Admission Regulation For Contract Doctors

Original Language Title: Zulassungsverordnung für Vertragsärzte

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Admission Regulation for Contract Doctors (Physicians-ZV)

Non-official table of contents

Doctors-ZV

Date of expend: 28.05.1957

Full quote:

" Admissions regulation for contract doctors in the Federal Law Gazans Part III, outline number 8230-25, published revised version, as last amended by Article 4a of the Law of 20. February 2013 (BGBl. 277). "

:Last modified by Art. 4a G v. 20.2.2013 I 277

See Notes

Footnote

(+ + + Text Proof: 21.12.1983 + + +)



(+ + + measures due to EinigVtr cf. ZO-Doctors Appendix EV;
Measurements no longer apply gem. Art. 1 No. 6 (d)
DBuchst. bb G v. 21.1.2013 I 91 mWv 29.1.2013 + + +)





: IdF d. Art. 9 No. 1 G v. 21.12.1992 I 2266 mWv 1.1.1993

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input formula

Based on § 368c (1) of the Reichsversicherungsordnung in the version of the Act on amendments to the provisions of the Second Book of the Reich Insurance Order and to supplement the Social Court Act (Law on the Law of the Court of Health Insurance-GKAR) of 17. August 1955 (Bundesgesetzbl. I p. 513), after consultation with the Federal Committee of Doctors and Health Insurance Funds, with the approval of the Federal Council:

Section I
Doctor Register

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§ 1

(1) For each admissions district, the cash medical association runs the register files in addition to the doctor's register.(2) The doctor's register covers
a)
the approved physicians and psychotherapists,
b)
Doctors who fulfil the requirements of § 3 and psychotherapists who fulfil the requirements of § 95c of the Fifth Book of Social Code and apply for their registration in accordance with § 4 .
(3) This regulation applies to
1.
the psychotherapists and the psychotherapists Psychotherapists,
2.
the medical care centers and the doctors and psychotherapists employed there, as well as
3.
the physicians and psychotherapists employed by contract doctors
accordingly. Non-official table of contents

§ 2

(1) The doctor's register must contain the information about the person and professional activity of the physician who is responsible for the Authorisation is of importance.(2) The doctor's register shall be based on the model of the plant. Non-official table of contents

§ 3

(1) The registration in the doctor's register is to be applied to the health insurance association responsible according to § 4.(2) Requirements for entry are
a)
the Approbation as a doctor,
b)
the successful completion of either a general medical education or a further education in another field with the power to lead a corresponding
() A general medical training within the meaning of paragraph 2 (b) has been established if the general medical education and training provided for in paragraph 2 (b) of the fifth Book of the Social Code is recognized. Doctor in accordance with national law regulations to lead the specialist title for general medicine is entitled and this entitlement after at least five years of successful further training in general medicine in the case of further training authorized physicians and approved facilities.(4) In terms of content, general medical training must, without prejudice to its duration of at least five years, be subject to at least the requirements laid down in Article 28 of Directive 2005 /36/EC of the European Parliament and of the Council of 7. On the recognition of professional qualifications (OJ L 327, 28.12.2005, p. EU No OJ L 255, p. 22, 2007 No 18), and conclude with the acquisition of the specialist title for general medicine. It shall include, in particular, the following activities:
a)
at least six months in the practice of a (c)
at least six months in approved hospitals,
c)
no more than six months in other approved healthcare facilities or services dealing with general medicine, as far as the doctor is concerned with a patient-related
(5) Insofar as the activity as a doctor in the internship
a)
in the hospital in the Areas of internal medicine, surgery, gynaecology and obstetrics, paediatrics or neurology, or
b)
in the practice of a practised doctor ,
be credited to the training referred to in paragraph 2 (b) up to a maximum period of 18 months. Non-official table of contents

§ 4

(1) The doctor is to be entered in the doctor's register of the admissions district where he/she has a place of residence. If he does not have a place of residence within the scope of this Regulation, he shall be free to choose the doctor's register.(2) The application must contain the information required for registration. Evidence must be provided, in particular to be accompanied by
a)
the birth certificate,
b)
the certificate of the Approbation as a doctor,
c)
the proof of medical activity after passing medical examination.
(3) In place of the original documents, officially certified copies may be attached.(4) If the documents referred to in paragraph 2 cannot be submitted, the facts to be identified shall be made credible. An affidavit of the applicant alone is not sufficient for the credibility of the Approbation as a doctor and the medical activity (paragraph 2 (b) and (c)). Non-official table of contents

§ 5

(1) A doctor who has not been registered in the doctor's register from the former admissions district will become a member of the doctor's register. Rewritten to his application in the medical register in charge of the new place of residence.(2) If a doctor is approved, he/she shall be rewritten from office to the doctor's register, which will be run for the contract doctor's seat.(3) The previously registered office has to send a register extract and the register files of the physician of the responsible register-leading authority. Non-official table of contents

§ 6

(1) Admission of a doctor is to be identified in the doctor's register.(2) Facts which are relevant to the admission, rest, withdrawal or end shall be provided by the Office of the Office of the Health Insurance Office, or at the request of the physician, a medical insurance association, a health insurance fund or a national association of health insurance companies. Register records entered. The doctor must be consulted on the application for registration, if he has not requested the registration himself.(3) Decisions in disciplinary matters which have become indisputable (Section 81 (5) of the Fifth Book of the Social Code), with the exception of the warning, must be taken into the register files; they shall be taken after five years after the decision is indisputable is removed from the register files and destroyed. Non-official table of contents

