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FEATURES GUIDE

OF DISABILITY
YEAR 2022

General considerations
In this guide you will find all the information necessary to manage the authorization of internships and help for the correct
presentation of the required documentation.

The benefits provided to people with disabilities are regulated in Law 24,901, which created a system of basic comprehensive
care benefits for people with disabilities, contemplating prevention, assistance, promotion and protection actions, with the in
order to provide them with comprehensive coverage for their needs and requirements. This law provides for full coverage of
the benefits specified therein, as well as those mentioned in the "Nomenclator of Basic Benefits for People with
Disabilities" approved by Resolution 428/1999 MSyAS, through services provided by Health Insurance Agents or contracted by
these.

Documentation must be submitted prior to the start of treatment and, in accordance with current regulations, the lack of
supporting documents will prevent us from providing coverage for the requested benefits. If delivery is made after treatment has
begun, if applicable, coverage will be authorized from the date of presentation. This documentation is in the nature of a sworn
declaration and is essential to analyze each requested benefit.

Exclusive partners
As reported in the medical record and in accordance with the provisions of current regulations (articles 11 and 12, Law 24,901),
our Department of Disability and Mental Health has an interdisciplinary team that is at your disposal to guide you about the
services you can access.

Likewise, through our contracted providers, you have full coverage of basic comprehensive care benefits for people with
disabilities (article 6, Law 24,901). To see our booklet, go to www.osde.com.ar.

If you choose to continue treatments with professionals or institutions that do not belong to our staff of providers, we offer you
two alternatives in that regard:

•Propose the professional/institution to be part of our booklet. Those interested may enter their data at
www.cvprest.osde.com.ar for subsequent evaluation. Once this information is uploaded, you can contact
0810.555.6733 so that, from that moment on, we can prioritize your order.

•Carry out the treatment through the direct payment system to the professional or institution - in which OSDE
will pay them the previously reported amount. The transfer will be made after the provision and within 35 business
days from the presentation of the invoice to OSDE - which should preferably be done on a monthly basis. It is
important to keep in mind that the amounts provided for in your plan may not cover all of the fees established by
professionals not hired by OSDE and that, in that case, any monetary difference that may arise will be your
responsibility.

It is suggested to select those institutions categorized and registered in the National Registry of Disability Providers to guarantee
care with professionals/institutions that provide quality services. You can consult this information at:
https://apps.snr.gob.ar/consultarnp/aplicacion/prestadores/prestadores.html

It is worth mentioning that, taking into account that comprehensive coverage must be provided through the providers themselves
or contracted by the Health Insurance Agent (article 6, Law 24,901), and that Decree 9/93 PEN left without effect any rule that
regulates benefit tariffs of any type between providers and social works (article 6), the excess coverage that OSDE provides
when a professional or an institution that does not belong to our staff of providers is chosen, may contemplate amounts that do
not coincide with the suggested reference tariffs. by the Nomenclator of Basic Benefits for People with Disabilities.

IMPORTANT: there are benefits that are covered exclusively through the providers contracted by OSDE, so we suggest you
consult with our Disability and Home Assistance Management before hiring a professional or private institution outside the OSDE
card.
Disability benefits

