Cabinet of Ministers Regulations No. 727 in Riga on august 3, 2010 (pr. No 40 36) amendments to the Cabinet of Ministers on 19 December 2006, regulations No. 1046 "health care organization and financing arrangements" Issued in accordance with article 4 of the law on medical treatment, first subparagraph 1. make Cabinet on 19 December 2006, the provisions of no. 1046 "health care organization and financing arrangements" (Latvian journal, 2006, 208. No; 2007, 146.207. no; 2008, no. 118, 202; 2009, 25, 49, 104, 157, 183. 206. no; 2010, 16, 65, 89 no). 1.1. the following amendments: to replace the 7.5 point numbers and the words "and in paragraph 10.17.10.18." with numbers and words ", 10.18 and 10.17. in favoured areas.";
1.2. the express section 10.10 as follows: "10.10. persons who are registered in the register of social services of the State or municipal long-term social care and social rehabilitation institutions customers or people who stay in other social service registered social services long-term social care and social rehabilitation institutions pay in State or local government, hospital, presented a document certifying the fact;"
1.3. to express point 10.18. This wording: "individual residents 10.18, or family, consisting of spouses, people with common expenses for food and living in the same dwelling, if the income per family member for the last three months did not exceed duty paid 120 dollars a month, and if they are not granted to needy persons (a family), and the fact that the status of the municipal social services issued a statement;"
1.4. to supplement the provisions of the following paragraph in the favoured areas.: "the favoured areas. Emergency medical services staff.";
1.5. to express 14.22.1. subparagraph as follows: "14.22.1." a psychiatrist home visits to psychiatric profile patients for health reasons cannot attend a hospital; ";
1.6. Add to subparagraph 14.37.2., after the word "disease" with the word "fixed";
1.7. to supplement the provisions under paragraph 14.37.2.1 as follows: "14.37.2.1 ambulatory trauma effects carried out by bone and joint disease treatment;"
1.8. the express section 14.40. by the following: "for a conservative miomektomij 14.40., except if bleeding or restricts blakusorgān;";
1.9. delete paragraph 18.1;
1.10. to express in this paragraph 44.1: "44.1. family doctor patient making time: not less than 20 hours a week;"
1.11. to supplement the provisions of the following paragraph 44.1.1: "nurse or physician assistant 44.1.1 the patient independent of time, not less than 10 hours a week;"
1.12 replenish 27.7. subparagraph after the word "time" with the sentence as follows: "To ensure the services within five working days, the family doctor, if necessary, extend the time for the patient;"
1.13. the express section 54.2. the following: "If the medical establishment 54.2., the nurse or physician's Assistant (paramedic), which provides health care at home, has submitted a written application in the Center, expressed a desire to be in contractual relations with the Centre and to provide health care at home, and also pointed out the following news – the hospital's name, registration number, registered address, phone number, medical treatment person's first name, last name, ID number, certificate number, the area in which a health care provider wants to provide health care at home According to this provision, paragraph 57 above breakdown. ";
1.14. supplement with 55.2 point as follows: "If the family doctor suspended 55.2 contractual relations with the Center, the Center, regardless of the chronological order of the waiting list, offers the possibility to take over the practice of the family doctor, who according to this provision, paragraph 49 is more than 12 months continuously replaced contractual relations terminated the family doctor."
