results of consideration of documents is made within 15 days. |
With a positive decision, the disabled person must be registered to provide the necessary medical care. products |
Reply to the applicant to his appeal |
The response is made in writing in the form of a notice of registration and forwarded to the addressee. |
Together with the notification, the applicant is sent a referral for obtaining (manufacturing) a specific honey. products in the selected organization |
For the provision of those funds can apply to the authorized representative of the disabled person. Then he will need to additionally present his civil passport.
Required tech. funds are provided to the disabled on a gratuitous basis. Actually the obligation to provide, and subsequent repair of honey. products are assigned to specific organizations. They are selected in accordance with the established procedure by the territorial body of the FSS of the Russian Federation, where the disabled person applies.
As the FSS of the Russian Federation draws attention (letter No. 02-18 / 10-1540 dated February 17, 2006), a special contract is concluded with the selected organization, which provides not only for the provision of technical means, but also their repair, reception, storage, preparation for operation.
The expenses of a disabled person (accompanying him) related to travel along the issued referral to a health facility, MSE, prosthetic and orthopedic enterprise are covered by the territorial body of the FSS of the Russian Federation. He, if necessary, reimburses expenses for accommodation (for outpatient manufacturing of medical products).
A. N. Abramov.
It is prohibited to donate or sell received technical means.
Compensation of expenses for a disabled person with independent acquisition of technical equipment. funds
The same executive body of the FSS of the Russian Federation at the place of residence of the disabled person deals with the issues of assigning compensation. The payment of the appointed compensation is made in the order of priority. It is provided only in two cases:
- If the disabled person himself, for his own money, bought the honey he was entitled to. products.
- When those. the means provided for by the IPR cannot be provided to a disabled person.
With the independent purchase of those. funds compensation is assigned in the following order. As is customary, a disabled person (another authorized person representing his interests) applies for compensation. Together with him, he presents documents that reflect the amount of his expenses.
It is the documentary confirmation of the expenses incurred that is the basis for a positive decision on reimbursement of expenses for the purchase of funds. Compensation is not paid:
- when the disabled person refused those due to him. funds;
- if he bought honey. products that are not recommended are not provided for by the IPR.
The amount of compensation corresponds to the real cost of that honey. product that should be provided to a disabled person under the IPR. That is, compensation here is the amount of expenses incurred upon purchase, which cannot exceed the cost of those provided for by the IPR. funds.
Common mistakes in the design and execution of IPR
Mistake 1. The meaning of the words "rehabilitation" and "habilitation" should be correctly understood. This is not the same thing, but two different concepts that are used in different situations, although they have a common focus.
Rehabilitation, as noted above, is the process of restoring (full, partial) former (lost) abilities of a citizen with a disability. Habilitation, in contrast to rehabilitation, means precisely the formation of a citizen's abilities that are absent due to disability.
These two concepts are united by purpose. Both processes are aimed at the maximum possible social adaptation of a disabled person in society. That is, a citizen with a disability needs to create free, unhindered access to all infrastructure facilities. This becomes possible when the existing limitations of life activity are eliminated or their compensation.
Error 2. As established, those funds are provided free of charge to persons with disabilities by the executive bodies of the FSS of the Russian Federation. It is only about those honey. products that are included in the federal list and provided for by the developed rehabilitation program.
If those. the funds that are provided for by the personal rehabilitation program are not marked in the federal list, then they are not provided free of charge, i.e., budget funds are not spent on them.
A. N. Abramov.(From the letter of the FSS of the Russian Federation No. 02-18 / 10-1540 dated February 17, 2006)
Answers to frequently asked questions
Question #1: How is compensation paid for the independent acquisition of those. funds specified in the list and the rehabilitation program?
The disabled person chooses how he will be paid monetary compensation. Available options: to a bank account or through a postal order. In the latter case, delivery, forwarding is free of charge.
Question #2: If free of charge issued to a disabled person tech. The tool is out of order and cannot be repaired, can it be replaced?