INDEX

General considerations.........................................................................................................................................1
Exclusive partners.................................................................................................................................................2
INDEX.....................................................................................................................................................................3
GENERAL DOCUMENTATION.......................................................................................................................5
REHABILITATION BENEFITS (SUPPORT BENEFITS)................................................................................6
Documentation to present:................................................................................................................................6
Medical indication model:................................................................................................................................6
• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud)..........................................................8
For treatments performed by professionals other than the card, you must additionally present the following
documentation:..................................................................................................................................................8
Remember that in order to provide benefits, the professional must be registered in the current national
registry of providers. OSDE will verify compliance with this requirement, and may limit the authorization
period and/or condition its payment.................................................................................................................8
EARLY STIMULATION MODULE..................................................................................................................9
Documentation to present:................................................................................................................................9
Medical indication model:................................................................................................................................9
• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud)........................................................10
For treatments carried out by institutions other than the card, you must additionally present the following
documentation:................................................................................................................................................10
Remember that in order to provide benefits, the professional must be registered in the current national
registry of providers. OSDE will verify compliance with this requirement, and may limit the authorization
period and/or condition its payment...............................................................................................................10
INTENSIVE/SIMPLE COMPREHENSIVE MODULE...................................................................................10
Documentation to present:..............................................................................................................................11
Medical indication model:..............................................................................................................................11
• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud)........................................................12
For treatments carried out by institutions other than the card, you must additionally present the following
documentation:................................................................................................................................................12
Remember that in order to provide benefits, the professional must be registered in the current national
registry of providers. OSDE will verify compliance with this requirement, and may limit the authorization
period and/or condition its payment...............................................................................................................12
INITIAL SPECIAL EDUCATION - EGB.........................................................................................................13
Initial level......................................................................................................................................................13
GB...................................................................................................................................................................13
Documentation to present:..............................................................................................................................13
Medical indication model:..............................................................................................................................13
For treatments carried out by institutions other than the card, you must additionally present the following
documentation:................................................................................................................................................14
JOB TRAINING.................................................................................................................................................15
Documentation to present:..............................................................................................................................15
Medical indication model:..............................................................................................................................15
For treatments carried out by institutions other than the card, you must additionally present the following
documentation:................................................................................................................................................16
SUPPORT MODULE FOR SCHOOL INTEGRATION...................................................................................16
Documentation to present:..............................................................................................................................16
Medical indication model:..............................................................................................................................17
For treatments carried out by institutions other than the card, you must additionally present the following
documentation:................................................................................................................................................18
SUPPORT MASTER MODULE.......................................................................................................................18
Documentation to present:..............................................................................................................................19
Medical indication model:..............................................................................................................................19
• Agreement signed by the responsible family member/guardian, director of the common school and the
intervening professional. For the document to be valid, it must have three signatures. (1)...........................19
• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud)........................................................19
For treatments carried out by institutions other than the card, you must additionally present the following
documentation:................................................................................................................................................19
THERAPEUTIC EDUCATIONAL CENTER...................................................................................................20
Documentation to present:..............................................................................................................................20
Medical indication model:..............................................................................................................................20
For treatments carried out by institutions other than the card, you must additionally present the following
documentation:................................................................................................................................................21
DAY CENTER...................................................................................................................................................21
Documentation to present:..............................................................................................................................22
Medical indication model:..............................................................................................................................22
For treatments carried out by institutions other than the card, you must additionally present the following
documentation:................................................................................................................................................22
TRANSPORT.....................................................................................................................................................23
Documentation to present:..............................................................................................................................23
Medical indication model:..............................................................................................................................23
For transfers made by carriers other than the card, the following documentation must be additionally
presented:........................................................................................................................................................24
IMPORTANT – ACKNOWLEDGMENT OF DEPENDENCY...................................................................25
EVENTUAL TRANSPORTATION..............................................................................................................25
HOME................................................................................................................................................................25
Documentation to present:..............................................................................................................................25
• General documentation (detailed on page 5). A thorough rationale for the need for this benefit is
important.........................................................................................................................................................25
Medical indication model:..............................................................................................................................25
• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud)........................................................27
ANNEX/FORMS...............................................................................................................................................27
BILLING OF PROFESSIONALS OUTSIDE THE CARD..............................................................................28
Invoice recipient details:.................................................................................................................................28
Invoice Body:..................................................................................................................................................28

GENERAL DOCUMENTATION
All members who receive our coverage and comprehensive care for people with disabilities must present:

• Copy of the Single Disability Certificate (only if the one previously presented has expired at the time of delivery of
the documentation for renewal).

• Summary of the annual and single Medical History for all benefits , with signature, seal, type and legible
registration number of the treating doctor. It must include: date, first and last name, document number, diagnosis,
health history and evolution of the patient.

Indicative model of Summary of Clinical History

Summary of Medical History

Place: Date: / /

Patient's data

Last name and name: ID number:

Birthdate: / / Age:

Weight: Size:

Diagnosis:
Evolution of the basic clinical picture (physiatric/psychiatric) in the last year with the therapeutic scheme that was
implemented:

Complete history of therapeutic and/or educational interventions:

Tuition Name, surname and telephone number Signature and stamp

REHABILITATION BENEFITS (SUPPORT BENEFITS)


A support benefit is the one that a person with a disability receives as a complement or reinforcement of another main benefit
included in the Nomenclator of Basic Benefits for People with Disabilities.

