How to Manage Puskesmas Disability Certificate for 20% Discount & Activate KPD

Kartunet - For fellow persons with disabilities, the enactment of Government Regulation (PP) Number 31 of 2026 brings significant tangible benefits in the form of a guaranteed discount (concession) of at least 20% across nine daily sectors. These sectors include public transportation fares, school fees, health services, and the purchase of functional assistive devices. However, what if, when checking your status on the Ministry of Social Affairs' Social Assistance Check website, your KPD card still shows red: "Inactive"?

Don't worry, you haven't lost your right to this discount. The government has prepared a legal solution for the transition period through a document called a Disability Certificate. This certificate from a Health Service Facility (Faskes) is legally valid for use as a "Temporary KPD" to directly claim your 20% discount, and it also serves as a mandatory document for sub-district operators to activate your Virtual KPD account in the SIKS-NG database application.

Why Must the Certificate Refer to Minister of Health Regulation Number 104/1999?

In practice, many persons with disabilities are rejected by sub-districts because their doctor's certificate only states a biological medical diagnosis (for example, only writing visual acuity or the name of an eye disease). However, the Ministry of Social Affairs' national database system assesses disability from the perspective of functional ability (daily activities).

As an official national medical legal reference, Minister of Health Regulation of the Republic of Indonesia Number 104/Menkes/Per/II/1999 concerning Medical Rehabilitation defines disability as a condition of limitation in performing activities in a manner considered normal for one's age. In Article 7 paragraph (1) of Minister of Health Regulation Number 104/1999, the degree of functional disability is assessed in detail from levels 1 to 6.

Puskesmas doctors must understand this instrument to avoid misclassifying your functional ability. Here's how to translate the 6 Degrees of Minister of Health Regulation 104/1999 into the 3 Categories of the Ministry of Social Affairs' SIKS-NG Database System:

1. "MILD" Category (Correlating Degrees 1 and 2)

• Degree of Disability 1 (Able to Perform Activities with Difficulty): Intended for individuals with mild Low Vision who are functionally still able to read standard-sized text from a close distance or walk independently without special assistive devices, although it may take longer or require high caution.
• Degree of Disability 2 (Able to Perform Activities with Assistive Devices): This is a crucial point for doctor education. Totally blind individuals who travel independently using a white cane and are proficient in using screen reader technology for work are legally required to be categorized under functional Degree 2. Under the ministry's database system, this group of independent assistive device users is classified as "Mild" to protect them from employment discrimination (such as for Civil Servant Candidates/State-Owned Enterprises).

2. "MODERATE" Category (Referring to Degree 3)

• Degree of Disability 3 (Partially Requires Assistance from Others): Intended for semi-independent visually impaired individuals who can perform normal activities at home but require the assistance of a sighted guide (human guide) for navigation in unfamiliar outdoor routes or to read non-digital physical paper documents.

3. "SEVERE" Category (Correlating Degrees 4, 5, and 6)

• Degree of Disability 4 (Fully Dependent on Supervision from Others): Intended for visually impaired individuals in the early adaptation stage (newly lost sight and have not undergone basic orientation and mobility rehabilitation), thus requiring active supervision for physical safety.
• Degree of Disability 5 (Needs Assistance from Others & Special Environment): Intended for individuals with multiple disabilities (e.g., visually-physically impaired or hearing-visually impaired) whose daily mobility is very limited and requires total environmental modification to be able to perform activities.
• Degree of Disability 6 (Completely Incapable Even with Assistance from Others): Experiences severe multi/multiple impairments leading to a total loss of basic functional abilities of other body organs.

Practical Steps to Obtain a Disability Certificate at Puskesmas

Follow these easy steps to ensure the certificate you obtain is immediately accepted by the sub-district operator:

• Step 1: Prepare Identification
  Bring photocopies of your ID card (KTP) and Family Card (KK). Ensure your National Identity Number (NIK) is validated and matched with the Directorate General of Population and Civil Registration (Dukcapil).
• Step 2: Visit the Puskesmas
  Register at the general examination counter of the local Puskesmas to request the creation of a Disability Certificate.
• Step 3: Politely Guide the Doctor's Writing
  Given the limited understanding of healthcare workers regarding the Ministry of Social Affairs, inform the doctor to write this mandatory sentence on the certificate:

  "Type: Sensory Visual Disability, with Degree Level: [Write Mild, Moderate, or Severe according to the functional guidelines of Minister of Health Regulation 104/1999]."

• Step 4: Exercise Your Right to Referral
  If the general practitioner at the Puskesmas feels they lack the competence, remind them that, based on Article 63 of Law Number 8 of 2016, the Puskesmas is obliged to refer you to an ophthalmologist or use remote consultation services (telemedicine).
• Step 5: Submit to the Sub-district Operator
  Take the official certificate from the Puskesmas to the sub-district office and meet the SIKS-NG application operator to update your Virtual KPD data to active.

Conclusion

Understanding the differences in disability degrees based on daily independence function according to Minister of Health Regulation Number 104/1999 is key to breaking social discrimination for the visually impaired. Let's take active steps today: visit the nearest Puskesmas, correctly process your Disability Certificate, and ensure your economic concession rights are fully protected! (DPM)

List of Official References & Regulatory Citations

• Law of the Republic of Indonesia Number 8 of 2016 concerning Persons with Disabilities (State Gazette of the Republic of Indonesia Year 2016 Number 69).
• Government Regulation of the Republic of Indonesia Number 31 of 2026 concerning Concessions for Persons with Disabilities and Incentives for Companies (State Gazette of the Republic of Indonesia Year 2026 Number 73).
• Minister of Health Regulation of the Republic of Indonesia Number 104/Menkes/Per/II/1999 concerning Medical Rehabilitation.
• Minister of Social Affairs Regulation of the Republic of Indonesia Number 2 of 2021 concerning Disability Cards (State News of the Republic of Indonesia Year 2021 Number 439).
• Minister of Social Affairs Regulation of the Republic of Indonesia Number 3 of 2025 concerning the Updating and Use of National Single Social and Economic Data for Social Assistance, Social Empowerment, and Social Welfare Programs.