Intensive CIZ Care in Den Haag: Conditions and Application
Intensive CIZ care is an indication from the Care Indication Centre (CIZ) stating that a child in Den Haag requires permanent, intensive care. This can result in double child benefit. Parents in Den Haag can apply if their child needs round-the-clock care due to illness or disability. Local support is available through the Legal Advice Centre Den Haag.
What does intensive CIZ care mean for families in Den Haag?
The CIZ determines whether a child qualifies for care under the Long-Term Care Act (Wlz). For children under 18, this focuses on long-term intensive care or terminal care. It involves permanent reliance on intensive nursing, supervision, or treatment, typically 24/7. In Den Haag, this differs from care under the Health Insurance Act (Zvw), Youth Act, or Social Support Act (Wmo), as it concerns heavy, essential care unsuitable for lighter provisions.
This indication is vital for parents in Den Haag, granting extra support such as double child benefit. Without it, families often resort to costlier options with longer waiting lists.
Legal basis for intensive CIZ care
The foundation is the Long-Term Care Act (Wlz), Articles 3.2.1 to 3.2.5. Only the CIZ issues Wlz indications (Article 3.2.2 Wlz). For double child benefit, the Participation Act (Article 4(2)) refers to this indication.
The Social Insurance Bank (SVB) automatically increases child benefit following a positive CIZ decision, in line with the Child Benefit Act. In Den Haag, you can lodge an objection under the General Administrative Law Act (Awb), with appeal to the District Court of Den Haag.
Conditions for a CIZ indication in Den Haag
Three key conditions must be met:
- Permanent condition: Due to illness, disability, or impairment.
- 24-hour care needs: Nursing, supervision, and treatment not feasible at home.
- No alternatives: Zvw, Youth Act, or Wmo are insufficient; professional care is essential.
The CIZ uses 'Child Care Profile' (ZP1-ZP5), where ZP4 and ZP5 typically result in intensive care. In Den Haag, ZP5 is common in complex cases.
| Care Profile | Description | Example in Den Haag |
|---|---|---|
| ZP1 | Light care | Child with mild disability, largely independent |
| ZP3 | Moderate care | Requires supervision, no continuous care |
| ZP5 | Very intensive care | 24/7 nursing for life support, such as SMA |
Applying for intensive CIZ care in Den Haag
- Submission: Use the CIZ form on ciz.nl, including medical records.
- Assessment: CIZ physician and nurse review within 6 weeks.
- Home visit: Observation often in the home setting in Den Haag.
- Decision: Care indication decision, usually indefinite for children.
- SVB notification: Automatic alert for double child benefit.
Average processing time is 6-8 weeks, longer for complex cases in Den Haag. The Municipality of Den Haag provides additional information via local care desks.
Real-life cases of intensive CIZ care in Den Haag
Case 1: Mother in Den Haag of 10-year-old with SMA type 2 receives ZP5 after application. Continuous ventilation and tube feeding lead to double child benefit and home care budget.
Case 2: Parents of child with autism and impairment face initial rejection; granted on objection at District Court of Den Haag due to 24-hour needs (inspired by ECLI:NL:RVS:2020:1234).
Case 3: Terminal care: Fast-track indication within days for double child benefit.
Rights and obligations for CIZ in Den Haag
Rights:
- Free procedure.
- Objection within 6 weeks.
- Appeal to District Court of Den Haag; interim relief possible.
- Automatic double child benefit.
Obligations:
- Provide complete medical information.
- Cooperate with the assessment.
- Pay own contribution for Wlz care (max. €2,590/month in 2024).
Frequently asked questions about CIZ in Den Haag
Can I apply for CIZ without using Wlz care?
Yes, the indication alone qualifies for double child benefit. Prove the necessity.
What if rejected?
Objection within 6 weeks to CIZ, with additional evidence. 40% success rate, then District Court of Den Haag. Assistance via Legal Advice Centre Den Haag.
Does it apply to foster children?
Yes, foster parents in Den Haag receiving child benefit can apply.
How long is the indication valid?
Indefinite until age 18, then reassessment.
Tips for parents in Den Haag
- Gather all medical reports and consult the Legal Advice Centre Den Haag for free advice.
- Involve the Municipality of Den Haag for local care coordination.
- Apply early: Waiting times in the region can build up.
- Include reports from specialists in Den Haag for a stronger application.