Documentation to present:

• General documentation (detailed on page 5).


• Medical indication:
•Member name and number.
•Weekly benefit and frequency.
•Diagnosis.
•Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).

Medical indication model:

R/P
Name and surname:
Member number:

I request: Benefit and number of weekly sessions.

Period:

Diagnosis:

Date (must be prior to the prescribed period): / /

Signature:
Stamp (type and registration number):

• Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.
• Treatment/approach plan with period, specific objectives, areas to be treated, strategies to use in the intervention
considering the different contexts, weekly frequency (with days and times in which the patient attends), modality of
provision and intervening professionals. (1)

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733
or by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .
• Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment.(1)

• Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud)

For treatments performed by professionals other than the card, you must additionally present the following
documentation:

• Copy of the professional's qualifying title or, if the treatment is carried out in an institution, qualification and category of the
ANDIS (National Disability Agency). (Only for starting treatments or changes of professional/institution).

• “Request for direct payment to the professional/institution” form. (Only for starting treatments or changes of
professional/institution). (2)

• “Accreditation of funds” form (only if it is the first time or in case of modification of bank account). (2)
• Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
taxpayer).

Remember that in order to provide benefits, the professional must be registered in the current national registry of
providers. OSDE will verify compliance with this requirement, and may limit the authorization period and/or condition its
payment.

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by WhatsApp at 11-4872-9000,
Monday to Friday, from 9 a.m. to 8 p.m.
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EARLY STIMULATION MODULE


Early stimulation is understood as the therapeutic-educational process that aims to promote and favor the harmonious
development of the different evolutionary stages of the baby and the young child with a disability. It is intended for babies and
toddlers, between 1 and 4 years of chronological age and eventually up to 6 years.

Documentation to present:

• General documentation (detailed on page 5).


• Medical indication:

Member name and number.

Weekly/monthly benefit and frequency.

Diagnosis.

Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).

Medical indication model:

R/P
Name and surname:
Member number:

Request: Early stimulation module.

Period: January to December 2022.

Diagnosis:

Date (must be prior to the prescribed period): / /

Signature:
Stamp (type and registration number):

• Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.

• Treatment/approach plan with period, specific objectives, areas to be treated, strategies to use in the intervention
considering the different contexts, delivery modality and intervening professionals. The therapies provided and the
number of weekly sessions must be detailed. (1)

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .

• Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment.(1)

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• Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud).

For treatments carried out by institutions other than the card, you must additionally present the following
documentation:

• Copy of the qualification and category of the ANDIS (National Disability Agency). (Only for starting treatments or changes
of institution).

• “Request for direct payment to the professional/institution” form. (Only for starting treatments or changes of institution). (2)
• “Accreditation of funds” form (only if it is the first time or in case of modification of bank account). (2)
• Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
taxpayer).

Remember that in order to provide benefits, the professional must be registered in the current national registry of
providers. OSDE will verify compliance with this requirement, and may limit the authorization period and/or condition its
payment.

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by WhatsApp at 11-4872-9000,
Monday to Friday, from 9 a.m. to 8 p.m.

INTENSIVE/SIMPLE COMPREHENSIVE MODULE

It is intended for patients with all types of disabilities who can be transferred to a specialized rehabilitation institution to receive
outpatient care. The coverage modality is through the intensive comprehensive treatment module or simple comprehensive
treatment module.

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Documentation to present:

• General documentation (detailed on page 5).


• Medical indication:
•Member name and number.
• Weekly benefit and frequency. The therapies provided and the number of weekly sessions must be indicated.
• Diagnosis.
• Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).

Medical indication model:

R/P
Name and surname:
Member number:

Request: Intensive/simple comprehensive module.

Period: January to December 2022.

Diagnosis:

Date (must be prior to the prescribed period): / /

Signature:
Stamp (type and registration number):

•Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.

•Treatment plan with start and end date for 2021: objectives, areas to be treated, weekly frequency (with days and times in
which the patient attends), intervention modality (in-person, telecare or both), intervening professionals and probable date
high. The therapies provided and the number of weekly sessions must be indicated. (1)

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• Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment.(1)

• Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud).