Replacement of those funds are carried out in two cases: when the expiration date has expired and if there is a conclusion that it is not possible to repair it. The decision on replacement is made by the same territorial body of the FSS of the Russian Federation at the place of residence, which issued this tech. means. This is where you should apply for a replacement. New funds and honey. products are issued when the old ones are returned.
For your information, the expiration date (use) of those. funds until the replacement is installed
After registering a disability group, a disabled person or his representative receives a document of the established form, which lists the main recommendations for restorative measures.
Previously, it was called IPR for a disabled person, or an individual rehabilitation program, since 2016 - IPRA by adding habilitation methods. In order to have complete information about their rights and opportunities, citizens with disabilities should know how to get an IPR, what exactly can be indicated in its sections, what kind of recommendations are.
Where and how to get an individual program
To obtain this document, a citizen must undergo an examination at the Bureau of Medical and Social Expertise (ITU). The direction to this institution is filled out by the attending physician with the involvement of narrow specialists for consultation. If necessary, the patient can independently undergo the necessary examinations in order to obtain more complete statements about the state of health and conclusions about the need for certain measures and means of rehabilitation.
During the examination in the ITU, the person will form an individual program and explain where to apply for its implementation. The authenticity of the document is confirmed by the seal of the bureau, the signature of the chairman with a transcript. A citizen may already have one installed until 2005, when only a pink certificate was issued on hand. Do not worry about where to get the IPR. To develop a program, you should contact your doctor and explain the situation.
What you need to know about IPR
Many disabled people do not know what to do with the received individual program, they fold it up and put it away “in documents” until the next re-examination. This is not the way to do it. The sections of the rehabilitation card reflect in detail what a citizen is supposed to do for the most effective recovery after an injury or illness.
A disabled person receives a program for the period for which he was issued a disability:
- persons with 1 group - for 2 years;
- with group 2 - for 1 year;
- disabled people of the 3rd group - for 1 year;
- children for 1.2 years, 5 years or until the age of majority.
When a disability is established without further re-examination, an individual program is issued indefinitely. However, for a patient with a chronic disease, this document can be amended. This is done in the following cases:
- if necessary, obtain employment recommendations;
- with the improvement of the state and correction of the program;
- in case of deterioration of health and the need for other methods of rehabilitation;
- when applying for a boarding school.
To enter new information, the patient is sent to the ITU again with the note “for correction / development of IPR”. After completion, the old program is attached to the certificates of examination of a disabled person in the following form: the first page of the document is crossed out, in the upper corner they write “redeemed”
If necessary, a disabled person can independently seek advice from the ITU, the insurance fund, the employment center or social protection. The fulfillment of the points specified in the program is mandatory for organizations involved in the field of patient rehabilitation - medical, educational institutions, employment centers, social services. This means that when dealing with a disabled person, work must be carried out in full. The implementing agency is responsible for this.
Filling in and sending reports on the activities carried out takes place 2 months before the end of the disability period or immediately after it is received from persons with a group without further re-examination. For the disabled person himself, the individual program contains only recommendations. He can issue a written refusal to participate in rehabilitation activities on the day of examination in the ITU.
Example: a disabled person has the right to ignore an individual program without going to a hospital, an employment center, or a social work specialist. But then the existing problems will remain unresolved. And in this case, the institutions responsible for the implementation of the IPR are relieved of their duties.
Sections of the individual program
An individual rehabilitation program for a disabled person includes a list of measures aimed at restoring lost body functions. Habilitation is assistance in developing new skills and abilities. When registering a group, the medical and social examination (MSE) assesses the degree of violation of the main functions of the body, such as:
- movement;
- orientation in space;
- self-service;
- behavior control;
- communication;
- work;
- education.
Then the experts evaluate the severity of each parameter. Based on the data received, they develop a set of measures aimed at compensation. The implementation of the recommendations helps the disabled person to restore health, return to society, and solve psychological problems.