1.15. to replace the words "in paragraph 85 Health Minister approved the arrangements for hospitalization of patients ' hospitalization plan", which according to the instructions of the Ministry of health developed by the emergency medical assistance service ";
1.16. supplement with 60.5. subparagraph by the following: "97.3. payment for health care services provided to these regulations, paragraph 7.6 and section 10.17.10.18. persons referred, according to the actual number of days this provision 22. Annex 3 days laid down in the tariff, and the tariff for manipulation of these rules in annex 18. marked with an asterisk (*).";
1.17. the express section 114.3. by the following: "after the 114.3. hospital's manager authorized treatment at the request of the person, if the EU, EEA or the Swiss hospital life in critical condition need not bring a child that this provision in accordance with the procedure laid down in chapter XI are received or S 2 E 112 form. In this case, the transport expenses borne by the emergency medical assistance service. ";
1.18. the introductory part of paragraph 128.1 in the deletion of the words "in coordination with the Ministry of health";
1.19 replace paragraph 130.2.1.3., the words "municipal society with limited liability" Ventspils "hospital" with the words "limited liability company" Ziemeļkurzem regional hospital ";
1.20.130.1 and 130.2 points be deleted;
1.21. Express 130.3 4. subparagraph by the following: "4. the patient contributions 130.3 per contract and treated patients, which fully or partially exempt from the patient's contribution, as well as the rules referred to in paragraph 7.5 of compensation coverage covers the Center above a certain financial amount of the contract;"
1.22. supplement with 130.9 points as follows: "If the current year's 130.9 the total funding for the health service fee is increased, the Centre review the contracts with the service providers and the planned number of patient financial amounts, subject to the following conditions: 1. the funds are distributed 130.9, shifting from total financial volume increase for outpatient health care 25%, but the hospital health care 75%;
2. If 130.9 actually made the patient contribution exceeds the planned compensation, additional financial resources directed to the compensation of patient contributions for this rule in paragraph 10 (except 10.17 and 10.18.) those persons provided health care services and the case referred to in paragraph 11 for those secondary ambulatory health care providers who receive a fixed monthly premium for reception operation, planned financial resources increase the amount corresponding to the difference between the first half of the actual amount of the refund of contributions to the patient and the first half of the planned amount of funds for the compensation of the contributions of patients, applying the coefficient 2.0;
3. According to 130.9 remaining amount financial assets shifting home health care and secondary ambulatory health care service providers for health care services provided in excess of the contractual amount of first financial half year by at least 5% in service and order: 130.9 3.1. home health care services provided for (this 1 XI chapter), day-hospital health services provided (this rule 81), laboratory services and direct accessibility specialist (this rule 76.2) provided by the health services , multiple sclerosis patient advisory assistance company "Latvian maritime medicine centre", ambulatory Advisory help surdoloģij children in the Riga municipality in the society with limited liability "health centre" Bikernieki "" ambulatory health care the national society with limited liability "Paul stradins clinical University Hospital" patients who undergone kidney or liver transplantation, genetic counselling of patients public society with limited liability "children clinical University Hospital" and the judicial psychiatric examiner's judicial inspection institutions to pay the amount of the planned increase of the volume of , then applying the coefficient 1.0;
130.9 3.2. overall health care services due to the planned increase of the amount of the excess amount, then applying the coefficient 0.8;
3.3. Overview of 130.9 financial volume, the Center calculated the funds required for patient contributions about compensation for paragraph 10 of these rules (except 10.17 and 10.18.) those persons provided health care services and the case referred to in paragraph 11, in the first half of the amount stated in the contract of financial excess application of this rule 3.1 or 3.2 130.9 130.9. the coefficient laid down in the service;
130.9 3.4. If additional funding assigned for secondary ambulatory health care and the health care home is not sufficient to fully comply with this rule 3.1, 130.9 130.9 3.2 and 3.3 130.9. the conditions referred to in that it exceeds the total amount of financial resources necessary for the fulfilment of these conditions, the Centre in addition to the financial resources to be allocated in proportion to the reduced or increased;

130.9 3.5. If the calculation results in a treatment institution funding must be increased by an amount not exceeding 100 lats, Center treatment a predefined financial institution the amount does not change;
4. additional 130.9 financial means redirecting all hospital healthcare providers in the following order and manner: 130.9 4.1 if actually carried out on the patient contribution exceeds the planned compensation, the Center calculated the funds required for patient contributions about compensation for paragraph 10 of these rules (except 10.17 and 10.18.) such persons provide health care services, as well as 11 and 11.1 cases in point, increasing the financial resources planned for the amount corresponding to the difference between the first half of the actual amount of the refund of contributions to the patient and the first half of the planned amount of funds for the compensation of the contributions of patients, applying the coefficient 2.0;
4.2 according to 130.9 residual amount in proportion to the increase in the Centre's programme "highlighted services" and in the "other services" the health services fee schedule amount. ";
1.23. to replace the words "in paragraph 132 of the municipal corporation with limited liability" Ventspils "hospital" with the words "limited liability company" Ziemeļkurzem regional hospital ";
1.24. the deletion of 136.1 points, the words "relevant changes in coordination with the Ministry of health";
1.25 delete 136.2 points;
1.26.137 points to express the following: "137. If a health care provider for more than a month from the date of the offer does not sign a contract proposed by the Centre, the health care provider loses the right to conclude this agreement. ";
1.27. Express chapter XI the following: "XI. the social security system of a subject receiving health services in the Member States of the EU, EEA and Switzerland and settlement arrangements with individuals received health care services 181. persons entitled to receive from the State budget paid for health care services in another EU Member State certifying the single sample documents in the EU Member States, which the Center issued in application of the European Parliament and of the Council of 29 April 2004, Regulation (EC) No 883/2004 on the coordination of social security systems (hereinafter referred to as the Regulation 883/2004) of the European Parliament and of the Council of 16 September 2009. Regulation (EC) no 987/2009 laying down the procedure for implementing Regulation (EC) No 883/2004 on the coordination of social security systems (hereinafter Regulation No 987/2009): 181.1.  S 1 of the form "Declaration eligibility for health care" (hereinafter referred to as the S 1 form), which provides a person the right to form a State in the current country get this country guaranteed healthcare services;
181.2. S 2 the form "Declaration eligibility for elective treatment" (hereinafter referred to as the S 2 form) which ensures the right to form the specified elective health care services in the country specified in the form and within the time limit;
181.3. S 3 form "Declaration eligibility for treatment for retired frontier workers in a country that previously employed" (hereinafter referred to as the S 3 form), which provides for the right of border officers retired to finish the treatment specified in the form specified in the form;
181.4. European health insurance card (insurance card) or the European health insurance card replacement certificate (hereinafter provisional replacement certificate of insurance card), which provides a temporary stay in a Member State the right to receive emergency or necessary medical assistance.