For treatments carried out by institutions other than the card, you must additionally present the following
documentation:

• Copy of the qualification and category of the ANDIS (National Disability Agency). (Only for starting treatments or changes
of institution).

• “Request for direct payment to the professional/institution” form. (Only for starting treatments or changes of institution). (2)
• “Accreditation of funds” form (only if it is the first time or in case of modification of bank account). (2)
• Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
taxpayer).

Remember that in order to provide benefits, the professional must be registered in the current national registry of
providers. OSDE will verify compliance with this requirement, and may limit the authorization period and/or condition its
payment.

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by
calling 0810-555-6733 or by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet
www.extranet.osde.com.ar .

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by
WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m.

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INITIAL SPECIAL EDUCATION - EGB


Initial level
Special educational process corresponding to the first stage of schooling, which takes place between approximately 3 and 6
years of age according to a program specifically developed and approved for this purpose. There are schools categorized to
provide this benefit.

GB
Special programmed and systematized educational process that takes place between approximately 6 and 14 years of age, or
until the completion of the corresponding cycle.

Documentation to present:

• General documentation (detailed on page 5).


• Medical indication:
• Member name and number.
• Weekly/monthly benefit and frequency.
• Diagnosis.
• Type of day: single or double.
• Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).

Medical indication model:

R/P
Name and surname:
Member number:

I request: Special education for the EGB/Initial level. Double/single day.

Period: 2022 school year.

Diagnosis:

Date (must be prior to the prescribed period): / /

Signature:
Stamp (type and registration number):
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• Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.

• Treatment/approach plan with period, specific objectives, areas to be treated, strategies to use in the intervention
considering the different contexts, weekly frequency (with days and times in which the patient attends) and delivery
modality. (1)

• Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment.(1)

• Regular student certificate (the date of issue must be after the start of the school year).
• Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud).

For treatments carried out by institutions other than the card, you must additionally present the following
documentation:

• Copy of the qualification and category of the ANDIS (National Disability Agency). (Only for starting treatments or changes
of institution).

• “Request for direct payment to the professional/institution” form. (Only for starting treatments or changes of institution). (2)
• “Accreditation of funds” form. (Only if it is the first time or in case of modification of bank account). (2)
• Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
taxpayer)

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by WhatsApp at 11-4872-9000,
Monday to Friday, from 9 a.m. to 8 p.m.

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JOB TRAINING

It is the training process that involves evaluation, specific orientation, job and/or professional training, whose purpose is the
adequate preparation of a person with a disability for their insertion into the world of work. It must respond to a specific program,
of a fixed duration and approved by official bodies competent in the matter. It is aimed at people with disabilities between 14 and
24 years of age. The courses cannot be extended beyond 3 years in duration.

Documentation to present:

• General documentation (detailed on page 5).


• Medical indication:
• Member name and number.
• Weekly/monthly benefit and frequency.
• Diagnosis.
•Type of day: single or double.
•Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).

Medical indication model:

R/P
Name and surname:
Member number:

Request: Job training. Double/single day.

Period: 2022 school year.

Diagnosis:

Date (must be prior to the prescribed period): / /

Signature:
Stamp (type and registration number):

• Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.

• Treatment/approach plan with period, specific objectives, areas to be treated, strategies to use in the intervention
considering the different contexts, weekly frequency (with days and times in which

the patient attends) and delivery modality. (1)

• Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment. (1)

• Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• Regular student certificate (the date of issue must be after the start of the school year).

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• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud).
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For treatments carried out by institutions other than the card, you must additionally present the following
documentation:

• Copy of the qualification and category of the ANDIS (National Disability Agency). (Only for starting treatments or changes
of institution).

• “Request for direct payment to the professional/institution” form. (Only for starting treatments or changes of institution). (2)
• “Accreditation of funds” form. (Only if it is the first time or in case of modification of bank account). (2)
• Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
taxpayer).

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by WhatsApp at 11-4872-9000,
Monday to Friday, from 9 a.m. to 8 p.m.

SUPPORT MODULE FOR SCHOOL INTEGRATION

The educational support services for common education institutions aim to offer specific support for the evaluation and care of
students with special, transitory or permanent educational needs, within the scope of common education, at all levels. They are
the articulators of the educational project of these students and their development.

The specialized technical support team may belong to a special school, therapeutic educational center with school integration or
act independently, trained for this purpose. They must articulate and coordinate their actions with the teaching team of the
common school where the child attends, and have the necessary specific material resources.