§ 7

The doctor is deleted in the doctor's register if
a)
it applied for,
b)
it died,
c)
the conditions for his registration pursuant to § 3 para. 2 (a) are not or are no longer given,
d)
the requirements of § 3 para. 2 letter b on the basis of the doctor's misinformation have been mistakenly accepted as given.
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§ 8

(1) The Board of Directors of the Treasury Association decides on entries and deletions in the doctor's register and in the register files, or the register of the register acts through the Articles of association.(2) The doctor shall receive a written notice of the entries and deletions concerning his/her person, as well as the rejection of his applications for registration or deletion. Non-official table of contents

§ 9

(1) The health insurance associations, the health insurance companies and the national associations of the health insurance companies can do so. In the case of a doctor's register and in the event of a legitimate interest, see the register files.(2) The doctor may, in the event of a legitimate interest, consult the doctor ' s register and the register files relating to his/her person, or by an agent with a legitimate interest.(3) The register files of the doctors involved in the admission procedure must be left to the admissions and appeals committees for consultation. Non-official table of contents

§ 10

(1) The Federal Association of Medical Doctors (Bundesvereinigung Bundesvereinigung) is running the Federal Medical Register on the basis of the model of the asset.(2) The health insurance associations shall immediately communicate entries and changes in the medical registers of the Federal Association of Veterinary Surgeons (Bundesvereinigung).(3) The Federal Association of Statesmen and Health (Bundesvereinigung) shall immediately inform the competent health insurance association of facts which are of importance to the doctor's register.

Section II
Education and demarcation of the Admissions District

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§ 11

(1) Admissions counties are held by the treasurers ' associations and The national associations of the health insurance companies as well as the replacement cash registers are jointly defined and demarcated.(2) Where registration districts are formed for parts of the district of a health insurance association, the boundaries of the urban and rural districts shall be taken into account in the demarcation as a rule.(3) The terminal medical association shall immediately disclose the registration districts in the sheets responsible for their official notices.

Section III
Demand planning

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§ 12

(1) By the associations of health insurance associations in agreement with the national associations of the health insurance companies and the For the purpose of ensuring the provision of contract medical care in the medium and long term as well as comprehensive and comparable overviews on the state of the art as a basis for securing measures in the medium and in the long term, replacement cash registers are to be used for the purpose of the provision of contract medical care and the foreseeable development of needs.(2) The needs plan shall be drawn up for the area of a terminal medical association and adapted to the development. A Community requirement plan may also be drawn up for the areas of several health insurance associations, with the agreement of the competent national authorities responsible for social security, if special conditions are should be published.(3) The needs plan shall be based on a regional breakdown of the planning area referred to in paragraph 2, in accordance with the guidelines of the Joint Federal Committee and taking into account the objectives and requirements of spatial planning and regional planning. Findings to include in particular
-
medical care also taking into account the Doctors ' groups,
-
hospital care facilities and other medical care, provided they provide contract medical services and
-
Population density and structure,
-
Scope and type of demand according to contract medical services, their coverage and their spatial allocation within the framework of the contract medical care,
-
for the contract medical care important transport links.
If it is necessary to depart from the guidelines of the Joint Federal Committee on the basis of regional particularities for needs-based care, the deviations must be marked and the Peculiarities. If the national law provides for the establishment of a common national body according to § 90a of the Fifth Book of Social Code and should be taken into account the recommendations thereof, the resulting particularities are also to be presented.(4) The needs plan also forms the basis for advising physicians who are willing to participate in the contract medical care. The health insurance associations should seek to ensure that, in the choice of their contract physician, doctors take account of the supply needs arising from the requirements of the needs. Non-official table of contents

§ 13

(1) The health insurance associations have other health insurance providers and the municipal associations, to the extent that their needs are affected by the planning of needs, and to draw on the plans for the preparation and further development of the needs plans in good time. Other social insurance institutions and the hospital companies are also to be informed; they can be used in the planning of needs.(2) The competent national authorities and the national authorities responsible for the perception of the interests of patients and the self-help of chronically ill and disabled persons are relevant to the establishment and adaptation of the of the needs plans in good time, so that their suggestions can be included in the discussions.(3) The established or adapted needs plans shall be assigned to the national committees of the doctors and health insurance funds. They shall be submitted to the supreme national authorities responsible for social security, which they may object to within a period of two months from the date of submission.(4) The health insurance associations, the national associations of the sickness funds and the replacement funds shall evaluate the experience gained from the application of the requirements plans at a distance of three years, consult the result jointly and the Inform the Commission of the results of the evaluation and the outcome of the consultation.(5) The Federal Association of Statesmen and Health Insurance Association and the Confederation of Health Insurance Funds are to support the health insurance associations, the national associations of the health insurance companies and the replacement funds. The Federal Association of Statesmen and the Federal Government of the Health Insurance Funds (Bundesvereinigung) shall evaluate the results in accordance with paragraph 4, advise jointly and the Federal Committee of Physicians and Health Insurance Funds and the Federal Ministry of Health of the Federal Ministry of Health of the Federal Republic of Germany. Inform the evaluation and the outcome of the consultation. Non-official table of contents

