Regional maternity capital for mother's dental treatment. A bill authorizing spending maternity capital on expensive treatment for mothers and children has been submitted to the State Duma. What is the difference between rehabilitation and habilitation for disabled children

Since 2016, owners of maternity capital have been able to spend funds for another purpose, namely the process of introducing a disabled child to the living conditions of society. Governmental support This direction is guaranteed by the amendment of November 28, 2015, introduced into Law No. 348-FZ, which approves maternity capital as a means of state support for families with children.

Matkapital can pay for the needs of any child in the family, regardless of whose birth or adoption gave the parents a certificate. To quickly adapt to society for a child with disabilities The certificate can be used immediately after receipt, without waiting until the child reaches three years of age.

The process of spending funds is prescribed in. You can find a list of what the Russian state can compensate for using maternal capital funds.

Basic terms

To begin with, let us explain the very terms of social adaptation and integration.

Social adaptation is the adaptation of the individual to the living conditions of the surrounding society. It is much more difficult for a child with disabilities to become a full-fledged part of society than for an ordinary child, because he has to overcome various difficulties in almost all spheres of life: everyday life, education, work, etc. For social adaptation, such a child needs assistance, such as technical (vehicles), as well as psychological.

Such adaptation leads to the child’s social integration, when the people around him accept him as a full-fledged member of society.

Maternity capital funds can be a significant support for the socialization of a child, recognized as disabled.

What can you buy with maternity capital?

An individual rehabilitation and habilitation program (IPRA) is issued to a disabled child for a year or two, in some cases until adulthood. It includes both free and paid services. The latter can be paid for with a certificate for maternal capital.

What can a parent purchase with maternity capital for his sick child?

• Technical tools (ramp paths replacing stairs, motorized wheelchairs, motorized beds, blood testing tools).
• Aids to help a child move ( different kinds lifts).
• Equipment for personal development (Braille displays for the visually impaired, stands for reading books and working at a computer, reading and writing machines).
• Sporting goods for development motor activity (Treadmills with speech output, bicycles for children suffering from cerebral palsy, exercise equipment that activates movements, etc.).
• Means to facilitate sanitary and hygienic procedures (specialized bathtubs, seats for shower cabins, specialized pieces of furniture).
• Communication tools with speech output, special keyboards, headphones, electronic organizers, chronometers.
• Help from a secretary-reader.
• Tools to help maintain and develop memory.

The process of obtaining government support funds

With the help of maternity capital, you can return only the amount that has already been spent on receiving services and goods aimed at the socialization of a disabled child.

How to get my money back?

1. At the clinic where the child is assigned, it is necessary to take a referral for an MSE (medical and social examination).
2. Having received a referral, you can go to a medical and social examination institution, where the child’s disability and its causes will be determined and registered. required types assistance, developed by the child's IPRA.
3. It is important when purchasing specialized goods for children with disabilities or receiving paid socialization services to save all receipts and receipts. At the time of purchasing a product or receiving a service, the IPRA must be valid, otherwise the state will not reimburse the expenses incurred.
4. After making a purchase, you need to contact your local social security department, leaving a statement about the need to confirm the availability of the goods. Within five days, a social security worker must come to check whether you really purchased a certain item, and also issue a certificate of its availability. This act is written in two copies, one of which the employee takes with him, the second remains with the applicant.
5. Next, you need to contact the local Pension Fund department with a statement about the need to receive compensation for the costs of the purchased service or product.
6. The application must be reviewed within a month, and if the decision is positive, within two months Pension Fund Russia transfers the money to the applicant’s account.

Documents for the Pension Fund of the Russian Federation

To spend funds on the adaptation of a disabled child into society, you must contact the branch of the Pension Fund or the MFC, taking with you the following documents:

• IPRA, containing the child’s individual data and a list of measures that will help him become active part societies (except those provided free of charge);
• passport;
• documents that can confirm the purchase of goods or receipt of services (receipt, service agreement, warranty or operational documentation for the purchased item);
• an act of checking the availability of the purchased goods (the act must also contain information about the owner of the certificate for maternal capital);
• bank details of the applicant (for transferring compensation to the card).

It is also possible to apply through a representative, who, in addition to all of the above, will need his passport and a power of attorney confirming his authority.

