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.