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74 Musculoskeletal & Neurological Rehabilitation KCE reports 57
5.1.5 Convention 9.50: Type convention – Institutions for ‘locomotor’
rehabilitation
5.1.5.1 Cost model 9.50 convention
The cost of the rehabilitation activity, specified in the 9.50 convention is determined by
the contract with RIZIV/INAMI and is equal for the 46 rehabilitation centres that
subscribed to the 9.50 convention.
The focus lies on the “new” 9.50 agreement that should have been applied since July
1st 2005, but only started August 1st 2006 (KB 22-06-2006). All sessions in the 9.50
conventions have to be multidisciplinary (at least 2 disciplines), in contrast to Knomenclature,
which can also offer mono-disciplinary sessions.
In the “new 9.50 convention” two rehabilitation prices are applied:
• During the first 60/120 sessions (depending on the underlying
pathology) a uniform price per rehabilitation session is paid. This is
called R30/R60, where R30 stands for one hour and R60 for two hours
of multidisciplinary rehabilitation activities (comparable to K30/60).
The exact price is €30.58 for R30 and €61.15 for R60 (Oct. 2006)
(comparable to the prices of K30/60, see further).
• After these 60/120 sessions, the price per session is in relation to the
underlying pathology, without any relation with duration of the session.
• The accumulation of diagnostic with treatment honoraria or an
accumulation of K-nomenclature with rehabilitation fees (9.50) is
forbidden during the first 60/120 sessions (exception for speech
therapy). After this first period one extra fee can be cumulated (e.g. Mnomenclature
for physical therapy or R-nomenclature for speech
therapy). Also, the “new 9.50 convention” cannot be preceded any
more by K30/60, at least in the 46 existing 9.50 rehabilitation centres.
Of course, centres without convention 9.50 can first apply Knomenclature,
and then refer the patient to a 9.50 convention centre.
The convention-centre receiving such a patient has to discount the
amount of K-sessions already delivered from the 60 or 120 sessions
they can deliver using R30/R60. A problem with regard to referral
between different services is that after R30/R60, K30/K60 cannot be
applied anymore in services without a convention.
The price is subject to indexation.