Is it possible to pay for a child’s treatment with maternity capital?

Federal maternity capital funds cannot be used for the treatment of a child, that is, it is impossible to pay for the services provided to him medical care, return the money from those purchased for him medicines or other goods that are provided to him free of charge.

The full list of services provided free of charge to children with disabilities is regulated. What does this list include?

• Measures for the rehabilitation of the child, including medications.
• Recovery therapy.
• Treatment in a sanatorium.
• Surgery aimed at replacing or restoring a diseased organ.
• Services for simultaneous speech transmission for the deaf using fingers and hands (sign language interpretation).
• Technical aids (voice aids, crutches, wheelchairs, orthoses, orthopedic shoes, glasses for vision correction, handrails, prostheses, diapers, guide dogs, Hearing Aids, special clothing, devices for listening to audiobooks, etc.).
• Upgrade and Repair Services technical means.

All of the above cannot be paid for with maternity capital only because the state is obliged to provide every child recognized as disabled with this equipment and services free of charge. However, this often does not happen, and at the federal and regional levels the issue of new changes to the law on the intended purpose of maternal (family) capital is raised again and again.

Regional maternity capital for the treatment of a child

There are a number of constituent entities of the Russian Federation where the government has introduced regional maternity capital (RMK) payments, which can be received at the birth of a third child and subsequent children. Each region sets its own RMC amounts and rules for their disposal. Some regions provide the opportunity to pay for a child’s treatment using RMK funds.

• In the Republic of Sakha, a certificate for RMK can be used to pay for high-tech medical care, medical rehabilitation child, as well as treatment in Russian sanatoriums.
• In the Oryol region, parents can pay for the treatment of a disabled child with regional maternity capital.
• In the Nenets Autonomous Okrug and the Voronezh Region, you can also pay for medical care using a regional maternity capital certificate.

The authorities of some regions provide the opportunity to pay for the purchase of technical rehabilitation equipment with regional maternity capital ( Krasnoyarsk region, Leningrad region, Perm region), others - payment for sanatorium-resort treatment of a child (Krasnoyarsk region, Tomsk region, St. Petersburg, Buryatia, Perm region, Tula region). In Komi, once a year a large family can receive 25 thousand rubles (from RMK funds) for a trip to a sanatorium.

The government of each region independently determines the size of the RMC, as well as all the nuances of obtaining it. In some areas, to obtain a certificate, you must have permanent registration in a given entity for at least a year; in others, a family must be recognized as low-income. All these nuances need to be learned separately from the social protection authorities.

Conclusion

Unfortunately, the Russian state does not yet provide the holder of a certificate for maternity capital with the opportunity to send it to the treatment of a child, unless this treatment is included in the paid services required for a small disabled person under the IPRA. However, with the help of a certificate, you can help a child with a disability settle into society more quickly.

Some regions of the country still give their citizens the opportunity to receive local maternity capital (however, this right extends to large families and subject to a number of conditions), which can be used to pay for medical services or sanatorium-resort recovery children.

Is it possible to use maternity capital for treatment?

Yes, this is one of the goals provided for by Federal Law No. 256-FZ.

Since 2009, such conversations have been held, but the final innovation, approving the fourth permissible purpose for spending family capital, was approved only in 2015, by Federal Law No. 348-FZ.

Before this, it could only be used for the funded part of the parent’s pension, solving a housing problem, or educating children.

But if the concept of “housing issue” includes a whole range of options - this is the first payment of a new mortgage, and repayment of an existing one, and expansion of housing, and construction of a house, and simply buying an apartment - then the concept of “treatment” is much narrower.

The only acceptable option is services and goods for the rehabilitation and adaptation of a disabled child. Moreover, the mentioned goods and services must be included in the list of categories provided for by the individual program for rehabilitation and adaptation of a disabled child (IPRA). And it's all.

What is included in the list of rehabilitation measures for persons with disabilities, provided for by Federal Law No. 181-FZ (On social protection disabled people) – it is no longer possible to pay from the family “case”. This must be taken into account when planning how to help your child find a place in a fulfilling life.

But that’s not all “but”.

The principle of payment here will be somewhat different than, for example, in a mortgage. - there an apartment is selected, an agreement is drawn up, it is submitted to the Pension Fund for consideration and it makes the payment.

