Ratgeber MD-Begutachtung

Mit Blick auf eine gesunde und sichere Zukunft

Care Guide

Guide to MD assessment

Guide to MD

assessment

MDK assessment: How to prepare

MDK assessment:

How to prepare

What does the Medical Service (MD)

do during an assessment?

What does the

Medical Service

(MD) do during an

assessment?

  • You will receive a written appointment for the assessment.
  • The assessment usually takes place at home or in the care facility.
  • The caregiver should be present at the appointment if possible.
  • The assessors evaluate the care situation using a questionnaire.
  • Independence, abilities, and support needs are assessed.

The six areas of life (modules) the assessment:

The six areas of

life (modules)

the assessment:

  • Module 1:  Mobility
  • Module 2:  Cognitive and communicative skills
  • Module 3:  Behavioral and psychological problems
  • Module 4:  Self-sufficiency
  • Module 5:  Illness- and therapy-related requirements
  • Module 6:  Shaping everyday life and social contacts

Point distribution for care levels:

Point distribution

for care levels:

  • Care level 1:  12.5 to under 27 points – minor impairment
  • Care level 2:  27 to under 47.5 points – significant impairment
  • Care level 3:  47.5 to under 70 points – severe impairment
  • Care level 4:  70 to under 90 points – most severe impairment
  • Care level 5:  90 to 100 points – most severe impairment with special care needs

How does the visit for the

care assessment proceed?

How does the visit

for the care

assessment proceed?

  • The expert will come to your home at the agreed time.
  • Questions are systematically reviewed using the six modules.
  • Medical records and care documents support the classification.
  • Living situation and use of assistive devices are also taken into account.
  • The appointment usually lasts about an hour.

Tip:

  • Answer honestly and openly, even if it’s uncomfortable.
  • Only in this way can a realistic assessment be made and help be provided in a timely manner.

The questionnaire:

What questions does the MD ask?

The questionnaire:

What questions

does the MD ask?

Module 1: Mobility

  • Can the person move around the apartment alone?
  • Is climbing stairs still possible?
  • Can the user independently switch between sitting and lying positions?

Module 2: Cognitive and communication skills

Module 2: Cognitive

and communication skills

  • Is there a sense of orientation in the surroundings?
  • Can decisions be made in everyday life?
  • Can the person express and communicate their needs?

Module 3: Behaviors and psychological problems

Module 3:

Behaviors and

psychological

problems

  • Are you experiencing anxiety?
  • Is the person refusing help?
  • Are you experiencing a depressive mood?

Modul 4:

Self-sufficiency

  • Can the toilet be used in time?
  • Is it possible to dress and undress independently?
  • Can the child eat and drink independently?

Module 5: Illness and

therapy-related requirements

Module 5: Illness and

therapy-related

requirements

  • Can medications be taken independently?
  • Are injections necessary?
  • Are doctor’s appointments organized independently?

Module 6: Structuring Everyday

Life and social contacts

Module 6: Structuring

Everyday Life and

social contacts

  • Can daily life be managed independently?
  • Are there employment opportunities?
  • Are social contacts maintained?

Weighting of the modules in the evaluation:

Weighting of the

modules in the

evaluation:

  • Mobility: 10%
  • Cognitive abilities & mental health problems: 15%
  • Self-sufficiency: 40%
  • Illness-related requirements: 20%
  • Daily routine & social contacts: 15%

Preparation for the care assessment

Preparation for the

care assessment

Checklist for

Preparation:

  • Caregiver:  Should be present at the appointment if possible.
  • Disability ID card:  If available, please have it ready.
  • Care diary:  Provides an overview of everyday care tasks.
  • Medication plan:  Shows current medication.
  • Hospital or rehabilitation discharge reports:  Have copies available.
  • Medical and therapeutic records:  Document the state of health.
  • List of treating physicians and therapists:  Including frequency and availability.
  • Care documentation:  If a care service is already in use.
  • Aids:  Place in a visible location (e.g., walker, hospital bed).
  • Question list:  Write down your own questions for the MD and bring them with you.

MD assessment

How long will it take to receive a decision?

MD assessment

How long will it take

to receive a decision?

  • The decision will be issued no later than 5 weeks after the appointment.
  • If you are dissatisfied with the level of care you have been assigned, you can file an appeal.

Conclusion

  • Good preparation makes the classification easier for the MD.
  • A realistic assessment enables appropriate benefits such as care allowance or relief payments.
  • Family caregivers benefit in the long term from a correct classification.
  • If you have any questions, we at Sernitas Care are happy to assist you.

We are here for you!

We’d be happy to advise you on which services are right for you. This way, you’ll receive basic care tailored to your individual needs or those of your loved ones. Do you have any questions? Our staff will be happy to answer them. Give us a call!