How much is disability for a child

Apply For A Child (Under Age 18) | Disability Benefits

SSI provides monthly cash payments to help meet the basic needs of children who have a physical or mental disability or who are blind. If you care for a child or teenager with a disability, and have limited income and savings or other resources, your child may be eligible for SSI.

SSI Eligibility for Children

Children under age 18 can get SSI if they meet Social Security's definition of disability for children and there are limited income and resources in the household. Social Security defines a disability as:

The child must have a physical or mental condition(s) that very seriously limits his or her activities; and
The condition(s) must have lasted, or be expected to last, at least 1 year or result in death.

How to Apply

Tell us you want to apply for SSI for a child

Get Started

Other Ways to Apply

Apply By Phone¹

Call us to make an appointment to file an application at 1-800-772-1213. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778.

¹ If you are in the Commonwealth of Pennsylvania and received a letter from the Pennsylvania Department of Human Services with a specific phone number, please use that number for the best service.

Begin the Application Online

Applying for SSI requires 2 steps. You will need to complete the online Child Disability Report AND, with the help of a Social Security representative, complete an Application for SSI.

Step 1

TIP: Before completing the Child Disability Report, use our Child Disability Starter Kit to get answers to commonly asked questions about applying for SSI. The kit also includes a worksheet that will help you gather the information you need.

Fill out the online Child Disability Report

The report usually takes about an hour to complete and collects information about the child's disabling condition and how it affects their ability to function.

We will ask you to sign a form that gives the child's doctor(s) permission to give us information about their disability. We need this information so that we can make a decision on the child's claim. In some cases, if the child is over age 12, he or she must sign his or her own medical release.

Start the Child Disability Report

If you previously started a Child Disability Report for this child but did not finish it, you can use your re-entry number to return to your online Child Disability Report.

Step 2

After you submit a report, we will call you within 3-5 business days. Together, we will:

Review the completed Child Disability Report.
Discuss whether the income and resources of the household are within the allowed limits.
Start the SSI application process.

Child Disability Starter Kit Fact Sheet

Child Disability Starter Kit - Fact Sheet

What You Should Know Before You Apply for SSI Disability Benefits for a Child

Children from birth up to age 18 may get Supplemental Security Income (SSI) benefits. They must be disabled and they must have little or no income and resources. Here are answers to some questions people ask about applying for SSI for children.

How does Social Security decide if a child is disabled?

Social Security has a strict definition of disability for children.

The child must have a physical or mental condition(s) that very seriously limits his or her activities; and
The condition(s) must have lasted, or be expected to last, at least 1 year or result in death.

A state agency makes the disability decision. They review the information you give us. They will also ask for information from medical and school sources and other people who know about the child.

If the state agency needs more information, they will arrange an examination or test for the child, which we will pay for.

How does Social Security decide if a child can get SSI?

Children can get SSI if they meet Social Security’s definition of disability for children and if they have little or no income and resources. We also consider the family’s household income, resources and other personal information.

How will I know what Social Security has decided?

We will send you a letter. It can take 3 to 5 months to decide a child’s SSI disability claim. Let us know if your address or telephone number changes so that we can get in touch with you.

Will my personal information be kept safe?

Yes. Social Security protects the privacy of those we serve. As a federal agency, we are required by the Privacy Act of 1974 (5 U.S.C. 522a) to protect the information we get from you.

What if I am more comfortable speaking in a language other than English?

We provide free interpreter services to help you conduct your Social Security business.

Other Important Information

SSI is not a medical assistance program. Your state Medicaid agency, local health department, social services office or hospital can help you find your nearest health care agencies. Your Social Security office can also help you find health care agencies.

Medicaid

Medicaid is a health care program for people with low incomes and limited resources. In most states, children who get SSI benefits can also get Medicaid. Even if your child cannot get SSI, he or she may be able to get Medicaid. Your state Medicaid agency, Social Security office or your state or county social services office can give you more information.

State Children's Health Insurance Program (SCHIP)

Children may be able to get health insurance from SCHIP even if they do not get SSI. SCHIP provides health insurance to children from working families with incomes too high to get Medicaid, but who cannot afford private health insurance. SCHIP provides insurance for prescription drugs and for vision, hearing and mental health services in all 50 states and the District of Columbia. Your state Medicaid agency can provide more information about SCHIP. You can also go to www.insurekidsnow.gov/ or call toll free 1-877-KIDS-NOW (1-877-543-7669) for more information on your state’s program.