§ 14

(1) The agreement is reached in the preparation and further development of the demand plan between the health insurance company. Association, the national associations of the health insurance companies and the substitute funds are not established, the Land Committee of the Doctors and Health Insurance Funds shall consult and decide without delay after referral by one of the parties concerned. The first sentence shall also apply in the event that the requirement plan has been objected to by the supreme state authority responsible for social security and that one of the parties has referred the matter to the State Committee. Insofar as further participation is necessary, Section 13 (1) and (2) shall apply accordingly.(2) The Land Committee shall take part in its deliberations with the supreme state authority responsible for social security. If the Land Committee has been referred to the decision, it shall submit the approved needs plan with the result of the deliberations of the supreme state authority responsible for social security in the framework of the legal supervision. If a non-objection is subject to conditions, it is to be advised once again and, in the event of changes to the demand plan, to be decided again. If the supreme state authority responsible for social security objected to the demand plan, or if it is issuing the demand plan instead of the Land Committee itself, the requested or self-issued needs plan shall be the Land Committee and the Cash-medical association, the national associations of the health insurance companies and the replacement cash registers, with the justification for the complaint or the replacement delivery.

Section IV
Subsupplies

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§ 15

If the demand plan has a need for contract physicians for a particular service area, and shall not be filled for a period of more than six months, the Association of Veterinary Medicinal Products shall, at the latest after the end of this period, have the contract doctor's itch in the sheets provided for its official notices. to write out. Non-official table of contents

§ 16

(1) The state committee of doctors and health insurance companies has to check from its own office whether a planning area has a medical undersupply exists or threatens. The examination shall be carried out in accordance with the actual conditions, taking into account the objective of ensuring and on the basis of the plan of needs; the examination of the requirements of the guidelines of the Federal Committee of Physicians and Health Insurance Funds for the evaluation of a Undersupply of uniform and comparable bases, standards and procedures shall be taken into account.(2) Where the Land Committee establishes an existing or foreseeable supply of undersupply, it shall give up the Association of Doctors ' Associations, within a reasonable period of time to be determined by the Association, to eliminate the undersupply. The Land Committee may recommend certain measures.(3) If the existing or foreseeable future sub-supply is to be extended even after the expiry of the period, the Land Committee shall determine whether the conditions laid down in Article 100 (2) of the Fifth Book of Social Code shall apply to: In order to remove the existing or foreseeable future sub-supply with a binding effect on one or more admissions committees, admissions restrictions should be imposed. The decision-making committees concerned must be heard before the order is arranged.(4) For the duration of the existing or foreseeable future sub-supply, restrictions are allowed as limitations:
a)
Rejection of authorisations in areas of regulatory districts that are outside the areas identified by the State Committee as underserved;
b)
Rejection of authorisations for certain groups of doctors in the areas referred to in point (a).
(5) The Admissions Committee may, on a case-by-case basis, be an exception to a Permit restriction if the rejection of the authorisation for the doctor would mean an unbilled hardship.(6) The Land Committee shall, no later than six months, have to consider whether the conditions for the arrangement of restrictions on admission shall continue. The second sentence of paragraph 3 shall apply accordingly.(7) The arrangement and cancellation of restrictions on admission must be published in the sheets provided for official announcements of the associations of treasury associations.

Section IV a
Oversupply

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§ 16a

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§ 16b

(1) The Land Committee has to check from its own office whether there is a medical oversupply in a planning area. Oversupply is to be assumed if the general demand-oriented supply level is exceeded by 10 per hundred. In this connection, the standards, principles and procedures laid down in the guidelines of the Federal Committee of Doctors and Health Insurance Funds must be taken into account.(2) If the Land Committee finds that there is an oversupply, it shall arrange for admission restrictions with binding effect on one or more admissions committees in accordance with Section 103 (2) of the Fifth Book of the Social Code.(3) The Land Committee shall, no later than six months in each case, examine whether the conditions for the arrangement of restrictions on admission persist. If the conditions are not met, the Land Committee, with a binding effect on the admissions committees, shall immediately lift the restrictions on admission. The second sentence of paragraph 2 shall apply accordingly.(4) The arrangement and cancellation of restrictions on admission must be published in the sheets provided for by official notices of treasury associations.

Section V
Requirements for Admission

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§ 17

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§ 18

(1) The application must be made in writing. The application shall indicate the contract doctor's seat and the name of the doctor's name for which the authorisation is to be applied. The application must be accompanied by
a)
an excerpt from the doctor's register, from which the day of the Approbation, the day the registration in the doctor's register and, where applicable, the date of recognition of the right to lead a particular specialist, specialisation or additional name must be given,
b)
certifications about the medical activities carried out since the Approbation,
c)
if necessary, a Declaration in accordance with § 19a (2) sentence 1, with which the supply contract following the admission is limited to half.
(2) Furthermore, the following must be attached:
1.
a resume,
2.
a policing certificate,
3.
The health insurance associations in whose area the doctor has so far been established or admitted to the cashbox office, from which the place and duration of the previous
4.
a declaration on the service existing at the time of submission of the application,
Employment relationships, indicating the earliest possible end of the employment relationship,
5.
a statement by the doctor as to whether it is drug-dependent or non-alcoholic. or within the last five years, whether he has been subject to a drug or alcohol dependency within the last five years and that legal obstacles to the exercise of the medical profession are not
(3) In place of original documents, officially certified copies may be attached.(4) If the documents referred to in paragraph 1 (b) and in paragraph 2 (c) cannot be submitted, the facts to be identified shall be made credible.(5)

