Amendments to the Ministerial Decree 7 December 2018:
officialized start dates

In the face of an original start date scheduled for October 1, 2019, and the subsequent deliberate extension during the meeting of 25th September 25 2019 between the MEF, the Regions and the Trade Associations, on last 27th December the Amendments to the 7/12/2018 Ministerial Decree were published.
They concern the “Modalities and times for the implementation of the provisions on the issue and transmission of documents certifying the ordering of purchases of goods and services made in electronic form, to be applied to entities of the National Health Service, pursuant to article 1, paragraph 414, of the law 27 December 2017, n. 205 “, and sanction the following:
1st February 2020 electronic order for the purchase of goods by the NHS bodies
1st January 2021 electronic order for the purchase of services by SSN entities
1st January 2021 non-payability of invoices relating to goods that do not contain the reference to the electronic order
1st January 2022 non-payment of invoices relating to services that do not contain the reference to the electronic order

Soon it will therefore be necessary for the suppliers of the Public Health Administration to equip themselves in order to be able to receive purchase orders in electronic format, through NSO.

There’s not long to wait now!

If you haven’t yet thought about how to tackle this new step towards Digital Transformation




TESISQUARE® Integration Brokerage platform allows healthcare PA suppliers to communicate with the Order Sorting Node to integrate incoming electronic orders on their ERP and return the necessary answers (confirmations, proposals, …). Moreover, through the collaborative portal of the TESISQUARE Platform, it is possible to manage the entire cycle of the “procure-to-pay” order.


On September 25th, during the meeting between the MEF, the Regions and the Trade Associations in view of the entry into force of the obligation to send the Order electronically through NSO – Order Sorting Node the extension of the start date has been approved, and it will be staggered to allow a gradual change:

  • 1° February 2020 electronic order for the purchase of goods by the institutions of the NHS
  • 1° January 2021 non-payment of invoices relating to goods that do not contain a reference to the electronic order
  • The departure of electronic orders for service purchases is further postponed.

The new ministerial decree, necessary to make changes to the current text of the law (MEF Decree of 7 December 2018), will be formalized after 1 October 2019.

The NSO platform remains usable on a voluntary basis if the Entity and the Supplier are already able to proceed with sending and receiving electronic orders.

The Order Sorting Node, created on the basis of the provisions contained in the 2018 Budget Law, is a digital document transmission platform managed by Sogei on behalf of the State Accounting Department of the Ministry of Economy and Finance, integrated with the National Data Bank of Public Contracts and with the SDI – Interchange System.

Three types of order will be managed through the NSO:


for the Public Administration

  • Increased efficiency, traceability and speed of the purchasing process.
  • Real-time verification of the orders that have been placed and the related costs.
  • Greater simplicity in monitoring the costs of public spending.
  • Reduction of waste and inefficiencies.

for Suppliers

  • Reduction of manual data entry activities.
  • Digitization of the sales process.
  • Real-time control of the entire cycle of goods deliveries in the healthcare facility warehouse.
  • Convey orders directly to the company’s ERP system.

Link to NSO Technical Rules (Italian Only)


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