Other Health Care Services

If the child is under age 16 and we decide he or she is disabled and can get SSI, we will refer him or her to your state children’s agencies for social, developmental, educational and medical services. Even if the child cannot get SSI, these state agencies may be able to help him or her.

Work Opportunities for Young People Who are Getting SSI

Many young people who get SSI disability benefits want to work. The following information may be helpful.

We do not count most of a child’s earnings when we figure the SSI payment. We count even less of a child’s earnings if the child is a student.
We subtract the cost of certain items and services that a child needs to work from his or her earnings in figuring the SSI payment.
If a child is age 15 or older, he or she can establish a Plan to Achieve Self-Support (PASS). With a PASS, a child can set aside income for a work goal. We will not count this income when we figure the SSI payment.
A child’s Medicaid coverage can continue even if his or her earnings are high enough to stop SSI payment, as long as the earnings are under a certain amount.

Social Security has two programs that can assist young people who get SSI disability benefits and want to go to work:

Work Incentives Planning and Assistance (WIPA)
Protection and Advocacy for Beneficiaries of Social Security (PABSS) program

Your local Social Security office can provide more information about these programs. You can also find more information on our Work website, www.socialsecurity.gov/work/.

how to get a disability pension, care allowances and benefits

Yulia Semenyuk

mother of a child with a disability

Author profile

In the summer of 2020, my daughter got sick. She periodically had a fever and her legs hurt.

The pediatrician prescribed antibiotics and sent us to a rheumatologist. The rheumatologist ordered a bunch of tests and, in turn, sent me to an infectious disease specialist, but neither one nor the other could make a diagnosis. Two months later, my daughter and I ended up in a children's hospital for an examination. And two months later and after two biopsies, my daughter was diagnosed with lymphoma.

Now she has a disability and I am the mother of a child with a disability. In this article I will tell you what benefits and compensations are due to our family and how to apply for them. In addition to payments to parents of children with disabilities, there are tax and labor benefits: I haven’t applied for them yet, so I can’t share my experience.

What payments are due to a family with a child with a disability? I will tell you about the main benefits that families with a child with a disability can count on.

Disability pension is called social because the child did not work, but receives a pension due to health problems. As of September 2021, the pension of a child with a disability was RUR 13,912.10. From April 1, 2022, it increased to RUR 14,983.32, and from July 1, 2022, to RUR 16,619.39. to them, the amount of the social pension is additionally multiplied by the regional coefficient.

Art. 11, 18 of the Federal Law "On state pension provision in the Russian Federation"

Monthly cash payment, or CST, consists of two parts - the actual cash payment and the set of social services, or NSO. There are only three services: free travel on commuter trains, as well as on intercity transport to and from the place of treatment, medicines and annual rest of the child in a sanatorium. You can refuse all this and receive monthly compensation.

Art. 28.1 of the Federal Law on the social protection of people with disabilities in the Russian Federation

art. 6.2, part 3 of Art. 6.3 Federal Law "On State Social Assistance"

Every year the payment is indexed: from February 2022, it is equal to 1850. 78 R. Compensation for the NSO is another 1313.44 R monthly.

Table of amounts of UDV with and without VAT

Both pension and UDV are paid by the pension fund. You do not need to apply separately for a monthly cash payment: it is assigned automatically and the pension fund transfers it using the same details as the social pension.

Benefit for caring for a child with a disability. If a child with a disability needs constant care and mom or dad cannot work because of this, the pension fund pays an allowance.

Decree of the President on monthly payments to persons caring for children with disabilities and people with disabilities from childhood of group I

As of July 2022, non-working parents can receive 10,000 R monthly. If a child with a disability is cared for not by a parent, but, for example, by an aunt, the payment will be less - 1200 R.

Benefit for paying utility bills. Families with children with disabilities are entitled to compensation for housing and communal services.

Art. 17 Federal Law on the social protection of people with disabilities in the Russian Federation

Housing and communal services, in particular, include payment for the maintenance of residential premises and current repairs, payment for major repairs, for garbage collection, for electricity, water, gas, heating. This is a federal benefit, but each region calculates it differently.

