Description of the assessment of special needs

 

No.

Name

Description content

1

Administrative service code

03

2

Administrative service version

Version 9

3.

Administrative service name

Assessment of special needs

4.

Administrative service description 

The individuals listed below have the right to the establishment of special needs: the citizens of the Republic of Lithuania; the citizens of another Member State of the European Union or of the country party to the Agreement on the European Economic Area and their family members who have been issued with the documents confirming their right to reside in the Republic of Lithuania; individuals who, in accordance with the regulations of the European Union for coordinating social security schemes, are subject to the Law of the Republic of Lithuania on Social Integration; foreigners holding a long-term European residence permit of the Republic of Lithuania, and foreigners granted asylum in the Republic of Lithuania. 

Special needs are established in accordance with the Description of the procedure for the establishment of a special need for a permanent nursing, of a special need for a permanent care (assistance), of special needs for the compensation of costs of acquisition a passenger car and its technical adaptation approved by the Order of the Minister of Social Security and Labour of the Republic of Lithuania and of the Minister of Health of the Republic of Lithuania without taking into consideration the age of the individual, a degree of disability or working capacity.

Special needs are established:

  • for the individual, other than those who reached the age of riterement in the presence in the office. In the case if predicted basic functioning level is less than 20 points and because of the disfunction of the body the individual  is uncapable to arrive in DWCAO he is inspected at home, hospital or social care institution he lives at the moment.
  • for the individuals that reached the age of retirement, are able not participate in the procedure of assesment when the documents necessary to identify special needs are not in doubt of the need of permanent care (assistance) or permanent nursing.
  • in the absence of the person when for the the establishment of a special needs of a person residing abroad is addressed by the institution paying the pension or benefit.

Special needs are asseted by evaluating the complex level of functioning, medical documents (information), the criteria for a person’s activity and ability to participate (by completing a questionnaire for the assessment of individual activity and ability to participate). The questionnaire is filled in by the employee of DWCAO during the conversation with the person for persons of working age and persons aged 4 to 18 years. For the individuals that reached the age of retirement the questionnaires are filled by an employee appointed by the administration of the municipality where the person lives.

If an individual whose special needs are being assessed fails to arrive to the DWCAO without justified reasons when is invited to attend in or refuses to participate in the procedure of assessment of special needs, the special needs of such individual are not assessed.

Special needs are also not assessed when the DWCAO applies to the Personal Healthcare Facility that employs the physician who has issued a referral to the DWCAO for the purpose of establishing special needs or to other facilities or institutions for additional medical documents (information), and the Personal Healthcare Facility that employs the physician who has issued a referral to the DWCAO for the purpose of establishing special needs or other facilities or institutions inform that the individual without a justified reason refuses from additional examination.

The following special needs may be established for individuals:

  • The need for a permanent nursing;
  • The need for a permanent care (assistance);
  • The need for the compensation of costs of acquisition of a passenger car and its technical adaptation.

The special needs for a permanent nursing and care (assistance) can be of two degrees:

  • a first degree need for nursing is established for an individual whose constant, irreversible dysfunction of the body results in disability that completely restricts self-reliance, orientation and movement of the individual, and who requires a permanent nursing 8 hours a day or for a longer duration);
  • a second degree need for nursing is established for an individual whose constant, irreversible dysfunction of the body results in disability that significantly restricts self-reliance, orientation and movement of the individual, and who requires a permanent nursing 6-7 hours a day;
  • a first degree need for a permanent care (assistance) is established for an individual whose constant, irreversible dysfunction of the body results in disability that partially restricts self-reliance and participation in public life of the individual, and who requires a permanent assistance of other individuals 4-5 hours a day;
  • a second degree need for a permanent care (assistance) is established for an individual whose constant, irreversible dysfunction of the body results in disability that slightly restricts self-reliance and participation in public life of the individual, and who requires a permanent care (assistance) for nor more than 3 hours a day.

In case an individual confirms in writing that he / she refuses from an assessment of a need for the compensation of costs of acquisition of a passenger car and its technical adaptation, a need of this type shall not be assessed and no decision shall be adopted regarding it.

Deadlines for establishing special needs:

The following deadlines apply for the establishment of special needs for a permanent nursing and for a permanent care (assistance):

  • for a period of 6 months when a special need for a permanent nursing, a special need for a permanent care (assistance) and a degree of special needs are assessed for the first time, and the change in the state of the health of the individual or in his / her self-reliance in daily activities is forecasted within the next six months;
  • for a period of one year when a special need for a permanent nursing, a special need for a permanent care (assistance) are assessed for the first time and/or the change in the state of the health of the individual or in his / her self-reliance in daily activities is forecasted within the next 12 months;
  • for a period of 2 years when the change in the state of the health of the individual or in his / her self-reliance in daily activities is forecasted within the next 24 months;
  • for an indefinite period of time when the change in the state of the health of the individual or in his / her self-reliance in daily activities is not forecasted and/or the health disorders of the individual are permanent, constant by their nature.

