Nuo 2019 m. liepos 1 d. keičiasi pensinio amžiaus asmenų savarankiškumo vertinimo tvarka. Asmens veiklos ir gebėjimų dalyvauti klausimyną pildys ne NDNT specialistai, kaip buvo iki šiol, o asmens gyvenamosios vietos savivaldybės paskirti darbuotojai.
Nustatant asmens specialiuosius poreikius, greta medicininio kriterijaus (asmens sveikatos būklės) yra į vertinamas ir asmens savarankiškumo koeficientas, t. y. jo savarankiškumo galimybės kasdieniame gyvenime (judėjimas, mityba, asmens higiena, socialiniai santykiai), mąstymo ir suvokimo gebėjimai, elgesio sutrikimai. Šis kriterijus nustatomas pokalbio su asmeniu metu užpildant asmens veiklos ir gebėjimų dalyvauti klausimyną.
Kaip ir anksčiau, pensinio amžiaus asmuo (arba jo atstovas) dėl specialiųjų poreikių nustatymo su gydančio gydytojo parengtu siuntimu turi kreiptis į Neį galumo ir darbingumo nustatymo tarnybą (NDNT). NDNT per 3 darbo dienas nuo prašymo nustatyti specialiuosius poreikius gavimo dienos raštu kreipsis į savivaldybę dėl klausimyno užpildymo, o savivaldybės paskirti darbuotojai informuos asmenį (jo atstovą) dėl klausimyno pildymo vietos ir laiko.
Galutinį sprendimą dėl asmens specialiųjų poreikių NDNT priims į vertinusi visus siuntime į NDNT ir prie jo pridėtuose medicininiuose dokumentuose pateiktus duomenis ir savivaldybės atsiųstą užpildytą klausimyną.
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