Section VI
Admission and Contract arztsitz

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§ 19

(1) The application shall be made by decision of the Admissions Committee. Because of restrictions on admission, an application can only be rejected if they have already been arranged at the time of application.(2) If the doctor is approved, the decision shall fix the date on which the contract medical activity is to be taken up. If there are important reasons, the admissions committee may, at the request of the doctor, subsequently fix a later date.(3) If the contract medical activity is not included in a planning area affected by authorisation restrictions within three months of the date of notification of the decision on the authorisation, the authorisation shall end.(4) In a planning area without restrictions on admission with a general needs-based level of coverage of 100 per cent, the admissions committee may apply for a period of time. Non-official table of contents

§ 19a

(1) Admission requires the doctor to exercise full-time contract medical activity.(2) The physician shall be entitled, by written declaration to the admissions committee, to limit his supply contract to half of the supply contract referred to in paragraph 1. The restriction of the supply order shall be determined either in the framework of a decision pursuant to section 19 (1) or by separate decision.(3) At the request of the doctor, a restriction of the supply order under the second sentence of paragraph 2 may be repealed by decision. The application must be made in writing. The provisions of this section shall apply. Non-official table of contents

§ 20

(1) An employment relationship or another non-volunteer activity is the suitability for exercise against the contract medical service if, taking into account the duration and time of the other activity, the physician is not personally available to the insured in the extent corresponding to his/her supply contract, and In particular, it is not in a position to offer consultation hours for the periods normally used in the contract medical care. A doctor is also available for the care of the insured persons to the required extent if, in addition to his contract medical activities, he becomes active in the framework of a contract in accordance with § § 73b, 73c or 140b of the Fifth Book of Social Code.(2) For the purpose of carrying out the work of a contract doctor, a doctor who exercises a medical activity that is not compatible with the activity of the contract doctor at the contract doctor's seat is not suitable. The activity in or cooperation with an approved hospital according to § 108 of the Fifth Book of Social Code or a pre-care or rehabilitation facility according to § 111 of the Fifth Book of the Social Code is with the activity of the Contract doctor.(3) A doctor who has obstacles in accordance with paragraphs 1 or 2 may be admitted on condition that the reason for his suitability will be removed no later than three months after the date of the decision on: the authorisation has become indisputable. Unofficial table of contents

§ 21

Unsuitable for the performance of the contract medical activity is a physician who is made up of health or other health care. is not only temporarily incapable of exercising properly the contract medical activity for serious reasons in the case of the person concerned. This may be presumed, in particular, if it has been drug-dependent or alcohol-dependent within the last five years prior to its application. If it is necessary to take a decision on the inadequacy of the performance of the contract medical practice referred to in the first sentence, the admissions committee shall require the person concerned to ensure that the person concerned is within a reasonable period of time specified by the admissions committee. The opinion of a doctor appointed by the admissions committee about his state of health is presented. The opinion must be based on an investigation and, if this is considered necessary by a local doctor, also on a clinical observation of the person concerned. The person concerned shall bear the costs of the opinion. Appeals against the order of sentence 3 do not have suspensive effect. Non-official table of contents

§ § 22 u 23 (omitted)

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§ 24

(1) Admission is to the place of establishment as a doctor (contract doctor's seat). (2) The contract doctor must keep his office hours at the contract physician's office.(3) Contract medical activities outside of the contract doctor's seats in other locations are permitted if and where
1.
this improves the care of the insured in the other places, and
2.
the proper Supply of the insured persons at the place of the contract doctor's itch is not impaired; minor impairments for the supply at the place of the contract physician itch are unrespectful if they are due to the improvement of the supply at the further location
It is not necessary for the services offered in other places to be offered in a similar manner to the contract doctor's seat, or that the specialist area of a doctor operating in the branch office also be offered at the Contract arztsitz is represented. Exceptions to the principles set out in sentence 2 may be laid down in the German Federal Treaty. Regulations for the distribution of the activity between the contract physician's office and other places, as well as minimum and maximum times, do not apply to medical care centres for the individual doctor working in the medical care centre. If the other places are located in the district of the terminal medical association in which the contract doctor is a member, he shall be entitled to prior authorisation from his health insurance association in the presence of the conditions laid down in the first sentence. If the other places are located outside the district of the association of his or her health insurance association, the contract doctor shall be entitled to authorisation by the admissions committee, in the district of which he is active, in the presence of the conditions laid down in the first sentence of sentence 1. , the admissions committee in whose district he has his or her contract doctor's seat, and the participating medical associations are to be heard before the decision is taken. The contract doctor authorised in accordance with the provisions of the sixth sentence may also employ the doctors appointed for the work on his/her contract doctor's seat in the course of his/her work in the further place. He may also apply to doctors for the activity in the further place in accordance with the provisions which would apply to him as a contract doctor if he were to be admitted to the further place. The authorising committee responsible for issuing the authorisation pursuant to the sixth sentence shall be the authority responsible for authorising the employment in accordance with the first sentence of paragraph 8. No authorisation shall be required for the activities of a contract doctor at any of the other contract doctor's seats of a member of the local professional training community in accordance with Section 33 (2) of which he is a member.(4) The authorisation and the authorisation to take up other contractual activities referred to in paragraph 3 may be granted with secondary provisions if this is necessary to ensure the fulfilment of the contract doctor's obligation to supply the contract doctor's seat and is required in other places, taking into account the participation of employed physicians. This is to be regulated in a uniform manner in the German Federal Shell contracts.(5) When the contract doctor provides special examination and treatment services in further locations in close proximity to the contract physician's office (outsourced practice rooms), he has the place and date of taking up the activities of his medical insurance association without delay.(6) A contract doctor may only change the name of the specialist doctor with which he is authorised with the prior approval of the admissions committee.(7) The admissions committee may only authorise the application of a contract doctor on the transfer of his contract doctor if grounds of the contract medical care do not prevent him from being accepted. unofficial table of contents

