Medical Justification for CIZ Indication for Intensive Care in Amsterdam

In Amsterdam, a successful CIZ indication for Intensive Care (IZ) is crucial for families with care-intensive children, relying on robust medical justification. The CIZ applies the Care Intensity Packages (ZZP) and assesses the 24-hour care needs according to WLZ criteria, with additional attention to urban care pressures in districts such as Amsterdam-Zuidoost or the Jordaan. Include reports from pediatricians at the Emma Children's Hospital (AMC), GGD psychologists, and physiotherapists from local practices, covering diagnosis, ADL limitations, and exact care hours. Meet the CIZ criterion: structural, intensive supervision due to illness or disability. Avoid vague terms; quantify care needs concretely, such as '7 hours/day tube feeding via PEG tube' or 'continuous epilepsy monitoring.' Request a general practitioner's statement from an Amsterdam GP post for urgency, and utilize the rapid referral via Amsterdam UMC. In case of rejection by the CIZ: engage counter-expertise through independent advisors from the NJi or regional care offices. Article 41 of the Social Support Act (Wwb) requires that care cannot be provided through regular channels, which often applies in Amsterdam's busy care market due to waiting lists at JeugdzorgPlus. Parents with an IZ indication receive €1,300 net per month, supplemented with Amsterdam PGB advice via the municipality. Reassessment is mandatory after 2 years; start building your dossier early. Legal tip for Amsterdam: involve an independent medical advisor from the Salvation Army or Cordaan early on for watertight dossiers and successful appeals at the Amsterdam court.