Updating the recommendations

According to still strictly confidential information from the GKV-Spitzenverband, the criteria catalogue for prequalification will be updated once again.

The subject of what is now the 14th update includes, on the one hand, changes resulting from already implemented modifications to the product groups in the medical aid directory pursuant to § 139 SGB V, in particular affecting Product Group 25 "Visual Aids." Furthermore, due to the complexity of diabetic foot care, a separate care category is to be established. The newly created care area 03F is also expected to include the provision of "oral and enteral nutrition." Another update to the recommendations pursuant to § 126 paragraph 1 sentence 3 SGB V is already planned for early summer 2022. This will especially include the creation of a care category for metabolic products that are dispensed as part of enteral nutrition under medically balanced diets. Final consultations are currently underway. By the end of August, the committees of the GKV-Spitzenverband are expected to decide on the new requirements. We will then inform all prequalification clients in detail about the new requirements and the resulting implications for the prequalification process.