Need for home care

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A geriatric nurse cares for a senior citizen in a wheelchair in the nursing home of a nursing home

Home care is a term from German social law. The need for home care is a necessary prerequisite for the long-term care insurance fund or the social welfare provider to cover all or part of the care costs or the expenses for accommodation and meals in the case of full inpatient care in a retirement or nursing home (home remuneration ).

The need for home care means the need for full inpatient care. It exists when home or day-care inpatient care is not possible or cannot be considered due to the particularities of the individual case. This can especially be the case with

  • Lack of a caregiver,
  • lack of willingness to care of possible caregivers,
  • imminent or already existing excessive demands on caregivers,
  • impending or already occurring neglect of the person in need of care,
  • The person in need of care tends to endanger himself or others,
  • Spatial conditions in the home that do not allow home care and cannot be improved by measures to improve the individual living environment (Section 40 (4) SGB XI).

The need for home care can also exist if the need for care is not significant, i.e. if care level 1 is not yet available.

Whether there is a need for home care is usually checked by the medical service of the health insurance (MDK) on behalf of the long-term care fund or the social welfare agency.

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  1. Guidelines of the National Association of Statutory Health Insurance Funds for the assessment of the need for care according to the XI. Book of the Social Security Code ( Memento of the original dated August 5, 2010 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (PDF; 2.2 MB), Section D 5.5 @1@ 2Template: Webachiv / IABot / www.mds-ev.org