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The report is available in English with a French summary - KCE

The report is available in English with a French summary - KCE

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76 Musculoskeletal & Neurological Rehabilitation <strong>KCE</strong> <strong>report</strong>s 57<br />

Figure 5.11: Target groups and treatment criteria (convention 9.50)<br />

Maximum number of Maximum duration Extra sessions after Price of the Maximum<br />

sessions<br />

of the total<br />

maximum session after duration<br />

Pathology (one session / day)<br />

460<br />

rehabilitation program (art. 5) R30/60 (€) of <strong>in</strong>terval<br />

Groep A2 (max. 120 R30-R60) 2 year 150/year 39<br />

Groep A2 b<strong>is</strong><br />

195<br />

every period of illness 150/year 39 3 months<br />

Groep A4 (max. 60 R30-R60) 1 year 37<br />

9 treatments<br />

36 of 6 months<br />

230<br />

3 treatments<br />

(max. 120 R30-R60) years 1 to 6<br />

100/year<br />

69 of 6 months<br />

Groep B3<br />

144/year<br />

30/maand<br />

years 6 to 18 100/year 21<br />

Groep B4 (max. 120 R30-R60) 6 months 100/year 43<br />

Source: RIZIV/INAMI 2006<br />

Remark: Group B3 has different reimbursements depend<strong>in</strong>g on type of treatment (not<br />

pathology).<br />

In the convention a maximum duration (time between the start date and end date of all<br />

treatment sessions) and a maximum number of sessions <strong>is</strong> specified for each pathology<br />

group.<br />

All pathology groups except group A4 (amputation of an upper or lower limb) can be<br />

the subject of an extension of the normal duration time (see art. 5 paragraph 3) at a<br />

reduced price of €5,87.

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