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Medical Evidence for CIZ Indication for Intensive Care in Utrecht

Build an ironclad medical dossier for CIZ-IZ indication in Utrecht: local criteria, required reports from UMC Utrecht, and tips for counter-expertise in case of rejection.

2 min leestijd
A successful CIZ indication for Intensive Care (IZ) in Utrecht requires robust medical evidence, tailored to regional care practices. The CIZ applies the Care Intensity Packages (ZZP) and assesses the need for 24-hour care based on WLZ criteria, with special attention to Utrecht facilities such as the Wilhelmina Children's Hospital (UMC Utrecht). Provide detailed reports from pediatricians at UMC Utrecht, GGD psychologists, and therapists from Utrecht Practice Support, including diagnoses, limitations in activities of daily living (ADL), and exact care hours. Meet the CIZ criterion: structural, intensive support due to illness or disability, as emphasized in local WLZ trajectories. Avoid vague formulations; quantify care needs concretely (e.g., '6 hours/day of tube feeding via home care worker'). Request a general practitioner's statement from Utrecht GP practices to demonstrate urgency, and involve Utrecht Youth Care if additional evidence is needed. In case of rejection by the CIZ: gather counter-expertise through independent advisors from the Utrecht Patient Platform. Article 41 of the Social Support Act (Wmo) requires that care cannot be provided through regular channels, which often applies to complex cases at Altrecht or Reinier van Arkel in Utrecht. Parents with an IZ indication receive €1,300 net per month, with mandatory re-assessment after 2 years. Legal tip for Utrecht: engage an independent medical advisor early via the Legal Counter Utrecht for stronger dossiers and successful appeals at the Midden-Nederland District Court.