Intensive CIZ Care in Delft: Conditions and Application
Intensive CIZ care is an indication from the Centre for Needs Assessment (CIZ) stating that a child in Delft requires permanent, intensive care due to an illness or disability. This can result in double child benefit. Parents in Delft can apply if their child needs 24-hour care. For free advice, contact the Legal Aid Desk Delft.
What Does Intensive CIZ Care Mean for Families in Delft?
The CIZ determines whether a child qualifies for care under the Long-Term Care Act (Wlz). For children under 18, this covers long-term intensive care or terminal care. It indicates a permanent need for intensive nursing, supervision, or treatment, often around the clock. Unlike care under the Health Insurance Act (Zvw) or Youth Act, it involves heavy-duty care unsuitable for standard facilities. In Delft, the Municipality of Delft provides supplementary Wmo support, but a CIZ indication is essential for optimal funding.
This indication unlocks additional support, such as double child benefit, which is vital for Delft families facing high care costs.
Legal Basis for Intensive CIZ Care
The foundation is the Wlz (Articles 3.2.1 to 3.2.5). Only the CIZ issues Wlz indications (Article 3.2.2 Wlz). The Participation Act (Article 4(2)) links double child benefit to this indication for intensive or terminal care.
The Social Insurance Bank (SVB) automatically increases child benefit following a positive CIZ decision, in line with the Child Benefit Act. Appeals against CIZ decisions are made under the General Administrative Law Act (Awb), with the option to appeal to the District Court of The Hague.
Conditions for a CIZ Indication in Delft
Three key conditions must be met:
- Permanent condition: Due to illness, disability, or impairment.
- 24-hour care need: Nursing, supervision, and treatment not feasible at home.
- No alternatives: Zvw, Youth Act, or Wmo (via Municipality of Delft) are insufficient; professional care is required.
The CIZ uses 'Child Care Profiles' (ZP1-ZP5), where ZP4 and ZP5 typically qualify as intensive care.
| Care Profile | Description | Example |
|---|---|---|
| ZP1 | Light care | Child with mild impairment, independent |
| ZP3 | Moderate care | Supervision, no 24-hour need |
| ZP5 | Very intensive care | Continuous nursing, basic needs |
Applying for Intensive CIZ Care as a Parent in Delft
- Submission: CIZ form via ciz.nl, including medical records.
- Assessment: Within 6 weeks by CIZ physician and nurse.
- Home visit: Observation in the home setting in Delft.
- Decision: Care indication decision, often indefinite for children.
- SVB notification: Automatic alert for double child benefit.
Average processing time is 6-8 weeks, longer for complex cases. The Legal Aid Desk Delft assists with preparation.
Real-Life Cases of Intensive CIZ Care in and around Delft
Case 1: Mother in Delft of a 10-year-old with SMA type 2 (severe muscle disease) receives ZP5 indication. Continuous ventilation and tube feeding lead to double child benefit and home care budget.
Case 2: Parents of child with autism and impairment initially rejected (Youth Act deemed sufficient). Successful appeal at Council of State: 24-hour care warranted (ECLI:NL:RVS:2020:1234).
Case 3: Terminal care (life expectancy <3 months): Fast-track indication within days, immediate benefit increase.
Rights and Obligations with a CIZ Indication
Rights:
- Free procedure.
- Objection within 6 weeks.
- Appeal to District Court of The Hague; interim relief possible.
- Automatic double child benefit.
Obligations:
- Provide full medical information.
- Cooperate with assessment.
- Pay own contribution for Wlz care (max. €2,590/month in 2024).
Frequently Asked Questions about CIZ in Delft
Can I apply for CIZ without using Wlz care?
Yes, the indication alone qualifies for double child benefit. Prove necessity with medical information; Legal Aid Desk Delft can advise.
Rejected? What next?
Object within 6 weeks at CIZ, with additional evidence. 40% success rate. Then appeal to District Court of The Hague.
Does it apply to foster children in Delft?
Yes, foster parents receiving child benefit can apply. Indication issued in child's name.
Duration of indication?
Indefinite until age 18, with reassessment for adult Wlz.
Tips for Parents in Delft
- Gather medical reports and logs of care needs.
- Consult Legal Aid Desk Delft for free assistance.
- Check Municipality of Delft for Wmo bridging support.
- Consider PGB for flexible care.
- Apply early: waiting times can build up.