We live in St. Petersburg: in our region, the benefit is calculated according to a complex formula that takes into account the number of people in the family and the regional payment standard per square meter. To be rough, it will turn out like this - the larger the apartment and the fewer people registered in it, the less the benefit will be.

Cash payments for paying for housing and utilities to certain categories of citizens - St. Petersburg public services portal

The regional standard changes several times a year, so in winter the payment will be more due to the heating season, and less in summer. From July to August, we paid an average of 5912 R for a communal apartment, and received compensation of 2908 R for each month - a little less than 50%.

Payment relief is not a discount, but compensation: you still have to pay the full amount on the receipt, but then some of the money is returned. The most important thing is to avoid debts: if there is a payment arrears for at least two months, then the money is no longer transferred.

Cash payments to disabled people from the budget of St. Petersburg

Regional payments. For families with children with disabilities, regional payments are provided: their size and terms of appointment differ in different cities. In St. Petersburg, we receive 17,257 R monthly for a child with a disability and a little more than a thousand for our second child. To receive these payments, you need to contact social security: directly or through the MFC.

Art. 18 of the Social Code of St. PetersburgPDF, 950 KB

All payments are assigned for the period of disability, they do not need to be reissued every year. Next, I will give step-by-step instructions that will help you apply for benefits and not get confused in the documents.

Here is a list of all benefits for children with disabilities in St. Petersburg. I didn’t apply for many of them: I don’t have a car, so compensation for OSAGO and a parking permit for a person with a disability are not relevant to us. Source: Government of St. Petersburg

Step 1

Obtain disability documents

To receive benefits for a child with a disability, you need a certificate of disability. It indicates the date of birth, the address of the child's registration and the period of disability.

To obtain a certificate, you must pass a commission of medical and social expertise. In our case, it took place in absentia: Alina and I were in the hospital, so the ex-husband took the birth certificate, medical statements to the clinic at the place of residence and filled out applications.

These documents were enough for us, but other polyclinics may require other papers: for example, records of a child’s examination by narrow specialists of this particular polyclinic and a reference from the school. In our case, the polyclinic specialists independently contacted the school administration and clarified all the points of interest to them.

/list/disabled-child/

Benefits for parents of a child with a disability

I received my certificate of disability by registered mail addressed to the child. Together with him came an individual program of rehabilitation and habilitation - IPRA. It indicates the degree of restriction of the child - this is something like disability groups in adults. But unlike adults, in children, the higher the number, the worse their health.

A rehabilitation program will be needed if the child needs extra help, medication or special mobility aids. I wore a rehabilitation program at the MFC when I applied for a benefit for housing and communal services, I didn’t use it anymore. From 2021, the IPRA should be only in electronic form, and it is sent on paper upon request: but in our case, the program was attached to the letter.

paragraph 10 of the order, approved. By order of the Ministry of Labor No. 486n

dated June 13, 2017, I usually carry a photo of a certificate with me: according to it, a child can, for example, enter the park for free on weekends and holidays. An individual rehabilitation or habilitation program consists of more than 10 sheets. It lists the health problems of the child, as well as the need for social and psychological assistance or special means such as crutches, strollers

Step 2

Apply to the pension fund for a pension and a single payment

A social pension and a single social allowance are due to a child from the moment the disability is received until it ends - these dates are indicated in the certificate of disability. If you apply for a pension later, the state will repay the debts, but for a maximum of six months.

My daughter's pension and cash payment arrive in my account around the middle of the month. The payment schedule can be clarified on the website of the pension fund - for this, you need to select your region.

What documents are needed. Birth certificate and certificate of disability of the child, parent's passport, details for crediting money. If this data is available in your personal account on the website of the pension fund or public services, they will be pulled up to the application automatically.

/invalidnost/

Personal experience: how to apply for disability

Where to apply. A pension for a child with a disability can be issued remotely through the personal account of the pension fund. Another option is to submit documents in person: at the MFC or the territorial department of the pension fund at the place of residence of the child.