A completed sample of the first sheet of the program
Assistance to disabled persons is carried out in the following areas:
- medical methods of rehabilitation;
- provision of technical means;
- assistance in training and employment;
- social methods of rehabilitation.
medical rehabilitation
In the individual program, the commission indicates what kind of assistance a disabled person should receive within a certain period. This includes:
- medical rehabilitation;
- reconstructive surgery;
- prosthetics and orthotics;
- Spa treatment.
Medical rehabilitation - providing a person with medicines while maintaining the right to receive them at a reduced price, recommendations on the frequency of planned hospitalizations during the year, indicating the profile of the hospital. There are disabled people who need expensive reconstructive operations, including the installation of endoprostheses. When registering the relevant section of the IRP, they receive this treatment free of charge in specialized centers of federal significance according to quotas.
This includes:
- plastic surgery after burns;
- endosurgical treatment of coronary vessels;
- operations for injuries and severe congenital pathologies of the eyes;
- recovery after cicatricial change of the trachea;
- correction of defects of the facial skull in case of injuries and congenital anomalies;
- joint arthroplasty;
- installation of cochlear implants;
- treatment of congenital heart defects;
- transplantation of organs and tissues - kidneys, heart, liver;
- restorative operations aimed at compensating for a defect after removal of malignant tumors;
- treatment of spinal pathology using transplants;
- gradual restoration of the length of the limbs with developmental anomalies, diseases.
To obtain the best result, surgical intervention is recommended at a certain time, in children - at specific age intervals. When registering an individual program, the patient or his relative is provided with this information. This means that you should not waste time waiting for the disabled person to be invited for surgery.
This section lists the main activities with a note on the form about the need or lack of need for certain activities.
The number of preferential reconstructive interventions or prosthetics is limited, if a citizen does not take the initiative on his own, then he risks not getting anything. You should contact your doctor as soon as possible and clarify the procedure for enrolling in quota treatment. The peculiarity of financing is that the state calculates the cost of medical services and allocates a certain amount to the regions for a year. After the patients “choose” the funds, it will not be possible to perform the operation this year.
Orthotics and prosthetics
There are people with disabilities with diseases of the nervous system, the musculoskeletal system, whose quality of life depends on receiving non-operative restorative assistance with prosthetics and orthotics. According to the IPR, a citizen can receive any type of prosthesis, excluding dental ones.
Not all disabled people know that in case of certain diseases they have the right to purchase special devices - orthoses, insoles, devices. Products are manufactured in special workshops according to the individual parameters of the patient. A brief description is given in the table below.
Name | What is used for |
Individual insoles | Unloading the arch of the foot. Reduction of its deformations. Normalization of muscle tone. |
Apparatus | Articulated structures on the limbs, combining the function of support and movement. They help the disabled to get up, walk, prevent the occurrence of immobility in the joints (contractures). |
Corsets | Products help to fix the spinal column in the correct position, reduce its deformation, change the configuration of the chest. Recommended after reconstructive surgery, with cerebral palsy, scoliosis. |
Splints | Products for fixing limbs in a certain position. They help to avoid contractures, reduce muscle tone and help to relax the legs. |
Combined designs | They consist of several parts, for example - for the body and limbs. |
Sanatorium-resort treatment within the framework of the IPR
To improve their health, some need regular spa treatment according to the profile of the underlying disease. Depending on the availability of the necessary sanatorium in the region where the patient lives, he will be sent to an institution of local or federal significance. According to the IPRA, free referrals are received by persons who have not renounced the social services package.
You can find out which sanatoriums are included in the program in the social insurance fund, with your doctor. The individual program indicates organizations that should provide medical assistance to a disabled person. After the implementation of rehabilitation measures, they put their mark in the column indicating the terms and confirm it with the seal of the institution.
Equipping with technical means
Persons with disabilities also need to be provided with adaptations and hygiene items to compensate for temporarily impaired or lost functions. Before referring to the ITU, the attending physician indicates all the means necessary for the patient for effective rehabilitation.
When receiving advice on this issue, relatives or the disabled person himself should take the initiative and clarify whether all the devices are included in the document. This is due to the fact that ITU will not issue any funds in excess of those recommended in the sending documents. And to issue a new IPR, you will have to spend a lot of time.
