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

Most families probably already know that for the birth or adoption of a second child, the state provides for the issuance of maternity capital - solid financial support for young couples.

At the same time, not everyone correctly understands that such assistance is provided only to those families who intend to spend it on achieving certain goals provided for by current legislation. As is known, the provision of maternity capital is intended to improve the quality of life of the child, and if the child is sick, many mothers quite rightly expect to use the possible amount for his treatment.

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However, the current legislation includes a lot of nuances on this matter, so it is better to figure out in advance whether maternity capital can be spent on treating a child in each individual situation.

Basic terms

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

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

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

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

What can you buy with maternity capital?

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

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

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

Doctor with examination results

Providing services according to the free federal list

There is a list of activities that are provided to disabled children completely free of charge according to the federal list. This includes the provision of technical equipment and medications, prosthetics, and sanatorium-resort treatment.

Please note that maternity capital cannot be spent for these purposes!

The free federal list lists the following goods and services:

  1. Measures taken to rehabilitate the child. That is, this is restorative and reconstructive treatment, which includes items such as orthotics, prosthetics and medications.
  2. This also includes means for special rehabilitation.

Specialized tools of this type include:

  • Equipment designed to care for disabled people - such as special handrails, wheelchairs and canes.
  • Devices for hygienic procedures include special absorbent underwear, anti-bedsore mattresses, devices for grasping objects and dressing.
  • Devices created specifically for orienting disabled people - that is, the help of dogs specially trained for this (this also includes all the necessary equipment).
  • Prostheses and prosthetic-type devices - this includes not only the prostheses themselves, but also special underwear, hearing aids, shoes, and so on.
  • Reading devices for the visually impaired and so on are used as educational aids.
  • If necessary, communication devices are provided, such as voice-producing devices or televisions equipped with teletext for the visually impaired.
  1. Additionally, children with special needs are provided with rehabilitation services, such as typhology and sign language interpretation, maintenance for guide dogs, as well as repair of TSD.

Those devices listed above are fully paid for by the state. As for TSR, they remain at the child’s complete disposal.

If the TSR was purchased by the child’s family, then compensation for the funds spent is possible. However, you need to contact the social security authorities for this.

The process of obtaining government support funds

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

How to get my money back?

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

IPRA for a child

About dental services

Regional maternity capital can be spent on paying for the restoration of oral health and dental treatment at the dentist. A mother or father (i.e., the certificate holder) can exercise this right and pay for their own treatment or dental services for their children.

The procedure for obtaining medical care in such cases is established by the laws of the constituent entity of the Russian Federation and usually includes the following steps:

  1. After receiving a regional maternal certificate, its owner applies to a clinic that provides treatment using this form of payment. At the institution, he makes an appointment, receives a consultation with a dentist, and undergoes an initial examination.
  2. The clinic prepares a package of documents: an agreement for the provision of paid services, a certificate or medical report on the need for treatment, an estimate for the provision of services in accordance with the agreement. In addition, you will need a copy of the medical facility's license.
  3. With the received papers, the certificate holder applies to the regional department of social protection and fills out an application for the use of maternal capital.
  4. After approval, the money will be transferred to the account of the medical institution.

Documents for the Pension Fund of the Russian Federation

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

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

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

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

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

The full list of services provided free of charge to children with disabilities is regulated by Order of the Government of Russia dated December 30, 2005 No. 2347-r. What does this list include?

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

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

What can you spend maternity capital on in 2021?

There are more options for where to send this considerable amount. But the strict rule still applies - the certificate cannot be cashed. How can you legally dispose of maternity capital in 2021:

  • Buy an apartment with a mortgage. Money from the state can be used as a down payment. Or pay off the balance of your mortgage if you already have one. You can repay part of the loan when the child turns 3 years old. You can use matkapital for a down payment on a mortgage immediately.
  • Build or repair a private house with individual housing construction status or on a garden plot through a contractor or independently.
  • Compensate for expenses on construction or renovation of a private home.
  • Pay off part of the military mortgage debt.
  • Make a down payment for the rural mortgage program.
  • Put it into an account for your mother's future pension.
  • Pay for your child's education.
  • Buy goods to make life easier for a disabled child (stair lift, special bed, computer with touch screen, etc.).

The Government is discussing the possibility of investing maternity capital in bank deposits and bonds. These are assets with minimal risks. But the return on such investments is minimal. For example, interest on bank deposits does not always cover official inflation. According to the draft law, it is impossible to withdraw money. The family will receive passive income. Buying and selling bonds to make money on price differences will not work.

Regional maternity capital for the treatment of a child

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

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

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

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

The meaning of innovation

According to the Pension Fund of Russia, the number of families that received a certificate and have disabled children in 2021 alone amounted to 13.5 thousand people.
Of course, all these children, like their families, need support from the State. And all because the socialization of such citizens is a difficult and, most importantly, expensive task. In this regard, it was decided that part of the funds from state aid will be given to disabled children for the following purposes:

  • Rehabilitation of children whose disabilities are actually recorded in the ITU.
  • Socialization, which allows the child to be introduced into the social environment. Exact list of specials devices and services approved by Order of the Government of the Russian Federation of April 30, 2021 No. 831-r.
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