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For special care service providers

For new service providers

Activities required to start providing special care services

Special care services can be provided by a self-employed person, a legal personality or the local authority to which an activity licence has been issued by the Estonian National Social Insurance Board for the provision of special care services. You need to apply for an activity licence if you want to provide the following special care services:

  1. daily life support service;
  2. employment support service;
  3. assisted living service;
  4. community living service;
  5. 24-hour special care service, including 24-hour special care service for persons with profound multiple disabilities, persons with a mental disorder with unstable remission, and persons placed in a social welfare institution based on a court ruling.

NB: To apply for an activity licence for each special care service, a separate application must be submitted and a separate state fee must be paid.

To provide a special care service, the service provider does not have to have a contract with the Estonian National Social Insurance Board, but it is required to have an activity licence.  A service provider who has concluded a contract with the Estonian National Social Insurance Board (see clause 2) is paid for the expenses related to the service from the state budget through the Estonian National Social Insurance Board. After obtaining an activity licence, it is possible to submit an application to the Estonian National Social Insurance Board for concluding a service provision contract.  If the service provider has not concluded a contract with the Estonian National Social Insurance Board, the person in need of the service themselves or their closest ones must fully cover the service expenses, or the person can be assisted by a local authority, for example.

 

1. Application for activity licence

In order to obtain the activity licence required for providing special care services, you must submit an application to the Estonian National Social Insurance Board. The application can be submitted:

If you do not have the opportunity to apply for an activity licence electronically through the register of economic activities, you can apply for an activity licence;

  • in digitally signed form by sending an email to: info@sotsiaalkindlustusamet.ee
  • by post to the following address: Paldiski mnt 80, 15092 Tallinn;
  • through a notary.

To obtain an activity licence, you must meet the following requirements:

  1. you must not have been convicted of an intentional offence, which may endanger the life, health or property of the service recipient;
  2. you have not been subject to liquidation proceedings, termination decision or bankruptcy;
  3. you have no tax arrears, including no deferred tax arrears;
  4. you have paid the state fee (before submitting the application);
  5. upon providing the service directly you must meet the educational requirements established in the Social Welfare Act;
  6. you have a medical certificate for facilitators on the completion of a medical examination for infectious diseases;
  7. you must have a certificate from the Estonian National Social Insurance Board on the compliance of the premises where the service is provided with the health protection requirements (unless the daily life support service or assisted living service is provided in the premises of the person receiving the service or upon providing the employment support service);
  8. you must have a certificate from the Estonian Rescue Board on the compliance of the premises where the service is provided with the fire safety requirements (unless the service is provided in the premises of the person receiving the service or upon providing the employment support service). The certificate from the Estonian Rescue Board is required if the person processing the activity licence is not able to verify compliance with the fire safety requirements in any other way (construction register, purpose of use, authorisation for use, etc.);
  9. you must submit the copies of documents certifying the education or qualification of a facilitator, unless these are entered in the Estonian Education Information System. In case of a profession acquired abroad, you must provide an assessment of the compliance of the education with the state-recognised higher education (ENIC/NARIC certificate);
  10. upon applying for an initial activity licence, you must provide a written consent of the facilitators to assume office at the service provider applying for the activity licence;
  11. you must submit a copy of the document certifying the right of representation of the person who has signed the application (unless the right of representation of the person is reflected in the registry card of the commercial register).

There must be written evidence of the circumstances described in clauses 7–11, which will be recorded in the application for an activity licence and submitted to the Estonian National Social Insurance Board with the application for an activity licence.

The application for an activity licence will be settled within 30 days of the submission of the last required document. If you fail to submit part of the information to be submitted in the application for an activity licence, the Estonian National Social Insurance Board will notify you thereof no later than on the working day following the day on which the deficiency is identified. In case of repeated failure to submit the required data, the Estonian National Social Insurance Board may reject the application.

