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Apply for inclusion in the hospital plan of a federal state

  • Unternehmensstart und Gewerbezulassung

Your hospital will receive a license if it is included in the hospital plan of the respective federal state. You can apply for admission to the relevant authority.

  • Basic information

    Hospitals are licensed to treat patients with statutory health insurance by being included in the hospital plan of a federal state. Hospital treatment at the expense of statutory health insurance may only take place in approved hospitals. In addition, only planned hospitals are entitled to investment subsidies from the federal state.

    The federal states are responsible for hospital planning. In this way, they ensure that the population receives high-quality, patient-oriented and needs-based care. They also ensure that this care is provided by efficient, digitally equipped, high-quality hospitals that operate independently.

    The inclusion or non-inclusion of a hospital in the hospital plan of a federal state is determined by a decision. There are 2 decision stages:

    • In order to be included in the hospital plan, proof must be provided in the first stage that the following qualification criteria are met:
      • Need adequacy
      • efficiency
      • quality
      • economic efficiency
    • It is possible that more hospitals meet the qualification criteria than are required to cover the identified demand. In this case, the hospitals that best meet the objectives of the hospital plan are selected in a second stage. The public interest and the principle of diversity of ownership are taken into account. The following criteria, among others, are taken into account for the same quality of service provision:
      • the number of patients treated
      • regional accessibility
      • the range of disciplines

    There is no ranking ratio among the above criteria.

    Requirements

    In order for your hospital to be included in the hospital plan, you must fulfill the following qualification criteria:

    • Needs-based
    • efficiency
    • quality
    • economic efficiency
  • Procedure

    • You can apply for inclusion in the state hospital plan to the state authority responsible for hospital planning in writing by post or by e-mail.
    • Inclusion or non-inclusion in the hospital plan is determined by a decision of the competent authority.

    More information

    Legal remedy

    • Appeal
    • Administrative court action
  • Necessary Documents

    • Request
      • of the desired service group and/or the desired specialty according to the current further training regulations of the Bremen Medical Association, including justification of the requirements (needs, performance, quality and cost-effectiveness).
  • Competent Department

  • Fees / Costs

    gebührenfrei

  • Deadlines & processing time

    What deadlines must be paid attention to?

    There is no deadline.

    How long does it take to process

    3 months bis 6 months The processing time for an application for inclusion in the hospital plan is usually 3 to 6 months.

  • Legal Bases

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This page has been automatically translated by DeepL. We cannot guarantee that the translation is correct.

The official information in German is complete and correct. 12.05.2026

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