We applied through the personal account of the pension fund. Here is what was needed for this:

Scan or photograph all the necessary documents, save the details for crediting the pension.
Send an application through your personal account on the website of the pension fund. On the main page, you need to select "pension provision" - "assign a pension", on the next screen, log in through public services and then select "apply for a pension". The application must be submitted "through a representative", because this is the personal account of the parent, not the child. After filling in and confirming all the fields, click "generate an application".
Wait for a decision on granting a pension: in our case, the application was considered for a week. You can follow the progress of the case in your personal account.
Submit an application about where the pension will go. By default, the pension is sent to the mail. In order for money to be credited to a bank card, one more application must be submitted on the website of the pension fund or public services - “on the delivery of a pension”. To do this, you will need a Mir card: this payment will not be credited to cards of other systems. I didn't have a Mir card, and I couldn't go to the bank because we were in the hospital. Therefore, I added a Mir virtual card to my existing bank account: it took a few minutes. The details of the virtual bank card were accepted by the pension fund without question.

To increase the payment, you can refuse a set of social services through the website of public services, the personal account of the pension fund, at the pension fund department or the MFC. This application must be submitted before October 1 of the current year: then the money for the NSO will begin to accrue from January of the next.

The Pension Fund has received an application. After processing and verifying the data, the PF assigned a pension. If the data is not enough, specialists call and clarify the information. I was asked about registration. Source: State Services

Step 3

Apply for disability child care allowance

This allowance is also paid by the pension fund. He is assigned to a person who cares for a child, and only on the condition that he is not working at this time. Retired grandparents cannot claim the allowance: it is paid only to able-bodied persons.

Decree of the President on monthly payments to persons caring for children with disabilities and people with disabilities from childhood, group I

What documents are needed. To assign this payment, you only need an application: the pension fund requests and receives other documents on its own.

Application form for child care allowance

Where to apply. You can apply remotely through the personal account of the pension fund or by phone. And you can come to the client service of the pension fund or the MFC.

The pension fund will make a decision within 10 days. For the months preceding registration, the allowance is not paid.

If the person caring for the child goes to work or retires, the allowance will stop. Changed circumstances must be notified to the pension fund within five days.

Community 09/08/21

How to combine pension and disability care payment?

To apply by phone, you will need to set a secret code or a secret question in the personal account of the pension fund, with the help of which the operator will verify the identity of the applicant

Step 4

Issue compensation for expenses for paying for housing and utilities

Compensation can be received retroactively: after registration, it will be accrued no more than six months from the moment the child received a disability.

My daughter was diagnosed with a disability in January, I submitted the documents for payment at the end of April, and a positive decision was made in mid-May. I received my first compensation at the end of June - 2817.26 R, at the same time I received a payment for the previous four months.

What documents are needed. Certificate of disability, child's birth certificate, parent's passport, details for payment, as well as a certificate in form 8 or 9: this document confirms that a child with a disability is registered in an apartment for which they receive a benefit.

/subsidia-zhku/

How to get a subsidy for utility bills

These forms differ in different regions and are issued by different organizations: you can find out what kind of certificate you need at the MFC or on the regional public services website.

This is form 8, which is issued in St. Petersburg, it has been at my house since 2013.

It was issued when the child was registered in apartment

In St. Petersburg, form 8 for children is given during the registration of the child, and it is kept at home. But I forgot that I have it, so I went for form 9: you can get it at the department of moving in and registration or at the passport office. It looks different - it lists everyone registered in the apartment.

You still need to bring receipts for housing and communal services, electricity and major repairs to the MFC for the last month. If there are no required receipts, the documents will still be accepted, but the receipts will be asked to be delivered later.

At the same time, in some regions - for example, in St. Petersburg - the payment is in no way tied to receipts. Nevertheless, at the MFC they asked me to convey them. In the end, I did it after I made a positive decision, although I didn’t see the point in it.

/guide/zhkh/

How to pay utility bills

Where to go. The benefit can be issued remotely through the regional website of public services. But I didn’t succeed, because I had to attach a certificate that I do not receive such a benefit: and I did not have such a certificate.

Another way is to contact the MFC. The operators will fill in all the documents themselves, they will only need to be signed. Then you will receive an SMS about what decision was made - positive or negative.

The process of obtaining benefits through the MFC was very simple: I brought only the original documents, the operators on the spot made copies of them. I forgot to print out the payment details and simply copied them by hand from the banking application directly to the MFC.