182. the rights of the individual in Switzerland and the three Member States, the EEA Iceland, Liechtenstein, Norway, to receive the funds from the State budget paid for health care services certify the following single sample document, issued by the Center, applying the Council of 14 June 1971, Regulation (EEC) No 1408/71 on the application of social security schemes to employed persons and their families moving within the Community (hereinafter Regulation No 1408/71), and the Council of 21 March 1972, Regulation (EEC) No 574/72 laying down the procedure for implementing Regulation (EEC) No 1408/71 on the application of social security schemes to employed persons and their families moving within the Community (hereinafter Regulation No 574/72): 182.1.  E 106 form "certificate for the entitlement to sickness and maternity benefits in kind, living in a State other than the competent State ' (hereinafter referred to as the E 106 form), which provides the right to receive State-guaranteed health care services in the country specified in the form;
182.2. form E 109 "members of the family of the insured person for recording and for updating the list" (hereinafter referred to as form E 109), which provides the right to receive State-guaranteed health care services in the country specified in the form;
the E 112 form 182.3. "certificate of retention of entitlement in respect of sickness and maternity benefits are currently granted" (hereinafter referred to as the E 112 form) which ensures the right to form the specified elective health care services in the country specified in the form and within the time limit;
182.4. E 120 a form "certificate of entitlement to benefits in kind for pensioners and members of their families" (further-E 120 a form), which provides the right to receive State-guaranteed health care services in the country specified in the form;
182.5. E 121 form "certificate for pensioners and members of their families registration and updating of the list" (hereinafter referred to as form E 121) that provides the right to receive State-guaranteed health care services in the country specified in the form;
182.6. insurance card or provisional replacement certificate of insurance card that provides the right to receive emergency or necessary medical assistance during a temporary stay in one of the EEA Member States, Iceland, Liechtenstein, Norway and Switzerland.
183. The presentation of this provision 181.182 and documents referred to in paragraph, a person is not entitled to receive from the State budget paid for health care services in another EU Member State, EEA and Switzerland, if the person is considered insured: 183.1. other social security system in accordance with Regulation No 883/2004 or Regulation 1408/71;
183.2. any institution of the European Union's system of social security or health insurance scheme in accordance with 29 February 1968, Council Regulation (EEC, Euratom, ECSC) No 259/68 "staff regulations of officials of the European communities and conditions of employment of other servants of the European communities order, except in the case referred to Regulation No 883/2004 article 15;
183.3. international organisations within the framework of the social security system;
183.4. students of the social security system.
184. the completed and approved 181. This provision and paragraph 182 forms and insurance card or provisional replacement certificate of insurance card issued by the Centre for the period in which the person is entitled to receive from the State budget paid for health care services.
185. The Person is obliged to immediately notify the Center if this provision 181.182. and in paragraph form, and the insurance card or provisional replacement certificate of insurance card during the validity period of a person shall lose the right to receive from the State budget paid for health care services. In this case, or upon receipt of the application centre shall withdraw the said document and send the person concerned of the decision. Centre within 10 working days after this rule, 181.3.182.1 181.1.,.,., 182.4.182.2 and 182.5 in said form cancellation shall notify the competent institution of the State to which the form is applicable.
