Dienstleistungsportal Bayern

Description

Prerequisites

General requirements:

• Only hospitals that are included in the hospital plan of the Free State of Bavaria or for which the hospital planning requirement for their inclusion has been established are entitled to state investment cost subsidies.
• The granting of subsidies requires the hospital operator to submit an application to the locally responsible government. It is the responsibility of the hospital owner to provide the information necessary for the assessment of the subsidy and to provide evidence upon request.
• Subsidies are only granted to the hospital owner. The hospital owner is the person who operates the hospital.
• The investment costs must be necessary in accordance with the tasks of the hospital in the Bavarian Hospital Plan and the principles of economy and efficiency.
• In particular, the following costs are not eligible
  • of outpatient or rehabilitative care,
  • the acquisition or leasing of hospitals already in operation and included in the hospital plan,
  • of land and property,
  • advance financing by the hospital operator, and
  • of the hospital's own staff.

Key requirements for the individual types of funding:

• Individual funding of investments (Art. 11 Bavarian Hospital Act - BayKrG).
  • The prerequisite for individual funding is the inclusion of the measure in the annual hospital construction program and the implementation of a technical review procedure. In addition, the cost limit for lump-sum funding must be exceeded (Art. 12 Para. 1 No. 2 BayKrG).
  • The annual hospital construction program is drawn up jointly each year by the State Ministry of Health and Care and the State Ministry of Finance and the Home Office. At the same time, so-called "advance decisions" are made for the annual hospital construction programs of the following three years.
  • As part of the technical review process, a check is made to ensure that the project meets the needs of hospital planning, that it complies with the principles of economy and efficiency, taking into account operating costs, and that overall financing is secured.
  • Projects with eligible costs that exceed the cost limit for lump-sum funding pursuant to Art. 12 (1) No. 2 BayKrG, but do not exceed an amount of EUR 2.5 million, are not included individually in the annual hospital construction program, but are funded independently by the governments in a simplified procedure within the framework of the government quotas made available to them by the State Ministry of Finance and Home Affairs.
  • The project may not be started before initial approval. The locally responsible government can agree to an early start of the measure if the project is financially secured in an annual hospital construction program or government contingent, the technical review procedure has been completed and the hospital operator has declared its agreement to assume the pre-financing costs.
  • From an anticipated funding amount of more than 500,000 euros, the hospital owner is required to provide security in accordance with Art. 18 (3) BayKrG in conjunction with the security guideline (AbR) for a possible claim for repayment before the funding is disbursed, unless there is an exemption from the security obligation in accordance with No. 1.2 AbR.
    
• Flat-rate subsidy (Art. 12 Bavarian Hospital Act - BayKrG)
  • The hospital operator manages the flat-rate subsidies on its own responsibility within the scope of the earmarking for acute inpatient hospital care, taking into account its remit in the hospital plan and the principles of economic efficiency and economy.
  • The formation of funds reserves of more than three times the annual amount must be reported and leads to a corresponding reduction in the lump sum in the following year, insofar as the subsidies are not demonstrably required for concretely foreseeable investments.
    
• Funding of user fees (Art. 13 Bavarian Hospital Act - BayKrG)
  • Instead of individual subsidies, fees for the use of fixed assets can be subsidized if there are circumstances that speak in favor of hospital operation within the framework of a user relationship in the individual case. In addition, there must be an interest in hospital planning and the consent of the locally responsible government to the conclusion of the utilization agreement, and a technical review procedure must have been carried out. The project may not be started before the initial approval. In principle, approval for the early start of the project is possible after completion of the technical review procedure.
  • The fees for the use of fixed assets, the production or procurement of which would have to be financed from the lump sums pursuant to Art. 12 BayKrG, must be financed from the lump sums. The financing of the user charges must be in line with economic management.
    
• Funding of charges from investment loans (Art. 15 Bavarian Hospital Act - BayKrG)
  • The use of the loans must have been necessary with reasonable use of the assets of the hospital operator or other natural or legal persons who can directly or indirectly exercise a controlling influence over it. Only costs that were necessary for an efficient and economical hospital at the time they were incurred will be considered. Loans to redeem equity and increased burdens from a debt restructuring are generally not eligible for consideration.
    
• Equity compensation (Art. 16 Bavarian Hospital Act - BayKrG)
  • The hospital or dependent operating facility must be removed from the hospital plan. The mere relocation of a hospital operation to a replacement facility or a change of sponsor does not trigger an entitlement.
  • At the start of the subsidy, eligible assets procured with the hospital's own funds must have existed and their regular useful life had not yet expired at that time.
    
• Lump-sum compensation payments in the event of hospital closure or conversion (Art. 17 Bavarian Hospital Act - BayKrG)
  • The claim requires that
    • the treatment places that have been eliminated are not transferred to another hospital or the specialty that has been eliminated is not rebuilt at another hospital,
    • the closure or conversion is not handled as part of insolvency proceedings.
  • The reduction of individual treatment places is not facilitated by lump-sum compensation payments, but by a two-year phase-out provision when the annual lump-sum payment is granted (Art. 12 (2) BayKrG).