Step 5

Apply for a monthly allowance

The monthly allowance for a child with a disability is paid by the regions, so the amount of the payment is different everywhere.

In St. Petersburg, the Committee on Social Policy of St. Petersburg is responsible for benefits and allowances for children with disabilities, and the City Information and Settlement Center pays benefits: there you can ask questions about the timing and amount of payments and change your account details.

In St. Petersburg, 7659 R per month is paid for a child with a disability. Money comes first.

7965 Р

monthly allowance for a child with a disability in St. Petersburg

What documents are needed. Certificate of disability and IPRA, child's birth certificate, parent's passport, form 8 or 9, payment details.

I also brought with me to the MFC a certificate of divorce and a birth certificate for my second child - they were copied and saved in the database. These data did not affect current payments. I think that the MFC was collecting documents for the future - for example, if I wanted to apply for benefits for single-parent families.

Where to contact. The allowance can be issued through the personal account of the regional website of public services or in person through the MFC. My child and I were in the hospital, so I applied for the allowance remotely through the St. Petersburg public services portal.

Here's how to do it:

Collect the necessary documents. Prepare scans or photographs of the main documents for the electronic application. Bank account details must also be in electronic form.
Log in to the site through the ESIA - as well as on public services.
Select the service "monthly allowance for a disabled child aged from birth to 18 years" in the catalog.
Fill out an application, attach all required documents and wait for a positive decision.

The application is considered within a month, but if a positive decision is made, then all debts are returned - a maximum of the previous six months from the date of disability. For example, my daughters were put on disability in January, but I applied for benefits only in May: when he was assigned, I received money for four months - from January to May.

/benefits/

Payments and child benefits in 2022

Favorable benefit decision: here I am advised to apply for second child benefit.

The contact phone number is the district department of social protection of the population: it is easy to get through, they answer all questions about benefits

When I received a positive decision, it turned out that my child is considered a child with a disability with special needs and we have the right to receive an increased payment.

Monthly allowance for a disabled child with special needs

Monthly allowance for a child with a disability with special needs is paid for a child whose individual rehabilitation program indicates the third degree of restriction. This payment is more than the usual allowance: 17,947 R instead of 7,965 R.

17,947 R

monthly allowance for a child with a disability with special needs in St. Petersburg

You can apply for this benefit only through the MFC. You need to bring a standard set of documents with you: passport, birth certificate, certificate of disability and IPRA, form 8 or form 9, payment details.

I applied at the end of April, the city administration made a positive decision at the end of May. In June, all my debts were paid off, because less than six months had passed since the disability was registered. If more time had passed, then they would have given the money only for six months.

Step 6

Apply for a monthly allowance for a child from 7 to 16 years old

In St. Petersburg there is an allowance for school-age children from special families, including those in which a child with a disability is brought up. In 2022, they pay 1085 R per child.

What documents are needed. Certificate of disability, birth certificates of children, parent's passport, form 8 or 9, payment details.

So what? 04/27/21

Zero income rule for payments for children aged 3 to 7: what it is and how to comply with it

Where to go. This allowance is quite simple to issue remotely through the St. Petersburg public services portal: you need to fill out an electronic application, attach scans of documents and wait for a positive decision. Another way is to contact the MFC with a package of documents, but I have not tried this method: the application was easily accepted and approved remotely.

Step 7

Get free medicines

The medicines necessary for the life of a child with a disability are listed in the IPRA individual rehabilitation and habilitation program. All of their children can receive for free - regardless of whether they are on the federal or regional lists of essential drugs or not.

If parents have renounced NSI in kind and receive money, then they do not have benefits for receiving free medicines from the federal budget. But the rights to a regional benefit still remain, so , children with disabilities can receive both a federal supplement for NSI and free medicines at the expense of the budget of a constituent entity of the Russian Federation.

Program of state guarantees for free medical care in St. PetersburgPDF, 7.1 MB

item 1 of the review of the Supreme Court on disputes related to social support for citizensPDF, 807 KB

List of population groups that are entitled to free medicines and medical products for outpatient treatment

Clarification of the Ministry of Health on the right to receive free medicines from the regional budget

What documents are needed. Certificate of disability, IPRA. In our clinic, these documents are already in the database - you do not need to bring them every time.

