Many people with disabilities do not understand the need for a re-examination procedure, especially in the case of a disability acquired in childhood or associated with severe irreversible changes in the body. A re-examination is necessary not only to confirm a previously established disability, but also to adjust the rehabilitation program, control the dynamics of changes in the state of he alth. Re-examination of a child's disability is especially important for organizing optimal conditions for his life and rehabilitation. The developed rehabilitation system allows you to fully integrate into the life of society.
In addition, a disabled person of the 3rd group receives monthly allowances, benefits and other payments, which greatly facilitates the solution of many problems that a sick person faces. For other disability groups, the importance of state support is even more significant. Therefore, the re-examination procedure is an important moment in the life of a person with disabilities.
Procedure and timing of re-examination of disability
Re-examination takes place in accordance with the procedure established by federal law with a frequency determined depending on the disability groups. At the moment, the following rules apply for this procedure:
• A disabled person of the 3rd group is required to undergo a re-examination 1 time during the year.
• A disabled person of the 2nd group must come for re-examination 1 time during the year.
• Disabled people of the 1st group must be re-examined 2 times during the year.
• Children with disabilities undergo the procedure once before the end of the period for which the disability is determined.
In case of permanent disability, re-examination can be done by writing an application personally or on behalf of a legal representative. In addition, the he alth care facility may also refer you for a disability re-evaluation process if there is a change in the patient's he alth status.
You can go through the procedure in advance, but for a re-examination earlier than two months before the end of the disability period, you must have a personal application or a referral from a medical organization that monitors the course of a citizen's illness.
The re-examination procedure is also carried out at home. For this, it is necessary that the attending physician make special marks in the direction.
Main and Federal Bureau of Medical and Social Expertise
Re-examination of the disability group is carried out on the basis of a medical and social examination, which is carried out free of charge at the medical and social examination bureau at the place of residence, the main bureau and the Federal Bureau.
Federal State Institution "Main Bureau of Medical and Social Expertise" (FKU GB ITU) - a regional service for conducting an examination, as well as providing a range of services for rehabilitation and restoration of he alth.
FKU GB ITU performs the following functions:
• Organizes a re-examination in case of filing an application to appeal the conclusion of the expert commission in the bureau at the place of residence.
• Conducted by ITU in situations where a special medical examination is needed.
• Performs statistical analysis of data on the number and demographic composition of citizens with disabilities who applied to the bureau.
• Develops measures to prevent and prevent disability.
• Oversees the activities of each bureau.
The Federal Bureau of Medical and Social Expertise (FB ITU) is a federal service for conducting an examination, as well as providing a range of services for the rehabilitation and restoration of he alth. In addition, the tasks of the FB ITU include ensuring high-quality prosthetics.
The federal bureau organizes control over the activities of other bureaus, can appoint and carry out re-examinations, change or cancel decisions made by employees of other bureaus.
Citizens who do not agree with the conclusions of the commissions of the main bureaus may file a complaint withFederal Bureau, where a new examination will be appointed. This is where the ITU and consultations are carried out on the direction of the main bureaus in situations where it is necessary to obtain its expert opinion or it is necessary to conduct a complex type of medical examination.
Procedure of medical and social expertise
The examination procedure is organized by the staff of the bureau's expert group. An examination of the person who applied for the examination is carried out, his social, household, psychological and labor characteristics are considered. The medical documentation of the disease is being studied. Based on an assessment of all the data received, a decision is made to establish disability, extend it or change the disability group.
If as a result of the commission an improvement in the he alth, working capacity and social adaptation of a citizen was revealed, then the disability group can be changed. A disabled person of the 2nd group, in case of improvement in he alth status and living conditions, can receive a 3rd group of disability during the re-examination.
The conclusion of the commission is announced to the citizen in the presence of all members of the expert staff and is entered into the act of the examination. A number of information and references are also included in the document, on the basis of which the conclusion was made.
If necessary, additional examinations are scheduled, conducted in a medical organization or the Federal Bureau. In a situation where a citizen refuses from the program of additional examinations, this information is noted in the act, and the decision is made based on the available information.
Examination procedurecan be carried out at home if, due to the state of he alth, a person cannot come to the office. This requires the decision of the relevant bureau or the direction of the medical institution in which the citizen is being monitored, or the hospital where the treatment is carried out.
Conclusion of ITU specialists
The conclusion of the ITU is the result of the work of the expert commission. The composition of the commission's specialists depends on the bureau and its profile. The examination of the main bureau is carried out by four doctors of different profiles, an expert in rehabilitation work, a social worker and a psychologist. The staff of the bureau at the place of residence includes the same specialists as the main bureau, but the number of doctors of various profiles is less (three medical workers). The committee members make decisions based on a majority vote.
The composition of the expert commission depends on the head of the bureau, who decides on the participation of a particular specialist in the ITU procedure. Also, a citizen sent for examination to the bureau has the right to attract additional experts, but subject to payment for their work. The decision of these panel members will influence the final ITU opinion.
ITU specialists draw up a conclusion based on the provided medical documentation, after examining the citizen, discussing all the information received collectively. After the announcement of the decision made, the experts of the commission give explanations on the conclusion made to the citizen who applied to the bureau.
Appeal against ITU opinions
In a situation where the decision of the expert commission of the bureau during the re-examination of disability seems unreasonable, you can file an appeal with the bureau at the place of residence where the examination took place. Within three days, the application will be sent to the main bureau, where a conclusion is made based on the results of a new examination. In a situation of disagreement with the conclusion of the main bureau, an appeal is sent to the Federal Bureau. In connection with the appeal, a re-examination will be carried out and a final decision will be determined.
The Federal Bureau's decision can only be challenged in court.
