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Family law Obtaining a certificate of MAC on permanent care

Sulyk Roman

Head of family law practice

E-mail

sulyk@prikhodko.com.ua

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An attorney with extensive experience specializing in complex family disputes. As Head of Practice, he combines deep legal expertise with a personalized approach to every client. He ensures strategic protection of family interests and delivers impeccable results in the most challenging cases.

Obtaining a certificate of MAC on permanent care

A certificate of the MAC (medical advisory commission) on a person’s need for permanent third-party care is a key document for issuing a deferment from mobilization, establishing the fact of care, assigning social services, compensations and decisions of social protection bodies.

It is she who confirms that a person, due to health conditions, is not capable of self-care, needs regular help, and his care is constant.

A certificate of permanent care from the MAC is required in the following cases:

registration of a deferment from mobilization of a person liable for military service under paragraph 3 of part 1 of Art. 23 of the Law “On Mobilization Training and Mobilization”;
appointment of care services on a non-professional basis (Law “On Social Services”);
registration of compensation to the caretaker;
establishing the fact of care in the social protection commission;
submission of documents to the territorial centers to confirm the fact of caring for a relative.

The MAC is a commission of doctors that works at health care institutions and officially establishes the presence of persistent disorders of vital functions: inability to self-care, restriction of movement, orientation, behavior control or the need for regular supervision.

Procedure:

The procedure begins with a visit to the family doctor, who assesses the patient’s condition and prepares a referral to the MAC.
Next, all medical documents are collected: outpatient card, hospital discharges, results of tests and examinations, MSEC certificate (if there is a disability).
After submitting an application to the chief physician of the medical institution, a date is set for the MAC meeting, at which doctors examine the patient, analyze documents and decide whether the person really needs constant care.
Based on the results, an official conclusion is adopted, which must contain a clear wording: “Requires constant outside care” or “Not capable of self-care”.

It is this phrase that is critical for the territorial centers, social services and any further legal procedures, since other formulations such as “needs assistance” or “has limited self-care” are not always considered sufficient.

It will also be useful: REGISTRATION OF PERMANENT CARE – 2025

Who can get a certificate of the MAC

Any person who, due to illness or disability, needs constant assistance has the right to receive a certificate.

Most often, the MAC issues the following certificates for:

persons with disabilities of group I (especially if there is a violation of self-care);
elderly people with significant disabilities;
patients after strokes, oncological operations, injuries;
persons with mental disorders, dementia, chronic progressive diseases.

Important: Disability in itself does not guarantee obtaining a certificate of care. The MAC separately assesses functionality, the presence of a disability, and the ability to self-care.

What to look for:

Formulation!

For the territorial centers and social protection, the phrase is critical: “Needs constant outside care”

Other wording (“needs help”, “limited self-care”) may not be enough.

Obtaining a certificate of permanent care from the MAC is not a formality, but an important legal procedure that confirms the real state of health of a person and his need for outside help.

It is this document that provides access to a number of social guarantees and legal mechanisms: from the appointment of social services and compensations to the registration of a deferment from mobilization.

Successful completion of the MAC depends on the correctly collected package of medical documents, the clarity of the wording in the conclusion and compliance with the established procedure.

Obtaining a certificate of MAC on permanent care

Procedure:

Who can get a certificate of the MAC

What to look for:

Formulation!

You may also need:

Andrey Prikhodko