Where to go. Preferential prescriptions are written by a pediatrician or an attending physician, so you need to contact the clinic at the place of residence of the child. Since parents of children with disabilities often visit pediatricians on various issues, sometimes it is possible to agree on convenient conditions: for example, we take blood tests at home for free, and the pediatrician leaves all the necessary referrals at the registry so that I do not sit in line at cabinet.

We don't get free medicines, but I suppose we can arrange to get prescriptions for medicines also in a special regime.

If the pediatrician refuses free medicines, I advise you to write to the head of the clinic with a request to provide the child with medicines at a discount. A written request must be answered within 30 days, but usually issues are resolved faster: after I complained to the manager about the long paperwork for the medical and social examination, they apologized to me the next day, and disability was established after five days.

The 10 most purchased drugs in Russia

After filling out a prescription, you can get medicines at the pharmacy. Not everyone is suitable: in the clinic you need to find out which pharmacy you can get free prescription medicine. If the medicine is not available, you will need to leave a request and wait for delivery.

After my email to the clinic, the documents were sent to the ITU instantly

Step 8

Get a ticket to the sanatorium

Once a year, children with disabilities can go to the sanatorium for 21 days free of charge. Together with a child, one accompanying person can also travel for free. This is a federal benefit provided by the Social Security Fund, so if the parents refused the NSI in kind, they will not give a free ticket.

Art. 6.2 Federal Law "On State Social Assistance"

What documents are needed. Certificate on form 070/y from a pediatrician, child's birth certificate, parent's passport and application.

Where to go. A ticket to a sanatorium is given to a child with a disability only if there are indications and if there are no contraindications, so you first need to contact a pediatrician at the clinic. The pediatrician will issue a certificate on form 070/y: this certificate is valid for 12 months.

After that, the documents must be submitted to the FSS: personally, through the MFC or using the public services portal.

On the website of public services, select "provision of spa treatment" and then "provision of a voucher for spa treatment in the territorial bodies of the Fund. " After authorization, an electronic application form will appear, where you will need to enter data on a medical certificate, place of residence, passport and birth certificate. You can’t choose a sanatorium, places are given in turn and according to the diagnosis.

/socstrah/

What benefits from the state are people with disabilities entitled to

To get tickets, you need to fill out a separate application and select the item "provision of free travel by intercity transport to the place of treatment and back in the territorial bodies of the Fund."

When the applications are approved, the FSS will issue a ticket and paper or electronic coupons for free travel. Paper coupons can be exchanged for tickets at Russian Railways ticket offices, and an electronic ticket will allow you to issue tickets through the Russian Railways website. You can select only certain tickets - they are visible in the "FSS benefits" filter.

Remember

Children with disabilities throughout the country can apply for a monthly social pension and a single cash payment - in 2022, only 18,470. 17 R. In addition, you can get free medicines, the right to free travel on public transport and one ticket to a sanatorium within a year or exchange a set of social services for a monthly payment - another 1313.44 R monthly.
Families with a child with a disability can receive a benefit for housing and communal services in the form of compensation: first, you will need to pay the utility bill in full, and then the region will return part of the money to the card. The amount of the benefit is calculated differently in each region.
If one of the parents left his job to take care of a child with a disability, he can receive benefits from the state instead of a salary - 10,000 R monthly. If another able-bodied relative takes care of the child, the allowance will be 1200 RUR.
In addition to federal payments, there are regional payments: for example, in St. the same family.

New rules for registration of disability have been established in Russia

From July 1, 2022, disability will be established in Russia according to new rules. This was told in the press center of the newspaper "Regional" by the head - the chief expert on medical and social expertise of the Main Bureau of Medical and Social Expertise in the Irkutsk Region of the Ministry of Labor of Russia Natalya Rybchenko.

- Temporary Disability Procedures were introduced on March 1, 2020 to protect people with disabilities from the new coronavirus infection and to keep them social support measures, including pensions. All examinations took place (and are taking place until July 1) in absentia format.