§ 25

(omitted)

section VII
rest, withdrawal, and end of Approval

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§ 26

(1) The approval committee has the full or half-time approval of the admission to a contract doctor if the conditions of § 95 (5) of the Fifth Book of Social Code are fulfilled and if there are no grounds for ensuring the provision of the contract medical care.(2) Facts which may require the approval of the authorisation shall be notified to the Admissions Committee by the Contracting Doctor, the Sickness Funds Association, the Health Insurance Funds and the State Associations of the Health Insurance Funds.(3) The decision shall set the time of rest.(4) In the case of a dormant permit, the Register Office shall keep a special register. Non-official table of contents

§ 27

The Admissions Committee has to do so on its own account of the full or half-time withdrawal of the admission if the conditions are fulfilled in accordance with Section 95 (6) of the Fifth Book of the Social Code. The statutory health insurance association and the national associations of the health insurance companies and the substitute funds may apply for the withdrawal of the authorisation from the Admissions Committee, stating the reasons. Non-official table of contents

§ 28

(1) The renunciation of admission will end with the end of the contract doctor's waiver of the waiver in the case of the marketing authorisation committee, the following calendar quarter. This period may be shortened if the contract doctor proves that the further exercise of the contract medical activity for the entire duration or part of the period is unreasonable for him. If the authorisation ends for other reasons (Section 95d (3) and (5) and Article 95 (7) of the Fifth Book of Social Code), the date of its end shall be determined by decision of the Admissions Committee.(2) Facts which require the end of the authorisation shall be notified to the Admissions Committee by the Sickness Funds Association, the sickness funds and the national associations of the health insurance companies. unofficial table of contents

§ § 29 and 30 (omitted)

section VIII
empowerment

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§ 31

(1) The admissions committees may extend beyond the circle of approved doctors more doctors, in particular in Empower hospitals, prevention and rehabilitation centres, residential care institutions and vocational rehabilitation centres or, in special cases, institutions to participate in the supply of contract medical care, provided that: this is necessary to
1.
an existing or imminent sub-supply in accordance with § 100, paragraph 1 of the Fifth Book of the Social Code, or to cover an additional local supply requirement determined in accordance with Article 100 (3) of the Fifth Book of Social Law, or
2.
to provide a limited number of people, such as rehabilitation centres in vocational rehabilitation centres, or employees of a remote or temporary Operation.
(2) The Federal Association of Statesmen and the Federal Government of the Health Insurance Funds (Bundesvereinigung Bund der Krankenkassen) may make arrangements in the German Federal Nuclear Agreement which, in addition to the conditions set out in paragraph 1, provide for the provision of certain provide medical services within the scope of the contract medical care.(3) Under the conditions laid down in paragraph 1, doctors ' associations may also authorize doctors who do not possess an approval under German law to take part in the contract medical care provided that they are covered by the provisions of paragraph 1 of this Article. the competent German authority has been granted a permit for the temporary exercise of the professional medical profession.(4) (omitted) (5) The Federal Association of Statesmen and the Federal Government of the Health Insurance Funds (Bundesvereinigung Bund der Krankenkassen) has to make provision in the German Federal Treaty for the authorization of doctors who are nationals of a Member State of the European Union. The Union or any other Contracting State of the Agreement on the European Economic Area or of a Contracting State to which Germany and the European Community or Germany and the European Union are contractually contractually Entitlement to the temporary provision of services within the meaning of Article 50 of the Treaty establishing the European Community or of Article 37 of the Agreement on European Union economic area.(6) The request for authorisation shall be addressed in writing to the Authorisation Committee. It shall be accompanied by the approbation certificate and the declarations referred to in Article 18 (2) (5). Section 18 (3) shall apply accordingly.(7) The authorization shall be determined temporally, spatially and in terms of its scope. The authorization decision shall also state whether the authorised physician can be used directly or on transfer. The rates 1 and 2 do not apply to appropriations in accordance with § 119b of the Fifth Book of the Social Code.(8) A doctor may not be authorized if the reasons set out in § 21 of this Directive make him appear unsuitable for participation in the contract medical care. Authorisation shall be withdrawn if it is subsequently known that the grant of the authorization has provided grounds for failure within the meaning of the first sentence. It shall be revoked if it is not subsequently achieved by a cause of the authorization pursued by the person of the physician. The provisions of sentences 1 to 3 shall apply mutatily if institutions are authorized to do so.(9) (a) (10) In the case of appropriations, a special register shall be provided by the Association of Statesmen of the Treasury (register office). Non-official table of contents

