WLZ Assessment by CIZ: Application & Procedure for Rotterdam Residents
For residents of Rotterdam, a **WLZ assessment** by the Centrum Indicatiestelling Zorg (CIZ) determines eligibility for long-term care under the Long-Term Care Act (WLZ). This assessment is essential for those requiring continuous, intensive support due to chronic conditions or disabilities. The CIZ evaluates the necessity of permanent care and advises on its scope and duration, with local resources like the Rotterdam Legal Desk providing guidance.
What Is a WLZ Assessment?
The Long-Term Care Act (WLZ) provides care for Rotterdam residents and surrounding areas who require 24/7 intensive support, such as those with dementia, severe physical disabilities, or mental health challenges. A WLZ assessment is the official approval for this care, funded by the government through your health insurer. Without this assessment, residents cannot access WLZ services, such as nursing home admission or home-based personal assistance.
The independent CIZ processes the assessment by reviewing medical and social circumstances. Approvals include profiles like 'terminal care,' 'full home care package,' or 'institutional placement,' determining care type and location in alignment with Rotterdam’s healthcare infrastructure.
The Role of the CIZ in WLZ Assessments
The Centrum Indicatiestelling Zorg (CIZ) manages WLZ assessments and receives requests from healthcare professionals, GPs, or direct applicants in Rotterdam. They apply the Health Insurance Act (Zvw) and WLZ regulations. After evaluation, they issue an assessment decision to the insurer, which arranges financing.
In Rotterdam, the process often begins with a GP or district nurse submitting the application to the CIZ. The CIZ may dispatch an assessor for a home visit or document review. The procedure typically takes 6 weeks, though complex cases in the region may extend; the Rotterdam Legal Desk offers advice in such instances.
Legal Framework of the WLZ Assessment
The WLZ, effective since January 1, 2015, replaced the AWBZ and is outlined in the Long-Term Care Act. Key provisions include:
- Article 3.2 WLZ: Sets eligibility criteria, including a permanent need for 24/7 care.
- Article 3.3 WLZ: Defines assessment profiles, including six standard options like 'PGB at home' or 'modular home package.'
- Article 8.1 Zvw: Designates the CIZ as the assessment authority.
The Ministry of Health, Welfare and Sport establishes detailed evaluation rules via the Long-Term Care Regulation. The CIZ follows the WLZ Assessment Policy Rules, with criteria on self-sufficiency and continuous support. For objections in Rotterdam, residents can appeal to the Rotterdam District Court, per Article 7:1 Awb (General Administrative Law Act).
How to Apply for a WLZ Assessment
The WLZ assessment process in Rotterdam follows a clear path. Below is a step-by-step guide, with local support from the Municipality of Rotterdam or the Legal Desk:
- Identify care needs: If you or a loved one in Rotterdam requires permanent care, consult your GP or local care provider.
- Submit the application: The referrer (GP, specialist) completes the form on ciz.nl and attaches medical documents.
- CIZ evaluation: The CIZ reviews the application; complex cases in Rotterdam may involve a home visit by an official.
- Assessment decision: Within 6 weeks, you’ll receive the outcome, binding for your insurer.
- Arrange care: With the assessment, your insurer selects a provider or arranges your personal contribution via the CAK.
Practical example: Consider Mr. Jansen, a 65-year-old Rotterdam-Zuid resident with Alzheimer’s who can no longer function independently. His GP submits an application to the CIZ. After reviewing his file and visiting his home, he receives approval for 'institutional placement.' He moves into a Rotterdam nursing home, with full coverage minus his personal contribution.
Rights and Obligations in WLZ Assessments
Rights:
- Right to a thorough, impartial CIZ evaluation.
- Right to input: provide information and appeal to the Rotterdam District Court if needed.
- Right to suitable care per assessment, with provider choice (in-kind care or PGB), including Rotterdam options.
Obligations:
- Provide accurate medical information.
- Pay the personal contribution based on income and assets (via CAK).
- Report health changes for reassessment; assessments may be temporary or permanent.
Without or with incomplete assessments, Rotterdam residents can apply for care via the Zvw or Wmo through the Municipality, though these do not replace 24/7 WLZ support.
Comparison: WLZ Assessment vs. Other Care Laws
| Law | Target Group | Assessment Body | Example Care |
|---|---|---|---|
| WLZ | Permanent 24/7 care needs | CIZ | Nursing home admission, intensive home care in Rotterdam |
| Zvw | Medical care, short-term | Health insurer | Temporary hospital stay |
| Wmo | Household support, basic assistance | Municipality of Rotterdam | Day activities, light neighborhood aid |
The WLZ focuses specifically on long-term, intensive care in Rotterdam; other laws complement but do not match this level of support.
Frequently Asked Questions
Can I apply for a WLZ assessment myself?
No, in Rotterdam, applications must be submitted by a referrer, such as a GP or specialist. They determine if WLZ care is appropriate and complete the form. As a resident, you can signal care needs, potentially with assistance from the Rotterdam Legal Desk.
What if I disagree with the decision?
File an objection with the CIZ within six weeks. If unsuccessful, you may appeal to the Rotterdam District Court. The Legal Desk offers free guidance on the process.