For a disabled person of any age, including a child whose disability period is ending, expert doctors automatically extend the disability for six months and all recommendations in the individual rehabilitation and habilitation program. The temporary order was extended several times. During this period, the procedure for establishing a disability group, the category of "disabled child", developing an individual program for the rehabilitation or habilitation of a disabled person (a disabled child) for a period of 6 months (extension) was carried out by expert doctors more than 61 thousand times. According to the results of 2021, 9 people were recognized as disabled for the first time759 adults, in the category of "disabled child" - 1245 children.

During the coronavirus pandemic, the Order of the Ministry of Labor and Social Protection and the Ministry of Health of the Russian Federation dated June 10, 2021 No. 402n/631n “On Approval of the List of Medical Examinations Necessary for Obtaining Clinical and Functional Data, Depending on diseases for the purpose of conducting a medical and social examination”. It regulates a complete list of examinations that a citizen should conduct in a clinic, depending on his diseases. If there are no examinations from this list in the direction to the ITU, he is returned to the clinic. There, doctors are required to conduct these examinations within 14 days, notify the citizen of the return and inform the work schedule of the necessary polyclinic specialists.

At the end of 2021, it turned out that diseases that more often lead to disability in adults are malignant neoplasms, diseases of the circulatory, musculoskeletal and connective tissue systems, mental and behavioral disorders. In children - mental and behavioral disorders (mental retardation - 68%), diseases of the nervous and endocrine systems, eating disorders and metabolic disorders (diabetes mellitus), congenital anomalies, deformities and chromosomal disorders.

After the cancellation of the temporary disability procedure, there will be no automatic extension without a referral at the polyclinic. For citizens whose re-examination period is due by July 1, 2022 (inclusive), the previously established disability group (including the category “disabled child”) will be extended by six months. If the disability expires after this date, you should contact the medical organization at the place of residence for the timely execution of a referral for a medical and social examination. Re-examination can be done in advance, but not earlier than two months before the expiration of the established period of disability.

The absentee form of the ITU found a positive response in society. Nevertheless, there are a number of problems that have arisen in the work of expert doctors. One of the most serious is the increase in the number of referrals to the ITU, in which the impaired functions of the human body are not fully reflected, or the information in the referral contradicts each other. Under the conditions of an external examination, expert doctors work exclusively with documents and there is no opportunity to objectively examine a person. It completely excludes the possibility and, if necessary, to conduct special types of examinations on diagnostic equipment that is available at the ITU Head Office (hardware and software complex, experimental psychological examination). As a rule, specialists of medical organizations in their documents do not reflect, for example, the peculiarities of the movement or self-service of a citizen, his ability to perform daily household activities, navigate in space and time. Such information can be obtained only during face-to-face expert rehabilitation diagnostics at the ITU Bureau. In addition, after the correspondence examination, the documents-results are sent by mail, by registered mail. People are forced to wait, there were cases of non-receipt due to the fact that a person simply refused to visit post offices for fear of contracting COVID-19along the way or in the branch itself.

From July 1, 2022, new rules for recognizing a person as disabled will come into force (Decree of the Government of the Russian Federation of April 5, 2022 No. 588), in which work experience during the pandemic period was also used. The citizen will be notified of all stages of the process. He will receive notifications from the ITU bureau about everything that happens after the referral is received by the bureau (for example, about registering a referral to the ITU, or indicate the reasons for returning the referral to a medical organization), from doctors from the medical organization about the progress and preparation of transferring the referral to the ITU (for example, on retransmission of the referral to the ITU Bureau). Such notifications will be on paper, via SMS by phone, and subsequently through the State Services portal.

The citizen will independently decide in what form to undergo an examination: in person or in absentia. However, personal presence is necessary if the data of diagnostic studies in the referral do not correspond to the conclusions of doctors, an examination with special equipment is necessary if the patient lives in a boarding school, and if necessary, change the individual rehabilitation or habilitation program (IPRA), it is impossible to verify the completeness and reliability of the information contained in the submitted documents.

Examination for the establishment of disability and IPRA will take place only in the direction of a medical organization. But in order to obtain a duplicate certificate, or change personal data and anthropometric parameters in the IPRA (and for some other purposes), an application can be submitted through the public services portal. For the first time in a medical organization, a deadline has been set for issuing a referral to the ITU - 30 working days from the date of the decision of the VC on referral to the ITU.