The service must be provided per module of a minimum of 8 hours per week. In all cases, the number of hours will depend on the
individual project and will include individual and family attention and coordination of the professional technical team, articulated
with the common school.

Documentation to present:

• General documentation (detailed on page 5).


• Medical indication:
•Member name and number.
•Weekly/monthly benefit and frequency.
•Diagnosis.
•Requested period. The date of the indication must be prior to the prescribed period.

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• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided). 1
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Medical indication model:

R/P
Name and surname:
Member number:

I request: School integration support module or support for school integration

Period: 2022 school year.

Diagnosis:

Date (must be prior to the prescribed period): / /

Signature:
Stamp (type and registration number):

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•Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.

•Treatment/approach plan with period, detail of curricular adaptation if applicable, specific objectives, areas to be treated,
strategies to use in the intervention considering the different contexts, weekly frequency (with days and times in which the
patient attends), delivery modality and intervening professionals. (1)

•Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment.(1)

•Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• Regular student certificate (the date of issue must be after the start of the school year).
•Agreement signed by the responsible family member/guardian, director of the common school and the integration
team. For the document to be valid, it must have three signatures. (1)

• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud).

For treatments carried out by institutions other than the card, you must additionally present the following
documentation:

•Copy of the qualification and category of the ANDIS (National Disability Agency). (Only for starting treatments or changes
of institution).

•“Request for direct payment to the professional/institution” form. (Only for starting treatments or changes of institution). (2)
•“Accreditation of funds” form (only if it is the first time or in case of modification of bank account). (2)
•Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
taxpayer).

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by WhatsApp at 11-4872-9000,
Monday to Friday, from 9 a.m. to 8 p.m.

SUPPORT MASTER MODULE


It is a programmed and systematized process of pedagogical support and articulated with the regular school that a student with
special educational needs requires to integrate into the aforementioned schooling. It will be recognized as a Psychopedagogue,
Graduate in Educational Sciences, Teacher or Special Education Professor, with qualifying titles. The professional in charge of
this modality will not be able to provide outpatient therapies in a joint or complementary manner.
Documentation to present:
1
• General documentation (detailed on page 5). 9
• Medical indication:
•Member name and number.
•Weekly/monthly benefit and frequency.
• Diagnosis.
• Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).

Medical indication model:

R/P
Name and surname:
Member number:

I request: master support module or support for school integration

Period: 2022 school year

Diagnosis:

Date (must be prior to the prescribed period): / /

Signature:
Stamp (type and registration number):

• Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.

• Treatment/approach plan with period, detail of curricular adaptation if applicable, specific objectives, areas to be treated,
strategies to use in the intervention considering the different contexts, weekly frequency (with days and times in which the
patient attends), delivery modality and intervening professionals. (1)

• Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment. (1)

• Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• Agreement signed by the responsible family member/guardian, director of the common school and the
intervening professional. For the document to be valid, it must have three signatures. (1)

• Regular student certificate (the date of issue must be after the start of the school year).

• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud).

For treatments carried out by institutions other than the card, you must additionally present the following
documentation:

• Copy of the qualifying title and information of the professional. Only for starting treatments or changes of institution).
• “Request for direct payment to the professional/institution” form. (Only for the beginning of treatments or changes of
professional). (2)

• “Accreditation of funds” form. (Only if it is the first time or in case of modification of bank account). (2)

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• Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
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taxpayer). 2
0

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by WhatsApp at 11-4872-9000,
Monday to Friday, from 9 a.m. to 8 p.m.

THERAPEUTIC EDUCATIONAL CENTER


It is one that aims to incorporate knowledge and learning through therapeutic approaches, methodologies and techniques. These
methodologies can incorporate, pedagogically reformulated, resources extracted from the therapeutic field; Therefore, the
professional team that investigates, produces and applies them will have a composition and formation that allows this approach.

It is aimed at people with disabilities who have significant restrictions in their ability to self-care, personal hygiene, environmental
management, interpersonal relationships, communication, cognition and learning.

The therapeutic educational organization in every service must include at least three (3) individual sessions for the double-day
attendance modality and two (2) individual sessions in the case of a single day of the different specialties or one of them,
determined by based on the initial interdisciplinary evaluation and the approach strategy for each particular case.

