Long term care

This page provides essential information for care and assistance service providers regarding the management of long-term care insurance.

You will find details on the accounting plan, analytic accounting and the exchange of information between the National Health Fund (CNS) and service providers.

Information on invoicing, the framework agreement and details on the registration and declaration of the unavailability of the caregiver are also provided.

All you need to know

The accounting plan (Plan comptable) referred to in Article 71 of the framework agreement signed between the National Health Fund and the Confederation of Care and Assistance Providers is replaced by a new version valid from 1 January 2014.

The new accounting plan (Plan comptable) is available opposite. The accounts that must be used are those with grey cells and account numbers displayed in bold.

Plan Comptable

Article 388bis, paragraph 3, point 6 specifies that the terms and conditions and rules for cost accounting are to be determined by the health insurance management body.

The document opposite describes the concept and development of the analytical accounting system implemented with healthcare institutions.

Le concept de la comptabilité analytique

Article 27 of the Framework Agreement of 15 December 2017 signed between the National Health Fund and the COPAS a.s. Federation b.l., stipulates that the summary of coverage specifying the assistance and care required shall be sent by the CNS to the person in need of long-term care and electronically to the service provider in accordance with the procedures set out in Annex 5 of the same agreement, unless the person in need of long-term care has objected to this.

The files below contain the XML format of the file and its schema.

Synthèse de prise en charge - Format XML
Schéma de la Synthèse de prise en charge (P (Pdf, 71 Kb)

Providers are supplied with the pricing rules, both for home care and inpatient care, according to which the CNS determines the thresholds it applies when pricing assistance and care.

Schéma du fichier de facturation
Schéma du fichier de facturation retour
Modalités de tarification relatives aux prestations en nature

The XML format of the invoice file to be sent to the CNS, as well as the return file, are also available.

Fichier facturation - Format xml
Fichier Facturation retour - Format XML

The declaration file consists of several blocks that can be completed simultaneously or independently of each other. It is used to declare the following to the managing body:

  • The admissions and discharges of persons in need of long-term care;
  • The date on which at least one AEV (activité essentielle de la vie-essential activity of daily living) was provided during a week (activity declaration);
  • The caregiver's unavailability.

The files below show the XML format of the file and its schema.

Fichier Déclaration - Format XML
Schéma du fichier de déclaration (Pdf, 72 Kb)

The CNS provides service providers with the forms required for collecting data for the year 2024, as requested under Article 395bis of the Social Security Code.

The forms are specific to each type of service provider (continuous care and assistance establishments (Etablissements d'aides et de soins à séjour continu), care and assistance networks (Réseaux d'aides et de soins), intermittent care and assistance establishments (Etablissements d'aides et de soins à séjour intermittent), semi-residential centres (Centres semi stationnaires)) and are accompanied by technical data sheets containing explanations for each form to facilitate the compilation of the data requested.

The forms should be sent directly to the CNS.

Centres semi-stationnaires
Réseaux d'aides et de soins
Etablissements d'aides et de soins à séjour intermittent
Etablissements d'aides et de soins à séjour continu
The CNS provides service providers who so wish with forms enabling them to indicate, for each service, the qualifications that were actually used to perform these services in accordance with the minimum qualifications required.
 
They are accompanied by the technical data sheets available below, which contain explanations for each of the forms.
 
The forms are specific to each type of service provider (continuous care and assistance establishments (Etablissements d'aides et de soins à séjour continu), care and assistance networks (Réseaux d'aides et de soins), intermittent care and assistance establishments (Etablissements d'aides et de soins à séjour intermittent), semi-residential centres (Centres semi stationnaires)) and are available on request at controlesad.cns@secu.lu.

 

Centres semi-stationnaires (Pdf, 673 Kb)
Réseaux d'aides et de soins (Pdf, 678 Kb)
Etablissements d'aides et de soins à séjour intermittent (Pdf, 678 Kb)
Etablissements d'aides et de soins à séjour continu (Pdf, 678 Kb)

The CNS provides service providers with forms for recording data on changes in 2024, as requested in the context of negotiations on the monetary value for 2025-2026.

The forms are specific to each type of service provider (continuous care and assistance establishments (Etablissements d'aides et de soins à séjour continu), care and assistance networks (Réseaux d'aides et de soins), intermittent care and assistance establishments (Etablissements d'aides et de soins à séjour intermittent), semi-residential centres (Centres semi stationnaires)) and are accompanied by technical data sheets containing explanations for each form to facilitate the compilation of the data requested.

The forms should be sent directly to the CNS at recensement.cns@secu.lu.

Etablissements d'aides et de soins à séjour continu
Établissements d'aides et de soins à séjour intermittent
Réseaux d'aides et de soins et Centres semi-stationnaires

The framework agreement signed between the National Health Fund and the COPAS a.s.b.l. Federation aims to define, within the context of long-term care insurance, the relationship between the National Health Fund and care and assistance providers.

Convention-cadre signée entre la CNS et la Fédération COPAS a.s.b.l.

Article 350 (8) paragraph 3 specifies that the distribution of the required services shall cease if the caregiver is unable to provide the required assistance and care, as determined by the long-term care assessment and control authority. If the caregiver's unavailability is temporary, the required assistance and care shall be provided by the assistance and care providers without any change to the coverage summary.

Déclaration d'indisponibilité de l'aidant

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