The following deadlines apply for the establishment of a special need for the compensation of costs of acquisition of a passenger car and its technical adaptation:

  • for a period of 6 years when a special need for the compensation of costs of acquisition of a passenger car and its technical adaptation is established and the change in the state of the health of the individual is forecasted within the next 72 months;
  • for an indefinite period of time when the change in the state of the health of the individual or in his / her self-reliance in daily activities is not forecasted and/or the health disorders of the individual are permanent, constant by their nature.

A degree of special needs shall be established following the establishment of special needs for individuals of retirement age.

  • A degree of significant special needs is established for the individuals for whom a special first and second degree need for a permanent nursing has been established.
  • A degree of average special needs is established for the individuals for whom a special first degree need for a permanent care (assistance) has been established.
  • A degree of low special needs is established for the individuals for whom a special second degree need for a permanent care (assistance) has been established.

Decision adopted by the territorial division of DWCAO may be appealed to the Director of DWCAO:

  • within 30 calendar days after the day of receiving the certificate, when a person disagrees with the decision adopted by the DWCAO territorial division;
  • within 90 calendar days after notification of pension or benefits paying institution, when the pension or benefits paying institution disagrees with the decision adopted by DWCAO territorial division.

When the individual or the institution paying target compensations disagrees with the decision of the Director of DWCAO regarding the reassessment of special needs, this decision may be appealed within 30 days from the day of receiving the certificate (the institution paying target compensations was informed) to the Contention Commission under the Ministry of Social Security and Labour.

5.

Legal acts applying to the provision of the administrative service

Special needs shall be assessed on the basis of the Order No. A1-765/V-1530 On Approval of the Description of Procedure for the Needs Assessment to Compensate Special Costs for Regular Nursing, Acquiring and Technical Adaptation of a Passenger Car, as well as Transport Costs, of 27 December 2018 of the Minister of Social Security and Labour of the Republic of Lithuania and the Minister of Health of the Republic of Lithuania.

6.

Information and documents to be submitted by the individual

The following documents should be provided by the applicants who apply for the establishment of special needs:

  • a completed referral to the DWCAO (a referral is valid for a period of 60 calendar days from the date on which it has been completed);
  • extracts of medical tests/examinations (instrumental, laboratory) confirming the severity of the disease and the diagnosis, when necessary – extracts from the medical records of treatment in the inpatient department (form No 003/a), medical records of the individual (form No 025/a) and other documents, depending on the functional impairment of the individual;
  • an application for the establishment of special needs (an application can be also completed at the DWCAO or on the website of the DWCAO at www.ndnt.lt and printed out). When an individual is unable to write and / or sign an application for the establishment of special needs by himself / herself due to his / her state of health, the application can be drafted and signed by the representative of that particular individual.
  • A passport or Personal Identity Card of the Republic of Lithuania, or a passport, or a residence permit in the Republic of Lithuania, and/or a birth certificate (of children under 16) if a child was born before 1 January 2017, a document certifying the identity of an authorized person (a passport or Personal Identity Card of the Republic of Lithuania, or a passport, or a residence permit in the Republic of Lithuania, except when an electronic service of this type is provided via E-Government Gateway system and the applicant applies online for the establishment of special needs.
  • Individuals of retirement age should provide a photo with a size 3 x 4cm.

Note: an application and other aforementioned documents must be provided by an individual or his / her representative even though a referral addressed to the DWCAO has been lodged by a physician electronically.

If the documents are sent by registered mail, copies of the personal documents must be notarised, or certified by an elder or a consular officer of the Republic of Lithuania. 

Note: Referral, application and other necessary documents to DWCAO shall be submitted within 60 calendar days after the day that the referral was filled in. 

Individuals may register for a meeting in DWCAO in advance on the internet, on the website   

www.ndnt.lt

https://epaslaugos.ndnt.lt/registracija/login?ReturnUrl=%2fregistracija%2fRegistration%2fRegisterContacts

or through E-government gateway.

7.

Information and documents to be received by the institution (the officer analysing the application)

   –

8.

Administrative service provider

DWCAO territorial divisions

9

Administrative service head

Heads of DWCAO territorial divisions

10

Administrative service duration

Having received all the necessary documents, the special needs are assessed within 20 working days.

11.

Administrative service fee

The service is free of charge. 

12.

Application form

Special Needs Request Form

Request for special needs identification when signed by another person

Request for special auto vehicle acquisition and technical adaptation needs determination

 

 

Last updated: 24-07-2019