Procedure

Applications for funding must be submitted to the locally responsible government.
The State Office of Finance, Munich Office, Public Debt Management is responsible for any necessary securing of funding.

Online procedure

Applications can be submitted online. They are displayed in the BayernPortal under "Online procedure" when you select the city or postal code of the location of the hospital or operating facility.

Deadlines

The deadlines set by the locally responsible government apply to individual funding under Art. 11 BayKrG.

Processing time

The processing time depends on the submission of complete application documents by the hospital operator, the size and complexity of the measure, and the number of applications currently being processed by the locally responsible government.

Required documents

• The necessary documents are requested by the locally competent government on a case-by-case basis.

  In principle, they result from the Bavarian Hospital Act, the Ordinance on the Implementation of the Bavarian Hospital Act and the administrative regulations issued in this regard.

Forms

Please select a location in "Localization" so that the address of the responsible authority can be filled in.

• Prefillable Form, Bavaria-wide: Krankenhausförderung - Auszahlungsantrag über Förderleistungen nach Art. 11 BayKrG

  Please note

  This form has to be signed and sent to the responsible authority. You can sign the form manually and send it by email/fax or sign the form electronically with your qualified electronic signature an send it by (secure) email. If the responsible authority has set up a De-Mail account, you can also send the form by De-Mail using an sender-confirmed message.

• Prefillable Form, Bavaria-wide: Krankenhausförderung - Erklärung nach Art. 20 Abs. 1 Nr. 3 BayKrG

  Please note

  This form has to be signed and sent to the responsible authority. You can sign the form manually and send it by email/fax or sign the form electronically with your qualified electronic signature an send it by (secure) email. If the responsible authority has set up a De-Mail account, you can also send the form by De-Mail using an sender-confirmed message.

• Prefillable Form, Bavaria-wide: Krankenhausförderung - Verwendungsnachweis für Fördermittel nach Art. 11 BayKrG

  Please note

  This form has to be signed and sent to the responsible authority. You can sign the form manually and send it by email/fax or sign the form electronically with your qualified electronic signature an send it by (secure) email. If the responsible authority has set up a De-Mail account, you can also send the form by De-Mail using an sender-confirmed message.

• Prefillable Form, Bavaria-wide: Krankenhausförderung - Vereinfachter Zwischen-Verwendungsnachweis für Fördermittel nach Art. 12 BayKrG

  Please note

  This form has to be signed and sent to the responsible authority. You can sign the form manually and send it by email/fax or sign the form electronically with your qualified electronic signature an send it by (secure) email. If the responsible authority has set up a De-Mail account, you can also send the form by De-Mail using an sender-confirmed message.

• Prefillable Form, Bavaria-wide: Krankenhausförderung - Anlage zur Vergabe und Auftragsabwicklung

  Please note

  This form has to be signed and sent to the responsible authority. You can sign the form manually and send it by email/fax or sign the form electronically with your qualified electronic signature an send it by (secure) email. If the responsible authority has set up a De-Mail account, you can also send the form by De-Mail using an sender-confirmed message.

• Prefillable Form, Bavaria-wide: Krankenhausförderung - Vereinfachter Verwendungsnachweis für Fördermittel nach Art. 12 BayKrG

  Please note

  This form has to be signed and sent to the responsible authority. You can sign the form manually and send it by email/fax or sign the form electronically with your qualified electronic signature an send it by (secure) email. If the responsible authority has set up a De-Mail account, you can also send the form by De-Mail using an sender-confirmed message.

• Prefillable Form, Bavaria-wide: Krankenhausförderung - Erklärung über die jährlichen Zuführungen an die Pauschalmittel für ambulante Mitbenutzungen gem. § 17 Abs. 3 Sätze 2 ff. DVBayKrG

  Please note

  This form has to be signed and sent to the responsible authority. You can sign the form manually and send it by email/fax or sign the form electronically with your qualified electronic signature an send it by (secure) email. If the responsible authority has set up a De-Mail account, you can also send the form by De-Mail using an sender-confirmed message.

Legal bases

• Bayerisches Krankenhausgesetz (BayKrG)
• Verordnung zur Durchführung des Bayerischen Krankenhausgesetzes (DVBayKrG)
• Gesetz zur wirtschaftlichen Sicherung der Krankenhäuser und zur Regelung der Krankenhauspflegesätze (Krankenhausfinanzierungsgesetz - KHG)

Remedy

Administrative court action

Links to more information

• Krankenhausförderung in Bayern
• Krankenhausfinanzierung/ Krankenhausbau
• Investitionen an bayerischen Krankenhäusern
• Hinweise zum Antrag auf Vorwegfestlegung - Hinweise zum Verfahren der Aufnahme von Krankenhausbaumaßnahmen in ein Jahreskrankenhausbauprogramm
• Hinweise zum Antrag auf fachliche Billigung - Hinweise zur Vorlage der Bau- und Ausstattungsplanung (BAP)