Documentation to present:

• General documentation (detailed on page 5).


• Medical indication:
•Member name and number.
•Weekly/monthly benefit and frequency.
•Diagnosis.
•Type of day: single or double.
•If you request dependency, it must be clarified in the medical prescription.
•Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).
Medical indication model:

R/P
Name and surname:
Member number:

Request: Therapeutic educational center, double/single day, with/without dependency.

Period: January to December 2022.


Diagnosis:

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Date (must be prior to the prescribed period): / /
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Signature:
Stamp (type and registration number):

• Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.

• Treatment/approach plan with period, detail of curricular adaptation if applicable, specific objectives, areas to be treated,
strategies to use in the intervention considering the different contexts, weekly frequency (with days and times in which the
patient attends), delivery modality and intervening professionals. If you request dependency, you must specify the support
that is provided. (1)

• Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment. (1)

• Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• In case of requesting dependency: FIM Scale –Functional Independence Index- that contains a qualitative and quantitative
report, specifying the support that will be provided according to the individual approach plan, prepared by a Lic. in
Occupational Therapy (belonging to the institution). With the name of the beneficiary, the date, the signature and the
seal of the professional who carried it out. (1)

• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud).

For treatments carried out by institutions other than the card, you must additionally present the following
documentation:

• Copy of the qualification and category of the ANDIS (National Disability Agency) of the institution where the treatments are
carried out. (Only for starting treatments or changes of institution).

• “Request for direct payment to the professional/institution” form. Only for starting treatments or changes of institution). (2)
• “Accreditation of funds” form. (Only if it is the first time or in case of modification of bank account). (2)
• Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
taxpayer).

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by WhatsApp at 11-4872-9000,
Monday to Friday, from 9 a.m. to 8 p.m.

DAY CENTER
It is the service provided to people with disabilities with the aim of enabling the most adequate performance in their daily life,
through the implementation of activities aimed at achieving the maximum possible development of their potential.

Documentation to present:

• General documentation (detailed on page 5).


• Medical indication:

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• Member name and number.
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• Weekly/monthly benefit and frequency. 2
• Diagnosis. 2
• Type of day: single or double.
• If you request dependency, it must be clarified in the medical prescription.
• Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).

Medical indication model:

R/P
Name and surname:
Member number:

I request: Day center, double/single day, with/without dependency.

Period: January to December 2022.

Diagnosis:

Date (must be prior to the prescribed period): / /

Signature:
Stamp (type and registration number):

• Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.

• Treatment/approach plan with period, detail of curricular adaptation if applicable, specific objectives, areas to be treated,
strategies to use in the intervention considering the different contexts, weekly frequency (with days and times in which the
patient attends), delivery modality and intervening professionals. If you request dependency, you must specify the support
that is provided. (1)

• Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment.(1)

• Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• In case of requesting dependency: FIM Scale –Functional Independence Index- that contains a qualitative and quantitative
report, specifying the support that will be provided according to the individual approach plan, prepared by a Lic. in
Occupational Therapy (belonging to the institution). With the name of the beneficiary, the date, the signature and the
seal of the professional who carried it out. (1)

• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud).

For treatments carried out by institutions other than the card, you must additionally present the following
documentation:

• Copy of the qualification and category of the ANDIS (National Disability Agency) of the institution where the treatments are
carried out. (Only for starting treatments or changes of institution).

• “Request for direct payment to the professional/institution” form. (Only for starting treatments or changes of institution). (2)
• “Accreditation of funds” form. (Only if it is the first time or in case of modification of bank account). (2)

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• Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
e
taxpayer). 2
3

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by WhatsApp at 11-4872-9000,
Monday to Friday, from 9 a.m. to 8 p.m.

TRANSPORT

It includes the transfer of people with disabilities from their residence to the place of care or educational establishment and vice
versa. The treating physician must substantiate the transportation request by providing relevant clinical data that makes
free transportation on public transportation impossible. This benefit must also be justified in the Medical History
Summary.

Law 24,901, article 13. The beneficiaries of this law who are prevented by various circumstances from taking advantage of the
free transfer in collective transport between their home and the educational or rehabilitation establishment , established
by article 22, subsection a) of law 24,314, will have the right to request of their social coverage, special transportation, with the
help of third parties when necessary.

