6. Change to the agreement on the financing and reimbursement of the costs incurred by the contracted physicians in the context of the introduction and operation of the telematics infrastructure in accordance with Section 291a, Paragraph 7, Clause 5 of SGB V (Annex 32 BMV-Ä), Article 1, Article 2, entry into force
The Federal Association
.png "> Announcements
, Kdö.R., Berlin - on the one hand - and the GKV-Spitzenverband (National Association of Health Insurance Funds), Kdö.R., Berlin - on the other hand - agree the following: 6. Change to the agreement on the financing and reimbursement of the costs incurred by the contracted physicians in the context of the introduction and operation of the telematics infrastructure in accordance with Section 291a, Paragraph 7, Clause 5 of SGB V
(Annex 32 BMV-Ä)
Article 1
1. § 8a is changed as follows:
In paragraph 2 sentence 1 the words " § 8 paragraph 3 or " are deleted.
2. § 9 Paragraph 6 will be redrafted as follows:
" The Statutory Health Insurance Physicians' Associations shall divide the KBV up to January 31 of calendar year, for the first time on January 31, 2020, the number and the The associated financial volume paid out in the previous calendar year actually paid out to the contracted doctor's practices
● Lump sums in accordance with Annexes 2 and 5 with the respective reference quarter (quarter in which the claim arose),
● reimbursements for cost-relevant changes in practice and
● reimbursements in accordance with Annex 6,
and the total financial volume paid out with. “
3. § 9 Paragraph 7 is changed as follows:
a) In sentence 1 the date " 28. February "by the date " 20. February “ replaced.
b) In sentence 1 the word span > " Amounts " replaced by the words " total disbursed financial volumes " .
c) The following sentence is added after sentence 1: " The report according to sentence 1 is made in accordance with the detailed information provided by the Association of Statutory Health Insurance Physicians in accordance with paragraph 6. When determining the difference according to sentence 1 for the calendar year 2019, the advance payments actually made by the National Association of Statutory Health Insurance Funds for the 4th quarter of 2018 as well as the advance payment in accordance with § 9a must also be taken into account > 4. After § 9 the following § 9a is inserted:
"§ 9a Billing process for an additional advance payment 2019
(1) The National Association of Statutory Health Insurance Funds will make an additional down payment for the 2019 calendar year after invoicing in the amount of the sic h from § 8 paragraph 6 resulting from the difference.
(2) The KBV invoices the National Association of Statutory Health Insurance Funds by April 18, 2019 at the latest.
The Federal Association
.png "> Announcements
, Kdö.R., Berlin - on the one hand - and the GKV-Spitzenverband (National Association of Health Insurance Funds), Kdö.R., Berlin - on the other hand - agree the following:
6. Change to the agreement on the financing and reimbursement of the costs incurred by the contracted physicians in the context of the introduction and operation of the telematics infrastructure in accordance with Section 291a, Paragraph 7, Clause 5 of SGB V
(Annex 32 BMV-Ä)
Article 1
1. § 8a is changed as follows:
In paragraph 2 sentence 1 the words " § 8 paragraph 3 or " are deleted.
2. § 9 Paragraph 6 will be redrafted as follows:
" The Statutory Health Insurance Physicians' Associations shall divide the KBV up to January 31 of calendar year, for the first time on January 31, 2020, the number and the The associated financial volume paid out in the previous calendar year actually paid out to the contracted doctor's practices
● Lump sums in accordance with Annexes 2 and 5 with the respective reference quarter (quarter in which the claim arose),
● reimbursements for cost-relevant changes in practice and
● reimbursements in accordance with Annex 6,
and the total financial volume paid out with. “
3. § 9 Paragraph 7 is changed as follows:
a) In sentence 1 the date " 28. February "by the date " 20. February “ replaced.
b) In sentence 1 the word span > " Amounts " replaced by the words " total disbursed financial volumes " .
c) The following sentence is added after sentence 1: " The report according to sentence 1 is made in accordance with the detailed information provided by the Association of Statutory Health Insurance Physicians in accordance with paragraph 6. When determining the difference according to sentence 1 for the calendar year 2019, the advance payments actually made by the National Association of Statutory Health Insurance Funds for the 4th quarter of 2018 as well as the advance payment in accordance with § 9a must also be taken into account > 4. After § 9 the following § 9a is inserted:
"§ 9a Billing process for an additional advance payment 2019
(1) The National Association of Statutory Health Insurance Funds will make an additional down payment for the 2019 calendar year after invoicing in the amount of the sic h from § 8 paragraph 6 resulting from the difference.
(2) The KBV invoices the National Association of Statutory Health Insurance Funds by April 18, 2019 at the latest.
(3) The down payment is to be made by the National Association of Statutory Health Insurance Funds to the KBV by April 30, 2019.
(4) The payments on account according to § 9 paragraph 1 i. V. m. Section 9 (4) for the second, third and fourth quarters of 2019 does not apply.
(5) The KBV will initiate the actual payment made by the National Association of Statutory Health Insurance Funds by May 10, 2019 the Statutory Health Insurance Physicians Associations.
(6) The split billing takes place according to § 9 paragraph 7.
(7) § 8 Paragraph 7 applies accordingly. “
5. The following protocol note is added; the numbering of the existing protocol note is supplemented accordingly:
" 2. The contracting parties agree that the difference resulting from § 8 Paragraph 6, 1st indent, will be offset against the additional down payment 2019 regulated in § 9a as well as the amounts regulated in § 8a for possible field tests beginning in the calendar year 2019. The billing regulated in § 8a is not applicable for the calendar year 2019. Due to the set-off there are no actual payment flows between the KBV and the GKV-Spitzenverband as well as the KBV and the Kassenärztliche Vereinigungen. “
Article 2 Coming into force
The changes take effect on April 1, 2019.
Berlin, April 26, 2019
National Association of Statutory Health Insurance Physicians, Kdö.R., Berlin
National Association of Statutory Health Insurance Funds, Kdö.R., Berlin