186. for form S 1, a person shall submit the following documents: the Centre 186.1. If the person is employed and the national social security system in Latvia, but is habitually resident in another EU Member State: 186.1.1. the submission of the following information: name, surname, 186.1.1.1.;
186.1.1.2. social security number (or ID number) and the State revenue service assigned registration number;
186.1.1.3. address in the country of normal residence;
186.1.1.4. name and address of the workplace;
186.1.1.5. starting date of employment in the workplace;
186.1.1.6. period during which the person returns to his country of residence (for example, once a week, once a month, a few times a year);
186.1.1.7. the phone;
186.1.2. personal proof that the person is not considered to be insured by the other provisions of this 183 mentioned under the social security system and that it will inform in writing without delay if those rules change 186.1.1. the application referred to in subparagraph given in the application;
186.1.3. certificate of employment showing that the person is employed there and that the employer will inform the Centre for employment termination within five working days after the termination of employment;

186.2. If the person is a member of the EU, the EEA (including Latvia) or Swiss resident and is constantly employed, and subject to the State social security system in Latvia, but for a short period (not more than 24 months) sent to the other Member States of the EU, the EEA or Switzerland: 186.2.1. the application indicating the following information: name, surname, 186.2.1.1.;
186.2.1.2. social security number (or ID number) and the State revenue service assigned registration number;
186.2.1.3. address of residence in the country in which the person staying;
186.2.1.4. Dispatcher jobs name and address;
186.2.1.5. the phone;
186.2.2. personal proof that the person is not considered to be insured by the other provisions of this 183 mentioned under the social security system and that it will inform in writing without delay if those rules change 186.2.1. the application referred to in subparagraph given in the application;
186.2.3. certificate of employment showing that the person is employed there and is sent to another EU Member State and that the employer will inform the Centre for employment termination or withdrawal from a trip before the deadline in the five working days following the termination of employment or the revocation of the mission;
186.3. If a person receives a pension from the Republic of Latvia or has requested it, the application containing the following information: name, surname, 186.3.1.;
186.3.2. personal code;
186.3.3. the declared place of residence address in another EU Member State;
186.3.4. the phone;
186.3.5. assigned or the required pension type (old-age, survivor's, disability, retirement);
186.4. If the person is a public social security system for the person or the person's family member (spouse; the State social security system under the auspices of exposed persons and persons in custody) who receives a pension or of the Republic of Latvia has requested it: 186.4.1. the application indicating the following information: name, surname, 186.4.1.1.;
186.4.1.2. social security number (or ID number);
186.4.1.3. the declared place of residence address;
186.4.1.4. If a person is employed or receives a benefit, and if the receiving country;
186.4.1.5. as a family name, surname, identity code (or ID number) who is employed and exposed the State social security system, and the Republic of Latvia State revenue service assigned registration number;
186.4.1.6. the phone;
186.4.2. marriage or family relationship certificate (marriage certificate, birth certificate);
186.4.3. personal proof that the person is not considered to be insured by the other provisions of this 183 mentioned under the social security system and that it will inform in writing without delay if those rules change 186.4.1. the application referred to in subparagraph given in.
187. to get the E 106 form, the person shall submit the following documents in the Centre: 187.1. If the person is employed and the national social security system in Latvia, but is habitually resident in Switzerland or in a Member State of the EEA, Iceland, Liechtenstein or Norway-documents that are specified in this provision, 186.1.2 and 186.1.1.. 186.1.3 in;
187.2. If the person is a member of the EU, the EEA (including Latvia) or Swiss resident and are constantly employed and exposed to the public social security system in Latvia, but for a short period (not more than 12 months) sent to Switzerland or a Member State of the EEA, Iceland, Liechtenstein or Norway, the documents specified in this provision, and 186.2.3 186.2.1.186.2.2. in. 
188. for E 109 form, a person who is a national social security system subject to the person's family member (spouse; the State social security system under the auspices of the person or persons in custody), submitted to the center of the document indicated that Rule 186.4.1., 186.4.2. and 186.4.3. above.
189. for 120 or 121 E form E form, a person who receives a pension or of the Republic of Latvia has requested it, submit to the center of the application, stating that Rule 186.3. information referred to in the subparagraph.
190. in order to receive an insurance card, a person shall submit an application in the Centre indicating the following information: 190.1. name, surname;
190.2. the ID number (identification number);
190.3. phone;
190.4. address (if you wish to receive by mail the insurance card).
191. Individuals who are Member States of the EU, EEA or Swiss nationals who are staying in the Republic of Latvia due to employment or as a self-employed person, as well as their family members, to get the insurance card, in addition to an application referred to in paragraph 190 must submit a certificate of employment showing that the person is employed there and that the employer will inform the Centre for employment termination within five working days after the termination of employment.
