Institutional allowance

The Forfait application computes the institutional allowance: what the facility receives per day and per resident, for a funding year.

The principle

The allowance is, in essence, the funded payroll divided by the days billed. So it rests on two figures, both taken over the reference period:

  • the days billed to the health insurers, per sector and Katz category;

  • the staff present, in full-time equivalents per qualification.

From these, Resthome computes the norm (how many FTE the facility should have for its residents), what is funded, and the fourteen parts of the allowance (A1 to W1).

Two periods not to confuse

  • Reference period — 1 July to 30 June, in four quarters. This is what is measured.

  • Paid over — 1 January to 31 December of the following year. This is when the allowance computed above is received.

Losing occupancy raises the allowance

It is counter-intuitive, and it is worth knowing: the allowance is a payroll divided by days. Fewer days billed over the reference period means a higher daily allowance the following year.

What Resthome takes, what you enter

  • Taken automatically: the days billed to the health insurers, the average number of residents, the dependency rate, the licensed beds, and the norms, salary scales and parameters of the region.

  • Entered by you: about thirty figures a year — the FTE per qualification and per quarter, the seniority, the disoriented residents, the function complements, the dementia reference person, and the allowance notified by the payer.

Regions

Only the Wallonia (AViQ) assembly is implemented. Brussels (Iriscare) and Flanders raise an error rather than approximate a figure that would be wrong.

What’s next