The registrar will send an automatic reply to your email address concerning the entry of data in the register of economic activities, including a reference to the data entered in the register and, if the reply is based on an administrative act, a reference to the administrative act and possibilities for challenging it.

The Estonian National Social Insurance Board issues an activity licence only electronically in the environment of the register of economic activities; the activity licence is not issued on paper.

When operating in Estonia, a foreign undertaking must comply with the same requirements as a domestic undertaking. Information on operating in other contracting states of the European Economic Area can be found at the single point of contact of the respective country EUGO.

As of 1 July 2014, an activity licence already issued is valid without a fixed term, unless the undertaking itself wants to restrict its validity. An activity licence is issued and state supervision over the provision of special care services is exercised by the Estonian National Social Insurance Board. It is important to know that the temporary suspension of an activity licence for the provision of special care services is not permitted.

When applying for an activity licence, you will be assisted by Chief Specialist of the Monitoring Service of the Quality Department of the Estonian National Social Insurance Board Ülle Tiits, tel +372 518 8697, email ulle.tiits@sotsiaalkindlustusamet.ee.

More detailed information on the operations of the register of economic activities can be requested from the register of economic activities by calling +372 668 7080 or sending an email to register@mkm.ee.

2. Conclusion of a service contract with the Estonian National Social Insurance Board

The Estonian National Social Insurance Board publishes a notice on its website on the intention to conclude new service contracts after the declaration of the annual State Budget Act.  The notice is usually published after the adoption of the state budget by the Riigikogu.  Subject to budgetary availability, the Estonian National Social Insurance Board may also publish additional notices of the intention to conclude a contract during a calendar year.  Following the publication of a contract award notice, the service provider must submit a written request for the conclusion of the contract within one month of the publication of the notice.  The application form for concluding a contract will be published with the notice of intention to conclude contracts on the website of the Estonian National Social Insurance Board.

The contract will be concluded with a licenced service provider within three months of the declaration of the annual State Budget Act. A contract for the provision of services with the Estonian National Social Insurance Board obligates the service provider to provide special care services under the terms established by law and in accordance with the agreements in the contract.

The contract is concluded, taking into account the maximum number of service vacancies indicated in the activity licence of the service provider. The number of service vacancies indicated in the activity licence refers to the maximum capacity of the service provider, in which case it has fulfilled the requirements arising from law for the provision of the service.  At the same time, the contract does not obligate the Estonian National Social Insurance Board to ensure that the service provider fulfils all the service vacancies indicated in the activity licence. The fulfilment of the service vacancies is related to the allocation of budgetary resources and people’s choice of which service providers they want to use the special care service with.   

The Estonian National Social Insurance Board may refuse to conclude and/or extend a contract with a licenced service provider if precepts have been issued to the service provider due to non-compliance with the requirements related to the provision of special care services established by law.

 

Read more

  • Social Welfare Act – requirements for providers of special care services, requirements for persons directly providing services, requirements for service based on different types of service and other important factors; General Part of the Economic Activities Code Act – general requirements for the holder of activity licence, including the obligation to notify the issuer of the activity licence (Estonian National Social Insurance Board) of changes in the information included in the activity licence (seat, contact details, facilitators) within 5 (five) working days, at the latest.
  • General Part of the Social Code Act
  • Regulations of the Minister of Social Affairs
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Supervision of special care services

The Estonian National Social Insurance Board, through an authorised supervisory official, exercises state supervision over whether the special care service providers comply with the requirements provided for in the Social Welfare Act and legislation established on the basis thereof.

The purpose of supervision is to ensure compliance of the provision of special care services organised by the Estonian National Social Insurance Board with the requirements established by legislation. Any breaches are identified and eliminated in accordance with the legislation regulating the provision of special care services.

The following measures are applied to remedy breaches identified during state supervision:

  • consultation; 
  • precept; 
  • imposition of a penalty payment;
  • revocation of an activity licence.

Precepts issued as a result of supervision of special care services. (In Estonian)