192. The insurance card to a person personally, or by person izsniegz written request sent by registered mail to the specified address.
193. The insurance card is issued for three years.
194. the Centre does not prepare a written decision, the insurance card issued to the person on the date of receipt of the application, or sent by post, if such a request is made, within three working days after receipt of the application, if the provisions referred to in paragraph 190, the application is submitted by a person who is entitled to state-funded health care services, except where the application is submitted by the Member States of the EU, EEA or Swiss citizen, residing in the Republic of Latvia due to employment or as self-employed person or that person's family member, or a foreigner who has a permanent residence permit in the Republic of Latvia.
195. where these rules referred to in paragraph 190, the application is submitted by a person who is a member of the EU, EEA or Swiss citizen, residing in the Republic of Latvia due to employment or as a self-employed person, or that person's family member, or a foreigner who has a permanent residence permit in the Republic of Latvia, the Centre of personal application appearance, adopt a decision and issue it, or sent by registered mail to the person. If the decision is favourable to the person, it shall contain the invitation to receive an insurance card, but if the person is requested to send the application to the insurance card by mail, it shall be sent, together with the decision.
196. The insurance card issued repeatedly in previous insurance card validity term only after the insurance card previously issued cancellation on the basis of a personal application. On the card making party paid pursuant to the settlement of health centre price list.
197. If a person, temporary stay in an EU, EEA Member State or Switzerland, need urgent or necessary medical help and the person unable to produce insurance card, based on the person's application or the request of the competent institution of the country in which the person is located, the Center issued a person or a national competent authority to map the certificate of insurance of the replacement.
198. Persons entitled to receive from the State budget paid for health care services and willing to receive a scheduled health care services in one of the Member States of the EU, the EEA or Switzerland, the Centre S 2 form shall be issued for services in another EU Member State or an E 112 form for service in Switzerland or in a Member State of the EEA, Iceland, Liechtenstein or Norway, if the following conditions are true: 198.1. health care services are not part of the rules referred to in point 14 health care services;
198.2. during the examination of the application, not one of the provisions referred to in paragraph 13 of the medical institutions unable to provide health care services and has received reasonable medical opinion;
198.3. this service person is necessary to prevent the life or health of the irreversible deterioration, taking into account the State of health of the person at the time of the evaluation and the expected development of the disease.
199. the Centre completed and approved S E 112 form 2 form or not issued in respect of the health services, which provides clinical research, or which use the experimental medical treatment technology.
200. to be completed and approved S E 112 form 2 or form, the person shall submit the following documents in the Centre: 200.1. the application that contains the following information: 200.1.1. name, surname, personal code, address, telephone;
200.1.2. health care services that the person requires in accordance with the opinion of the doctor konsilij;
200.1.3. the preferred health care service and the provider of services, if such person is unknown;

200.2. treatment sector concerned doctor konsilij's opinion, which contains the necessary services, as well as the rationale, or the service person is necessary to prevent the life or health of the irreversible deterioration, taking into account the State of health of the person at the time of the evaluation and the expected development of the disease, and medically sound reasons why the person the health care services you need to get in another country.
201. the Centre shall have the right to request an opinion from the medical authorities on whether the medical establishment may provide a person the necessary health services and or services may be provided within a time limit which is medically justifiable, taking into account the State of health of the person at the time of the evaluation and the expected development of the disease.
202. In deciding on the completed and approved S E 112 form 2 or form, the Center has the right to determine the Member State and the health care provider, taking into account the economic benefits considerations. If the person refuses to receive services at the center of the selected service provider, the Center shall have the right to take a decision on the refusal to issue a completed and certified form E 112 S 2 or form.
203. The completed and approved S E 112 form or form 2, Center it indicates the country in which the person is entitled to receive the required health care services, health care provider and the period during which the services are received.
204. The Centre shall have the right to issue a Regulation No 883/2004 and Regulation No 987/2009 of the cases of another EU Member State's competent authority, 2 the form the person who is the subject of another EU Member State's social security system.
205. If the person is one calendar year following the decision on the S 2 E 112 form or the form of the issue of the date of its entry into force is not used with the center of the decision, the person loses this right.
206. to be completed and approved form, the person's 3 Center shall submit the following documents: 206.1. application that contains the following information: 206.1.1. name, surname, personal code, address, telephone;
206.1.2. health care services the provision of which has been launched;
206.1.3. health care provider;
206.2. treatment sector concerned doctor konsilij opinion on the person the necessary health care services that you need to complete. The opinion identifies the required health care services, medical sound reasons why the health care service is considered to be the previously launched the health care service.