The technical means of rehabilitation include:
- hygiene products: diapers and underwear;
- anti-decubitus mattresses, pillows, rollers;
- crutches, walkers;
- wheelchairs and strollers;
- shower fixtures, handrails;
- canes, devices for the visually impaired;
- provision of a guide dog;
- hearing aids, watches, telephones for people with hearing impairments;
- glucometers, tonometers, thermometers with voice output.
In an individual rehabilitation program, funds from this section are entered into 2 tables: those that are received free of charge from state funding and those that can be purchased at the expense of organizations of any form of ownership. An organization that provides a person with the necessary devices must close its line in the table with a date, signature and seal.
Often the standard set of funds does not cover the needs of a disabled person, the connection of private institutions allows you to buy the necessary devices, and then receive compensation from the FSS in the prescribed amount. It is important to remember that a citizen has the right not only to compensation for their purchase, but also for repairs, maintenance and veterinary services in the presence of a guide dog.
An orthosis can be issued free of charge if this technical means of rehabilitation is included in the IPRA
Disabled people with limited mobility of the 1st group receive the largest list of devices. When applying for disability indefinitely, it is important to remember that hygiene products are issued for 1 month, and the rest - for an indefinite period. As the products wear out, they are written off and new ones are issued through the ITU.
Training and career guidance
This section is filled out in most detail when applying for an IPR for a disabled child. It includes 3 items:
- recommendations on the conditions under which a person should be trained;
- what kind of psychological assistance a disabled person needs at the place of study;
- career guidance.
Before registering for disability, children with mental disabilities go to the psychological-medical-pedagogical commission (PMPC) to receive recommendations, including on education.
After the group was formed, the preschooler was given a place in a specialized preschool educational institution (kindergarten). Children with diseases of a certain profile gather in such institutions. The purpose of this direction is to place the child in a prepared environment in which he will:
- learn to communicate with peers and adults;
- study according to the developed program;
- receive specialized medical and speech therapy assistance;
- work with a psychologist.
This direction of rehabilitation helps the family of a disabled child overcome social isolation. Developing classes are conducted by trained specialists who can devote more time to each kid due to the small number of pupils in the group. Being in a specialized preschool helps in preparing for school. Before graduation, children receive the characteristics of a psychologist, with which they go to the PMPK.
Based on the conclusion of the commission, the ITU fills in the IPR, which indicates whether the child's education is possible; if so, under what conditions - in a regular or specialized school, determines the format: attending lessons with other children, individual, remote form. With recommended distance learning, a disabled child has the right to free technical support for the learning process. For example, he can get a computer, Internet access.
To master the initial professional skills, the child receives information about various specialties in the classroom. Overcoming difficulties in communicating with peers, teachers, preventing dangerous behavioral tendencies is possible thanks to work with psychologists in schools. This information is also reflected in the IPR at the end of the reporting period.
Vocational rehabilitation
- professional orientation (to employment services);
- obtaining recommendations on the conditions, organizational moments of training;
- assistance in finding employment, including in specially created places;
- employment recommendations;
- description of working conditions.
Receiving competent appointments in this area is most important for teenagers, young people, disabled people of the third group. It is for these categories of citizens that training in new professions will be the most resourceful. The ITU fills in the list of specialties, indicates the conditions for training, controls the implementation of the recommendations. The rehabilitation card describes in detail the requirements for the workplace (for example, the height of the table, the presence of special equipment, the width of the aisles), the duration of the shift.
Social rehabilitation
To teach self-service skills, leisure activities, correction of behavior and psychological problems, people with disabilities organize a comprehensive social rehabilitation. In this section, the IPR ITU indicates the need for a disabled person to carry out the following rehabilitation and habilitation activities:
- social and household;
- socio-psychological;
- sociocultural;
- socio-environmental.
This group also includes the realization of the right of a disabled person to receive full information about where and to what extent assistance can be provided to him and his family.
An individual program for a disabled person is a document developed by the ITU Bureau. It contains the main recommendations on the names, volume, and timing of restoration activities.