Documentation to present:

• General documentation (detailed on page 5).


• Medical indication:

Member name and number.

Benefits targeted and frequency.

Diagnosis.

If you request dependency, it must be clarified in the medical prescription.

Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).

Medical indication model:

R/P
Name and surname:
Member number:

I request: Transportation for (detail the benefit to which the beneficiary is transferred).

Period: January to December 2022.

Diagnosis:

Date (must be prior to the prescribed period): / /

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Signature:
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Stamp (type and registration number):
2
4
• Handwritten note from the owner specifying whether or not he or she has made use of the franchise provided for in Law
19,279 to acquire a car for the person with a disability. (1)

• Transfer Diagram Form - Consent (1) that includes the following information:
• Company name, CUIT/CUIL, contact telephone number (landline and cell phone), updated address of the carrier.
• CUIL, name and surname of the beneficiary of the transport.
• Address of departure and arrival of each trip made by the patient, detailing the service attended, days and times.
• Kilometer value. Please remember that you will need to submit a new quote if rate changes occur.
• Total daily and monthly kilometers.
• Signature and seal (with company name and CUIT) of the carrier.
• Signature of the beneficiary or representative.
• Date and place of issue. The date must be before the period for which you request the benefit.
• If you request dependency, you must include in the transfer diagram the specific supports that will be provided.
• Certificate of Regular Student (CAR), only in those cases where transportation to an educational institution is requested
and, if at the time of the request, it has not been presented for another benefit.

• In case of requesting dependency: FIM Scale –Functional Independence Index- that contains a qualitative and quantitative
report, specifying the support that will be provided according to the individual approach plan, prepared by a Lic. in
Occupational Therapy (belonging to the institution). With the name of the beneficiary, the date, the signature and the
seal of the professional who carried it out. (1)

For transfers made by carriers other than the card, the following documentation must be additionally presented:

• Municipal and/or provincial authorization in force for the requested period of transportation.
• Insurance policy.
• Vehicle technical verification.
• Driver's license.
• “Request for direct payment to the professional/institution” form. (Only for starting treatments or carrier changes). (2)
• “Accreditation of funds” form. (Only if it is the first time or in case of modification of bank account). (2)

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .

(2) To access the form model, go to the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or by WhatsApp at 11-4872-9000,
Monday to Friday, from 9 a.m. to 8 p.m.

• Proof of option/registration in the AFIP. (Only for the beginning of treatments or in case of modifying the status as a
taxpayer).

When presenting the invoice for direct payment to the carrier, you must also deliver:

• “Attendance at treatments and/or institutions” form (1) or photocopy of the attendance record with original signature and
seal of the person in charge of the institution.

IMPORTANT – ACKNOWLEDGMENT OF DEPENDENCY

If the benefit is budgeted on a dependent basis, the provider must detail the type of extra support that will be implemented
when requesting recognition of the additional economic bonus. This request must be accompanied by the corresponding

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Summary of Clinical History and the FIM scale (article 13, Law 24,901), issued by the treating physician.
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2
In all cases, the dependency will be evaluated and authorized or not by the interdisciplinary team, which may request
5
additional documentation.

The concept of companion stated in disability certificates only refers to the accessory benefit of free coverage in public
transportation of whoever accompanies the holder of the certificate (article 22, Law 22,431, as modified by Law 24,314).

EVENTUAL TRANSPORTATION

In the event that the transportation is due to an eventuality (medical consultation, emergency, etc.), your coverage will be
evaluated at the time of request and not at the beginning of the year, like usual transfers. In this case, the documentation will
have to be submitted within a maximum period of no more than 30 days from the date on which the service was provided.

In addition, it will be necessary to deliver:


• Medical order with transfer request and reason.
• Proof of care from the intervening professional.
• Receipt with kilometers traveled and date of trip.

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .

HOME

It is an institutional resource that aims to provide comprehensive coverage of the essential basic requirements (housing, food,
specialized care) to people with disabilities, without their own family group or with a non-continental family group. It is intended for
people who require a specialized infrastructure for their care, without which their survival is difficult, especially those whose
disability and level of self-reliance and independence is difficult through the other systems described, and require a higher degree
dependency and protection.

