832.10
CH-TG
CH-TG
§ 38 Krankenversicherungsverordnung (TG KVV) - Abrechnung gegenüber den Gemeinden
Pflegefinanzierung - Stationäre Pflegeversorgung im Pflegeheim und Sterbehospiz
§ 38 TG KVV · Abrechnung gegenüber den Gemeinden
1. Die kantonale Durchführungsstelle erstellt die Schlussabrechnung über die Restfinanzierung pro Kalenderjahr zuhanden des Departementes für Finanzen und Soziales jeweils bis zum 31. Januar. Für die Abrechnung gegenüber den Gemeinden sind die tatsächlich ausbezahlten Beträge pro Kalenderjahr massgebend.
Gerichtsentscheide zu dieser Bestimmung (11)
5V 24 102 · lu (Art. 38 Abs. 1 KVG)
WEKO Appeal on Mandatory Health Insurance Authorization Fees Upheld
Cited in the reasoning concerning the cantonal authority responsible for monitoring compliance with admission requirements.
36.2021.50 · ti (Art. 38 LAMal)
Hydrocele Surgery Inpatient Coverage Appeal Denial
Cited in the reasoning section regarding authorized service providers.
VG.2017.00047 · gl (Art. 38 KVG)
Autism Caregiver Coverage Dispute
Federal Council's authority to set admission requirements for service providers.
A/3819/2007 · ge (art. 38 LAMal)
Insured Denied Coverage for Non-Physician Psychotherapy
Cited in the reasoning section (Point 5) regarding the Federal Council's competence to regulate the admission of certain providers, forming the background for the rejection in order 2.
A/2541/2003 · ge (art. 38 LAMal)
Insured vs. Insurer Regarding Unrecognized Residential Facility Costs
Cited regarding the Federal Council's regulation of the admission of certain service providers.
K 79/98 (Art. 38 KVG)
Mandatory health insurance coverage of two-pump insulin delivery system: provider contract requirement under Art. 55 KVV and effectiveness, appropriateness, and economic efficiency under Art. 32(1) KVG as a single therapeutic unit.
Procedural ground for the verdict: cited to support the validity of the regulation on provider authorization, including the contract requirement.
VPB 98-058 (Art. 38 LAMal)
Federal Act on Health Insurance Revision (Solidarity and Cost Containment)
Grants the Federal Council the authority to regulate the admission of certain service providers.
36.2003.85 · ti (Art. 38 Ordinanza LAMal)
Physician Denied Independent Practice Authorization Under OFL Time Limit
Cited in the reasoning to establish the required professional training period for doctors.
36.2006.57 · ti (Art. 38 LAMal)
Insurance Refusal to Cover Osteopathic Treatment Upheld Due to Lack of Legal Recognition
Cited in the reasoning to support the exhaustive nature of the lists of authorized providers, but not cited in the operative part.
36.2021.50 · ti (Art. 38 LAMal)
Insured Denied Coverage for Non-Medically Necessary Hospital Stay Following Hydrocele Repair
Cited in the reasoning regarding authorized providers of services under LAMal.
Jug.2024.401 · vd (Art. 38 LAMal)
Insurer v. Psychiatric Provider: Functional Unit Recognition Required for TARMED Billing
Cited in the reasoning section (4b) regarding physician qualifications, although not explicitly used in the final orders I or II.