§ 31a

(1) The admissions committees can be doctors who are
1.
in a hospital,
2.
in a pre-care or rehabilitation facility with a supply contract according to § 111 paragraph 2 of the Fifth Book of the Social Code, or
3.
according to § 119b paragraph 1 sentence 3 and 4 of the Fifth Book of the Social Code in a stationary care facility
, to participate in the contract medical care of the Insured persons empower to the extent that they have a corresponding completed training and agree to the institution of the institution in which the physician is active. Authorisation shall be granted to the extent and for as long as sufficient medical care is not provided to the insured persons without the special examination and treatment methods or knowledge of the appropriate physicians referred to in the first sentence.(2) The application by a doctor referred to in the first sentence of paragraph 1 to be empowered shall be addressed in writing to the Admissions Committee, in whose area the institution in which the doctor is active is located. He/she is the certificate and declarations referred to in § 31 (6), the document from which the authorization to lead a territorial name is obtained, and a written consent form by the institution of the institution in which the doctor is active. is to be attached. Section 18 (3) shall apply accordingly.(3) § 31 (7) to (10) applies accordingly.

Section IX
Representative, Assistant, Employed Physicians and Professional Training Community

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§ 32

(1) The contract doctor has to exercise the contract medical practice personally in free practice. In the case of illness, holidays or participation in medical training or in a military exercise, he/she may be represented within twelve months up to a period of three months. A contract doctor may be present at a time of direct connection with a period of time of up to 12 months. If the representation lasts longer than one week, it must be notified to the Association of Statesmen of Health. The contract doctor may, in principle, be represented only by another contract doctor or by a physician who satisfies the requirements of section 3 (2). If within a period of twelve months the duration of the representation exceeds one month, the Association of Doctors ' Associations may verify with the contract doctor or with the representative whether the representative fulfils the conditions set out in sentence 5 and does not have any inadequacy in accordance with § 21.(2) The employment of assistants in accordance with Section 3 (3) requires the approval of the Association of Statesmen of Health. Incidentally, the contract doctor may only employ a representative or a wizard,
1.
if this is done in the In the case of education or training,
2.
during periods of upbringing of children up to the level of a child, Duration of 36 months, during which time this period does not need to be taken together, and
3.
during the care of close relatives in need of care in the home Environment up to a period of six months.
The health insurance association may extend the periods referred to in the second and third sentences of the second sentence. The employment of a representative or assistant requires the prior approval of the Association of Doctors ' Associations. The duration of employment is temporary. The authorisation shall be revoked if the employment of a representative or assistant is no longer justified; it may be revoked if there are reasons in the person of the representative or assistant who, in the case of the contract doctor, are responsible for the withdrawal of the Authorisation may lead to authorisation.(3) The employment of an assistant must not be used to increase the practice of the cashier or to maintain an excessive level of practice.(4) The contract doctor shall have representatives and assistants to comply with the obligations of the contract. Non-official table of contents

§ 32a

The authorized physician has the contract medical activity specified in the authorization decision personally. shall be exercised. In the case of illness, holidays or participation in medical training or in a military exercise, he/she may be represented within twelve months up to a period of three months. Sentence 2 shall not apply to appropriations in accordance with Article 31 (1) (b). Non-official table of contents

§ 32b

(1) The contract doctor may apply to doctors in accordance with § 95 (9) and (9a) of the Fifth Book of the Social Code. In the case of the national contracts, uniform rules must be laid down on the number of doctors employed in employment, taking into account the obligation to supply the contract doctor who is to be employed.(2) The appointment shall be subject to the approval of the Admissions Committee. For the application, § 4 (2) to (4) and § 18 (2) to (4) apply accordingly. Section 21 shall apply accordingly. § 95d (5) of the Fifth Book of the Social Code applies accordingly.(3) The doctor has to stop the doctor appointed for the performance of the contract medical obligations.(4) The doctors ' association (register office) is responsible for a special list of doctors who are employed.(5) At the request of the contract doctor, an appointment approved in accordance with paragraph 2 shall be converted by the admissions committee into an authorisation, provided that the extent of the contract medical activity of the employee employed is a whole or a half supply contract ; if the applicant is not at the same time requested to hold a post-appointment procedure in accordance with Section 103 (4) of the Fifth Book of Social Code, the doctor who has been appointed to date shall be the holder of the Authorisation. Non-official table of contents