Documentation to present:

• General documentation (detailed on page 5). A thorough rationale for the need for this benefit is important.
• Medical indication:
• Member name and number.
• Benefit.
• Diagnosis.
• If you request dependency, it must be clarified in the medical prescription.
• Requested period. The date of the indication must be prior to the prescribed period.
• Signature, seal, type and legible registration number of the treating doctor (it cannot be prepared by a doctor
from the institution where the service is provided).

Medical indication model:

R/P
Name and surname:
Member number:

I request: Home (with/without dependency).

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Period: January to December 2022.
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2
Diagnosis: 6

Date (must be prior to the prescribed period): / /

Signature:
Stamp (type and registration number):

• Initial evaluation report: it must be presented exclusively at the beginning of a new benefit, which includes the evaluation
instruments applied and the results of the evaluation process.

• Treatment/approach plan with period, detail of curricular adaptation if applicable, specific objectives, areas to be treated,
strategies to use in the intervention considering the different contexts, weekly frequency (with days and times in which the patient
attends), delivery modality and intervening professionals. (1)

• Informed consent (one for each institution/professional/provider who attends) signed by the person with a
disability/responsible family member/guardian. The issue date must be prior to the start date of treatment.(1)

• Budget detailing the fees for the service to be provided, period, details of the professional/institution (CUIT, telephone
number and address) and type of intervention.

• In case of requesting dependency: FIM Scale –Functional Independence Index- that contains a qualitative and quantitative
report, specifying the support that will be provided according to the individual approach plan, prepared by a Lic. in
Occupational Therapy (belonging to the institution). With the name of the beneficiary, the date, the signature and the
seal of the professional who carried it out. (1)

• Socio-environmental report: if prepared by the institution, it may be presented only once at the beginning of the evaluation
of the benefit.

• Semi-annual evolutionary report (Resolution 1731/2021 SSSalud).

(1) If you are a member, you can access the form model by entering the Online Management > Form Download section of our website. You can also request it by calling 0810-555-6733 or

osd
by WhatsApp at 11-4872-9000, Monday to Friday, from 9 a.m. to 8 p.m. If you are a provider, you have to download it from the extranet www.extranet.osde.com.ar .
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ANNEX/FORMS
There are benefits that, for evaluation, require the presentation of a form.

You can find the current models in the Online Management > Form Download section of our website: www.osde.com.ar.

You can also request them through our service channels.

If you are a provider, you have to download them from the extranet: www.extranet.osde.com.ar .

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BILLING OF PROFESSIONALS OUTSIDE THE CARD

When preparing the invoice, take into account the following considerations:

Invoice types:

Exempt Professionals and Monotributistas - Invoice C.


Registered Responsible Professionals - Invoice A.
TYPE B INVOICES WILL NOT BE RECEIVED.

Invoice recipient details:

Company name: OSDE - Organization of Direct Business Services.


Address: Av. Leandro N. Alem 1067, 9th floor - Autonomous City of Buenos Aires. CUIT: 30-54674125-3.
Condition regarding VAT: Registered Responsible.
Condition of Sale: current account.

Invoice Body:

Name, surname and ID of the beneficiary.


Benefit period.
Benefit provided.
Modality, day (single or double), category of establishment (if applicable), whether it includes dependency and, in the case of
specialties, number of sessions, their unit value and sum of services billed.

Invoices corresponding to transportation services must include the following information:


• Departure and destination addresses.
• Number of trips per day and monthly.
• Number of kilometers traveled per trip.
• Total kilometers per month.
• Indicate if it includes dependency.
If the detail is very extensive, a supporting annex linked to the invoice can be presented.

The bank transfer of the money will be made after the service is provided and within 35 business days from the presentation of
the invoice to OSDE, which must be carried out within 10 days after the invoiced service is provided.

We remind you that, for professionals outside the booklet, OSDE developed an Online Services program on the Extranet ,
whose objective is to offer professionals tools that speed up and facilitate their work. There you can:
• Check your checking account.
• Update personal data.
• Consult administrative information and regulations of the Ministry of Health and the Superintendency of Health Services
(SSS).
• Access the instructions to facilitate the presentation of your billing.
For questions about Extranet password laundering, the professional can contact the Provider Call Center at 0810-666-6733,
Monday to Friday from 9 a.m. to 8 p.m.

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