To appeal against the conclusion of the bureau, you must write an application indicating:
• Names of the specific office to which the application is submitted.
• Personal data (last name, first name, patronymic, residential address, contact information) of the applicant.
• Personal details of the representative.
• The subject of the complaint about the expertise.
• Requests for re-examination proceedings.
• Application dates.
How to pass ITU?
Based on the results of the re-examination, disability is extended or removed, the disability group is changed, which entails a change in the IPR, the amount of benefits and benefits.
To successfully pass the examination, it is important not only to collect all the necessary documents and test results, but also to prepare psychologically for the procedure. The decision is made by the members of the expert team based on the evaluation of the limitationlife, while an important role is played by the impression that a citizen makes on the members of the commission. Therefore, you can not behave aggressively or be offended by incorrect questions. Answer calmly and accurately. In this case, the reaction of embarrassment to the question will be much better than impatience and anger. Some of the most frequently asked questions to be prepared for include:
• Questions about the course of the disease.
• Questions about working capacity (availability of work, comfortable working conditions, etc.).
• Questions about ongoing treatment (undergoing IPR procedures, reasons for refusing recommended types of diagnostics, etc.).
• Issues related to the functioning of the body.
• Questions about the financial condition of family members, in order to identify the possibility of the patient's participation in expensive rehabilitation programs that are not subject to state subsidies.
Re-examination of disability, documents required for ITU
To pass a disability re-examination, you must have a passport of a citizen of the Russian Federation, a work book, a referral from a polyclinic at the place of residence for an examination procedure, an outpatient card, an IPR with instructions on how to complete it. It is also necessary to write and take with you an application to the head of the bureau for re-examination. If during the year before the re-examination procedure consultations were held with specialists or treatment was carried out in a hospital, then the relevant documentation is required.provide a specialist of expert composition. It is better to make copies of some documents to provide if necessary.
Children with disabilities undergo a re-examination procedure in almost the same order as the initial examination. The list of required documents is the same, but a certificate of disability and an IPR are added. When re-examining a child's disability, you must have:
• Child's birth certificate or passport (when child reaches 14).
• Outpatient card.
• Certificates of education received or certificates from the educational institution where one is studying.
• Conclusions of specialists of a narrow focus, extracts from hospitals.
• Proof of disability;
• YPR.
Disability Extension
Before extending disability, you must contact a medical institution at your place of residence. It is obligatory to have a passport, a medical insurance policy, an ITU certificate on the establishment of disability, an outpatient card, an extract from the hospital (if there was treatment), IPR. The medical worker will issue a referral for examination, as well as for the necessary procedures and tests. You need to visit the bureau and sign up for the next date by the end of the disability period for re-examination. After that, it is necessary to contact the attending physician for the underlying disease, who will give an opinion for the expert commission. It is also required to be examined by two narrow specialists, to whom the district therapist will refer. After receiving the results of the tests and consulting all the doctors, you should again come to an appointment with the therapist, who will enter the data into the certificate and write out a referral for the passage of the MHC (military medical commission). Further, with all the certificates and copies of the main documents, you can go to the ITU procedure.
In case of refusal to extend the disability, a certificate is issued, which indicates the result of the examination and the grounds for refusal. The bureau's decision can be appealed to the Federal Bureau or in court.
Reassessment of Child Disability
Re-examination of a child's disability takes place in a slightly different order than for adults. One parent must be present. The list of required documents is different. In addition, a disability group cannot be established, since in childhood the general category “disabled child” is assigned.
To undergo the procedure, you need a referral from medical institutions. A re-examination takes place no earlier than two months before the expiration of the disability, but no later than the specified date of the medical and social examination. Stationary supervision for prolongation of disability at the child is not obligatory. The individual rehabilitation program is also of a recommendatory nature, the implementation of all the measures indicated in it is not a prerequisite for re-examination of disability.
Very often upon reaching the age of 18, upon re-examination, the recognition of working capacity occurs. It's connected withthe fact that when establishing adult disability, the main attention is paid not to violations of the functions of the body, but to the assessment of the ability to move independently, self-service, work, etc.
Disability without re-examination
There is a list of diseases in which disability is established without specifying the re-examination period.
Such diseases include:
• Diseases of internal organs.
• Neuropsychiatric disorders.
• Anatomical defects.
• Eye diseases.
In this case, disability without re-examination is established no later than two years after the initial recognition of disability for diseases of this list.
Disability without re-examination can also be established if the expert commission reveals the impossibility of improving the state of he alth, rehabilitation of a person and reducing the limitations of his life. In this case, no more than four years must pass after the initial examination of disability.
To establish disability without a re-examination period, there should also be no positive dynamics in the rehabilitation carried out before the appointment of the ITU. Relevant data are indicated in the direction for examination.
In addition, the re-examination procedure is not assigned to women over 55 and men over 60, and an indefinite disability is established.
According to social security experts,it is better to undergo a re-examination even in case of permanent disability in order to detect deterioration in he alth status or the need to replace the prosthesis in time.
If the federal bureau reviews the decisions of the main bureau, then in case of disability without a re-examination period, ITU can still be appointed.
Failure to appear for disability re-examination
In case of failure to appear for the procedure of medical and social examination, the payment of the pension will be suspended for three months. If disability is confirmed by the medical and social examination services within the specified period, pension payments will be resumed from the date of re-recognition of disability.
In a situation where the re-examination was missed for a good reason, the payment of pensions will be assigned from the date of the disability re-examination, including payments for the missed period. The duration of the period during which pension payments were not made does not matter. Moreover, if the expert commission establishes a different degree of disability, then payments for the missed period will be made according to the previous calculation system.
Renewal of payments is made automatically after the Pension Fund receives the relevant documentation, which is sent by a specialized medical and social examination service and confirms the re-examination procedure.
