INFORMATION ON NEEDS ASSESSMENT

How can you prepare for the home visit?

Tell the assessor what limitations and care problems you are having to deal with. This way they can fully assess your care situation.

  • Please have existing reports from your family doctor, specialist physicians or following a hospital discharge ready for the appraiser.
  • Have the medications that you are currently taking ready.
  • If you can, keep a care journal for one or two weeks. You can use it to note down which daily tasks you have to perform and how long they take.
  • If a care service visits you, please also have any care documentation ready.
  • Ask a person who cares for you or who knows your situation well to be present during visits.
  • If you have received a questionnaire from the MDK or from your nursing care insurance provider, please fill it out in advance, if possible.
  • If you have a legal carer, please inform your carer about our home visit.

Information on needs assessment

You have submitted an application to your nursing care insurance provider for nursing insurance services. Therefore,  your nursing care insurance provider has tasked the German Health Insurance Medical Service (MDK) with compiling an assessment. The MDK is the independent consulting and assessment service that supports the statutory health and nursing care insurance providers in medical and nursing issues.

Where does the assessment take place?

For the assessment an MDK assessor will come to your
home, even if you are in a retirement or nursing home.
The MDK will suggest an appointment date in writing or
by telephone before the home visit. The assessor will
assess your assistance needs and will also check if it is
possible to improve your situation (e.g. through medical
rehabilitation).

What happens in an assessment?

The MDK assessors are specially trained nurses or doctors.
Their visit is intended to give them an impression of your
personal care situation. You should therefore tell the
assessor what limitations and nursing problems you are
having to deal with. Ask a trusted person to be there during
the home visit. This way the assessor will be able to
get a comprehensive picture of your situation. The home
visit can take up to an hour.

What should be considered during the assessment of people with dementia?

During the home visit, the assessor will fi rst speak to
the person in need of care, even if the information they
provide is not reliable due to dementia or other illness.
However, this information is not simply accepted without
further verifi cation, but will also be discussed with the
attending relatives.

What happens aft er the assessment?

The Medical Service will summarize the results of the
home visit in a report. Based on this, the nursing care
insurance provider will decide which level of care is
assigned to you. You will receive the decision about
the level of care together with the recommendation for
rehabilitation. Rehabilitation can assist you in managing
your daily life. If requested, the nursing-care insurance
provider will send you a copy of the MDK assessment.

What if you do not agree with the decision of the nursing care insurance provider?

If you have objections to the classifi cation, you can
challenge the decision with the nursing care insurance
provider within a period of one month aft er receipt of
the decision.

GOOD TO KNOW

When deciding on the care classifi cation the assessors will consider the assistance needs for the following care and household activities, which are legally defi ned. The care level does not vary depending upon the severity of your condition.

BASIC CARE
Personal hygiene: Washing, showering, bathing, combing, dental care, shaving, going to the toilet

Nutrition: preparing food so it is bite-sized and feeding

Mobility: Getting up and going to bed, relocating, dressing and undressing, walking, standing, climbing
stairs, leaving and getting back to the apartment

DOMESTIC HELP
Shopping, cooking, cleaning the house, washing, changing and washing of bedding and clothing, heating

CARE LEVELS

The amount of benefi ts from the nursing care insurance provider varies depending on the care level. What level of care applies for a patient depends on the extent of assistance required. A distinction is made between basic care (personal hygiene, nutrition and mobility) and domestic help.

Care Level I: greatly in need of care Assigned if there is a need for assistance of at least 90 minutes per day on average. Of this more than 45 minutes must be allotted to basic care. The precondition is that this help is required at least once daily. In addition, support must be required in the household repeatedly during the week.

Care Level II: in extreme need of care Assigned if there is a need for assistance of at least three hours per day on average. Of this more than two hours must be allotted to basic care. The precondition is that this help is required at least three times daily. In addition, support must be required in the household repeatedly during the week.

Care Level III: in constant need of care Assigned if the need for assistance is so great that it is required around the clock, nights as well. On average, a time commitment of at least fi ve hours per day must exist. Of this more than four hours must be allotted to basic care. In addition, support must be required in the household repeatedly during the week. Care services for people with dementia Regardless of the existence of a care level, the MDK checks, especially with people with dementia, whether in addition to care and help around the house, further special care is required. If so, they can receive additional benefits from the insurance.