207. The persons who have received emergency or necessary medical help in another EU Member State or in Switzerland, the EEA and related expenses is from personal funds miscreant, is entitled to receive reimbursement of expenses if: 207.1. the Republic of Latvia is entitled to receive from the State budget paid for health care services;
207.2. service provided the State in which it is received from the State budget include funds paid health care services.
208. Where a person has received emergency or necessary medical assistance, the Centre shall take the reimbursement of expenses to the person in accordance with the conditions of the State of the health care costs of services in which the person was provided. Center expenses are reimbursed on the basis of the EU or EEA Member State, the competent authorities of Switzerland. Center requests information about the person the refunds under Regulation No 574/72 or regulation no 987/2009.
208.1 Center released the person incurred only for those health care services for which payment has been made to the service provider. Reimbursement amount may not exceed the amount that the person is paid.
208.2 If the Center is taken a decision on the S 2 E 112 form or forms of service in person, but the payment for health care services received, the entity has made from personal funds, the Centre shall take the reimbursement of expenses in accordance with the conditions of the State of the health care costs of services in which the person was provided. Center for reimbursement of expenses shall be based on the EU, the EEA Member State or Switzerland the competent institution about the person the refunds. Center requests information about the person the refunds under Regulation No 574/72 or regulation no 987/2009.
208.3 for reimbursement of expenses, the person within three years from the date on which it ceased to receive health care services in another EU Member State, EEA or Switzerland, personally or through another person shall be submitted to the Centre or sent by post to the following documents: 1. the application of 208.3, which contains the following information: 1.1 208.3. name, surname, personal code or identification number, the address, the phone;
208.3 1.2. country where health care services are received;
208.3 1.3. health care provider's name, registration number and address; 
208.3 1.4. reason for receiving the service in another country;
1.5. personal 208.3 account properties;
2. payment of 208.3 identity document, which can be identified by the payer;
208.3 3. healthcare providers document that contains the following information: 208.3 3.1. health care services that are provided to the person;
208.3 3.2. health care during the period of the provision of services;
208.3 3.3. health services provided, the prices (for each service separately);
208.3 3.4. information on health care services provided by the pay.
208.4 assuming favourable decision on reimbursement of expenses the person Center within 30 days after the adoption of the decision to transfer the refunds to the specified account in the national currency of the Republic of Latvia, on the basis of the European Central bank published the exchange rate determined in accordance with Regulation No 574/72 or article 107 Regulation No 987/2009 article 90, a day in which the person's application.
208.5 Centre is the competent authority for mutual settlements with the other Member States of EU, EEA and the Swiss competent authorities in accordance with Regulation No 1408/71 and Regulation 883/2004 information centre 208.6 required in this chapter that administrative proceedings, national regulatory authorities shall provide online. ";
1.28. supplement with 1 Chapter XI the following: "XI. 1 order in which EU Member States, EEA and the Swiss social security system insured persons receiving health care services in the Republic of Latvia To 208.7 person in accordance with Regulation No 1408/71 and No 574/72 of the regulation, the conditions are issued form E 106, E 109, E 120 a form or form E 121 form or under Regulation No 883/2004 and Regulation (EC) no 987/2009 conditions is issued or form S 3 S 1 form , received in the form of specific health care services, the person registers the form Center.
208.8 healthcare services provider, which provides funds from the State budget paid for health care services, provide services in question also to the person who is registered in the E 106 form E form E 109, E 121 120 form, form S 1 E 112 form or presentation of form, S 2, S 3 forms forms, insurance card or provisional replacement certificate of insurance card.
208.9 If a person is required or necessary in emergency medical assistance, cannot show the insurance card, health care provider, which provides funds from the State budget paid health services require a Center insurance card of the replacement certificate.
208.10 medical establishment, which provides funds from the State budget paid for health care services, provide relevant services for a fee, charging a fee for them according to the tariffs laid down in these provisions, including the patient's payment and coverage, if the person is unable to produce a document showing the person's rights under Regulation No 1408/71 and No 574/72 of the regulation, or in accordance with Regulation No 883/2004 and 987/2009 Regulation No conditions to receive funds from the State budget paid for health care services but the presentation of an identity document proving that the person is a member of the EU, EEA or Swiss citizen.
208.11 208.8 these rules in the case referred to in paragraph person before receiving health services in the medical institution presented a document showing the person's rights under Regulation No 1408/71 and No 574/72 of the regulation, or in accordance with Regulation No 883/2004 and 987/2009 Regulation No conditions to receive funds from the State budget paid for health care services. The medical establishment provides the identity of the save a copy of the document (document type, number, issuing authority, expiry date).