§ 33

(1) The sharing of practice spaces and practice facilities, as well as the joint employment of Aid staff by several doctors is allowed. The terminal medical associations shall be informed accordingly. The joint employment of physicians and dentists is not permitted; this does not apply to medical care centres.(2) The joint exercise of a contract medical practice is permissible under all service providers admitted to the contract medical care on a joint contract physician's office (local professional training community). It is also admissible if the members of the Professional Training Community (inter-local professional training community) are different from the contract doctors, if the fulfilment of the obligation to supply the respective member to his/her contract doctor's seat is carried out under Consideration of the participation of employed physicians and psychotherapists is guaranteed to the extent necessary, as well as the member and the doctors and psychotherapists employed by him at the contract doctor's seats of the other members only in shall be of limited duration. The joint professional exercise, based on individual benefits, shall be permitted provided that such exercise does not include circumvention of the prohibition on the allocation of insured persons for remuneration or other economic benefits pursuant to Article 73 (7) of the Fifth Book Social Code. Circumvention shall in particular be provided if the doctor's contribution to the provision of medical and technical services is limited, at the instigation of the other members of a professional training community, or if the profit is without reason in such a way as to: , which does not correspond to the share of the services provided in person. The arrangement of a power, in particular from the fields of laboratory medicine, pathology and imaging procedures, does not constitute a person-made pro-rata performance in this sense.(3) The professional training community shall require the prior approval of the admissions committee. The competent admissions committee shall be the subject of an agreement between the Association of Occupational Doctors and the Association of Contractual Doctors and the Association of Contractual Doctors in several admissions counties of a health insurance association for local professional training communities with a contract physician. National associations of the health insurance companies and the replacement funds are determined. Where a local professional training association has members in several associations, it shall elect the contract doctor's seat, which shall be relevant for the approval decision as well as for the entire service provision. of the local rules applicable to the local professional training community, in particular for remuneration, accounting and accounting, economic and quality audits. The choice shall be made irrevocably for a period of at least two years. The approval may be granted subject to conditions where this is necessary to meet the requirements laid down in paragraph 2; the details of this shall be laid down in a uniform manner in the national contract contracts.

Section X
Approval and appeal committees

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§ 34

(1) The admissions committee consists of six Members, each consisting of three representatives of the doctors and the health insurance companies as well as from deputites in the necessary number.(2) The representatives of the health insurance companies shall be appointed jointly by the regional associations of the health insurance companies and the replacement funds. If there is no common order, the representatives will be drawn from the number of persons proposed by the national associations of the health insurance companies and the replacement funds.(3) The term of office shall be four years.(4) If a member is in prematurely, reorder shall take place. The term of office of newly elected Members shall end with the term of office of the other members referred to in paragraph 3.(5) A Member may be dismissed for an important reason by the body from which it is appointed. The honorary office of the unauthorised doctor ends with its approval.(6) The deposit of the honorary office shall be made in writing to the admissions committee.(7) The members of the committees shall be entitled to reimbursement of their cash outlays and compensation for loss of time in accordance with the principles governing the members of the bodies of the bodies responsible for the bodies responsible for the bodies. The claim is directed against the ordering bodies.(8) The costs of the admissions committees shall, in so far as they are not covered by fees, be borne by the statutory health insurance association, on the one hand, and the national associations of the health insurance funds and the replacement funds, on the other hand, by the latter half of the costs incurred by the latter. in accordance with the number of insured members of their Member States.(9) The substitutes shall be subject to the rules applicable to Members. Non-official table of contents

§ 35

(1) The appeal committee consists of a chairperson with the qualification of the judge's office and of three Representatives of doctors and health insurance companies. Substitutes are to be ordered in the necessary number.(2) The provisions of § 34 shall apply accordingly.(3) Members of an admissions committee may not be both co-sitters in the Appellate Committee responsible for the Authorisation Committee.

Section XI
Procedure prior to the Admissions Committee and Appeals Committees

1.
Admissions Committee for Doctors

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§ 36

(1) The Admissions Committee decides in meetings. The Chair shall be invited to attend the meetings, indicating the agenda.(2) In the cases of § 140f (3) of the Fifth Book of the Social Code, patients ' representatives shall be charged with the order of the order of business, subject to a deadline of two weeks. Non-official table of contents

§ 37

(1) The admission committee decides on authorisations and on the withdrawal of authorisations according to oral questions. Negotiation. In all other cases, the Admissions Committee may take an oral hearing.(2) The statutory health insurance association, the national associations of the sickness funds and the replacement funds, as well as the doctors involved in the procedure, must be charged for oral proceedings with due regard to a period of two weeks; the summons shall be sent. It may also be negotiated in the absence of interested parties, if it is pointed out in the summons. Non-official table of contents

§ 38

The fee-based application is only negotiated after payment of the fee to be paid in accordance with § 46. If the fee is not paid within the time limit set by the request, the application shall be deemed to be withdrawn unless the chairman is stunted by the fee. The payment deadline and the consequences of non-compliance are to be noted in the request. Non-official table of contents

§ 39

(1) The admissions committee collects the evidence that it considers necessary.(2) The experts and respondents who have been contacted by the Admissions Committee shall receive remuneration or compensation in accordance with the law on the compensation of justice and the compensation of persons. Non-official table of contents

§ 40

The session is not public. It shall start from the point of view of the matter in the presentation of the facts by the chairman or the member appointed by him as rapporteur. The chairman is responsible for negotiating, advising and voting. The chairman shall have the effect of ensuring that the facts are sufficiently clarified. Any member of the Admissions Committee may ask relevant questions and requests. Non-official table of contents