It won't be like that here - the request for disposal must be made after the goods and services have been paid for, and the Pension Fund makes some kind of compensation. In other words, if your family has suffered such a difficult fate as the birth or adoption of a child with disabilities, then you will first have to open your wallet.

Only then, when you have the checks in hand, can you sort out which of this can be compensated by the state, and which will be taken for granted for a loving and caring family. And invite employees of social protection authorities to confirm and draw up the appropriate document.

That is, this opportunity is not designed to improve the health of the mother and father– adults are obliged to resolve issues on their own, including financial ones, including those related to health.

For more information about how you can start spending maternity capital, see the video below:

Maternity capital for mother's treatment

Impossible. Currently, the State Duma is considering a bill devoted to this issue. But no changes in this regard were made to Federal Law No. 256-FZ.

As before, you can pay, or rather, compensate for a number of rehabilitation services little man disabled.

Treating mom's teeth

The use of maternal capital for dental treatment of the mother is not provided for by law, although such an initiative has been voiced more than once.

Probably in the future this addition will be introduced into the legislation, but so far there is no such rule.

Child rehabilitation

In addition, the use of maternity capital for the treatment of a child is also not provided for by law - unless we are talking about a specifically specified range of services and goods for the rehabilitation of children with disabilities.

Important: You don’t have to wait for your son or daughter’s third birthday.

For example, if a baby is seriously ill and requires an expensive operation, mom and dad will not be able to use family capital for this. You will have to decide the issue yourself - use your own savings, for example, or take out a loan from a bank.

Important: The package of required documents when submitting an application also includes an inspection report by social authorities. defense, confirming that the services and goods from the list approved by the Government were actually paid for.

What are these goods and services?

These include:

• mobility aids (eg Braille displays);
• technology (for example, specialized chairs; rail system);
• devices and goods for sanitary and hygienic purposes ( special furniture, dishes);
• inventory and sports equipment.

Back in 2015, the government increased the number of areas for using maternity capital. Previously, it was allowed to be invested in:

• acquisition (construction) of apartments and houses;
• children's education;
• pension savings.

Since 2016, it has been allowed to use state aid funds for the treatment of a child with limited mobility. physical capabilities. This rule was approved by Law No. 438-FZ of November 28, 2015. It amends the main normative act(No. 256-FZ dated December 29, 2006). Let's look at how to put into practice the new rule for using maternity capital in 2019.

Download for viewing and printing:

The essence of innovation

The Pension Fund of Russia (PFR) published data according to which the number of families - certificate holders, which contain disabled children, in 2016 was 13.5 thousand. All these citizens need real support from the state. Socialization of children with disabilities is a difficult and, most importantly, financially costly task.

In connection with this, the legislator decided to redirect part of state assistance to families with children for the following needs:

• rehabilitation measures for children with fixed disabilities;
• for their socialization (assistance in introducing them into the social environment).

The declared directions are practically implemented in the following ways:

1. Purchasing goods prescribed in individual program rehabilitation or adaptation (IPRA).
2. Reimbursement of costs for IPRA services.

Attention: the exact list of special equipment and services is approved by government act.

Limiting conditions for the implementation of the amendment to the law

Conditions for investing maternity capital in the rehabilitation and habilitation of children with disabilities:

1. The activities are described in the IPRA.
2. The money can be used for any child with health limitations raised in a family.
3. It is prohibited to use state aid money for funds and medical care provided free of charge.
4. The number of children to whom maternity capital can be directed includes adopted children.
5. The transfer of money from the budget is carried out exclusively in the form of compensation for costs already incurred after checking their intended use.

Important: it is necessary to confirm the investment of money in rehabilitation activities with an inspection report (drawn up by the authorities social services).

Do you need information on this issue? and our lawyers will contact you shortly.

Regulatory framework

Specific directions for using maternity capital for the treatment of a child are set out in regulations:

1. Decree of the Government of the Russian Federation No. 380 of April 30, 2016 “Rules for allocating maternity capital funds to disabled children.”
2. Order No. 831-r dated April 30, 2016, containing a list of goods and services for the social adaptation and integration of children with disabilities.