This provision in paragraph 208.12 208.8 case set by the medical establishment, which provides funds from the State budget paid for by health services, enter the information for the previous month, the health services center management information system and carrying out medical records and accounting documentation in accordance with the laws and regulations on medical records documentation and recordkeeping procedures.
settlement with the EU between 208.13, EEA Member States and Switzerland concerning the national social security system insured persons who, in accordance with Regulation No 1408/71 and Regulation 883/2004 are eligible to receive funds from the State budget paid for health care services, the Centre shall, subject to the following conditions: 1. the national agency 208.13 and other medical institutions providing outpatient health care services, according to the rules set out in annex 18. health-care services, and this provision in annex 19 episodes of care tariffs;
208.13 2. emergency medical assistance team call-66 late;
3. stationary 208.13 health services, with the exception of those provisions referred to in paragraph 4 208.13 services – according to the actual number of days this provision 22, paragraph 3 of the annex set out in the relevant hospital's days and the manipulation of the tariff rates, which this provision in annex 18. marked with an asterisk (*);
4. the State Agency 208.13 Latvijas Infektoloģij Centre "provides stationary health care services – according to the actual number of days and days of rates-lats 49.82.";
1.29. delete paragraph 265;
1.30. supplement with 273, 274, 275, 276..., and 277. paragraph by the following: "273. Centre 2010 health care provider selection procedure pursuant to this rule and subparagraph 121.2.4., 121.2.5. and offers service providers to extend contracts for health services and payment for one year.
274. The E 106 form, form E 109, E 120, E 121 form and form, the insurance card issued for use in the EU Member States and issued up to august 15, 2010, this document is valid up to the expiration date, except where the document has been voided.
275. This provision of the annex to section 3.11 24. is valid until December 31, 2012.
276. This provision subparagraph 44.1.1 shall enter into force on 1 October 2010.
277. This provision and 53.2 52.1.1 and 240.1 points shall cease to be in force January 1, 2011. ";
1.3.1. Express 6.288. paragraph by the following: "288.-Beta 2 mikroglobulīn 46159 BMG settles with oncologist, oncologist, Oncology gynecologist ķīmijterapeit, Oncology surgeon, imunolog or hemotolog for the shipping" delete 15 1.32. in paragraph 14 of the annex the words and figures "If the family doctor in the Mainland is not the action of the city (except if the family physician receives 12. these provisions referred to in paragraph 4 of the annex of the premium) and";
1.33. Supplement 15.6″. section behind the words "medical practice rooms" with the words "and patient acceptance in accordance with these rules and section 44.1.44.1.1";
1.34. deletion of annex 15 15.7. and 15.8. section;
1.35. the express 18.2881 paragraph by the following: "2881.
50741 premium manipulation, 50697, 50696 50698, 50700, 50709, 50720, 50699-50724 17120, 18045 for study and with the apparatus above the value USA $40000 to 70000 and $2.70 "1.36. Express 18.3081, paragraph of the annex by the following:" 3081. * Coverage for 60106 one stacionēšan time in the operating room surgical operations carried out are paid from the social safety net resources strategy (apply to persons , which is set 100% deposit refund), and the emergency medical service staff operations performed "1.37 express 30.00 22. Annex 1.5. subparagraph by the following:" 1.5. Limited liability company "Ziemeļkurzem regional hospital" "1.38 7 463 835 express 22.1.17 and 1.18. Sub-paragraph such.: 1.17. Madona municipality" municipal limited liability company "Madona" hospital 4 265 049 1.18. Limited liability company "award and Gulbene Hospital Association ' 4 265 049" 1.39. Express 24. section 1.2.2 of annex by the following : ' 1.2.2. limited liability company "Ziemeļkurzem regional hospital"; ";
1.40. Express 24.1.4.2. and 1.4.3. the following subparagraphs: "1.4.2. Madona district municipal limited liability company" Madona hospital ";
1.4.3. limited liability company "award and Gulbene Hospital Association"; ";
1.41. the deletion of paragraph 2.7. annex 24;
1.42. supplement 24. attachment with 4.32. subparagraph by the following: "local agency" 4.32. Iecava health and social care centre ".";
1.43. deletion of annex 24 6.5. section;
1. Express 24.7.9. subparagraph by the following: "7.9. limited liability company" Ziemeļkurzem regional hospital ";";
1.45. supplement 24.7.11 and 7.12 annex. subparagraph by the following: "7.11. municipal limited liability company" saulkrasti hospital ";
7.12. The Riga Municipal limited liability company "Rigas 1. hospital". ";
