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Refusing Wlz-indication in Amsterdam: your rights and step-by-step plan

Wlz-indication refused in Amsterdam? Discover your appeal options with CIZ/BCZ, step-by-step plan and local assistance via Juridisch Loket and Rechtbank Amsterdam.

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Refusing Wlz-indication in Amsterdam: your rights and step-by-step plan

When your application for the Long-Term Care Act (Wlz) in Amsterdam is refused, you do not have to accept this just like that. A refusal does not mean that you do not deserve care. In this article for Amsterdammers, we explain what you can do, which steps to take and your legal rights.

Refusal of a Wlz-indication by the health insurer or the CIZ (Centre for Care Indication) implies that your care needs do not meet the Wlz criteria. This may be due to insufficient severity of the condition, lack of evidence or alternative arrangements. Fortunately, you can file an appeal and strengthen your file.

Legal basis: Wlz and appeal in Amsterdam

The Long-Term Care Act (Wlz) covers long-term care needs. The CIZ issues the indication. In case of refusal, you can file an appeal with the Care Appeals Committee (BCZ).

Important laws:

  • Article 11 Wlz: Application processing and indication issuance.
  • Article 12 Wlz: Possibility of appeal.
  • Care Appeals Committee Decree (BBZ): Appeal rules.
  • Awb Article 6:1 and 6:10: Administrative law appeal deadlines.

The BCZ assesses independently. For Amsterdam cases, you can go to Rechtbank Amsterdam, Parnassusweg 220 for further steps.

Common reasons for Wlz refusal in Amsterdam

The CIZ often refuses for:

  • Insufficient intensive care needs: Not permanently requiring 24-hour care nearby or fully dependent on support for daily living.
  • Incomplete medical file: Too little evidence of structural limitations.
  • Alternatives via Wmo or Zvw: Local Wmo support in Amsterdam is more appropriate.
  • Procedural errors: Late submission or incomplete application.
  • Temporary care needs: Wlz requires permanent necessity.

Step-by-step plan for Wlz refusal in Amsterdam

Follow these steps for Amsterdammers:

  1. Analyze the refusal letter: Understand the reasoning of the CIZ.
  2. Consult experts: Talk to your doctor or an Amsterdam care broker.
  3. File appeal within 6 weeks with the BCZ. Download the form at regieopzorg.nl.
  4. Add new evidence: Recent medical reports or specialist statements.
  5. Seek free assistance: Visit the Juridisch Loket Amsterdam, Vijzelstraat 77 for care law advice or engage a patient organization.
  6. Await BCZ decision: Maximum 8 weeks; extendable. If rejected: appeal to Rechtbank Amsterdam.
  7. Consider interim relief: Request acute care via Awb Article 8:81 at the court.

Extra help in Amsterdam

In Amsterdam:

  • Municipality of Amsterdam Wmo desk: Check alternatives via amsterdam.nl/wmo.
  • Rechtbank Amsterdam: Parnassusweg 220 for hearings.
  • Juridisch Loket: Vijzelstraat 77, make an appointment via 020-5338430.

Action required: The 6-week period starts upon receipt of the refusal decision. Note the date!