§ 41

(1) Consultation and decision-making take place in the absence of those involved in the proceedings. The presence of a secretary for the Admissions Committee provided by the Association of Doctors Association shall be permitted. In the cases of § 140f (3) of the Fifth Book of the Social Code, patients ' representatives shall participate in the meetings with a consultative vote; they shall have the right to be present in the decision-making process.(2) Decisions may only be taken if the approval committee is fully occupied. Abstention is inadmissible.(3) It is necessary to keep silent on the progress of deliberations and on the relationship between the votes.(4) The outcome of the procedure shall be laid down in a decision. The decision shall specify the name of the admissions committee, the members involved in the decision-making process and the date of the decision-making. The decision shall be accompanied by reasons and shall be signed by the chairman and a representative of the doctors and the sickness funds. The decision shall be accompanied by an instruction concerning the admissibility of the appeal, the time limit to be observed and the seat of the relevant appeal committee.(5) A copy of the decision shall be sent to the parties concerned as soon as possible, and a further copy shall be provided by the Register Medical Association for the records of the register. In the cases of § 140f (3) of the Fifth Book of Social Code, the patients ' representatives shall receive a copy of the decision. The admissions committee may decide that other bodies shall also receive copies of the decision if they demonstrate a legitimate interest.(6) (omitted) unofficial table of contents

§ 42

A transcript is to be completed on each session. It shall contain the names of the participants in the meeting, the applications and essential declarations of the participants, the outcome of the evidence survey and the decisions. The minutes shall be signed by the chairman. The patients ' representatives will receive a copy of the agenda items of the meeting, which they have advised in accordance with § 140f (3) of the Fifth Book of Social Code. Non-official table of contents

§ 43

The files of the Admissions Committee are five years, minutes and copies of decisions twenty years

2.
Appeal Committee for Doctors (Appeal)

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§ 44

The appeal is to be submitted in writing or to the minutes of the office of the Appellate Committee in the Appeal Committee. It must refer to the decision against which it is addressed. Non-official table of contents

§ 45

(1) The appeal is deemed to be withdrawn if the fee referred to in § 46 is not within the set time limit. shall be paid. The payment deadline and the consequences of non-compliance are to be noted in the request.(2) The objection may be rejected without oral proceedings if the Appeal Committee decides unanimously to reject it.(3) The provisions of § § 36 to 43 apply accordingly.

Section XII
Fees

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§ 46

(1) The following charges are levied for the procedure:
a)upon application for registration of the doctor in the doctor's register ..................... 100 Euro
b)at the request of the doctor or the medical care center on admission100 Euro
c)for other applications with which: the doctor, the medical care centre or the other medical institution shall seek the decision of the admissions committee ..........120 euro
d)at the time of filing a Opposition by which the doctor, the medical care centre or the other medical institution shall seek the change of an administrative act ...........................200 euro.
Fees shall be charged with the lodging of the application or the filing of the appeal. Where a contradiction is wholly or partly accepted, the fee paid in accordance with point (d) shall be repaid.(2) In addition to the fee referred to in paragraph 1, the administrative fees shall be as follows:
a)after unchallenged admission ..400 euro
(b)after the registration of an authorisation based on § 31 (1) to (3) or § 31a (1), in the list according to § 31 para. 10 .......400 Euro
c)after the successful completion of the registration Approval of the appointment of a doctor to a contract doctor, in a medical care centre according to § 95 (2) of the Fifth Book of Social Code or of an institution pursuant to § 311 (2) of the Fifth Book of Social Law ......... 400 Euro
d)after the registration of a permit based on § 32b (2) in the directory according to § 32b (4) ....400 Euro.
3) It is to be paid
a)
the fees referred to in paragraph 1 (a) to the Treasury Association,
b)
the fees referred to in paragraph 1 (b) and (c) and (2) (a) and (b) to the office of the admissions committee,
c)
the fee referred to in paragraph 1, letter d, to the office of the Appeals Committee.

Section XIII
Transition-and Final provisions

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§ 47

(1) This admission order shall take place on the first date of the announcement following month in force.(2) § § 25 and 31 (9) apply only to applications by psychotherapists, which are after the 31. The Commission shall be required to: Nonofficial table of contents

§ § 48 to 52 ----

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§ 53

(1) After the entry into force of this admission order, medical registers shall be established in accordance with the model prescribed in § 2.(2) to (4) unofficial table of contents

§ 54

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§ 55

(1) This regulation applies in accordance with Section 14 of the Third Transfer Act of 4. January 1952 (Bundesgesetzbl. I p. 1) in conjunction with Article 3 (2) of the Law on Veterinary Law, also in the Land of Berlin ...(2) Non-official table of contents

Final formula

The Federal Minister for Work unofficial table of contents

asset (to § 2 para. 2)

(site: BGBl. I 1988, 2574)
 Pattern for the doctor's tab

The doctor's register has the following information to be included:
1. Serial number ............................................
2. Name and title .............................................
3. First name ....................................................
4. Place of residence ....................................................
5. Date and place of birth ......................................
6. a) Housing address .......................................................
b) Practice address .........................................................
7. Nationality ........................................
8. Knowledge of foreign languages ............................................................
9. State Examination Date ............................................
10. Date of Approbation ......................................................
11. Date of promotion ........................................................
12. Date of specialist medical recognition and specialist area
13. Set down as
. Doctor ............................ ........
Doctor for ............................... from ................
14. Exercise of other medical activities ....................
15. Entered on .............................................
16. Approved on ..............................................
17. Approval terminated at .......................................
18. Approval has been in place since ........................................................
19. Authorisation withdrawn from ..............................................................
20. Approbation removed from the .........................................
21. Approbation has been resting since .........................................
22. Imposition of a professional ban on ..........................
23. In the doctor's register deleted on ..............................
24. Remarks ........................................................