BDAR

National Health Insurance Fund

Tasks and functions of NHIF activities

7. The most important task of the National Health Insurance Fund is to implement compulsory health insurance in accordance with the procedure established by legal acts, to properly represent the interests of the insured and to implement the provisions of the program of the Government of the Republic of Lithuania in this field:

7.1. Ensures the payment of the costs of preventive medical care, medical assistance, medical rehabilitation, nursing, social services and services assigned to personal health care, as well as the provision of personal health examination services from the budget of the Compulsory Health Insurance Fund (CHIF) through territorial health insurance funds (THIF) on the grounds and under the conditions established by the Law on Health Insurance;

7.1 1 . Pays the costs of renting medical devices (measures) necessary for the insured to ensure home health care on the grounds and under the conditions established by the Law on Health Insurance;

7.2. prepares and submits to the Ministry of Health the draft budget of the Compulsory Health Insurance Fund (its revision), forecasts indicators of the budget of the Compulsory Health Insurance Fund for the next two years and sets of annual budget execution and financial reports of the Compulsory Health Insurance Fund under the conditions and terms established by the Law on Health Insurance and other legal acts;

7.3. Manages the Register of Persons insured with compulsory health insurance in accordance with the procedure established by the Law on Health Insurance, the Law on Management of State Information Resources, the Law on Patients' Rights and Compensation for Health Damage, the regulations of the Register of persons insured with compulsory health insurance and other legal acts.

7.4. implements the budget of the Compulsory Health Insurance Fund;

7.5. disposes of the funds of the budget of the Compulsory Health Insurance Fund;

7.6. in coordination with the Ministry of Health, forms a reserve from the budget of the Compulsory Health Insurance Fund and uses it in accordance with the procedure established by the Government;

7.7. invests temporarily free funds of the Compulsory Health Insurance Fund in accordance with the procedure established by the Law on Health Insurance;

7.8. establishes territorial health insurance funds after harmonizing the number of territorial health insurance funds and their territorial activity zones with the Ministry of Health; approves their regulations and supervises their activities;

7.9. performs audits of territorial health insurance funds or, in accordance with the procedure established by legal acts, enters into agreements with audit companies regarding the audit of territorial health insurance funds;

7.10. reimburses the costs of reimbursable medicines and medical aids in accordance with the procedure established by the Ministry of Health;

7.11. reimburses the costs of prosthetics of limbs, joints and organs, acquisition of prostheses and centrally paid medicines and medical aids in accordance with the procedure established by the Ministry of Health;

7.12. pays the costs of personal health care services in accordance with the procedure established by the Ministry of Health;

7.13. organizes and implements the process of pricing personal health care services, calculates the basic prices of personal health care services paid from the budget of the Compulsory Health Insurance Fund and, with the approval of the Compulsory Health Insurance Council, submits them to the Minister of Health for approval;

7.14. in coordination with the Ministry of Health, envisages the development directions and long-term strategy of compulsory health insurance;

7.15. prepares and submits to the Ministry of Health for approval the strategic activity plans (programs) of the State Health Insurance Fund, revises them, implements them and submits reports on their implementation;

7.16. establishes indicators of the functioning of the compulsory health insurance system and monitors this system in accordance with them;

7.17. Performs the managers functions in the compensated and non-compensated medical products and compensated medical help measure price declaration and price-list conclusion information system „iDrug“, in relation to the medical drugs and compensated medical help measures price declaration and pricing conclusion;

7.18. in accordance with the procedure established by legal acts, provides an opinion on the issues of Compulsory Health Insurance;

7.19. manages, uses and disposes of property transferred by the state or municipalities without violating the rights and interests of laws and other persons;

7.19 1 . performs the functions of the Advance patient registration information system manager in accordance with its competence;

7.20. performs other functions assigned to it.
Source of information: Minister of Health of the Republic of Lithuania, 2003 January 23 order no. V-35 “On Approval of the Regulations of the State Health Insurance Fund under the Ministry of Health”.

Last updated: 07-06-2021