Attention: services and technical means not specified in one of the above documents cannot be paid for with budget money. Download for viewing and printing:

What is rehabilitation and social adaptation

To understand where funds are allowed to be spent using a certificate, it is necessary to define the concepts.

1. Rehabilitation of people with limited physical capabilities means activities that help restore impaired functions. Ideally, a program is selected that promotes a person’s normal perception of his life and society.
2. Habilitation includes activities that help build lost or missing capabilities. For example, behavior at home, educational skills, gaming and work abilities.

Attention: social adaptation for a child with disabilities helps to restore or develop his connections with society, including at the everyday level.

It is worth adding that this process is complex and labor-intensive. To achieve your goals, it is necessary not only special means, but also constant, systematic efforts of parents and doctors.

What is IPRA

The adaptation or rehabilitation program is compiled exclusively by specialists. That is, it needs to be formalized. To do this you should contact federal body medical and social examination (MSE) (the pediatrician will advise).

This government agency is guided by Order of the Ministry of Labor and Social Protection of the Russian Federation dated July 31, 2015 No. 528n. The document contains rules for drawing up IPRA. In particular, such a program can be developed using

• one year;
• two years;
• until a child with health limitations reaches adulthood.

In addition, it includes two types of events (indicated in separate lists):

• free;
• paid.

Important: government money will only be allowed to be spent on the second type of event (paid events). Download for viewing and printing:

What is included in the IPRA

The program is compiled individually based on a physical examination of the disabled person and available documentation about his health. It includes the following information:

1. Possibilities available to the child:
   • to movement;
   • to orientation;
   • to games and learning;
   • to control your own behavior;
2. Required rehabilitation and habilitation measures:
3. Medical in nature, prosthetics, for example;
   • psychological and pedagogical direction;
   • social (everyday, introduction into the environment, sociocultural and others);
   • physical education;
4. Planned results of the program;
5. What funds are needed from the budget:
   • federal;
   • local;
6. Other types of support to overcome social restrictions.

Recommendation: parents planning to involve maternity capital in the implementation of IPRA should carefully consider the list of paid (not for budget resources) services and necessary goods.

Directions for using funds

The list does not include products and services provided free of charge. They are described in government order No. 2347-r dated December 30, 2005. They will not be allowed to direct maternity capital to them.

According to government decree No. 831 of February 30, 2016, the list of funds and services reimbursed for money under the certificate includes:

1. Technical products that help you move, including:
   • ramps and lifts with rail mounting;
   • beds, specialized chairs equipped with a motor.
2. High-tech devices that promote social skills, such as braille displays.
3. Equipment that helps the development of the physical body, including for sports activities (simulators, strollers, jogging tracks, etc.).
4. Sanitary and hygienic equipment of a specialized type and functionality (tables, dishes, chairs).
5. Devices that allow you to better perceive reality, that is, communicate with the environment (dictaphones, clockworks, magnifying glasses, telephones).
6. Services of a reader-secretary.

Important: you will be allowed to send maternity capital only if goods or services from the government list are included in the child’s IPRA. Download for viewing and printing:

The procedure for using budget money for rehabilitation and habilitation in 2019

The law stipulates that expenses will be reimbursed with state money. Thus, parents raising a child with disabilities will first have to invest their savings in the activities planned in the IPRA. Only after the goods are purchased will the Pension Fund pay for it.

Important: compensation is carried out only after providing a package of documents, including evidence of costs.

Step-by-step algorithm actions can be described as follows:

1. Obtaining IPRA from ITU authorities.
2. Studying the document and carrying out its activities.
3. Purchasing at your own expense only the devices specified in the program.
4. Collection of all payment documents.
5. Contact your local Pension Fund office with a package of papers (there is a list below).
6. Filling out an order for spending maternity capital funds (on a special form).
7. Waiting for the decision of the Pension Fund (at least a month).
8. Receipt of money if the application is approved (two months from the date of application).

Attention: state aid money can be spent in whole or in parts. In the latter case, you will have to submit several applications to the Pension Fund.

