Specialized outpatient palliative care; application for funding in the start-up phase.
The Bavarian State Ministry of Health and Long-Term Care provides grants (subsidies), without legal obligation and within the limits of available funds, toward eligible expenses in the start-up phase of Specialized Ambulatory Palliative Care (SAPV) teams.
The Free State of Bavaria has a considerable state interest in establishing nationwide provision of Specialized Ambulatory Palliative Care (SAPV) services for the population in Bavaria, because more people are to be enabled to live in their home environment until the end. The conclusion of contracts for SAPV is progressing only hesitantly. One of the reasons for this is that SAPV teams can only carry out the necessary start-up work with a delay due to a lack of funds. Experience with start-up funding to date suggests that the funding enables SAPV teams to quickly establish themselves in their service area. The funding will therefore be continued.
The Bavarian State Ministry of Health and Care grants subsidies (grants), without legal obligation and within the limits of the available funds, for the eligible expenses in the start-up phase of the SAPV teams The start-up phase comprises the foundation phase (phase between the prospect of a care contract to the conclusion of the contract) and the first months after the conclusion of the contract. The establishment phase of an SAPV team is not covered by the scope of services of the care contract. The start-up phase begins at the earliest on the date on which the working group of health insurance associations in Bavaria (ARGE) issues the written prospect of the care contract. The start-up phase ends no later than six months after conclusion of the contract. During the start-up phase, funding is provided for a maximum period of six months.
Recipients of funding
Recipients of funding are SAPV teams that have been promised a care contract by the ARGE or with which the ARGE has concluded a care contract. SAPV teams are teams that provide outpatient specialized palliative medical and palliative care services, including their coordination. SAPV teams must meet the requirements of § 37b SGB V, the guideline of the Joint Federal Committee on the prescription of specialized outpatient palliative care (announcement of the Joint Federal Committee of December 20, 2007), the joint recommendations of the Central Association of Health Insurance Funds in accordance with § 132d (2) SGB V of June 23, 2008, and the model contract of the ARGE, as amended from time to time. SAPV teams dedicated exclusively to the SAPV of children and adolescents may also receive grants under this funding information.
Eligible costs are expenses that are necessarily incurred in the start-up phase of an SAPV team and are not reimbursed by the care contract with the ARGE. These are in particular:
- Personnel expenses
- Material expenses (e.g. office equipment, office supplies, telephone costs)
- Rent for premises of the SAPV team during the start-up phase
- Public relations expenses (e.g. flyers, website, travel expenses).
Type and amount
The Bavarian State Ministry of Health and Care grants a subsidy for the establishment of SAPV teams during the start-up phase in the maximum amount of 15,000.00 euros per team. The grant is awarded by way of project funding as shortfall financing. There is no legal entitlement to the funding. The grant recipient must bear at least 10% of the eligible expenses itself.
The prerequisite for the grant is the written prospect of a care contract by the Arbeitsgemeinschaft der Krankenkassenverbände in Bayern (ARGE) or the conclusion of a care contract. A prospect or conclusion of a contract takes place after the ARGE has examined the requirements for the SAPV team and the economic viability of the future operation of the SAPV team.
Measures that have already been started cannot be funded. SAPV teams must therefore declare that the measure has not yet been started and will not be started before the grant decision is issued.
Please refer to the possibility of applying for approval of the early start of the measure.
A prerequisite for the grant from the Bavarian State Ministry of Health and Care (StMGP) is that the start-up phase of the SAPV team cannot be financed in any other way. This means that the grant is subsidiary to all other benefits (cf. Art. 23 Bavarian Budget Code - BayHO).
Applications should be sent to the Bavarian State Ministry of Health and Care (Department 46).
The Bavarian State Ministry of Health and Care issues a grant notification after positive review of the application.
The grant is paid upon written application. The "Application for Payment" form must be used for the application for payment. The grant may only be requested to the extent that it is required within two months for payments due within the scope of the purpose of the grant and no earlier.
In addition, the grant may not be requested until the grantee's designated own and other funds have been expended.
As a rule, the Bavarian State Ministry of Health and Care retains a final installment from the grant, which is not paid out until the proof of use has been reviewed.
The processing time is 2 to 3 months after complete receipt of the application documents.
Proof of sponsorship
The legal form of the SAPV team must be described precisely and proven by suitable documents (e.g. excerpts from the commercial register or register of associations).
a detailed description of the measures applied for
The application must contain a detailed description of the measures requested and the period envisaged. The measures must be economic and appropriate. The necessity of the support must be presented.
Inception of a supply contract / supply agreement
The written promise of a supply contract by the ARGE or the supply contract itself must be enclosed.
Statement of total expenditure for the measures requested
The calculated total expenses must be presented in detail. Only expenses that are necessarily incurred in the start-up phase and that are not reimbursed by the ARGE supply contract may be claimed. Expenses that are incurred proportionately in the set-up phase may only be included proportionately.
Financing of total expenditure
It must be shown how and by whom the total expenditure is financed (e.g. own funds [at least 10 %], loans, grants from third parties, donations, grant from the Bavarian State Ministry for Health and Care).
The concept checked by the ARGE is to be enclosed.
Form 'Facts relevant to the subsidy ... - Declaration'.
To be requested in electronic form from the Bavarian State Ministry for Health and Care at the e-mail address email@example.com and to be completed in full.
Links to more information
Responsible for editing: Bayerisches Staatsministerium für Gesundheit und Pflege
- Online transactions, Bavaria-wide
- Online transactions, locally limited
- Prefillable Form, Bavaria-wide
- Legal bases, Bavaria-wide
- Legal bases, locally limited
- Fees, Bavaria-wide
- Fees, locally limited