Fee schedule for psychological psychotherapists and child and adolescent psychotherapists

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Basic data
Title: Fee schedule for psychological psychotherapists and child and adolescent psychotherapists
Abbreviation: GOP
Type: Federal Ordinance
Scope: Federal Republic of Germany
Legal matter: Professional law of the medical professions , special administrative law
References : 2122-5-3
Issued on: June 8, 2000 ( BGBl. I p. 818 )
Entry into force on: June 9, 2000
Last change by: Section 4 Regulation of October 18, 2001
( Federal Law Gazette I p. 2721 )
Effective date of the
last change:
January 1, 2002
(Section 5 of October 18, 2001)
Please note the note on the applicable legal version.

The fee schedule for psychological psychotherapists and child and adolescent psychotherapists (GOP) is a statutory ordinance of the Federal Ministry of Health from the year 2000. It regulates the fees for psychological psychotherapists and child and adolescent psychotherapists in Germany for private treatment.

The legal basis is Section 9 of the Psychotherapists Act of June 16, 1998, which authorizes the Ministry of Health to regulate the corresponding fees by means of a statutory ordinance with the consent of the Federal Council. This happened in the GOP with effect from June 9, 2000. It is not a separate fee schedule, but allows powerful reference in § 1 the psychological psychotherapists and child and adolescent psychotherapists the billing according to the rate of doctors (medical fee schedule). Only services that correspond to the professional standard may be billed in accordance with the GOÄ ( § 1 Paragraph 2 GOP). When treating patients with statutory health insurance ( funded patients ), psychotherapists can take part in statutory medical care (Section 95 SGB ​​V ) and bill the statutory remuneration for this through the Association of Statutory Health Insurance Physicians.

psychotherapy

Psychotherapy within the meaning of the Psychotherapists Act (PsychThG) may only be practiced by licensed doctors, psychological psychotherapists and child and adolescent psychotherapists. The PsychThG understands the “practice of psychotherapy” to mean “any activity carried out by means of scientifically recognized psychotherapeutic procedures to determine, cure or alleviate disorders with disease value for which psychotherapy is indicated”. This does not include psychological activities that “deal with and overcome social conflicts or other purposes outside of medicine” ( Section 1, Paragraph 3, Clause 3 PsychThG - non-medical psychology ). Psychotherapy by alternative practitioners does not fall under the regulations of the PsychThG.

Content of the fee schedule

The GOP consists of a single paragraph ( § 1 ), which refers to the provisions of the GOÄ for remuneration ( § 2 was repealed, § 3 determined the entry into force). The direct application of the GOÄ is limited to the professional services of doctors. The GOÄ therefore applies accordingly in the relevant areas for services provided by psychological psychotherapists. These are included in the fee schedule for psychotherapists (GOP).

According to Section 1, Paragraph 2 of the GOP, only those services that are listed in Sections B and G of the schedule of fees for medical services (Appendix 1 to the GOÄ ) are billable. Section B ( "Basic services and general services") contains advice, surcharges, Konsiliartätigkeiten (for example, meetings with family doctor or psychiatrist ) and reports. Section G (“Neurology, Psychiatry and Psychotherapy”) contains test procedures and above all psychotherapeutic services: psychotherapy based on depth psychology , analytical psychotherapy and behavioral therapy in individual and group treatment.

history

The historical forerunners of the GOÄ and the GOP are the Prussian Fee Regulations ( Preugo) from 1924 and the General German Fee Regulations for Doctors (Adgo) from 1928.

While the first version of the Preugo from 1896 did not contain any psychotherapeutic services, there was in the new version from 1924 under Section II B (“special medical tasks”) in subsection A (“general tasks”) the number 22 f “psychotherapeutic sessions (hypnosis , Psychoanalysis, psychotherapeutic exercises) ”(5 to 50 Reichsmarks). This innovation was also followed in 1928 by the private law Adgo, which had its own section II “Nerve disorders” in Part D “Fees for special services” and contained the item 333 analogous to Preugo: “Psychotherapeutic sessions (hypnosis, psychoanalysis, psychotherapeutic exercises)” (6 up to 60 Reichsmarks).

Individual evidence

  1. BGBl 1998 Part I, p. 1311 (PsychThG).
  2. A. Förster: The Prussian Fee Regulations for Licensed Doctors and Dentists from May 15, 1896. Fifth enlarged and improved edition, Berlin 1910.
  3. Prussian fee schedule for licensed doctors and dentists from September 1, 1924, Part B No. 22 f. Reichsgesundheitsverlag, Berlin / Vienna 1944.
  4. ^ General German schedule of fees for doctors of January 1, 1928, Part D No. 333. Reichsgesundheitsverlag, Berlin / Vienna 1941.

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