List of documents

The application to the Pension Fund must be accompanied by identification documents and proof of targeted spending. These include:

• a copy of the passport of the person receiving the maternity capital;
• certificate (duplicate, if issued);
• a copy of the IPRA, pages indicating the required paid means of rehabilitation;
• confirmation of expenses in the form of:
  • checks;
  • invoices;
  • contracts;
  • warranty cards for goods and more;
• act drawn up social service, upon verification of the availability of the listed funds, indicating:
  • personal data of the certificate owner;
  • descriptions and names of rehabilitation means;
  • confirmation of the fact of compliance of its IPRA and current regulations (employees know how to draw up this document);
• a certificate from a banking institution with account details for transferring money;
• notarized power of attorney and passport of the representative (if one is involved in filing the application).

Important: you can use maternity capital for the treatment of a child immediately after issuing the certificate, without waiting for the child’s third birthday.

Regional programs to support disabled children

Some subjects of the federation have legislated their own fertility stimulation programs, similar to the national one. In them, the conditions for using the regional maternity capital are established at the discretion of the local government. In particular, a number of regions allowed spending assistance to families with children on social rehabilitation disabled people.

1. Compensate for receiving paid medical services money under a regional certificate is allowed in the Republic of Kalmykia, Yakutia (Sakha), Tyva and Khakassia, Samara, Nizhny Novgorod, Ulyanovsk and some other regions.
2. In Yakutia, it is allowed to use budget funds to pay high-tech assistance children with disabilities, just like in the Nenets Okrug.
3. The Oryol authorities allow the transfer of maternity capital for the treatment of disabled children.
4. The Government of the Komi Republic approved among the permitted purposes of investing maternity capital - the annual receipt of cash in the amount of 25 thousand rubles. for recreational activities.
5. The Nizhny Novgorod authorities allowed the use of regional family capital for summer holidays and recreation in a non-cash form.
6. The Krasnoyarsk and Perm governments have expanded the list of permitted areas for using the certificate with the acquisition of technical rehabilitation equipment. The same thing was done in the Leningrad region.

Important: not shown full list local solutions. More specific information about them can be found on the relevant official Internet portals or from the administration at your place of residence.

Other areas of application of regional maternity capital

There has long been a debate in society about expanding the permitted areas for investing federal certificate funds. However, the last major changes to this issue were made in 2015 (for the rehabilitation of disabled children).

And in the regions, the authorities are meeting the citizens halfway. Here are some examples:

1. The Nenets government allows you to invest a local certificate in the construction of a garage.
2. Buy a car at expense local assistance Residents who are certificate holders are allowed to:
   • the republics of Sakha (Yakutia) and Buryatia;
   • Kaliningrad, Leningrad, Murmansk, Saratov, Oryol and other regions;
   • the city of St. Petersburg;
   • Kamchatka and Krasnoyarsk territories.

Parents in Tverskaya, Murmansk, and Murmansk are allowed to spend local capital on durable items (furniture, for example). Kaliningrad regions, Republic of Buryatia, Nenets Autonomous Okrug.

Important: legislation regarding the use of state and regional assistance to families with children is constantly being improved. Current directions of local programs should be found in the relevant government agencies.

May 18, 2017, 10:55 pm Mar 3, 2019 1:49 pm

Regional maternity capital at the birth of a third childOptions for using regional maternity capital

Regional maternity capital for child treatment is provided on a paid basis in certain regions upon the birth or adoption of a third or subsequent child in a family in accordance with regional legislation.

See also other options for using regional maternity capital

• Regional maternity capital for a dacha

  Provided in certain regions upon the birth or adoption of a third or subsequent child in a family in accordance with regional legislation: today the opportunity to use regional maternity capital (RMC) for the construction or purchase of a summer house is provided in St. Petersburg and the Sverdlovsk region.

• Regional maternity capital for housing improvement

  Provided in all regions that have established regional maternity capital (RMC) in the event of the birth or adoption of a third or subsequent child, with the exception of regions paying RMC in cash, which does not exclude the use of received Money for the family to improve their living conditions.

• Regional maternity capital for everyday needs

  Provided in certain regions at the birth or adoption of a third or subsequent child in a family in accordance with regional legislation: in the Republics of Adygea, Dagestan, Mari El, North Ossetia, Trans-Baikal Territory, Arkhangelsk, Astrakhan, Vladimir, Volgograd, Vologda regions and a number of other regions.

All options

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