1.46. Express 29. the annex as follows: "annex 29 Cabinet of 19 December 2006, regulations no 1046 overview of the number of the employed and loads the medical institutions of the period: six months, year _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ chapter/medical establishment ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ _____ telephone, fax ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ indicators lines of code the number of employees the average number of Assignments during the period total average medical institution t.sk. hospital health care t.sk. outpatient health care t.sk. emergency medical brigades t.sk. doctors surgeries together medical institution t.sk. hospital health care t.sk. outpatient health care t.sk. emergency medical brigades t.sk. doctors surgeries together t.sk. from the State budget funded together t.sk. from the State budget funded together t.sk. from the State budget funded together t.sk. from the State budget funded together t.sk. from the State budget funded together t.sk. from the State budget funded together t.sk. from the State budget funded together t.sk. from the State budget funded together t.sk. from the State budget funded together t.sk. from the State budget funded together 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 URt.sk: 100 doctors, dentists and specialists of related professions with the highest professional and academic education in Treatment of 110 individuals with level 1 and level 2 of the higher vocational education, vocational secondary education or vocational training 120 paramedics doctor's assistants, midwives, dental technicians, operators of 122 121 higiēnist physiotherapists and related occupations specialists dental assistants, 123 physiotherapist Assistant and related occupations specialists 124 125 dental nurses younger nurses, orderlies and nursing assistants other staff 130 140 141 personnel, the Administration associated with the provision of catering executives road 143 142 other (janitors, liftniek) 144 institutions (name) (signature) Chief Accountant (Economist) (the word first name, last name) (signature) Note. Document property "signature" does not fill in, if an electronic document is drawn up according to the law on electronic document design. "
1.47. the express 37.3.3 subparagraph by the following: "3.3. Breast cancers early Diagnostics diagnosis Z-50096 mammography 12.3 (both breasts, each biplane)-supplement for standartmamogrāfij 50097 following additional mamogramm to local compression increases or other non-standard projection 50101-mammography description (both breasts, each in two planes) 50102 – mammography description additional planes if a study carried out for the premium 50097 50105 digital technology use x-ray examinations – premium on 60258 mammography skrīningizmeklējum mobile mammography's R-1.
R 2-potentially benign found/separate benign formations;
R 3 – suspected pathology/local pathological changes;
R 4-malignancy potential/suspected malignant formations;
R 5 – proven malignancy/cancer is found

If you have a pathological finding, the family physician or specialist consultations and examinations, including examinations again after observation or treatment of the patient: (according to the pamatdiagnoz found: C: 50.09 N63; N64 or other;
blakusdiagnoz Z 12.3) "1.48 Express 37. point 3 of the annex to the note as follows:" notes ".
1. C0-C6-cytological results of laboratory; R1-R5-mammography image evaluation results.
2. Description of manipulation "Mammography description 50101 (both breasts, each in two planes)," and "description of Mammography 50102 additional planes, if made in the study" are two professionals 50097. ";
1.49. the express 37. Annex 4.3. subparagraph by the following: "invitation letter 4.3 is not sent to the woman that: 4.3.1. under ICD-10 is the diagnosis, C53 C54, C50, C56 C57; or
4.3.2. in accordance with the Centre's management information system is the information contained in one of the following manipulation: cervical amputation, uterus ekstirpācij with removal of the fallopian tubes or without removal of the fallopian tubes, the uterus, the uterus of ekstirpācij vaginal ekstirpācij during childbirth or early postpartum period with or without removal of the suffix suffix removal, Vertheim surgery, uterine ekstirpācij with small pelvic limfadenektomij deomentizācij, laparaskopisk or a hysterectomy with or without suffixes;
4.3.3. outside of organized breast tumors early diagnostic programs in accordance with the Centre's management information system the information during the year up to the date of the letter of invitation is made screening study;
4.3.4. the invitation letter is not declared at the time of preparation of the place of residence in the territory of the Republic of Latvia. "
1.50. delete annexes 39 and 40.;
1.51. Express 41. Notes to annex the third sentence as follows: "in paragraph 2 of this annex these manipulations carried out by children, are paid without a diagnosis.";
1.52. Replace Annex 43, the words "(relevant to note)" by "(not applicable)".
2. This rule 1.15. subparagraph shall enter into force on January 1, 2011.
Prime Minister Dombrovskis v. Minister of health d. Gabor